Tuina for children with cerebral palsy

Abstract

Background:Cerebral palsy (CP) describes a group of permanent disorders of movement and posture causing activity limitations, leading the most common movement disorder to children. On recovery of various aspects of CP, massotherapy has a good effect in a great many of Chinese clinical trials. Therefore, we plan to conduct a protocol of systematic review aimed at systematically reviewing all the clinical evidence on the effectiveness of massotherapy for treating CP in children.Methods:The following electronic databases will be searched from inception to October 1, 2017: Cochrane Library, Web of Science, EBASE, Springer, World Health Organization International Clinical Trials Registry Platform, China National Knowledge Infrastructure, Wan-fang database, Chinese Biomedical Literature Database, Chinese Scientific Journal Database, and other sources. All published English and Chinese articles randomized controlled trials (RTCs) will be included. All types of CP of children in the trials will be included in this study and these individuals will be involved as coresearchers to evaluate the efficacy of massothreapy. RevMan V.5.3.5 software will be implemented for the assessment of bias risk, data synthesis, subgroup analysis, and meta-analyses if inclusion conditions are met. Continuous outcomes will be presented as mean difference (MD) or standard mean difference (SMD), while dichotomous data will be expressed as a relative risk.Results:A high-quality synthesis of current evidence of massothreapy for children with CP will be provided from several aspects, including motor function improvement, intellectual development, improvement of self-care ability, and daily living.Conclusion:This protocol will present the evidence of whether Tuina threapy is an effective intervention for children with CP.Ethics and dissemination:There is no requirement of ethical approval and it will be in print or disseminated by electronic copies.PROSPERO registration number:CRD42017080342.

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

“…It follows the meridian theory and works on the organs, energy channels in muscle groups and points on the body using the same principles as acupuncture, except hands and fingers are used instead of needles [ 73 ]. It is combined with anatomical and pathological diagnosis in order to achieve dredging meridian, removes pathogenic factors and has a curative effect of a harmonic balance of Yin-Yang [ 74 ]. Tuina can act on the subcutaneous muscular layer; enhance local blood circulation, lymph circulation, tissue metabolism of the skin, can regulate physiological and pathological states, unblock meridians, and harmonize Qi (total life energy).…”

Spinal Tuina Improves Cognitive Impairment in Cerebral Palsy Rats through Inhibiting Pyroptosis Induced by NLRP3 and Caspase-1

“…Tuina manipulations have been performed along specific channels Evidence-Based Complementary and Alternative Medicine (meridians) and on confirmed acupuncture points on the body surface of patients for the purpose of alleviating symptoms of diseases [23]. Some clinical trials have reported that Tuina is beneficial for motor function improvement, intellectual development, and improvement of self-care abilities and the daily life of children with CP [10,24,25]. Moreover, animal experiments have shown that Tuina improved the motor balance and cognitive functions of HIE rats, the underlying mechanism of which was associated with the regulation of inflammation and genome-wide DNA hydroxymethylation levels [13,26].…”

“…As a physical therapy derived from traditional Chinese medicine (TCM), Tuina has shown multiple effects on a diverse set of diseases, including CP-although the effects of Tuina in CP remain controversial. Previous studies have indicated that Tuina may be used to improve the cognitive and motor functions and self-care abilities of children with CP [10][11][12][13]. Nevertheless, the precise mechanism of Tuina to treat CP is still unclear, which limits its clinical application.…”

Tuina for children with cerebral palsy

“…In the article, “Tuina for children with cerebral palsy: A protocol for a systematic review”, [ 1 ] which appeared in Volume 97, Issue 4 of Medicine , Dr. Taipin Guo's name appeared incorrectly as Tainpin Guo.…”