The clinical effect of manual therapy including Tuina (or Chuna) on post-stroke shoulder hand syndrome–a literature review - Takeaways - 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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  • 1

    Shoulder-hand syndrome (SHS) is a common post-stroke complication that significantly affects recovery and quality of life.

  • 2

    Manual therapy, including Tuina and Chuna, has been increasingly used in rehabilitation for SHS, though its clinical effectiveness remains under-evaluated.

  • 3

    The review analyzed 13 randomized controlled trials, all focusing on Tuina manual therapy, with varying methodologies and treatment classifications.

  • 4

    Significant outcomes were reported across studies, but only two assessed adverse events, highlighting a gap in safety evaluations.

  • 5

    Further multinational research is needed to standardize manual therapy protocols for SHS due to inconsistencies in intervention duration and assessment metrics.

Original Source(s)

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

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