A Randomized Trial of Tai Chi for Fibromyalgia

Eijk-Hustings, Yvonne van; Boonen, Annelies; Landewé, R.

doi:10.1056/nejmc1010478

Cited by 8 publications

(4 citation statements)

References 32 publications

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“…For a study involving complex, multicomponent mind–body therapy, searching for and finding a feasible, useful, and valid sham comparison group remains challenging, with no well-accepted solution (40). Our study was necessarily single-blinded, a design with well-known limitations.…”

Section: Discussionmentioning

confidence: 99%

Comparative Effectiveness of Tai Chi Versus Physical Therapy for Knee Osteoarthritis

et al. 2016

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Background Few remedies effectively treat long-term pain and disability from knee osteoarthritis. Studies suggest that Tai Chi alleviates symptoms, but no trials have directly compared Tai Chi with standard therapies for osteoarthritis. Objective To compare Tai Chi with standard physical therapy for patients with knee osteoarthritis. Design Randomized, 52-week, single-blind comparative effectiveness trial. (ClinicalTrials.gov: NCT01258985) Setting An urban tertiary care academic hospital. Patients 204 participants with symptomatic knee osteoarthritis (mean age, 60 years; 70% women; 53% white). Intervention Tai Chi (2 times per week for 12 weeks) or standard physical therapy (2 times per week for 6 weeks, followed by 6 weeks of monitored home exercise). Measurements The primary outcome was Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score at 12 weeks. Secondary outcomes included physical function, depression, medication use, and quality of life. Results At 12 weeks, the WOMAC score was substantially reduced in both groups (Tai Chi, 167 points [95% CI, 145 to 190 points]; physical therapy, 143 points [CI, 119 to 167 points]). The between-group difference was not significant (24 points [CI, −10 to 58 points]). Both groups also showed similar clinically significant improvement in most secondary outcomes, and the benefits were maintained up to 52 weeks. Of note, the Tai Chi group had significantly greater improvements in depression and the physical component of quality of life. The benefit of Tai Chi was consistent across instructors. No serious adverse events occurred. Limitation Patients were aware of their treatment group assignment, and the generalizability of the findings to other settings remains undetermined. Conclusion Tai Chi produced beneficial effects similar to those of a standard course of physical therapy in the treatment of knee osteoarthritis. Primary Funding Source National Center for Complementary and Integrative Health of the National Institutes of Health.

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Section: Discussionmentioning

confidence: 99%

Comparative Effectiveness of Tai Chi Versus Physical Therapy for Knee Osteoarthritis

et al. 2016

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“…In a randomized controlled study, Tai Chi was demonstrated to impact pain severity, fibromyalgia effect scale, functional mobility, and sleep and quality of life scores. [6] As a matter of fact, the study in question was published in a journal having the highest impact factor on the T100 list, and it also had the highest altmetric attention score due to the interest of social media platforms in it as one of the most popular mind-body exercises today.…”

Section: Discussionmentioning

confidence: 99%

“…[3] Medical treatments, physical therapy modalities, various exercise approaches including aerobic exercises, cognitive and behavioral therapies, and multidisciplinary approaches that target the symptoms of the patients are recommended for its treatment. [4][5][6] From this viewpoint, FMS is a popular topic that the pathologies of the musculoskeletal system still need explore although innovations related to it are continuously presented in the literature and its diagnostic and treatment criteria are timely updated.…”

Section: Introductionmentioning

confidence: 99%

Top 100 Cited Articles on Fibromyalgia Syndrome: A Bibliometric and Altmetric Analyses Study

Bağcıer

Yorulmaz

Yağcı³

2021

Agri

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Objectives: Fibromyalgia syndrome is a global health problem. The aim of this study was to analyze the top 100 cited articles. Methods: Web of Science database was scanned for the period between 1990 and 2020 using the search term, "fibromyalgia, " and the 100 most cited articles were determined. For the bibliometric analysis, a record was made of the article title, year of publication, number of authors and names, number of citations, citation index, name of the journal in which it was published, impact factor, type of article, and source of funding. The altmetric attention score was recorded from the automatic software calculation. Results: The total number of citations of the articles in the top 100 list varied between 203 and 6254. The majority of articles were published in arthritis and rheumatism (n=24) and pain (n=15) journals. The country producing the most articles was the US and the most cited author was Russel IJ. Case-controlled studies constituted the largest part of the top 100 (n=36). When the number of citations was examined, studies evaluating classification criteria, diagnostic criteria, and epidemiologic study were at the forefront. In terms of altmetric attention score, treatment studies, especially exercise, were in the first orders. Conclusion:This study presents a view on the subject of the level of interest shown by the scientific world and on social platforms to the most cited articles on the subject of fibromyalgia. There is a need for further studies which would use more wide-scale databases and offer interactions between countries.

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“…Tai Chi is effective on patients' physical and mental health, strength and balance, fall prevention, or even on depression and self-efficacy. [10][11][12][13][14][15] In line with specific guidelines, such as the ESCEO and OARSI 2019 guidelines, the OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis, and the 2019 American College of Rheumatology/Arthritis Foundation Guideline, Tai Chi is recommended as a therapeutic approach for KOA. 5,8,9 Furthermore, a substantial body of clinical studies corroborates its beneficial effects.…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Tai Chi for Knee Osteoarthritis: An Overview of Systematic Reviews

Ye,

Liu

2023

IJGM

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Background Knee Osteoarthritis (KOA) has become a serious health issue for elderly patients. Several systematic reviews (SRs) have reported Tai Chi has widely been used in the treatment of KOA. However, the methodology and conclusions of these SRs are controversial. This overview aims to summarize and evaluate the available evidence for the efficacy and safety of Tai Chi for KOA. Methods Two independent researchers searched eight databases from the inception to April 30, 2022. The included SRs were assessed respectively by A Measurement Tool to Assess Systematic Reviews (AMSTAR) 2, the Risk of Bias in Systematic Reviews (ROBIS) tool, and the Preferred Reporting Item for Systematic Review and Meta-analysis (PRISMA) statement. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) tool was used to assess the quality of the included SRs in terms of outcome indicators. Results Six SRs were finally included in this overview. The results of methodological quality, reporting quality, and risk of bias of the included SRs were generally unsatisfactory. The limitations were a lack of explaining the reasons for selection, a list of excluded literature, reporting bias assessment, and reporting the potential sources of conflict of interest. In addition, only 1 item was assessed as moderate quality by using the GRADE tool. Limitations were the most common downgraded factors. Conclusion Tai Chi is effective as a non-pharmacological intervention in the integrative treatment of KOA. However, the quality of evidence and methodological quality of SRs is generally unsatisfactory, suggesting that these results must be interpreted with caution. Trial Registration/Protocol Registration PROSPERO registration number: CRD42022315146.

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A Randomized Trial of Tai Chi for Fibromyalgia

Abstract: Background-Previous research has suggested that tai chi offers a therapeutic benefit in patients with fibromyalgia.

Cited by 8 publications

References 32 publications

Comparative Effectiveness of Tai Chi Versus Physical Therapy for Knee Osteoarthritis

Comparative Effectiveness of Tai Chi Versus Physical Therapy for Knee Osteoarthritis

Top 100 Cited Articles on Fibromyalgia Syndrome: A Bibliometric and Altmetric Analyses Study

The Effectiveness of Tai Chi for Knee Osteoarthritis: An Overview of Systematic Reviews

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