Development of international guidelines by Tuina practitioners for specific acupoints of paediatrics Tuina (2022 version).

Lan Xiaoxue, Sun Yanan, Weng Zhiwen, Wang Yue, Zhang Ying, Liang Yuanwen, G U Sirui, Zhou Rong, Chen Qianji, Jia Baolin, B O Han, Wang Fangying, H E Qiang, Zhang Jie, Tan Jiang, Y E Xingzhu, Wang Xiyou, Y U Changhe, Chen Hong
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Abstract

Objective: To establish a standardized framework encompassing the precise locations, manipulations, functions and indications of specific acupoints in the field of paediatric Tuina.

Methods: The development of consensus involved three distinct stages. Initially, a list of paediatric Tuina specific acupoints was compiled based on an extensive literature review, which was subsequently supplemented through expert interviews. In the second stage, the Delphi method was employed to assess the significance of acupoint locations, manipulations, functions, and indications. In situations where the questionnaire survey failed to yield agreement or when the experts held reservations, the nominal group approach was utilized during the expert consensus meeting. The final version of the technical standardized material was ultimately determined during an expert consensus conference. After undergoing external peer review and evaluation, the completed draft was prepared for public dissemination RESULTS: The comprehensive list identified a total of 66 specific acupoints. The location and manipulation questionnaire consisted of 156 items based on the literature database, while the function and indication questionnaire contained 116 items. Two rounds of Delphi surveys were conducted for the location and manipulation category, and another two rounds of Delphi surveys were conducted for the function and indication category. During the experts consensus meeting The panel of experts conducted in-depth discussions on 61 questions, resulting in the formulation of technical guidelines for the locations, manipulations, functions, and indications of 64 paediatric Tuina acupoints. Subsequently, the research team compiled and edited the draft of the technical guidelines for acupoints of paediatric Tuina, which was finalized after external review and feedback.

Conclusion: This study successfully established the recognized technical standards for practitioners of paediatric Tuina, thereby standardizing clinical practices and providing a foundation setting the framework for future research. The guidelines offer theoretical insights and recommendations for conducting clinical studies comparing different acupoint sites, as well as modifying or enhancing treatment regimens.

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由推拿医师制定儿科推拿特定穴位的国际指南(2022 年版)。
目的建立一个标准化框架,涵盖儿科推拿领域特定穴位的精确位置、操作、功能和适应症:达成共识的过程分为三个不同阶段。首先,在广泛查阅文献的基础上编制了一份儿科推拿特定穴位列表,随后通过专家访谈对该列表进行了补充。在第二阶段,采用德尔菲法评估穴位位置、操作、功能和适应症的重要性。在问卷调查未能达成一致或专家持保留意见的情况下,专家共识会议采用了名义小组法。技术标准材料的最终版本在专家共识会议上最终确定。经过外部同行评审和评估后,完成的草案准备向公众发布 结果:综合清单共确定了 66 个具体穴位。根据文献数据库,位置和操作问卷包含 156 个项目,而功能和适应症问卷包含 116 个项目。针对定位和操作类别进行了两轮德尔菲调查,针对功能和适应症类别进行了两轮德尔菲调查。在专家共识会议上 专家小组对 61 个问题进行了深入讨论,最终制定了 64 个小儿推拿穴位的位置、手法、功能和适应症的技术指南。随后,研究小组对《小儿推拿穴位技术指南》草案进行了整理和编辑,经外部评审和反馈后最终定稿:本研究成功地为小儿推拿从业人员建立了公认的技术标准,从而规范了临床实践,为今后的研究提供了基础框架。该指南为开展比较不同穴位部位的临床研究以及修改或改进治疗方案提供了理论见解和建议。
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