Tuina for spasticity of poststroke: protocol of a systematic review and meta-analysis

Abstract

IntroductionSpasticity is a common complication of poststroke, tuina is a widely used rehabilitation treatment, although there is a lack of supportive evidence on efficacy and safety for patients with poststroke spasticity. The aim of this systematic review is to assess and synthesis evidence of efficacy and safety of tuina for spasticity of poststroke.Methods and analysisA comprehensive electronic search of EMBASE, MEDLINE, Cochrane Library, Web of Science, Wiley, Springer, PEDro, Chinese Science Citation Database, China National Knowledge Infrastructure, Chinese Biomedical Literature Database, Chinese Scientific and Journal Database (VIP), Wanfang Database (Wanfang), Japanese medical database (CiNii), Korean Robotics Institute Summer Scholars and Thailand Thai-Journal Citation Index Centre will be conducted to search literatures of randomised controlled trials of tuina for spasticity of poststroke survivors range from the establishment to 1 January 2020.There is no time of publication limitations. The primary outcome will be measured with the Modified Ashworth Scale, and the second outcome will include Fugl-Meyer Assessment Scale, surface electromyogram RMS value, the Modified Barthel Index, Stroke Specific Quality of Life Scale, quality of life 36-Item Short-Form Health Survey and Visual Analogue Scale. Cochrane Handbook for Systematic Reviews of Interventions will be used to assess the risk of bias, and GRADE will be used to access the confidence in cumulative evidence. The protocol will be conducted according to approach and Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols 2015.Ethics and disseminationEthical approval will not be required, for no primary data of individual patients were collected. We will publish the findings in a peer-reviewed journal.PROSPERO registration numberCRD42020163384.

The Efficacy and Safety of Massage for Treatment of Functional Constipation in Children: Protocol for Meta-Analysis of Randomized Controlled Trials

“…The search strategy is developed according to published reviews. [12][13][14][15][16][17] The detail search strategy of MEDLINE (by PubMed) is listed in table 1, according to other different databases, the search strategy will be modi ed.…”

Acupuncture combined tuina for oculomotor paralysis

“…[2,17] Tuina is an ancient external treatment method. [18] It is based on the TCM theory of meridians and acupoints, and uses specific operation skills to act on the patient's body surface or acupoints to treat the disease, [19,20] which has the characteristics of intervention and low final cost, for OP; at present, there is no system assessment of tuina in the treatment of OP, so this study will assess the effectiveness and safety of tuina in the treatment of OP, and provide a basis for clinical massage decisions; acupuncture and tuina are part of the external treatment of TCM, and both are based on the same theory of meridians and acupoints. The use of traditional Chinese medicine acupuncture combined with tuina therapy for patients with OP can effectively improve clinical symptoms and enhance patients' quality of life, and is recommended for clinical use and active promotion.…”