Effectiveness and safety of Chinese massage therapy (Tui Na) on post-stroke spasticity: a prospective multicenter randomized controlled trial

Yang, Yujie; Zhang, Jun; Hou, Ying; Jiang, Bao-yin; Pan, Hui; Wang, Jian; Zhong, Dayong; Guo, Haiying; Zhu, Yi; Cheng, Jie

doi:10.1177/0269215516663009

Cited by 17 publications

(17 citation statements)

References 21 publications

(29 reference statements)

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“…The PRISMA diagram ( Figure 1 ) summarizes the results of the scientific literature search and 18 randomized controlled trials were included [ 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 ]. No author responded when contacted for additional information.…”

Section: Resultsmentioning

confidence: 99%

“…The mean PEDro score assessing the risk of bias was 6.3 points (range 4–9) from 10 criteria ( Supplemental Table S1 ), indicating a good score. Only one study [ 35 ] with 9 points was found, because is difficult to blind the therapist and patients in a physical therapy intervention.…”

Section: Resultsmentioning

confidence: 99%

“…Three authors did not specify which phase. Only four studies [ 35 , 36 , 42 , 45 ] performed a follow-up of 3 months, one had a follow-up of 6 months, and one had a follow-up of 3 days. Wang (2019) was the study that recruited the most patients, with 397.…”

Section: Resultsmentioning

confidence: 99%

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The Effectiveness of Massage Therapy for Improving Sequelae in Post-Stroke Survivors. A Systematic Review and Meta-Analysis

Cabanas-Valdés

Sanz

Serra-Llobet

et al. 2021

IJERPH

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Objective: To assess the effect of therapeutic massage for improving sequelae in stroke survivors. Methods: A systematic review of the nine medical databases from January 1961 to December 2020 was carried out. The bibliography was screened to identify randomized controlled clinical trials (RCTs). Two reviewers independently screened references, selected relevant studies, extracted data and assessed the risk of bias using the PEDro scale. The primary outcome was upper and lower limb motor function and spasticity. Results: A total of 3196 studies were identified and 18 RCT were finally included (1989 individuals). A meta-analysis of RCTs in the comparison of Chinese massage (Tuina) plus conventional physiotherapy versus conventional physiotherapy was performed. The mean difference (MD) in the subacute stage on upper limb motor-function using the Fugl Meyer Assessment was 2.75; (95% confidence interval (CI) from 0.97 to 4.53, p = 0.002, I2 = 36%). The MD on upper limb spasticity using modified Ashworth scale was −0.15; (95% CI from −0.24 to −0.06, p < 0.02, I2 = 0%).The MD on lower limb spasticity was −0.59; (95% CI from −0.78 to −0.40, p < 0.001, I2 = 0%) in the endpoint. Conclusions: Therapeutic massage, especially Tuina, in addition to conventional therapy is effective for improving motor function and for reducing spasticity in stroke survivors.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The Effectiveness of Massage Therapy for Improving Sequelae in Post-Stroke Survivors. A Systematic Review and Meta-Analysis

Cabanas-Valdés

Sanz

Serra-Llobet

et al. 2021

IJERPH

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“…stem cells [7]), and some alternative medicines (e.g. acupuncture [8], massage [9], and herbal medicines [10]). In China, traditional Chinese medicine (TCM) is commonly utilized by physicians as a complementary and alternative therapy for rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Effect of Buyang Huanwu decoction for the rehabilitation of ischemic stroke patients: a meta-analysis of randomized controlled trials

Gao

Xiao

Jia

et al. 2021

Health Qual Life Outcomes

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Purpose Buyang Huanwu decoction (BHD) is a widely used traditional Chinese medicine for the rehabilitation of ischemic stroke patients in China, but its clinical efficacy and safety have not been adequately assessed. In this paper, we conducted a systematic review and meta-analysis to evaluate the efficacy and safety of BHD. Methods We searched seven electronic databases from inception to 31 March 2019. The language was limited to Chinese and English. Randomized controlled trials evaluating the efficacy and safety of BHD for the rehabilitation of ischemic stroke patients were included in the meta-analysis. Reviewers independently performed the screening, data extraction, bias assessment, and data analysis. The treatment efficacy was pooled in a meta-analysis using RevMan 5.3 software with a random-effect model. Any disagreement was resolved by discussion among all reviewers. The PRISMA statement was used in the review process. Results A total of 11 studies with 1084 patients were included in the meta-analysis. The results suggested that BHD was superior to other treatments in terms of clinical efficacy in symptoms and daily activities (n = 684, RR = 1.12, 95% CI: 0.99 to 1.27), clinical efficacy in TCM symptoms (n = 280, RR = 1.45, 95% CI: 1.03 to 2.03), National Institute of Health stroke scale (n = 192, MD = 1.66, 95% CI: -1.08 to 4.40), and activities of daily living (n = 200, MD = 8.20, 95% CI: -3.95 to 20.35). Conclusions The results supported the clinical use of BHD for the rehabilitation of ischemic stroke patients. However, the methodological qualities of the included studies were relatively low, and there were limited reports on adverse events. The clinical efficacy and safety of BHD need to be further confirmed by more well-designed and high-quality randomized controlled trials to warrant the clinical recommendation of BHD for the rehabilitation of ischemic stroke patients.

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“…Few articles in Pubmed detail ‘massage stroke’ patients [12], [13], [14]. 59.3% of patients in India having stroke will see an Ayurvedic physician at some point in their care [15].…”

Section: Introductionmentioning

confidence: 99%

A prospective study on the effects of Ayurvedic massage in post-stroke patients

Sankaran

Kamath

Nambiar

et al. 2019

Journal of Ayurveda and Integrative Medicine

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Background Few stroke patients have reported improvements after Ayurvedic massage. Unfortunately, there is a dearth of indexed literature to support the use of this in rehabilitation. Objectives To objectively measure the differences between patients with stroke who received Ayurvedic massage in addition to standard Physiotherapy (PT) versus those who received only standard PT. Materials and methods The study was a prospective case control study, retrospectively analysed. The setting was a tertiary level hospital with neuro-rehabilitation unit. Fifty-two patients undergoing acute inpatient rehabilitation were prospectively followed post stroke. They were self-selected one month from the event for Ayurvedic massage with regular PT or PT alone. Twenty five received Ayurvedic massage with PT and twenty seven received only PT. All participants completed treatment. Information related to age, gender, National Institute of Health Stroke Scale result, number of co-morbidities, and whether cases were deemed simple or complex were taken at baseline. All patients received 6 hours of physical therapy averaged over a week. Massage was delivered daily for a total of 10 sessions followed by steam application. Results Patients were categorized as simple or complicated stroke based on events prior to rehabilitation. Both simple and complicated patients who received Ayurvedic massage had lower MAS and need for antispastic drugs, achieved standing with minimal assistance sooner, and had better locomotion at discharge. All these differences were significant. Conclusion Utilizing Ayurvedic massage in post stroke patients with flaccidity can promote faster standing with minimal assistance and lead to less need for antispastic drugs at discharge.

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Effectiveness and safety of Chinese massage therapy (Tui Na) on post-stroke spasticity: a prospective multicenter randomized controlled trial

Abstract: Tui Na might be a safe and effective treatment to reduce post-stroke spasticity of several muscle groups.

Cited by 17 publications

References 21 publications

The Effectiveness of Massage Therapy for Improving Sequelae in Post-Stroke Survivors. A Systematic Review and Meta-Analysis

The Effectiveness of Massage Therapy for Improving Sequelae in Post-Stroke Survivors. A Systematic Review and Meta-Analysis

Effect of Buyang Huanwu decoction for the rehabilitation of ischemic stroke patients: a meta-analysis of randomized controlled trials

A prospective study on the effects of Ayurvedic massage in post-stroke patients

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