Evidence map›Paper›PMID 40527796›Full record

Trial reportMedicine2025

Effect of tuina at different muscle positions on surface electromyography in chronic nonspecific neck pain: A randomized clinical study.

Yahui Sun, Yuanyuan Ji, Huijuan Lou, Junjie Yao, Zhongxu Li, Jing Xu, Yiping Sun, Jinglei Jiang, Meng Guo, Deyu Cong

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Clinical and Electromyographic Effect of Tui-Na Massage Versus Positional Release on Postpartum Neck Dysfunction: A Randomized Clinical Trial.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
    Trial
  2. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Yahui SunAffiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun, China.
Yuanyuan JiAffiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun, China.
Huijuan LouAffiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun, China.
Junjie YaoChangchun University of Chinese Medicine, Changchun, China.
Zhongxu LiAffiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun, China.
Jing XuChangchun University of Chinese Medicine, Changchun, China.
Yiping SunChangchun University of Chinese Medicine, Changchun, China.
Jinglei JiangAffiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun, China.
Meng GuoThe Third Affiliated Clinical Hospital of Changchun University of Chinese Medicine, Changchun, China.
Deyu CongAffiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun, China.ORCID 0009-0000-4453-1653

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to examine the effects of muscle-start-stop tuina and muscle belly tuina on the surface electromyography(sEMG) of chronic nonspecific neck pain. The research sought to provide empirical evidence for the efficacy of muscle start-stop tuina in treating chronic nonspecific neck pain.

methodsA total of 60 patients diagnosed with chronic nonspecific neck pain were randomly allocated into 2 equal groups: an experimental group (n = 30) and a control group (n = 30). The experimental group received tuina treatment focused on the origin and insertion points of the trapezius muscle, while the control group received tuina treatment on the trapezius muscle belly. Both groups underwent 10 treatment sessions over a two-week period. To assess the efficacy of the interventions, patients' symptoms were evaluated using the Northwick Park Neck Pain Questionnaire. Additionally, muscle tone and endurance were quantified using sEMG to measure the root mean square and median frequency value decline rates.

resultsThe experimental and control groups exhibited statistically significant changes in Northwick Park Neck Pain Questionnaire scores, sEMG root mean square values, and median frequency decline rates posttreatment compared to pretreatment measurements. Furthermore, statistically significant differences were observed in these parameters between the experimental group, which received tuina at the muscle origin and insertion, and the control group, which received tuina at the muscle belly.

conclusionsBoth the muscle-start-end tuina and muscle belly tuina techniques demonstrate efficacy in treating chronic nonspecific neck pain. However, the muscle-start-end tuina method exhibits superior outcomes in symptom alleviation, muscle tension reduction, and enhancement of muscle endurance compared to muscle belly tuina.

Indexed as

Chronic PainElectromyographyNeck PainSuperficial Back MusclesAdultFemaleHumansMaleMiddle AgedPain MeasurementTreatment Outcomechronic nonspecific neck painsurface electromyographytrapeziustuina

Identifiers

PMID40527796
PMCPMC12173296

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.