Evidence Quality Assessment of Tai Chi Exercise Intervention in Cognitive Impairment: An Overview of Systematic Review and Meta-Analysis

Background. As a traditional Chinese exercise, Qigong has potential benefits for the management of chronic obstructive pulmonary disease (COPD). This overview is aimed at assessing the existing evidence for the intervention of Qigong in COPD so as to provide scientific guidance for clinical decision-making. Methods. The systematic reviews (SRs)/meta-analyses (MAs) of Qigong for the treatment of COPD were obtained from 7 electronic databases with the search date set at April 5, 2022. Two researchers independently assessed the methodological quality, reporting quality, and evidence quality for the included SRs/MAs using the following tools: the Assessment of Multiple Systematic Reviews 2 (AMSTAR-2), the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 (PRISMA 2020), and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system. Results. A total of 13 SRs/MAs were included in this overview. All SRs/MAs assessed by AMSTAR-2 had more than one critical defect, so all SR/MAs were rated very low. Regarding the assessment of reporting quality, the results of PRISMA 2020 showed that none of the SRs/MAs were fully reported. In addition, the results of the GRADE assessment of the quality of evidence indicated that only 3 outcomes were rated as high quality across all SRs/MAs. Conclusion. Current evidence suggests that Qigong is effective and safe for the management of patients with COPD. However, the high risk of bias in the original clinical studies and the low quality of the SRs/MAs reduced the reliability of the results.

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“…This research was conducted according to the Cochrane Handbook, and we followed the methods of Huang et al [13] and Shi et al [14].…”

Section: Methodsmentioning

confidence: 99%

Scientific Evidence of Traditional Chinese Exercise (Qigong) for Chronic Obstructive Pulmonary Disease: An Overview of Systematic Reviews and Meta-Analyses

Shi

Liu

Dong

et al. 2022

BioMed Research International

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“…There is a growing body of evidence that shows tai chi has beneficial effects on the brain. For example, just since 2020, there have been at least seven systematic reviews showing tai chi improves mild cognitive impairment (39,40,(52)(53)(54)(55)(56). Mechanistic studies have been conducted to try to explain this.…”

Section: Introductionmentioning

confidence: 99%

Are Tai Chi and Qigong Effective in the Treatment of Traumatic Brain Injury? A Systematic Review

Laskosky,

Huston,

Lam

et al. 2023

Preprint

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Background Traumatic brain injury (TBI) adversely affects both young and old and is a growing public health concern. Several recent trends in managing TBI, such as recommending sub-threshold aerobic activity, tailoring multi-modal treatment strategies, and studying the potential role of inflammation in those with persistent symptoms, all suggest that the physical and cognitive exercise of tai chi/qigong could be beneficial. Method The following databases were searched: MEDLINE, CINAHL Cochrane Library, Embase, China National Knowledge Infrastructure Database, Wanfang Database, Chinese Scientific Journal Database, and Chinese Biomedical Literature Database. Cochrane-based risk of bias assessments were conducted on all included trials. Quality of evidence was assessed using the grading of recommendation, assessment, development, and evaluation (GRADE) system. Results Three randomized controlled trials (RCTs) and two non-RCTs were assessed. Four trials used tai chi as the intervention and one trial used qigong. Primary and secondary outcome measures significantly varied amongst all trials. Certainty of evidence by the GRADE assessment was higher for the RCTs than the non-RCTs due primarily to lower risk of bias. All four tai chi trials showed a beneficial outcome for the tai chi group. For the RoB 2.0 scores, one tai chi RCT had a low risk of bias and a high level of certainty by GRADE; one had some concerns. For the ROBINS-I scores, one non-RCTs had a moderate risk of bias and the other a serious risk of bias. The one qigong trial had a low risk of bias and a moderate level of certainty by GRADE. Conclusion Considering the high level of certainty from one RCT and the beneficial effects found in all four trials on tai chi, there is a sufficient signal to merit conducting a multi-centre trial on tai chi for TBI that will increase statistical power and test tai chi against current trends in the management of TBI. Although promising, based on a single trial, the signal for qigong is insufficient at this time; another single centre RCT is indicated. Systematic Review Registration: PROSPERO [CRD42022364385]

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Evidence Quality Assessment of Tai Chi Exercise Intervention in Cognitive Impairment: An Overview of Systematic Review and Meta-Analysis

Cited by 2 publications

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Scientific Evidence of Traditional Chinese Exercise (Qigong) for Chronic Obstructive Pulmonary Disease: An Overview of Systematic Reviews and Meta-Analyses

Scientific Evidence of Traditional Chinese Exercise (Qigong) for Chronic Obstructive Pulmonary Disease: An Overview of Systematic Reviews and Meta-Analyses

Are Tai Chi and Qigong Effective in the Treatment of Traumatic Brain Injury? A Systematic Review

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