Tai Chi for rheumatoid arthritis

Mudano, Amy S.; Tugwell, Peter; Wells, George A.; Singh, Jasvinder A

doi:10.1002/14651858.cd004849.pub2

Cited by 26 publications

(36 citation statements)

References 55 publications

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“…We used GRADEpro GDT software to prepare the 'Summary of findings' tables (GRADEpro GDT 2015). We justified all decisions to down- or up-grade the certainty of studies using footnotes, and we provided comments to aid the reader’s understanding of the results where necessary.”188…”

Section: Certainty Assessmentmentioning

confidence: 99%

PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews

Page

Moher

Bossuyt

et al. 2021

BMJ

4,853

2,786

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The PRISMA 2020 statement includes a checklist of 27 items to guide reporting of systematic reviews In this article we explain why reporting of each item is recommended, present bullet points that detail the reporting recommendations, and present examples from published reviews We hope that uptake of the PRISMA 2020 statement will lead to more transparent, complete, and accurate reporting of systematic reviews, thus facilitating evidence based decision making on 15 April 2021 by guest. Protected by copyright.

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Section: Certainty Assessmentmentioning

confidence: 99%

PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews

Page

Moher

Bossuyt

et al. 2021

BMJ

4,853

2,786

View full text Add to dashboard Cite

show abstract

“…While one umbrella review (overview of systematic reviews) did not include the quality of trials in their assessment of the evidence (Huston & McFarlane, 2016), another umbrella review that did relayed the concerns of the review authors with regard to the methodological limitations of trials and the insufficient number of studies (Solloway et al, 2016). Indeed, systematic review authors have reported low-quality evidence for studies concerned with the benefits of Tai Chi for rheumatoid arthritis (very low) (Mudano, Tugwell, Wells, & Singh, 2019), chronic obstructive pulmonary disease (very low to moderate) (Ngai, Jones, & Tam, 2016), and considerable heterogeneity between studies concerned with the prevention of cardiovascular disease (Hartley, Flowers, Lee, Ernst, & Rees, 2014). Review authors have thus not been able to draw firm conclusions as to the health benefits of Tai Chi.…”

Section: The Quality Of the Evidence Base On The Health Benefits Of Tmentioning

confidence: 99%

Tai Chi for the Prevention of Falls Among Older Adults: A Critical Analysis of the Evidence

Nyman¹

2021

Journal of Aging and Physical Activity

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Despite interest as to the benefits of Tai Chi, there remains a controversy over its effectiveness as an exercise intervention for preventing falls among older adults. This review synthesizes the evidence base with a focus on meta-analyses and randomized controlled trials with community-dwelling older adults. It provides a critical lens on the evidence and quality of the trials. High-quality evidence suggests that Tai Chi is an effective intervention for preventing falls in community settings; however, there is unclear evidence for long-term care facilities and an absence of evidence for hospital settings. When compared directly with other exercise interventions, Tai Chi may offer a superior strategy for reducing falls through its benefits on cognitive functioning. Using data from the current Cochrane review, a new synthesis is presented suggesting that 71–81% of community-dwelling older adults are adherent to class-based Tai Chi interventions. The practical opportunities and challenges for practitioners are discussed.

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“…However, there was no difference in the pain outcome. In the study by Mudano et al, 20 The methodological quality assessment demonstrated that the review by Mudano et al, 20 published by the Cochrane Collaboration, was superior regarding most of the AMSTAR 2 methodological aspects. It is important to highlight critical points that were not addressed by Lee et al 24 and Macfarlane et al, 22 Last received: November 6, 2020…”

Section: Discussionmentioning

confidence: 99%

“…The methodological quality assessment showed that among the three systematic reviews (Lee et al, 24 Macfarlane et al 22 and Mudano et al 20 ), only one (Mudano et al 20 ) presented high methodological quality ( Table 2) The other two systematic reviews were considered to be of low methodological quality. According to Shea et al, 27 Table 3.…”

Section: Methodsological Quality Assessmentmentioning

confidence: 99%

Evidence for the efficacy of Tai Chi for treating rheumatoid arthritis: an overview of systematic reviews

et al. 2021

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BACKGROUND: Rheumatoid arthritis (RA) is a chronic disease with higher prevalence among women aged between 30 and 50 years and general prevalence of 1% worldwide. Interventions promoting improvement of quality of life for individuals with RA are required. Tai Chi appears to be a low-cost alternative, with studies showing positive results from this technique. However, regarding aspects of RA such as pain and sensitivity, studies remain inconclusive. OBJECTIVES: To compare the effectiveness of the Tai Chi method for treating patients diagnosed with rheumatoid arthritis, among systematic reviews. DESIGN AND SETTING: Overview of systematic reviews with Cochrane and non-Cochrane methodology. METHODS: Systematic reviews involving quasi-randomized and randomized clinical trials (RCTs) on use of Tai Chi, with no restrictions regarding the date and language of publication, were included. RESULTS: Three systematic reviews were included. The effects of Tai Chi associated with education and stretching exercises versus education and stretching were evaluated in these reviews. They showed that improvements in the variables of mood, depression and functional index were associated with use of Tai Chi. CONCLUSIONS: The findings suggest that clinical improvement was achieved, although not statistically significant with regard to pain and disease pattern, as assessed using the ACR20 measurement. Improvements relating to disability and quality of life were also seen. There was a low level of evidence and therefore caution in data analysis is recommended. The three studies included showed poor reliability for providing an accurate and complete summary of use of Tai Chi among people diagnosed with rheumatoid arthritis. PROSPERO: CRD42019125501.

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Tai Chi for rheumatoid arthritis

Cited by 26 publications

References 55 publications

PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews

PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews

Tai Chi for the Prevention of Falls Among Older Adults: A Critical Analysis of the Evidence

Evidence for the efficacy of Tai Chi for treating rheumatoid arthritis: an overview of systematic reviews

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