Effects of traditional Chinese exercises on the rehabilitation of limb function among stroke patients: A systematic review and meta-analysis

Ge, Li; Zheng, Qing Xiang; Liao, Yan; Tan, Jing; Xie, Qiu Lin; Rask, Mikael

doi:10.1016/j.ctcp.2017.08.005

Cited by 26 publications

(31 citation statements)

References 20 publications

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“…There were five low or critically low quality non-CSRs which evaluated the effectiveness of treadmill training ( Tally 2017 [70], 8 trials, 275 participants), robot-assisted gait training ( Swinnen 2014 [71], 9 trials, 359 participants), transcutaneous electrical nerve stimulation (TENS) ( Lin 2018 [72], 2 trials, 67 participants), whole-body vibration ( Lu 2015 [73], 3 trials, 133 participants), traditional Chinese exercise ( Ge 2017 [74], 21 trials, 1408 participants); none of these reported any evidence of beneficial effects on balance outcomes.…”

Section: Resultsmentioning

confidence: 99%

Rehabilitation interventions for improving balance following stroke: An overview of systematic reviews

et al. 2019

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Background The aim of this study was to synthesize evidence from systematic reviews, to summarise the effects of rehabilitation interventions for improving balance in stroke survivors. Methods We conducted an overview of systematic reviews (SRs). We included Cochrane Systematic Reviews and non-Cochrane Systematic Reviews of randomized-controlled clinical trials and not-randomized clinical trials, in all types of stroke, comparing the effects of interventions, control interventions and no interventions on balance-related outcomes. We conducted a comprehensive search of electronic databases, from inception to December 2017. Data extracted included: number and type of participants, type of intervention, control intervention, method of assessing risk of bias of primary studies, balance outcome measures and results of statistical meta-analyses. Methodological quality of included reviews was assessed using AMSTAR 2. A narrative description of the characteristics of the SRs was provided and results of meta-analyses summarised with reference to their methodological quality. Results 51 SRs (248 primary studies and 10,638 participants) met the inclusion criteria and were included in the overview. All participants were adults with stroke. A wide variety of different balance and postural control outcomes were included. 61% of SRs focussed on the effectiveness of physical therapy, 20% virtual reality, 6% electromechanical devices, 4% Tai-Chi, whole body vibration and circuit training intervention, and 2% cognitive rehabilitation. The methodology of 54% of SRs were judged to be of a “low or critically low” quality, 23% “moderate” quality and 22% “high” quality. Conclusions There are 51 SRs of evidence relating to the effectiveness of interventions to improve balance in people with stroke, but the majority of these are of poor methodological quality, limiting our ability to draw clear implications. Only 22% of these SRs were judged to be of high quality, highlighting the need to address important methodological issues within rehabilitation research.

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Section: Resultsmentioning

confidence: 99%

Rehabilitation interventions for improving balance following stroke: An overview of systematic reviews

et al. 2019

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“…[12] Traditional Chinese exercise (TCE) is attracting worldwide attention due to tremendous benefits on health benefits, highly safe, no special equipment requirements and being easy to learn. [13] TCE was designed to improve the functional integrity of body and enhance the vitality of the energy called “Qi” and its history in the management of people with MCI has been over 2000 years. [14,15] TCE may be a reasonable adjunct to increase learning motivation and exercise persistence for those unable to engage in high intensity physical older people, because it provides light to moderate activity and strength training and the forms of TCE are various such as Tai chi, Qigong, Baduanjin, Liuzijue and so on.…”

Section: Introductionmentioning

confidence: 99%

“…Although a few systematic reviews have shown TCE and its positive role in individuals with stroke, [13] knee osteoarthritis, [18] cardiovascular diseases [14] and so on, whether TCE is more beneficial in improving cognitive functions in older patients with MCI than other exercise interventions or without treatment is presently vague. What's more, some different opinions indicated that TCE maybe make things worse because of its adverse effects.…”

Section: Introductionmentioning

confidence: 99%

Effects of traditional Chinese exercise on cognitive and psychological outcomes in older adults with mild cognitive impairment

Zhang

Hu²,

Wei

et al. 2019

Medicine

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Background: Mild cognitive impairment (MCI) can be a stage of pre-dementia. Although the traditional Chinese exercise (TCE) has benefits associated with cognitive functions, the effects of the TCE on cognitive functions of older patients with MCI remain controversial. This study performs a meta-analysis to quantify the efficiency of TCE for older individuals on cognitive and psychological outcomes. Methods: A comprehensive database search was conducted on PubMed, Embase, the Cochrane Central Register of Controlled Trials (CENTRAL), CINAHL (EBSCO), Web of Science, and four Chinese medical databases. We included trials published up to April 22, 2018, that fulfilled our inclusion and exclusion criteria. The literature was screened, the data were extracted and the methodological quality of the included trials was assessed. Meta-analyses were performed on the included data. Results: A total of 803 patients from 5 trials were included in our meta-analysis. Overall, there were no significant differences in global cognitive functions ( P = .06), memory ( P = .11), executive function ( P = .74), Verbal fluency ( P = .45) and depression ( P = .89) between the TCE and the control groups. However, the TCE significantly improved the visuospatial function (SMD = 0.38, 95% CI = 0.22 to 0.54; P < .001) for individuals with MCI. Conclusions: The findings of this study suggested that the TCE was associated with significant improvement in visuospatial function but did not affect the global cognitive functions, depression and other specific cognitive domains. There is a lack of clear evidence for effects of TCE; further large, rigorously designed studies are needed.

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“…[ 7 – 9 ] Due to the multiple benefits, low cost, and easiness to learn without requirement of equipment for assistance, TC has grown into an appealing and popular physical activity of moderate intensity for rehabilitation or promotion of physical and psychosocial wellbeing, especially among those with chronic conditions. [ 10 ] Recent evidence from systematic reviews further reveals the positive effects of TC on balance control and upper extremity function contributing to ADL execution, among older adults and stroke survivors. [ 11 , 12 ] However, traditional TC requires a standing position and frequent body turning from one direction to the other.…”

Section: Introductionmentioning

confidence: 99%

The effects of sitting Tai Chi on physical and psychosocial health outcomes among individuals with impaired physical mobility

et al. 2020

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Background: Impaired physical mobility, most often seen in people with neurological disorders (i.e., stroke and spinal cord injury survivors), musculoskeletal diseases or frailty, is a limitation in independent and purposeful physical movement of the body or one or more extremities. The physical restrictions result in negative consequences on an individual's physical and psychosocial functions. This proposal describes a systematic review protocol to determine the effectiveness and approaches of sitting Tai Chi intervention for individuals with impaired physical mobility. Our review would inform stakeholders’ decisions in integrating this complementary therapy into current rehabilitation services. Methods: Randomized controlled trials or quasi-experimental studies that compared an intervention group receiving sitting Tai Chi with a control group among adult participants with impaired physical mobility resulting from any health condition(s) will be included. Outcomes of interest will include physical and psychosocial health outcomes. The Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, PubMed, CINAHL, Scopus, Web of Science, AMED, PsycINFO, SPORDiscus, PEDro, WanFang Data and China National Knowledge Infrastructure will be searched from their inception to January 2020. Additional searches will be performed to identify studies that are being refereed, to be published, unpublished or ongoing. Two reviewers will select the trials and extract data independently. The risk of bias of the included studies will be assessed using the Cochrane risk-of-bias tools. The Grading of Recommendations, Assessment, Development and Evaluation will be used to assess evidence quality for each review outcome. Data synthesis will be performed using Review Manager 5.3. When a meta-analysis is possible, we will assess the heterogeneity across the studies by computing the I 2 statistics. Results: A high-quality synthesis of current evidence of sitting Tai Chi for impaired physical mobility will be stated from several aspect using subjective reports and objective measures of performance. Conclusion: This protocol will present the evidence of whether sitting Tai Chi is an effective intervention for impaired physical mobility. PROSPERO registration number: CRD 42019142681.

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Effects of traditional Chinese exercises on the rehabilitation of limb function among stroke patients: A systematic review and meta-analysis

Cited by 26 publications

References 20 publications

Rehabilitation interventions for improving balance following stroke: An overview of systematic reviews

Rehabilitation interventions for improving balance following stroke: An overview of systematic reviews

Effects of traditional Chinese exercise on cognitive and psychological outcomes in older adults with mild cognitive impairment

The effects of sitting Tai Chi on physical and psychosocial health outcomes among individuals with impaired physical mobility

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