To evaluate and examine studies on the use of manual therapy for post-stroke Shoulder-Hand Syndrome (SHS) to determine both clinical efficacy and safety.
Key Findings:
All studies reported significant outcomes in managing SHS symptoms.
Only two studies assessed adverse events related to manual therapy.
Interventions varied in duration, methodologies, and assessment metrics.
A total of 13 studies were reviewed.
Interpretation:
The findings suggest that manual therapy, including Tuina and Chuna, may be beneficial for SHS; however, caution is warranted due to inconsistencies in study designs that limit generalizability.
Limitations:
Variability in intervention duration and methodologies may affect the reliability of the findings.
Limited assessment of adverse events restricts understanding of safety.
Inconsistent outcome measures across studies complicate comparisons.
Conclusion:
Further extensive, multinational research is needed to establish standardized protocols for manual therapy in SHS management, particularly focusing on...