Trial reportJournal of pain research2026
Stretching-Relaxation-Adjustment Manipulation versus Conventional Tuina for Non-Myelopathic Cervical Spondylosis: A Single-Blind Randomized Controlled Trial.
Trial report in Journal of pain research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
9 authors.
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Abstract
Purpose: To systematically evaluate the effectiveness of the innovative massage technique-Stretching-Relaxation-Adjustment Manipulation (SRAM)-as a standalone intervention form for various types of non-myelopathic cervical spondylosis. Patients and Methods: A single-blind randomized controlled trial (RCT) was conducted, involving 156 patients with non-myelopathic cervical spondylosis. Patients were randomly assigned to the SRAM group (n=78) and the Tuina group (n=78). Outcome measures, including PainVision perceptual pain quantitative analysis, surface electromyography, the Improved Northwick Park Neck Pain Questionnaire, the Quality of Life Scale, the Zung Self-Rating Anxiety Scale, and the Zung Self-Rating Depression Scale, were measured at baseline and after the intervention. Results: Both groups showed significant within-group improvement from baseline in all outcomes (all p < 0.05). For the primary outcome (PV), the SRAM group demonstrated significantly greater improvement than the Tuina group for Pain Degree (between-group difference: 61.29 μA, 95% CI [29.43, 93.15], p < 0.001). However, no significant between-group difference was observed for Pain Rate (0.44%, 95% CI [-0.03, 0.89], p = 0.064). SRAM was also superior to Tuina in most secondary outcomes (except several domains (VT, GH, HT) of Quality of Life Scale dimensions). Conclusion: Stretching-Relaxation-Adjustment Manipulation (SRAM), integrating Chinese Medicine and Western theories, was more effective than Tuina in improving most outcomes over a 4-week follow-up and may represent a short-term non-pharmacological option for non-myelopathic cervical spondylosis. Longer-term trials are needed to confirm sustained efficacy.
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