Opportunities and challenges of pediatric Tuina: an evidence-based perspective_Chinese Journal of Evidence-Based Medicine

Authors：

YIN Lingjia ¹ , CAI Jianxiong ¹ , LU Taoying ¹ , WANG Lixin ² ,  WU Darong ¹

1. Program for Outcome Assessment in TCM, 2^nd Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of Chinese Medicine), GuangZhou, 510120, P.R.China;
2. Department of Tuina, Affiliated Hospital of Changchun University of Chinese Medicine, Changchun, 130000, P.R.China;

Corresponding author：

WU Darong, Email: darongwu@163.com

Keywords：

Evidence-based; Pediatric Tuina; Opportunity; Challenge

DOI：

10.7507/1672-2531.201804076

Video：

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Based on the existing clinical research of pediatric Tuina, this paper introduced the current types of pediatric Tuina and their applications in the aspect of growth of newborn babies, emotion problems, pain, respiratory system diseases, digestive system diseases, jaundice, brain and nerve system diseases. As for the clinical researches of pediatric Tuina, the authors found the challenges including different understandings of pediatric Tuina, poor quality of clinical researches, and lack of basic data regarding pediatric Tuina. Meanwhile, the authors suggested three corresponding strategies to improve the clinical researches, i.e. to extract valuable intervention methods based on clinical practice; to conduct high quality clinical studies; to gradually collect and accumulate basic data according to a certain plan.

Citation： YIN Lingjia, CAI Jianxiong, LU Taoying, WANG Lixin, WU Darong. Opportunities and challenges of pediatric Tuina: an evidence-based perspective. Chinese Journal of Evidence-Based Medicine, 2018, 18(11): 1173-1179. doi: 10.7507/1672-2531.201804076 Copy

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1. Evidence-Based Medicine Working Group. Evidence-based medicine. A new approach to teaching the practice of medicine. JAMA, 1992, 268(17): 2420-2425.
2. WHO. Kangaroo mother care: A practical guide. Geneva: WHO (Department of Reproductive Health and Research), 2003.
3. Lin CH, Yang HC, Cheng CS, et al. Effects of infant massage on jaundiced neonates undergoing phototherapy. Ital J Pediatr, 2015, 25(41): 94.
4. Field TM, Schanberg SM, Scafidi F, et al. Tactile/kinesthetic stimulation effects on preterm neonates. Pediatrics, 1986, 77(5): 654-658.
5. Im H, Kim E, Cain KC. Acute effects of Yakson and Gentle Human Touch on the behavioral state of preterm infants. J Child Health Care, 2009, 13(3): 212-226.
6. Arora J, Kumar A, Ramji S. Effect of oil massage on growth and neurobehavior in very low birth weight preterm neonates. Indian Pediatr, 2005, 42(11): 1092-1100.
7. Piravej K, Tangtrongchitr P, Chandarasiri P, et al. Effects of Thai traditional massage on autistic children’s behavior. J Altern Complement Med, 2009, 15(12): 1355-1361.
8. 廖品东. 小儿推拿学 (第 2 版). 北京: 人民卫生出版社, 2016.
9. 孙思邈. 备急千金要方 (第 1 版). 北京: 中国医药科技出版社, 2011.
10. Yao Y, Zhao Y. Diseases spectrum study on pediatric tuina in recent 10 years. J Acupunct Tuina Sci, 2012, 10(3): 181-184.
11. Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Report, 2008, 10(12): 1-23.
12. Huillet A, Erdie-Lalena C, Norvell D, et al. Complementary and alternative medicine used by children in military pediatric clinics. J Altern Complement Med, 2011, 17(6): 531-537.
13. Groenewald CB, Beals-Erickson SE, Ralston-Wilson J, et al. Complementary and alternative medicine use by children with pain in the United States. Acad Pediatr, 2017, 17(7): 785-793.
14. Zuzak TJ, Boňková J, Careddu D, et al. Use of complementary and alternative medicine by children in Europe: published data and expert perspectives. Complement Ther Med, 2013, 21(Suppl 1): S34-S47.
15. Smith C, Eckert K. Prevalence of complementary and alternative medicine and use among children in South Australia. J Paediatr Child Health, 2006, 42(9): 538-543.
16. Huang TP, Liu PH, Lien AS. A nationwide population-based study of traditional Chinese medicine usage in children in Taiwan. Complement Ther Med, 2014, 22(3): 500-510.
17. WHO. The world health report 2013: research for universal health coverage. Geneva: WHO, 2013.
18. Kelmanson IA, Adulas EI. Massage therapy and sleep behaviour in infants born with low birth weight. Complement Ther Clin Pract, 2006, 12(3): 200-205.
19. Chwo MJ, Anderson GC, Good M, et al. A randomized controlled trial of early kangaroo care for preterm infants: effects on temperature, weight, behavior, and acuity. J Nurs Res, 2002, 10(2): 129-142.
20. Bier JA, Ferguson AE, Morales Y, et al. Comparison of skin-to-skin contact with standard contact in low-birth-weight infants who are breast-fed. Arch Pediatr Adolesc Med, 1996, 150(12): 1265-1269.
21. Li X, Zhong Q, Tang L. A meta-analysis of the efficacy and safety of using oil massage to promote infant growth. J Pediatr Nurs, 2016, 31(5): e313-e322.
22. Badr LK, Abdallah B, Kahale L. A meta-analysis of preterm infant massage: an ancient practice with contemporary applications. MCN Am J Matern Child Nurs, 2015, 40(6): 344-358.
23. Massaro AN, Hammad TA, Jazzo B, et al. Massage with kinesthetic stimulation improves weight gain in preterm infants. J Perinatol, 2009, 29(5): 352-357.
24. Diego MA, Field T, Hernandez-Reif M. Preterm infant weight gain is increased by massage therapy and exercise via different underlying mechanisms. Early Hum Dev, 2014, 90(3): 137-140.
25. Lyngstad LT, Tandberg BS, Storm H, et al. Does skin-to-skin contact reduce stress during diaper change in preterm infants? Early Hum Dev, 2014, 90(4): 169-172.
26. Cullen LA, Barlow JH, Cushway D. Positive touch, the implications for parents and their children with autism: an exploratory study. Complement Ther Clin Pract, 2005, 11(3): 182-189.
27. Hernandez-Reif M, Diego M, Field T. Preterm infants show reduced stress behaviors and activity after 5 days of massage therapy. Infant Behav Dev, 2007, 30(4): 557-561.
28. Parashar P, Samuel AJ, Bansal A, et al. Yakson touch as a part of early intervention in the Neonatal Intensive Care Unit: a systematic narrative review. Indian J Crit Care Med, 2016, 20(6): 349-352.
29. Phipps S, Barrera M, Vannatta K, et al. Complementary therapies for children undergoing stem cell transplantation: report of a multisite trial. Cancer, 2010, 116(16): 3924-3933.
30. Phipps S, Peasant C, Barrera M, et al. Resilience in children undergoing stem cell transplantation: results of a complementary intervention trial. Pediatrics, 2012, 129(3): e762-e770.
31. Lee MS, Kim JI, Ernst E. Massage therapy for children with autism spectrum disorders: a systematic review. J Clin Psychiatry, 2011, 72(3): 406-411.
32. Neu M, Pan Z, Workman R, et al. Benefits of massage therapy for infants with symptoms of gastroesophageal reflux disease. Biol Res Nurs, 2014, 16(4): 387-397.
33. Rodríguez-Mansilla J, González-Sánchez B, Torres-Piles S, et al. Effects of the application of therapeutic massage in children with cancer: a systematic review. Rev Lat Am Enfermagem, 2017, 8(25): e2903.
34. Batalha LM, Mota AA. Massage in children with cancer: effectiveness of a protocol. J Pediatr (Rio J), 2013, 89(6): 595-600.
35. Huhtala V, Lehtonen L, Heinonen R, et al. Infant massage compared with crib vibrator in the treatment of colicky infants. Pediatrics, 2000, 105(6): E84.
36. Cetinkaya B, Başbakkal Z. The effectiveness of aromatherapy massage using lavender oil as a treatment for infantile colic. Int J Nurs Pract, 2012, 18(2): 164-169.
37. Cong X, Ludington-Hoe SM, Walsh S. Randomized crossover trial of kangaroo care to reduce biobehavioral pain responses in preterm infants: a pilot study. Biol Res Nurs, 2011, 13(2): 204-216.
38. Ludington-Hoe SM, Hosseini R, Torowicz DL. Skin-to-skin contact (Kangaroo Care) analgesia for preterm infant heel stick. AACN Clin Issues, 2005, 16(3): 373-387.
39. Cong X, Ludington-Hoe SM, McCain G, et al. Kangaroo care modifies preterm infant heart rate variability in response to heel stick pain: pilot study. Early Hum Dev, 2009, 85(9): 561-567.
40. Johnston CC, Filion F, Campbell-Yeo M, et al. Kangaroo mother care diminishes pain from heel lance in very preterm neonates: a crossover trial. BMC Pediatr, 2008, 24(8): 13.
41. Herrington CJ, Chiodo LM. Human touch effectively and safely reduces pain in the newborn intensive care unit. Pain Manag Nurs, 2014, 15(1): 107-115.
42. Jain S, Kumar P, McMillan DD. Prior leg massage decreases pain responses to heel stick in preterm babies. J Paediatr Child Health, 2006, 42(9): 505-508.
43. Hogan ME, Probst J, Wong K, et al. A randomized-controlled trial of parent-led tactile stimulation to reduce pain during infant immunization injections. Clin J Pain, 2014, 30(3): 259-265.
44. Taddio A, Ho T, Vyas C, et al. A randomized controlled trial of clinician-led tactile stimulation to reduce pain during vaccination in infants. Clin Pediatr (Phila), 2014, 53(7): 639-644.
45. Fattah MA, Hamdy B. Pulmonary functions of children with asthma improve following massage therapy. J Altern Complement Med, 2011, 17(11): 1065-1068.
46. Field T, Henteleff T, Hernandez-Reif M, et al. Children with asthma have improved pulmonary functions after massage therapy. J Pediatr, 1998, 132(5): 854-858.
47. 田福玲, 李旗, 崔建美, 等. 小儿推拿疗法在小儿支气管哮喘慢性持续期的作用机制和治疗效果研究. 中国全科医学, 2015, 18(1): 105-108.
48. Wu J, Yang XW, Zhang M. Massage therapy in children with asthma: a systematic review and meta-analysis. Evid Based Complement Alternat Med, 2017, 2017: 5620568.
49. Bishop E, McKinnon E, Weir E, et al. Reflexology in the management of encopresis and chronic constipation. Paediatr Nurs, 2003, 15(3): 20-21.
50. Jump VK, Fargo JD, Akers JF. Impact of massage therapy on health outcomes among orphaned infants in Ecuador: results of a randomized clinical trial. Fam Community Health, 2006, 29(4): 314-319.
51. 李静, 王振国. 当代中医小儿推拿学术流派的研究现状. 山东中医杂志, 2012, 31(6): 454-455.
52. Field TM. Massage therapy effects. Am Psychol, 1998, 53(12): 1270-1281.
53. Yan S, Xiong X, Wan Q, et al. Preventative effect of massage on gastric volvulus in infants with gastro esophageal reflux-induced pneumonia. J Tradit Chin Med, 2015, 35(5): 520-527.
54. Neu M, Schmiege SJ, Pan Z, et al. Interactions during feeding with mothers and their infants with symptoms of gastroesophageal reflux. J Altern Complement Med, 2014, 20(6): 493-499.
55. 黄美凌, 陈丽萍, 林冰清, 等. 中医按摩对早产儿生长发育及高胆红素血症影响的研究. 中国实用护理杂志, 2005, 21(16): 1-3.
56. 杨庆玲, 邱学兰, 史长宏. 穴位按压和喂养频率对早发型母乳性黄疸患儿干预治疗的临床研究. 中国实用护理杂志, 2007, 23(1): 1-3.
57. 董明翠, 侯莉, 刘俊. 腹部按摩加茵栀黄口服液治疗新生儿黄疸 90 例. 陕西中医, 2013, (10): 1353-1354.
58. Chen J, Sadakata M, Ishida M, et al. Baby massage ameliorates neonatal jaundice in full-term newborn infants. Tohoku J Exp Med, 2011, 223(2): 97-102.
59. Guzzetta A, D’Acunto MG, Carotenuto M, et al. The effects of preterm infant massage on brain electrical activity. Dev Med Child Neurol, 2011, 53(Suppl 4): 46-51.
60. Guzzetta A, Baldini S, Bancale A, et al. Massage accelerates brain development and the maturation of visual function. J Neurosci, 2009, 29(18): 6042-6051.
61. Scher MS, Ludington-Hoe S, Kaffashi F, et al. Neurophysiologic assessment of brain maturation after an 8-week trial of skin-to-skin contact on preterm infants. Clin Neurophysiol, 2009, 120(10): 1812-1818.
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Chinese Journal of Evidence-Based Medicine

Opportunities and challenges of pediatric Tuina: an evidence-based perspective

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