2 Citations (Scopus)

Abstract

Aims and objectives. This study performed a meta-analysis of seven parallel-group comparison studies evaluating the efficacy of tuina in treating cervical spondylosis. Background. Tuina is a form of Chinese manipulative therapy. It has been used as a modality for the treatment of symptoms associated with such a musculoskeletal condition as cervical spondylosis. However, evidence regarding the efficacy of tuina for cervical spondylosis has yet to be determined. Design. Systematic review. Methods. Cochrane library, Pubmed, MEDLINE, EBM review, ProQuest Medical Bundle and SCOPUS databases were searched using the following medical subject headings or key words: tuina, tuinaology, manual medicine, massotherapy, cervical spondylopathy, cervical spondylosis and cervical vertebrae. Chinese research papers were searched through the Chinese electronic periodical services and Wangfane database. The publication date was limited from 1996-2007. Studies were selected if they were written in English or Chinese, used tuina as a stand-alone modality, used a parallel-group comparison design and explicated raw data regarding symptoms relief. Two independent reviewers reviewed the selected studies based on the evidence rating system of the US Preventive Services Task Force. Studies with an evidence rating of II-2 fair or above were included in this review. Results. The direction of the effect size for the improvement of blood flow velocity of vertebral artery and basilar artery was not consistent across studies. Moreover, the pooled effect size was negligible. No evidence supported that tuina could improve headache and vertigo. A small effect of tuina on the viscosity of blood and plasma was found. Conclusion. Based on the results of this systematic review, a definitive conclusion regarding the effects of tuina on cervical spondylosis remains to be determined. Relevance to clinical practice. The efficacy of tuina is not supported by parallel-group comparison studies.

Original languageEnglish
Pages (from-to)2531-2538
Number of pages8
JournalJournal of Clinical Nursing
Volume17
Issue number19
DOIs
Publication statusPublished - Oct 2008

Fingerprint

Spondylosis
Meta-Analysis
Medical Subject Headings
Databases
Musculoskeletal Manipulations
Cervical Vertebrae
Basilar Artery
Vertebral Artery
Blood Flow Velocity
Vertigo
Advisory Committees
PubMed
Viscosity
MEDLINE
Libraries
Headache
Publications
Medicine
Research

Keywords

  • Complementary alternative medicines
  • Literature review
  • Nurses
  • Nursing
  • Taiwan
  • Tuina

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Systematic review and meta-analysis of the efficacy of tuina for cervical spondylosis. / Wang, Mei Yeh; Tsai, Pei Shan; Lee, Pi Hsia; Chang, Wen Yin; Yang, Che Ming.

In: Journal of Clinical Nursing, Vol. 17, No. 19, 10.2008, p. 2531-2538.

Research output: Contribution to journalArticle

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abstract = "Aims and objectives. This study performed a meta-analysis of seven parallel-group comparison studies evaluating the efficacy of tuina in treating cervical spondylosis. Background. Tuina is a form of Chinese manipulative therapy. It has been used as a modality for the treatment of symptoms associated with such a musculoskeletal condition as cervical spondylosis. However, evidence regarding the efficacy of tuina for cervical spondylosis has yet to be determined. Design. Systematic review. Methods. Cochrane library, Pubmed, MEDLINE, EBM review, ProQuest Medical Bundle and SCOPUS databases were searched using the following medical subject headings or key words: tuina, tuinaology, manual medicine, massotherapy, cervical spondylopathy, cervical spondylosis and cervical vertebrae. Chinese research papers were searched through the Chinese electronic periodical services and Wangfane database. The publication date was limited from 1996-2007. Studies were selected if they were written in English or Chinese, used tuina as a stand-alone modality, used a parallel-group comparison design and explicated raw data regarding symptoms relief. Two independent reviewers reviewed the selected studies based on the evidence rating system of the US Preventive Services Task Force. Studies with an evidence rating of II-2 fair or above were included in this review. Results. The direction of the effect size for the improvement of blood flow velocity of vertebral artery and basilar artery was not consistent across studies. Moreover, the pooled effect size was negligible. No evidence supported that tuina could improve headache and vertigo. A small effect of tuina on the viscosity of blood and plasma was found. Conclusion. Based on the results of this systematic review, a definitive conclusion regarding the effects of tuina on cervical spondylosis remains to be determined. Relevance to clinical practice. The efficacy of tuina is not supported by parallel-group comparison studies.",
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AU - Wang, Mei Yeh

AU - Tsai, Pei Shan

AU - Lee, Pi Hsia

AU - Chang, Wen Yin

AU - Yang, Che Ming

PY - 2008/10

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KW - Literature review

KW - Nurses

KW - Nursing

KW - Taiwan

KW - Tuina

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