The clinical effect of manual therapy including Tuina (or Chuna) on post-stroke shoulder hand syndrome–a literature review - Summary - MDSpire

The clinical effect of manual therapy including Tuina (or Chuna) on post-stroke shoulder hand syndrome–a literature review

  • By

  • Ga-Young Kim

  • Won-Suk Sung

  • Eun-Jung Kim

  • May 12, 2026

  • 0 min

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Objective:

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...

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