Tai Chi for Chronic Pain Conditions: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Kong, Lingjun; Lauche, Romy; Klose, Petra; Bu, Jiang Hui; Yang, Xiao; Guo, Chao; Dobos, Gustav; Cheng, Ying Wu

doi:10.1038/srep25325

Cited by 102 publications

(78 citation statements)

References 36 publications

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“…43 A more recent meta-analysis, however, found that long-term use of Tai Chi (12-20 weeks) appears to be more effective than short-term Tai Chi (6-10 weeks) in improving chronic OA pain. 44 Tai Chi has also shown small positive effects on overall physical health and satisfaction with general health in patients with OA. 41 The recent ACP guidelines support the use of Tai Chi as first-line treatment for chronic LBP, 2 and the 2012 ACR guidelines conditionally recommend Tai Chi for patients with OA of the knee.…”

Section: Exercise Therapymentioning

confidence: 99%

Clinical Policy Recommendations from the VHA State-of-the-Art Conference on Non-Pharmacological Approaches to Chronic Musculoskeletal Pain

et al. 2018

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As a large national healthcare system, Veterans Health Administration (VHA) is ideally suited to build on its work to date and develop a safe, evidence-based, and comprehensive approach to the care of chronic musculoskeletal pain conditions that de-emphasizes opioid use and emphasizes non-pharmacological strategies. The VHA Office of Health Services Research and Development (HSR&D) held a state-of-the-art (SOTA) conference titled "Non-pharmacological Approaches to Chronic Musculoskeletal Pain Management" in November 2016. Goals of the conference were (1) to establish consensus on the current state of evidence regarding non-pharmacological approaches to chronic musculoskeletal pain to inform VHA policy in this area and (2) to begin to identify priorities for the future VHA research agenda. Workgroups were established and asked to reach consensus recommendations on clinical and research priorities for the following treatment strategies: psychological/behavioral therapies, exercise/movement therapies, manual therapies, and models for delivering multimodal pain care. Participants in the SOTA identified nine non-pharmacological therapies with sufficient evidence to be implemented across the VHA system as part of pain care. Participants further recommended that effective integration of these non-pharmacological approaches across the VHA and especially into VHA primary care, pain care, and mental health settings should be a priority, and that these treatments should be offered early in the course of pain treatment and delivered in a team-based, multimodal treatment setting concurrently with active self-care and self-management approaches. In addition, we recommend that VHA leadership and policy makers systematically address the barriers to implementation of these approaches by expanding opportunities for clinician and veteran education on the effectiveness of these strategies; supporting and funding further research to determine optimal dosage, duration, sequencing, combination, and frequency of treatment; emphasizing multimodal care with rigorous evaluation grounded in team-based approaches to test integrated models of delivery and stepped-care approaches; and working to address socioeconomic and cultural barriers to veterans' access to non-pharmacological approaches.

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Section: Exercise Therapymentioning

confidence: 99%

Clinical Policy Recommendations from the VHA State-of-the-Art Conference on Non-Pharmacological Approaches to Chronic Musculoskeletal Pain

et al. 2018

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“…Many different types of Tai Chi exist, but most consist of movement, meditation and breathing, while concentrating on the mind and maintaining low intensity [19, 20], and further modulate various aspects of the body including the physical, the psychological, mood and spirit [21]. In the theory of Chinese medicine (CM), Tai Chi can maintain the harmony between qi and the blood , keep yin and yang in balance and also enhance immunity [22, 23].…”

Section: Introductionmentioning

confidence: 99%

Does Tai Chi relieve fatigue? A systematic review and meta-analysis of randomized controlled trials

Lu²,

Chen³

et al. 2017

PLoS ONE

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BackgroundFatigue is not only a familiar symptom in our daily lives, but also a common ailment that affects all of our bodily systems. Several randomized controlled trials (RCTs) have proven Tai Chi to be beneficial for patients suffering from fatigue, however conclusive evidence is still lacking. A systematic review and meta-analysis was performed on all RCTs reporting the effects of Tai Chi for fatigue.MethodsIn the end of April 2016, seven electronic databases were searched for RCTs involving Tai Chi for fatigue. The search terms mainly included Tai Chi, Tai-ji, Taiji, fatigue, tiredness, weary, weak, and the search was conducted without language restrictions. Methodological quality was assessed using the Cochrane Risk of Bias tool. RevMan 5.3 software was used for meta-analysis. Publication bias was estimated with a funnel plot and Egger’s test. We also assessed the quality of evidence with the GRADE system.ResultsTen trials (n = 689) were included, and there was a high risk of bias in the blinding. Two trials were determined to have had low methodological quality. Tai Chi was found to have improved fatigue more than conventional therapy (standardized mean difference (SMD): -0.45, 95% confidence interval (CI): -0.70, -0.20) overall, and have positive effects in cancer-related fatigue (SMD:-0.38, 95% CI: -0.65, -0.11). Tai Chi was also more effective on vitality (SMD: 0.63, 95% CI: 0.20, 1.07), sleep (SMD: -0.32, 95% CI: -0.61, -0.04) and depression (SMD: -0.58, 95% CI: -1.04, -0.11). However, no significant difference was found in multiple sclerosis-related fatigue (SMD: -0.77, 95% CI: -1.76, 0.22) and age-related fatigue (SMD: -0.77, 95% CI: -1.78, 0.24). No adverse events were reported among the included studies. The quality of evidence was moderate in the GRADE system.ConclusionsThe results suggest that Tai Chi could be an effective alternative and /or complementary approach to existing therapies for people with fatigue. However, the quality of the evidence was only moderate and may have the potential for bias. There is still absence of adverse events data to evaluate the safety of Tai Chi. Further multi-center RCTs with large sample sizes and high methodological quality, especially carefully blinded design, should be conducted in future research.Registration numberPROSPERO CRD42016033066

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“…yWoo, J., indicaron que los adultos mayores con el tai chi mejoran su componente físico de la calidad de vida relacionada con la salud, concluyendo que la práctica del tai chi es beneficiosa para los ancianos en las residencias (15). Además, Kong, L. J. et al, en su estudio concluye que existe evidencia positiva con respecto a los efectos del tai chi sobre el dolor de la osteoartritis crónica, el dolor lumbar y la osteoporosis (18).…”

Section: Disminuyendo Dolencias Corporalesunclassified

Experiencias de los adultos mayores en la práctica del Tai Chi Qi Gong. Tumbes, Perú.

Morán¹,

Carlos²

2017

Rev enferm Herediana.

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RESUMENEl tai-chi qi gong es una combinación de ejercicio físico y técnicas de relajación, utilizado para mejorar la salud física y mental de sus practicantes. Objetivos: develar y analizar comprehensivamente las experiencias de los adultos mayores en la práctica del tai chi qi gong en una posta médica de EsSalud, Tumbes-Perú. Material y métodos: investigación cualitativa, desarrollada bajo el enfoque acción participación. Los sujetos de investigación fueron los adultos mayores que asisten al Programa del Adulto Mayor. La información fue recogida mediante entrevistas a profundidad considerando en todo momento los principios éticos del Informe de Belmont; el tamaño de la muestra se determinó por el método de saturación; obteniéndose siete discursos representativos, el tratamiento de los datos fue mediante el método de análisis de contenido. Resultados: Tai chi qi gong: una experiencia positiva. II. Experimentado los beneficios del tai chi con las siguientes sub categorías disminuyendo dolencias corporales, aumentado la agilidad corporal, mejorando el estado de ánimo, liberando tensiones mentales. III. Practicando los ejercicios del tai chi en casa. Conclusiones: la práctica del tai chi qi gong tiene consecuencias muy favorables para la salud de los adultos mayores porque permite desarrollar en gran manera el sentido de equilibrio, con un importante mejoramiento de su condición física, funcional y emocional y un claro aumento del nivel de calidad de vida.PALABRAS CLAVE: Taichi, qi gong, adulto mayor.Experiences of older adults in the practice of Tai Ji Qi Gong, Tumbes, Peru. SUMMARYTai ji qi gong is a combination of exercise and relaxation techniques used to improve physical and mental health of its practitioners. Objectives: unmasking and comprehensively analyze the experiences of older adults in the practice of tai chi qi gong at a health post EsSalud, Tumbes -Peru. Material and Methods: qualitative research, developed under the action approach participation. Research subjects were older adults who attend the Elderly Program. The information was collected through in-depth interviews at all times considering the ethical principles of the Belmont Report; the sample size was determined by the method of saturation; yielding seven representative speeches, treatment of data was by the method of content analysis. Results: Tai chi qi gong: A positive experience. II. Experienced the benefits of tai chi with the following sub categories decreasing bodily ailments, increased body agility, improving mood, releasing mental stress. III. Practicing tai chi exercises at home. Conclusions: the practice of tai chi qi gong has very favorable to the health of older adults consequences because it allows develop greatly the sense of balance, with a significant improvement in their physical, functional and emotional condition and a clear increase in the level of quality of life.

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Tai Chi for Chronic Pain Conditions: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Cited by 102 publications

References 36 publications

Clinical Policy Recommendations from the VHA State-of-the-Art Conference on Non-Pharmacological Approaches to Chronic Musculoskeletal Pain

Clinical Policy Recommendations from the VHA State-of-the-Art Conference on Non-Pharmacological Approaches to Chronic Musculoskeletal Pain

Does Tai Chi relieve fatigue? A systematic review and meta-analysis of randomized controlled trials

Experiencias de los adultos mayores en la práctica del Tai Chi Qi Gong. Tumbes, Perú.

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