Efficacy of Tui Na in idiopathic constipation in children with cerebral palsy: a randomized controlled clinical trial

ObjectiveTo investigate the efficacy and potential adverse events of Tuina therapy for idiopathic constipation in children with cerebral palsy (CP).MethodsA total of 60 CP children with idiopathic constipation were enrolled and randomly divided into Tuina and control groups. The control group was tr...

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Main Authors: Huijuan Wang, Bichan Chen, Qian Long, Qiuping Yang, Jiawen Mao, Qinghua Ma, Xingqian Yi, Ying Wang, Yinghan Liu, Zhiliang Cao, Jianda Xu, Yong Ye, Wei Tang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Pediatrics
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Online Access:https://www.frontiersin.org/articles/10.3389/fped.2024.1503591/full
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author Huijuan Wang
Bichan Chen
Qian Long
Qiuping Yang
Jiawen Mao
Qinghua Ma
Xingqian Yi
Ying Wang
Yinghan Liu
Zhiliang Cao
Jianda Xu
Yong Ye
Wei Tang
author_facet Huijuan Wang
Bichan Chen
Qian Long
Qiuping Yang
Jiawen Mao
Qinghua Ma
Xingqian Yi
Ying Wang
Yinghan Liu
Zhiliang Cao
Jianda Xu
Yong Ye
Wei Tang
author_sort Huijuan Wang
collection DOAJ
description ObjectiveTo investigate the efficacy and potential adverse events of Tuina therapy for idiopathic constipation in children with cerebral palsy (CP).MethodsA total of 60 CP children with idiopathic constipation were enrolled and randomly divided into Tuina and control groups. The control group was treated with basic treatment and 12 sessions of lactulose oral solution, whereas the Tuina group received basic treatment and 12 sessions of infantile Tuina treatment. The following parameters were compared: the Bristol stool form scale (BSFS), the Constipation Assessment Scale (CAS) and the improvement in constipation. In addition, adverse effects were recorded.ResultsAt 4 weeks after the final treatment, the percentage of infants whose constipation improved was 23 (76.7%) in the Tuina group and 21 (70.0%) in the control group (P = 0.771). Initially, the CAS score, weekly bowel movements and proportion of infants with bowel evacuation ≥2 h were comparable between the two groups (P > 0.05). At 4 weeks after the final treatment, the CAS score, weekly bowel movements and proportion of infants with bowel evacuation ≥2 h all significantly improved (P < 0.05) compared with those in the initial situation. However, no difference was found in either group at 4 weeks after the final treatment. No serious adverse reactions (such as diarrhea, abdominal pain, vomiting, subcutaneous redness, skin breakage, or syncope) were recorded.ConclusionsTuina was as effective as medical care in addition to basic treatment for both groups. The results of this study suggest that Tuina, as a nonpharmacological therapy, may be helpful as an alternative treatment for constipation. More advanced research and large-sample studies should be conducted.
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spelling doaj-art-8c228bfcfe75407b8488882d54f0eeb62025-01-23T06:56:07ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-01-011210.3389/fped.2024.15035911503591Efficacy of Tui Na in idiopathic constipation in children with cerebral palsy: a randomized controlled clinical trialHuijuan Wang0Bichan Chen1Qian Long2Qiuping Yang3Jiawen Mao4Qinghua Ma5Xingqian Yi6Ying Wang7Yinghan Liu8Zhiliang Cao9Jianda Xu10Yong Ye11Wei Tang12Department of Acupuncture, Moxibustion and Tuina, The First Hospital of Hunan University of Chinese Medicine, Changsha, ChinaDepartment of Traditional Chinese Medicine, Changsha Hostipal for Maternal & Child Health Care, Changsha, ChinaDepartment of Acupuncture, Moxibustion and Tuina, The First Hospital of Hunan University of Chinese Medicine, Changsha, ChinaDepartment of Acupuncture, Moxibustion and Tuina, The First Hospital of Hunan University of Chinese Medicine, Changsha, ChinaDepartment of Acupuncture, Moxibustion and Tuina, The First Hospital of Hunan University of Chinese Medicine, Changsha, ChinaDepartment of Acupuncture, Moxibustion and Tuina, The First Hospital of Hunan University of Chinese Medicine, Changsha, ChinaDepartment of Pediatrics, Affiliated Hospital of Jiangxi University of Chinese Medicine, Nanchang, Jiangxi, ChinaDepartment of Acupuncture, Moxibustion and Tuina, The First Hospital of Hunan University of Chinese Medicine, Changsha, ChinaDepartment of Acupuncture, Moxibustion and Tuina, The First Hospital of Hunan University of Chinese Medicine, Changsha, ChinaDepartment of Acupuncture, Moxibustion and Tuina, The First Hospital of Hunan University of Chinese Medicine, Changsha, ChinaDepartment of Orthopedics, Changzhou Hospital Affiliated with Nanjing University of Chinese Medicine, Changzhou, Jiangsu, ChinaDepartment of Acupuncture, Moxibustion and Tuina, The First Hospital of Hunan University of Chinese Medicine, Changsha, ChinaDepartment of Acupuncture, Moxibustion and Tuina, The First Hospital of Hunan University of Chinese Medicine, Changsha, ChinaObjectiveTo investigate the efficacy and potential adverse events of Tuina therapy for idiopathic constipation in children with cerebral palsy (CP).MethodsA total of 60 CP children with idiopathic constipation were enrolled and randomly divided into Tuina and control groups. The control group was treated with basic treatment and 12 sessions of lactulose oral solution, whereas the Tuina group received basic treatment and 12 sessions of infantile Tuina treatment. The following parameters were compared: the Bristol stool form scale (BSFS), the Constipation Assessment Scale (CAS) and the improvement in constipation. In addition, adverse effects were recorded.ResultsAt 4 weeks after the final treatment, the percentage of infants whose constipation improved was 23 (76.7%) in the Tuina group and 21 (70.0%) in the control group (P = 0.771). Initially, the CAS score, weekly bowel movements and proportion of infants with bowel evacuation ≥2 h were comparable between the two groups (P > 0.05). At 4 weeks after the final treatment, the CAS score, weekly bowel movements and proportion of infants with bowel evacuation ≥2 h all significantly improved (P < 0.05) compared with those in the initial situation. However, no difference was found in either group at 4 weeks after the final treatment. No serious adverse reactions (such as diarrhea, abdominal pain, vomiting, subcutaneous redness, skin breakage, or syncope) were recorded.ConclusionsTuina was as effective as medical care in addition to basic treatment for both groups. The results of this study suggest that Tuina, as a nonpharmacological therapy, may be helpful as an alternative treatment for constipation. More advanced research and large-sample studies should be conducted.https://www.frontiersin.org/articles/10.3389/fped.2024.1503591/fulltuinaidiopathic constipationchildrencerebral palsyeffect
spellingShingle Huijuan Wang
Bichan Chen
Qian Long
Qiuping Yang
Jiawen Mao
Qinghua Ma
Xingqian Yi
Ying Wang
Yinghan Liu
Zhiliang Cao
Jianda Xu
Yong Ye
Wei Tang
Efficacy of Tui Na in idiopathic constipation in children with cerebral palsy: a randomized controlled clinical trial
Frontiers in Pediatrics
tuina
idiopathic constipation
children
cerebral palsy
effect
title Efficacy of Tui Na in idiopathic constipation in children with cerebral palsy: a randomized controlled clinical trial
title_full Efficacy of Tui Na in idiopathic constipation in children with cerebral palsy: a randomized controlled clinical trial
title_fullStr Efficacy of Tui Na in idiopathic constipation in children with cerebral palsy: a randomized controlled clinical trial
title_full_unstemmed Efficacy of Tui Na in idiopathic constipation in children with cerebral palsy: a randomized controlled clinical trial
title_short Efficacy of Tui Na in idiopathic constipation in children with cerebral palsy: a randomized controlled clinical trial
title_sort efficacy of tui na in idiopathic constipation in children with cerebral palsy a randomized controlled clinical trial
topic tuina
idiopathic constipation
children
cerebral palsy
effect
url https://www.frontiersin.org/articles/10.3389/fped.2024.1503591/full
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