Evidence map›Paper›PMID 41046365›Full record

Trial reportJournal of primary care & community health

Effects of Tuina in Patients With Chronic Nonspecific Low Back Pain: A Randomized Controlled Trial.

Juan Yang, Alexander Do, Jennifer N Soderlind, Molly J Mallory, Sara E Bublitz, Jason J Calva, Ivana T Croghan, Karen M Fischer, Xuan Zhou, Qingyu Ma and 6 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

16 authors.

Juan YangDivision of General Internal Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-0850-679X
Alexander DoDivision of General Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Jennifer N SoderlindDivision of General Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Molly J MalloryDivision of General Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Sara E BublitzDivision of General Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Jason J CalvaDivision of General Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Ivana T CroghanDivision of General Internal Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-3464-3525
Karen M FischerDepartment of Quantitative Health Sciences, Mayo Clinic Rochester, Rochester, MN, USA.
Xuan ZhouFormula Pattern Research Center, School of Traditional Chinese Medicine, Jinan University, Guangzhou, China.ORCID 0000-0002-5501-4579
Qingyu MaFormula Pattern Research Center, School of Traditional Chinese Medicine, Jinan University, Guangzhou, China.
Jiaxu ChenFormula Pattern Research Center, School of Traditional Chinese Medicine, Jinan University, Guangzhou, China.
Boon Keng TayDepartment of Physiotherapy, Singapore General Hospital, Singapore.
Celia Tan Ia ChooDepartment of Physiotherapy, Singapore General Hospital, Singapore.
Mark A JensenDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA.
Jeffrey S BraultDepartment of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA.
Brent A BauerDivision of General Internal Medicine, Mayo Clinic, Rochester, MN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic nonspecific low back pain (CNLBP) is a prevalent, disabling condition worldwide. Tuina, a traditional Chinese manual therapy, has shown potential benefits, but evidence remains limited.

objectiveThis study evaluated the effectiveness and safety of Tuina therapy in managing CNLBP in a U.S. POPULATION:

methodsA prospective, single-blind, randomized controlled trial was conducted at Mayo Clinic Rochester campus (February 2020-April 2024). 204 participants with CNLBP were randomized into 3 groups: Tuina (N = 68), physical therapy (N = 68), or a combination of both (N = 68). Each group received 6 treatments over 2 months. The primary outcome was pain intensity (VAS); secondary outcomes included disability (ODI), quality of life (SF-36), and adverse events. Additionally, participants completed a satisfaction survey at the end of the trial. Research Electronic Data Capture (REDCap) was used for survey data collection. Data was assessed by analysis of variance (ANOVA) for the multiple repeated measurements, Kruskal-Wallis tests, while Chi-square tests, and Bonferroni correction in SAS software.

results185 subjects completed the study. Significant decreases in VAS, ODI, and SF-36 Overall Physical scores were found from baseline, to post treatment and follow-up in all groups (

conclusionTuina therapy showed comparable benefits to physical therapy and combined treatment of both in improving pain, function, and quality of life in patients with CNLBP. With high patient satisfaction and a favorable safety profile, Tuina appears to be a safe and acceptable non-invasive treatment option. Further studies are needed to validate these findings in the future.

Indexed as

Chronic PainLow Back PainMedicine, Chinese TraditionalMusculoskeletal ManipulationsAdultFemaleHumansMaleMiddle AgedPain MeasurementPatient SatisfactionPhysical Therapy ModalitiesProspective StudiesQuality of LifeSingle-Blind MethodTreatment Outcomechronic low back painchronic nonspecific low back painmassagephysical therapytuina

Identifiers

PMID41046365
PMCPMC12497968

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.