Clinical efficacy of pediatric Tuina: an overview of systematic reviews
- Forfatter(e)
- Chen, S. C., Ruan, J. Y., Lin, F. X., Cheng, Z. Y., Liang, J. G., Mao, X. R., Luo, Y., Yeung, W. F.
- År
- 2026
- Tidsskrift
- Journal of Acupuncture and Tuina Science
- Volum
- 24
- Sider
- 94-106
- Kategori(er)
- Spiseforstyrrelser
- Tiltakstype(r)
- Massasje
- Abstract
Objective: To systematically evaluate and summarize the evidence regarding the therapeutic and preventive effects of pediatric Tuina (Chinese therapeutic massage).
Methods: Two reviewers independently screened articles from Medline, Excerpta Medica Database, Health Technology Assessment Database, Cochrane Library, Database of Abstracts of Reviews of Effects, Allied and Complementary Medicine, China National Knowledge Infrastructure, Wanfang Data Knowledge Service Platform, China Biology Medicine Disc, and Chongqing VIP Database from inception to September 2023, extracted information, and conducted quality appraisal for included studies. We included randomized clinical trials with systematic reviews comparing pediatric Tuina to standard interventions, routine care, waitlist control, placebo, or pediatric Tuina in combination with standardized interventions/routine care. Outcomes included physical, psychological, developmental, and safety-related outcomes in infants and children. We evaluated the methodological quality using a measurement tool to assess systematic reviews 2 (AMSTER-2) and the quality and evidence level using the grading of recommendations assessment, development and evaluation (GRADE) approach; pooled effect estimates and heterogeneity for each meta-analysis outcome were extracted.
Results: Sixteen systematic reviews involving meta-analysis (7 in English and 9 in Chinese) and a total of 27 outcomes were included. Eleven studies (69%) were considered as high quality (n=4) or moderate quality (n=7) by AMSTER-2, and the evidence of 12 outcomes (44%) was deemed as high quality (n=2) or moderate quality (n=10) by GRADE. Pooled meta-analysis revealed that pediatric Tuina performed better for improving neonatal jaundice, diarrhea, constipation, anorexia, asthma, and cerebral palsy symptoms compared to routine care or conventional interventions, measured by effective rate, cure rate, or relevant tools.
Conclusion: Current evidence suggests that pediatric Tuina has beneficial effects on improving symptoms of neonatal jaundice, diarrhea, constipation, anorexia, asthma, and cerebral palsy. The reporting of adverse events should be improved. A limited number of studies and outcomes received high-quality ratings, while the majority were evaluated as moderate or lower in quality. High-quality studies, especially clinical trials on pediatric Tuina for myopia, enuresis, congenital muscular torticollis, and respiratory tract infections, are required.