ReviewFrontiers in neurology
The clinical effect of manual therapy including Tuina (or Chuna) on post-stroke shoulder hand syndrome-a literature review.
Review in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled 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.
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.
Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Effects of fire dragon cupping therapy for patients with post-stroke shoulder-hand syndrome: a systematic review and meta-analysis.Frontiers in neurology · 2026Pooled it
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Post-stroke SHS is a common sequela of stroke, presenting with pain, hypersensitivity, allodynia, and edema in the upper extremities. These symptoms can significantly hinder functional recovery and reduce quality of life. Manual therapy, including Tuina (or Chuna) has been increasingly applied in integrative rehabilitation; however, its clinical role has not been systematically evaluated. Methods: We conducted a comprehensive search across 13 databases, including PubMed, Cochrane Library, Embase, Wanfang Data, China National Knowledge Infrastructure (CNKI), KoreaMed, Korean Medical Database (KMBase), Korean Studies Information Service System (KISS), ScienceON, KoreaScience, DBPia, Research Information Sharing Service (RISS), and Oriental Medicine Advanced Searching Integrated System (OASIS). Studies were selected according to predefined criteria. We extracted and analyzed the characteristics of the selected studies to evaluate their clinical efficacy and safety. Results: All 13 selected studies were randomized controlled trials (RCTs) that applied Tuina manual therapy. These interventions were additionally interpreted within the framework of Chuna manual therapy. Among these, 1 study employed lymphatic drainage massage as the manual therapy, while the remaining 12 studies targeted specific body areas or acupuncture points. Based on the treatment approaches, we classified the studies into 4 categories: monotherapy (1 study), add-on therapy with traditional Chinese medicine (2 studies), add-on therapy with conventional treatment (7 studies) or combination therapy (3 studies). All studies reported significant effects across various outcome measures, while only 2 evaluated the occurrence of adverse events. Conclusion: This research suggests the potential clinical value of manual therapy including Tuina (or Chuna) into SHS. However, there was variability in the duration of therapies, techniques, acupuncture points, and outcome measures, which made it difficult to generalize the results. To develop standardized guidelines for manual therapy in SHS, further large-scale, multinational studies are needed.
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What OpenQuestion holds
Registered trials
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.