Examine individual changes

'Objective: To determine the safety and effectiveness Tui Na as a treatment to spasticity in muscles of stroke victims. Design: A cross-sectional study was conducted to determine the effect of Tui Na on muscular spasticity in patients with stroke. A sample of fourteen stroke patients with normal neurological functions were randomly assigned to two groups. At post stroke, they were treated with Tui Na (nontraditional treatment) or standard medical therapy combined with physiotherapy over a period of 4 months. At the end of the four months, the researchers conducted a test of muscular weakness, and the related ratings.<br><br>There was a significant impact of Tui Na on the mean improvement in mean disability score (MDS) however, there was no effect on improvement in mean muscle function or muscular function at the end of the follow up. Conventional treatments included regular corticosteroids, Nitroglycerin injections, transcutaneous electric stimulation, radiofrequency ablations laser beam therapy and local anesthetics. Six of seven patients who received Tui Na saw improvement (ranging from mild to significant) however eight of nine patients who received conventional treatments saw no improvement. These results demonstrate the effectiveness of Tui Na for the treatment of stroke, but it is not possible to draw definitive conclusions about the effects on sleep quality, cognition and emotional well-being. Future studies are needed to explore these areas in greater detail.<br><br>Safety and effectiveness The study did not show any adverse reactions in the acute phase of either group. One of the post-stroke trials gave patients oral medications to treat cervical radiculopathy. Patients in either group didn't experience any adverse effects from the drugs. In one trial, patients who were given the dose of loperamide showed no pain reduction or any decrease in cough and fever. The researchers believe that this drug may be effective in short-term treatment of neck pain that is acute for smokers.<br><br>Study by Chun et al. have found that patients treated with acupuncture experienced significant improvement in the mean of the perception of pain and the ability to perform normal physical activities. Researchers highlighted the importance of large-scale randomised controlled trials to confirm the efficacy of acupuncture for treating cervical radiculopathy. The researchers concluded that further research is required to confirm the results and determine if acupuncture is effective in treating cervical radiculopathy. However, the present data do not support the use of acupuncture for the treatment of spinal cord injuries.<br><br>A meta-analysis conducted by Chung and colleagues. Chung and. observed an improvement in nerve damage in patients who received Tui Na therapy. Although the effect was not statistically significant (odds –0.40) however, it was statistically significant (confidence interval: -0.15 to 0.2). This study is significant because of the lack of studies in this field. It isn't certain if the improvement seen in patients was due to acupuncture or the effects of treating the nerves. Nevertheless, Tui Na therapy appears to be an appropriate alternative to conservative treatments in patients with chronic symptoms of neck pain, as evidenced by the increased pain score in the treatment group.<br><br>Albers and his colleagues conducted a systematic review that showed that tui-na therapy has positive effects for patients suffering from cervical radiolucopathy. However, the majority of these studies were from USA and Canada in which the majority of patients were from different cities , and the quality of the research was poor. The pooled effect was very small (pooled effect size -0.15). These studies confirm the efficacy of Chinese medicine in managing chronic pain and disability.<br><br>There are many reasons why certain studies are superior or more harmful than others. This includes the study's design, reporting bias, and other bias-related factors. This also includes the characteristics of the treatment arm (whether active or placebo). Another reason for variability is the use of various assessment tools. The problem with questionnaires used in randomised controlled trials is their lack of reproducibility and inability to accurately assess potential outcomes. Another possible source of variation is the number of participants treated, since some people are better treated than others, both within arms and between arms.<br><br>To conclude We believe that although there are some interesting distinctions between Chinese soft tissue acupuncture as well as tui na massage however, the evidence is insufficient to support a convincing argument in either direction. Both therapies can be beneficial particularly when they are combined. Anyone suffering from neck discomfort or disability should see their physician. If your symptoms are not improving, we recommend you continue to treat them. This will ensure that you receive the most effective treatment possible without causing more injury or aggravating your problem. 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