Acupoint Massage for Managing Cognitive Alterations in Older Adults: A Systematic Review and Meta-Analysis

Liu, Fang; Shen, Cuiling; Yao, Li-Qun; Li, Zhuangmiao

doi:10.1089/acm.2017.0142

Cited by 10 publications

(7 citation statements)

References 20 publications

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“…The methodological quality assessment was carried out using the Cochrane Handbook for Systematic Reviews of Interventions. [14,15] Six domains including random sequence generation (selection bias), allocation concealment (selection bias), blinding of participants and personnel (performance bias), blinding of outcome assessment (detection bias), incomplete outcome data (attrition bias), selective reporting (reporting bias) were used for the methodological quality of each included trials. For all the relevant outcomes in the relevant domains, the quality of each item was classified using a nominal scale: “Yes” (low risk of bias), “No” (high risk of bias), or “Unclear” (unclear risk of bias).…”

Section: Methodsmentioning

confidence: 99%

Therapeutic efficacy and safety of Shexiang Baoxin Pill combined with trimetazidine in elderly patients with heart failure secondary to ischaemic cardiomyopathy

Wen

Zhang

et al. 2018

Medicine

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Background:Shexiang Baoxin Pill (SBP) is one of the most commonly used traditional Chinese patent medicines for cardiovascular diseases. This systematic review was designed to provide rigorous therapeutic efficacy and safety evidence on the use of SBP combined with trimetazidine in elderly patients with heart failure (HF) secondary to ischaemic cardiomyopathy (ICM).Methods:Relevant randomized controlled trials (RCTs) investigating the clinical efficacy of SBP combined with trimetazidine in treating ICM-associated HF were widely searched in electronic databases, including PubMed, Cochrane library, EMBASE, CBM, CNKI, VMIS, and Wanfang up to January 1, 2018. The methodological quality of each trial was assessed according to the Cochrane Reviewers’ Handbook 5.0. Meta-analysis was performed by using Review Manager 5.3.Results:Eighteen RCTs (N = 1532) that met the criteria were included in the review for the assessment of methodological quality. Meta-analysis showed that, when compared with conventional therapy, SBP combined with trimetazidine significantly improved the clinical efficacy and indices of cardiac function (including increasing left ventricular ejection fraction [LVEF] and 6-minute walk distance [6-MWD], decreasing left ventricular end-diastolic diameter [LVEDD] and left ventricular end-systolic diameter [LVESD]) without serious adverse reactions.Conclusion:This work provides evidence of the benefit of SBP combined with trimetazidine for the treatment of HF secondary to ICM. More high quality and well-designed RCTs are needed to confirm these findings.

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Section: Methodsmentioning

confidence: 99%

Therapeutic efficacy and safety of Shexiang Baoxin Pill combined with trimetazidine in elderly patients with heart failure secondary to ischaemic cardiomyopathy

Wen

Zhang

et al. 2018

Medicine

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“…Sleep-inducing exercises are simple to perform, effective, economical, and practical; they can clear the meridians, modulate body functions, calm the mind, and improve concentration. A considerable amount of exercise can be performed by twisting various parts of the body, promoting blood circulation, and simultaneously fulfilling the daily activity requirement, thereby enhancing physical fitness[ 24 ]. Patients with insomnia often experience negative emotions, such as depression and anxiety, which can be relieved by an appropriate amount of daytime exercise.…”

Section: Discussionmentioning

confidence: 99%

Effects of mindful breathing combined with sleep-inducing exercises in patients with insomnia

Su¹,

Li²,

Ren³

et al. 2021

WJCC

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BACKGROUND Insomnia is the most common sleep disorder. It disrupts the patient’s life and work, increases the risk of various health issues, and often requires long-term intervention. The financial burden and inconvenience of treatments discourage patients from complying with them, leading to chronic insomnia. AIM To investigate the long-term home-practice effects of mindful breathing combined with a sleep-inducing exercise as adjunctive insomnia therapy. METHODS A quasi-experimental design was used in the present work, in which the patients with insomnia were included and grouped based on hospital admission: 40 patients admitted between January and April 2020 were assigned to the control group, and 40 patients admitted between May and August 2020 were assigned to the treatment group. The control group received routine pharmacological and physical therapies, while the treatment group received instruction in mindful breathing and a sleep-inducing exercise in addition to the routine therapies. The Pittsburgh Sleep Quality Index (PSQI), Generalized Anxiety Disorder 7-item (GAD-7) scale, and Insomnia Severity Index (ISI) were utilized to assess sleep-quality improvement in the patient groups before the intervention and at 1 wk, 1 mo, and 3 mo postintervention. RESULTS The PSQI, GAD-7, and ISI scores before the intervention and at 1 wk postintervention were not significantly different between the groups. However, compared with the control group, the treatment group exhibited significant improvements in sleep quality, daytime functioning, negative emotions, sleep latency, sleep duration, sleep efficiency, anxiety level, and insomnia severity at 1 and 3 mo postintervention ( P < 0.05). The results showed that mindful breathing combined with the sleep-inducing exercise significantly improved the long-term effectiveness of insomnia treatment. At 3 mo, the PSQI scores for the treatment vs the control group were as follows: Sleep quality 0.98 ± 0.48 vs 1.60 ± 0.63, sleep latency 1.98 ± 0.53 vs 2.80 ± 0.41, sleep duration 1.53 ± 0.60 vs 2.70 ± 0.56, sleep efficiency 2.35 ± 0.58 vs 1.63 ± 0.49, sleep disturbance 1.68 ± 0.53 vs 2.35 ± 0.53, hypnotic medication 0.53 ± 0.64 vs 0.93 ± 0.80, and daytime dysfunction 1.43 ± 0.50 vs 2.48 ± 0.51 (all P < 0.05). The GAD-7 scores were 2.75 ± 1.50 vs 7.15 ± 2.28, and the ISI scores were 8.68 ± 2.26 vs 3.38 ± 1.76 for the treatment vs the control group, respectively (all P < 0.05). CONCLUSION These simple, cost-effective, and easy-to-implement practices used in clinical or home settings ...

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“…10,17,18 Liu et al performed a meta-analysis to evaluate the usefulness of acupoint massage in preventing cognitive decline in older adults and suggested that acupoint massage is an effective intervention for maintaining their cognitive function. 13 Some studies have shown that TCE is more beneficial to cognitive function improvement in older adults than other forms of exercise. Specifically, in a pair-wise metaanalysis, traditional Chinese medicine (TCM) exercise therapies (Baduanjin exercise, Tai Chi, Liuzijue exercise and finger exercise) were superior to non-TCM exercise therapies (stretching and toning exercise, usual care, health education, and routine daily activities) in terms of the Minimental State Examination(MMSE), Montreal Cognitive Assessment (MoCA), and Activities of Daily Living Scale (ADL) outcomes.…”

Section: Introductionmentioning

confidence: 99%

A Study on the Effect of Traditional Chinese Exercise Combined With Rhythm Training on the Intervention of Older Adults With Mild Cognitive Impairment

Zhang,

Zhu,

Huang

et al. 2023

Am J Alzheimers Dis Other Demen

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Background To examine the effect of combination exercise program on cognitive function of older adults with mild cognitive impairment (MCI), and identify biomarkers associated with improvement of cognitive functions. Methods Subjects were 42 older adults (ages, 60-80 years) with MCI. The subjects were randomly classified to traditional Chinese exercise combined with rhythm training group (TCE + RTG, n = 14), walking group (WG, n = 14), and control group (CG, n = 14), according to their level of MMSE scores. These groups exercised for 60 minutes at 1 session, 3 sessions a week for 12 weeks. The intervention program was conducted under multitask conditions to stimulate attention and memory, and the control group attended 3 education classes. Measurements were administered before, after the 6-week, and after the 12-week intervention period; Measurements: The Mini-mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), Symbol Digit Modalities Test (SDMT), Activities of Daily Living Scale (ADL), and the 17-item Hamilton Depression Scale (HAMD-17), along with the brain-derived neurotrophic factor (BDNF). A repeated-measures analysis of variance was used to examine differences among the 3 groups and between the 3 testing times (pre-test vs middle-test vs post-test). Results (1) The TCE + RTG showed significant improvement in the MMSE, MoCA, SDMT, and ADL scale test results ( P < .01) and HAMD-17 scale test results ( P < .05). The WG also showed significant improvement in the MMSE, MoCA, and HAMD-17 scale test results ( P < .05) and the ADL scale test results ( P < .01). While there was no significant change in the CG after the intervention. (2) The TCE + RTG and WG showed positive improvement in peripheral blood BDNF levels, while the CG showed a decrease in these test results. There were significant differences between the TCE + RTG and CG before and after the intervention. Conclusion The results suggested that a TCE + RT is beneficial for improving memory and maintaining general cognitive function and peripheral blood BDNF levels in older adults with MCI. Peripheral blood BDNF levels may predict improvement of cognitive functions in older adults with MCI. Further studies are required to determine the positive effects of TCE + RT on cognitive function in older adults with MCI. Trial Registration: ChiCTR2200058545, Registered 10 April 2022.

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Acupoint Massage for Managing Cognitive Alterations in Older Adults: A Systematic Review and Meta-Analysis

Abstract: The findings suggested that acupoint massage is an effective intervention for maintaining cognitive functions in older adults.

Cited by 10 publications

References 20 publications

Therapeutic efficacy and safety of Shexiang Baoxin Pill combined with trimetazidine in elderly patients with heart failure secondary to ischaemic cardiomyopathy

Therapeutic efficacy and safety of Shexiang Baoxin Pill combined with trimetazidine in elderly patients with heart failure secondary to ischaemic cardiomyopathy

Effects of mindful breathing combined with sleep-inducing exercises in patients with insomnia

A Study on the Effect of Traditional Chinese Exercise Combined With Rhythm Training on the Intervention of Older Adults With Mild Cognitive Impairment

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