Combining 2 accepted Chinese therapies is amended than conscionable 1 for patients with chronic cervix pain, caller probe suggests.
In a randomized controlled survey with much than 100 participants, tuina therapy positive yijinjing workout was much effectual than tuina therapy unsocial for pain, functional recovery, and anxiety.
Tuina is simply a Chinese manual therapy that consists of brushed insubstantial manipulation, specified arsenic pressing, pushing, and kneading, coupled with spinal manipulation. Yijinjing is simply a benignant of accepted Chinese workout that puts accent connected the coordination of posture, meditation, and breathing.
Both therapies are wide utilized successful China for nonspecific cervix pain, but grounds for their additive effects has been limited.
The caller results suggest that tuina combined with yijinjing "can beryllium recommended for regular usage arsenic supplemental therapy for symptom control" for patients with nonspecific chronic cervix pain, Zi-ji Cheng, MS, Shanghai University of Traditional Chinese Medicine, China, and colleagues write.
The findings were published online December 13 successful JAMA Network Open.
Statistically, Clinically Significant
The researchers recruited 102 participants (mean age, 36 years) who had nonspecific, chronic cervix symptom that had lasted for astatine slightest 3 months.
Half received tuina therapy alone, and half received tuina plus yijinjing. Both interventions were delivered by experienced therapists successful 3 sessions per week for 8 consecutive weeks. There were nary dropouts.
Compared with tuina alone, tuina combined with yijinjing was associated with a importantly little ocular analogue standard (VAS) people by the extremity of the 8-week involution period, which met the superior endpoint.
At baseline, the median VAS people was 7 successful some groups. At week 8, for the tuina group, determination was a 4.1-point mean simplification successful VAS score, vs a 5.4-point simplification successful the combined therapy radical (mean difference, 1.2 points; P < .001).
The greater interaction of the combined therapy connected symptom strength persisted astatine the 12-week follow-up.
After 8 weeks, for the patients successful the tuina positive yijinjing group, determination was besides a greater simplification successful disablement and insubstantial hardness and amended progressive scope of question than successful patients successful the tuina-only group.
In the combined group, determination was besides a greater simplification successful anxiousness symptoms. Yijinjing combines heavy breathing with carnal movements, which whitethorn person an power connected antagonistic emotions and prime of life, the investigators note.
"Our findings suggest that the betterment successful symptom and disablement successful the tuina combined with yijinjing radical was not lone statistically important but was besides clinically significant," they write.
To their knowledge, this is the archetypal randomized objective proceedings to show the efficacy of tuina combined with yijinjing for patients with nonspecific chronic cervix pain.
No Surprises
Commenting for Medscape Medical News, Charles Kim, MD, an adept successful integrative symptom absorption and manager of objective operations for NYU Langone Rusk Rehabilitation spine services, New York City, said helium is not amazed by the findings.
"This is not groundbreaking. I find that radical who harvester antithetic treatments thin to bash amended wide ― for instance, erstwhile acupuncture is combined with carnal therapy vs acupuncture alone," said Kim, who was not progressive with the existent research.
"Tuina and yijinjing are some therapies utilized successful accepted Chinese medicine, and they are examples of types of treatments that are akin to massage that we bash successful the West, similar shiatsu," helium said.
Kim, who has been practicing integrative medicine for astir 20 years, noted that complementary and alternate treatments person go "more and much sought aft and besides provided by a batch of Western aesculapian centers, including NYU. We're besides seeing a batch much of these types of therapies being tested."
Daniel Schrier, doc of oriental medicine and manager of acupuncture experiential learning astatine Maryland University of Integrative Health, successful Laurel, besides was not amazed by the results.
Tuina therapy and yijinjing workout "complement each different precise good and accentuate the therapeutic prime of the treatment, overmuch similar acupuncture and herbal medicine," helium told Medscape Medical News erstwhile asked for comment.
"While 1 tin spot results with one, having some is ever better. Both tuina and yijinjing person akin qualities successful that they assistance to merchandise and unbend the sinew channels and by doing truthful assistance to invigorate the flow/circulation of qi and humor done the body," Schrier noted.
He said helium would "absolutely urge some of these treatments for patients, particularly yijinjing, since patients tin instrumentality this signifier location with them if they person a video to supplement what was taught by the practitioner."
The survey was funded by a assistance from the Three-Year Development Plan Project for Traditional Chinese Medicine and the Future Plan for Traditional Chinese Medicine Inheritance and Development of Shanghai Municipal Hospital of Traditional Chinese Medicine. Yao, Kim, and Schrier person reported nary applicable fiscal relationships.
JAMA Netw Open. Published online December 13, 2022. Full article
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