Tui Na Centre – Rozman Method CP© sensory massage for cerebral palsy

About cerebral palsy

Cerebral palsy (CP) is a group of disorders affecting movement and posture caused by damage to the brain and nervous system during early development. CP is categorized into spastic, dyskinetic, and ataxic CP on the basis of the predominant motor disorder. The motor disorders of CP are often accompanied by disturbances to sensation, perception, cognition, communication, and behaviour. Seizure disorders and intellectual disabilities are also common.

The role of complimentary therapies in CP

At present time there is no way to completely cure CP. However, there are many interventions that can help reduce the difficulties, lessen the pain, widen the range of movement and improve the individual’s quality of life. The treatment approach differs from person to person, depending on each individual’s specific impairments and needs.

In the absence of standard medical drug treatment, many complementary and alternative therapies are widely used and researched for their effects in CP. These include occupational therapy; speech and language therapy; behavioural therapy; movement therapy; aqua therapy; music and massage therapies, and various ‘mind and body’ techniques.

Pressure massage therapy for cerebral palsy

Massage therapy has been shown through research to be very beneficial for children and adults with CP. By stimulating blood circulation and the lymphatic system, massage therapy can lower the pain from spasticity and reduce hypertonic muscle tone. In other words, it can make muscles less rigid.

In addition to improving muscle tone and function, regular massage can increase oxygen intake, regulate blood pressure and heart rate and improve absorption of nutrients and gastrointestinal function. Another benefit that has been reported by parents and observed in research studies is improvements in sleep. Children with CP and other motor delays often have abnormal sensory responses to auditory, visual and especially tactile stimulation, which can also be helped by targeted and regular massage.

Traditional Chinese Medicine and Chinese massage for CP

Tui Na massage, acupressure, acupuncture and herbal medicine, have been widely used as an alternative for the treatment of CP in China, in combination with Western medicine and physiotherapy.

Various types of acupuncture, including head and ear acupuncture, have been shown in initial studies to have beneficial effects on pain and physical function in individuals with CP, including improved use of arms or legs, walking, running, and jumping, and reduction in drooling. Acupuncture alone or in combination with other treatment modalities of Traditional Chinese Medicine such as Tui Na massage also showed positive effects in children’s measures of independence and social behaviour. Improvement in speech and sleep were also noted.

What the parents say...

“The Tuina centre run by Leo and Sanya is one of the most special places and run by two of the most incredible people we have ever met. Their work has been critical to our sons progress, Daniel who has cerebral palsy. It’s thanks to their patient teaching and believing in parents’ ability to help their children that have enabled to accelerate Daniel’s healing journey. Their patient and gently methods have allowed us to help our son in ways we never imagined possible…”R.H

What the parents say ...

“…The spasticity in Daniel’s body is all but gone and he continues to make regular progress. We have a thriving child doing things we used only ever dream of him doing. Don’t delay adopt this work into the healing of your loved one. You’ll be glad you did! If anyone would like to see Daniel’s journey and progress together with the Tuina Rozman Method and other work we follow with Daniel, please see his Facebook page entitled Daniel Raiden. Best wishes to you all and success on your journey.”R.H

What the professionals say...

“I have been using Tui Na massage, Rozman Method for three years actively now working with children with cerebral palsy. I use it as an adjunct therapy and as a form of relaxation and introduction to one of the following therapeutic techniques. Children are very fond of it because it is dynamic and non-invasive. My experience has led me to conclude that in most cases treating points on the abdomen and hands have a great effect on the peristalsis of the intestine and improve the emptying of the same, which is mainly made difficult by spasm. I had a case of a girl who, after introducing RM into regular daily exercises, started creeping and crawling. In conducting speech therapies, RMethod is an indispensable part of my treatment. It relaxes the spasms of the facial muscles nicely and is a good introduction to exercises related to oral practice. I heartily recommend this treatment!” V.P.

What the professionals say ...

“…It’s the second week that I introduce TuiNa in the Padovan sessions, and I become more and more amazed by the results…I have a young patient with CP (10 1/2)…He is very clever and most of the time very happy; but I always felt he was “over-acting“ his play. So today he came grumpy but asked for the “massage“… he was rather defiant and negative. I stopped talking and started the TuiNa sequence. In about 10min he fell asleep…and he slept all along the sequence that I slowed intentionally…Even when I turned him on his front he just mumbled and kept sleeping!! So the sequence lasted for 50 min. I left him totally relaxed (slumbering!!) and gave him some 10 min more alone before waking him up slowly… how can it be?? I’m astonished!!” A.M. (therapist)

Why Tui Na Centre – Rozman Method CP© for cerebral palsy?

Tui Na Centre – Rozman Method CP© is affordable and simple to learn. Once learned, the massage can be carried out by parents at home. It does not involve third party involvement or travel to therapy centres.

Daily massage performed by parents provides an opportunity for the child to benefit from regular interaction and physical contact with their parent in a safe and familiar environment of their own home. If carried out at regular times, for example, bedtime, the massage can soon become a part of a routine, such as the child’s bedtime routine, promoting better regulation, relaxation and sleep.

Tui Na Centre – Rozman Method CP© design and principles

Tui Na Centre – Rozman Method CP© is a unique massage therapy developed by Leonid Rozman with the aim of improving physical and emotional well-being of children with cerebral palsy. While it uses the traditional Chinese Tui Na massage as its starting point, and largely follows Traditional Chinese Medicine (TCM) principles of enabling internal healing by stimulating body meridians and acupuncture points. However, some aspects of the more traditional massage therapies practiced in the West have also been incorporated into the RM CP©.

For the most part Tui Na Centre – Rozman MethodCP© employs manual hands-on stimulation of acupressure points. In addition to applying pressure with hands and fingers on rare occasions the person applying the massage may use elbows and forearms. The aim of using acupressure in combination with the more familiar standard massage techniques – friction, stretching, joint manipulation, rocking, kneading and tapping – is to reach deeper layers of stiff muscles and ligaments, and to stimulate blood flow, lymphatic toxin clearance and tissue regeneration in those areas.

While the primary aim of this therapy is to improve the physical state of a child or adult with CP and achieve improvement in areas such as pain and joint and muscle stiffness, the design of RM CP© also pays close attention to the emotional and mental wellbeing of the individual. Many of the acupressure points on the head that are stimulated during the session are said by TCM to be linked to anxiety and relaxation, focus and concentration.

Conclusion

Tui Na Centre – Rozman Method CP© is not claimed to be a cure for cerebral palsy! However, based on many parental reports, as well as many positive studies on related touch-therapies and massage therapies that are based on similar principles, RM CP© massage has the potential to ease many of the disabling symptoms that are part of, or often accompany CP.

Many of the parents who have implemented regular daily massage at home have report improvements in motor function and coordination, stiffness, flexibility and posture, stress and tension, improved sleep and concentration, and overall achieving a better quality of life.

In addition, practicing this massage daily can further strengthen the special bond that parents have with their child, and so reduce parental stress and improve their own wellbeing.

How to train in Tui Na Centre – Rozman Method CP©?

Tui Na Centre – Rozman Method CP© training is available only as a special three-day training course for professionals, or a one-to-one training for parents.

Please contact us to enquire about upcoming scheduled courses or to arrange private training.

References

Gao J, He L, Yu X, Wang L, et al. Rehabilitation with a combination of scalp acupuncture and exercise therapy in spastic cerebral palsy. Complement Ther Clin Pract. 2019 May;35:296-300. doi: 10.1016/j.ctcp.2019.03.002.

Guo T, Zhu B, Zhang X, Xu N, et al. Tuina for children with cerebral palsy: A protocol for a systematic review. Medicine (Baltimore). 2018 Jan;97(4):e9697. doi: 10.1097/MD.0000000000009697.

Glew GM, Fan MY, Hagland S, et al. Survey of the Use of Massage for Children with Cerebral Palsy. Int J Ther Massage Bodywork. 2010; 3(4): 10–15. Published online 2010 Dec 16.

Hao JJ, Zhongren S, Xian S, Tiansong Y. Chinese scalp acupuncture for cerebral palsy in a child diagnosed with stroke in utero. Glob Adv Health Med. 2012 Mar;1(1):14-7. doi: 10.7453/gahmj.2012.1.1.005.

Ji YH, Sun BD, Zhang J, Zhang R, Ji YH. [Therapeutic effect of scalp-acupuncture combined with exercise therapy on spastic cerebral palsy of the child]. Zhongguo Zhen Jiu. 2008 Oct;28(10):723-6.

Li LX, Zhang MM, Zhang Y, He J. Acupuncture for cerebral palsy: A meta-analysis of randomized controlled trials. Neural Regen Res. 2018 Jun;13(6):1107-1117. doi: 10.4103/1673-5374.233455.

Long-tao J, Hua-li G, Jian S, et al. Clinical study on acupuncture and tuina plus kinesiotherapy for spastic cerebral palsy. Shanghai J AcupMoxib 2014;33:113–6.[25]

Silva LM, Schalock M, Garberg J, Smith CL. Qigong massage for motor skills in young children with cerebral palsy and Down syndrome. Am J Occup Ther. 2012 May-Jun;66(3):348-55. doi: 10.5014/ajot.2012.003541. PubMed PMID: 22549600.

Shi W, Yang H, Shi B, et al. Effects of motor-development massage therapy on gross motor function in children with cerebral palsy. Chin J Evid Based Pediatr 2007;2:354–63

Lu WP, Tsai WH, Lin LY, Hong RB, Hwang YS. The Beneficial Effects of Massage on Motor Development and Sensory Processing in Young Children with Developmental Delay: A Randomized Control Trial Study. Dev Neurorehabil. 2019 Oct;22(7):487-495. doi: 10.1080/17518423.2018.1537317.

Wu X, Bai G, Wen J, Yang J. Evaluation on the therapeutic effects of digital acupoint pressure for obstetric spastic cerebral palsy. J Tradit Chin Med. 2005 Dec;25(4):247-51. PubMed PMID: 16447662.

Zhang X, Guo T, Zhu B, et al. Pediatric Tuina for promoting growth and development of preterm infants: A protocol for the systematic review of randomized controlled trail. Medicine (Baltimore). 2018 May;97(18):e0574. doi: 10.1097/MD.0000000000010574.

Zhaocai F, Rong MA, Ruishi LI. Clinical observation on idiopathic constipation of children with spastic cerebral palsy treated by massage. Liaoning J Trad Chin Med 2013;40:159–159.[24].

Zhou XJ, Chen T, Chen JT. [75 infantile palsy children treated with acupuncture, acupressure and functional training]. Zhongguo Zhong Xi Yi Jie He Za Zhi. 1993 Apr;13(4):220-2, 197. Chinese. PubMed PMID: 8400771.