assembly of a rolling massager for tuina therapy

A Massager Based on Ding&#039;s Roll Manipulation to Treat Muscle Injury in a Rat Model

Muscle injuries are common traumatic injuries in clinical and daily life, caused by external blows (contusions) or chronic overstrain of muscle fibers (strains), etc., resulting in muscle dysfunction and pain, even seriously affecting the patient&#39;s quality of life1. Starting rehabilitation as early as possible after an acute strain injury is the key to reducing the time to return to sports2&#160;and in reducing pain3,4. In modern Western medicine, clinical first aid for muscle injuries follows the principles of rest, ice, compression, and elevation (RICE) to stop injurious bleeding into the muscle tissue5&#160;and non-steroidal anti-inflammatory drugs to relieve pain6. The discovery of novel therapies such as exosomes7&#160;and tissue engineering8&#160;became potential treatment strategies for skeletal muscle diseases, compensating for previous pharmacological treatments&#39; shortcomings. However, it can also increase the cost of treatment for patients, putting them under tremendous financial pressure9. Therefore, alternative and complementary therapies are recommended for treating musculoskeletal problems10. Tuina is widely used clinically in China as a traditional medical method and is popular among patients for its efficacy and fewer side effects. Tuina therapy for musculoskeletal disorders can alleviate pain and improve function11,12,13. Mr. Ding Jifeng, a famous Shanghai Tuina practitioner, founded Ding&#39;s roll method14. It is a unique rolling and crushing technique with a large force area, uniform and gentle force, and intense penetration.
Different animal models are based on different etiologies. They have advantages and disadvantages, and the selection of correct and appropriate animal models is of great significance to basic experiments, which helps understand the cellular and molecular signaling pathways of regeneration and repair after skeletal muscle injury to develop new therapies for treating the treatment of skeletal muscle diseases. Chemically induced models of muscle injury are widely used, with injections of skeletal muscle causing myofiber necrosis and producing regenerated areas that can effectively regenerate within 2 weeks15. Both notexin and bupivacaine can cause muscle damage. However, notexin can cause more severe myotoxic damage to skeletal muscle than bupivacaine, and natural functional recovery is relatively slower16. Drug intramuscular injection molding not only takes less time but also has controlled effects and extent of skeletal muscle damage. This quantifiable control makes successful molding less difficult15,17.
Inflammatory response is an essential biological response that has been extensively studied in the context of myopathy18,19. In the early stages of skeletal muscle injury, myofiber necrosis disrupts local muscle homeostasis, and many inflammatory cells infiltrate the injury site, secreting many pro-inflammatory cytokines19. Creatine kinase (CK) is a traditional serum biomarker for assessing skeletal muscle injury. However, it lacks tissue specificity20&#160;and sensitivity21, which limits its ability to assess the extent of drug-induced muscle damage and indirectly report the extent of muscle recovery after injury. Novel biomarkers, including fatty acid binding protein 3 (FABP3), have recently shown relatively high tissue specificity and sensitivity in rodent models of skeletal muscle injury. FABP3 is a family of binding proteins expressed primarily in cardiac and skeletal muscle cells and implicated in fatty acid metabolism, transport, and signaling22. Therefore, we chose a combination of two biomarkers, CK and FABP3, to assess the extent of notexin-induced skeletal muscle damage and recovery after treatment.
In rodents, the muscles are shallow, and the skin area is small, which also determines that the various parameters of massage in rodents will not be the same as in humans, such as in animal therapy, the massage therapist should treat them with less force using Ding&#39;s roll method, and may not be conducive to the operation of this technique due to the small size of the injured area, which can ultimately lead to a reduction in the effectiveness of the massage. Therefore, the experiment utilized the rolling massager made in-house, which conforms to the characteristics of Ding&#39;s roll method, to intervene and evaluate the therapeutic effect of the notexin-induced skeletal muscle injury model in rats, which helps to standardize the parameters of Tuina in experimental animal studies in order to profoundly investigate the molecular mechanism of action of Tuina, a traditional Chinese medicine treatment method, on musculoskeletal diseases.

Author Spotlight: Performing Tuina Massage in Rats Using a Self-Made Massager 

Mimicking Ding's Roll Method on Notexin-Induced Muscle Injury in Rats

The scope of our research is the biological mechanism of tuina in the treatment of musculoskeletal diseases. Here we are trying to make the self-made tuina device to standardize and effectively perform tuina treatments on laboratory animals. We are addressing the inability to perform this rolling manipulation with pairs by creating a massager that can simulate this rolling manipulation on rats, and verifying the effectiveness of the massager on rats with muscle injuries.We will focus on the questions of how efficacious the rolling massager is on the skeletal muscle injury in rats under different parameters in future standardized research.

Watch this Scientific Journal Video about Assembly of a Rolling Massager for Tuina Therapy at JoVE.com

Assembly of a Rolling Massager for Tuina Therapy  

To begin, select a massager that consists of a rubber roller of length three centimeters and diameter 1.6 centimeters, a fork holder, and a three-centimeter long spring of diameter 0.9 centimeters. The roller should also consist of a limit baffle three centimeters long and two centimeters wide, an adjustment splint, a screw, and an acrylic handle measuring 12 centimeters in length and 0.9 centimeters in diameter. To control the force in the Ding's roll method, test the maximum pressure of the massager on the weighing controller.Ensure the force is about 0.3 newton by adjusting the angle of the limit baffle. Next, ensure the minimum pressure is about 0.08 newton when rolling back. Before treatment, familiarize yourself with the metronome application to control the rolling frequency to 140 rolls per minute, and practice this more than three times to standardize the operation.

assembly-of-a-rolling-massager-for-tuina-therapy

Research

JoVE Journal

Medicine

68 次观看.  Hunan University of Chinese Medicine. 首先，选择一个由长 3 厘米、直径 1.6 厘米的橡胶辊、一个叉架和一个长 3 厘米、直径 0.9 厘米的弹簧组成的按摩器。滚筒还应包括一个长 3 厘米、宽 2 厘米的限位挡板、一个调节夹板、一个螺钉和一个长 12 厘米、直径 0.9 厘米的亚克力手柄。要控制丁氏滚动法中的力，请在称重控制器上测试按摩器的最大压力。通过调整限位挡板的角度，确保力约为 0.3 牛顿。接下来，?...