Effect of Tai Chi Chuan in Breast Cancer Patients: A Systematic Review and Meta-Analysis

Luo, Xiaochao; Liu, Jie; Jia, Fu; Yin, Hui; Shen, Li; Liu, Mailan; Lan, Lei; Jin, Ying; Qiao, Xiu-Lan; Tang, Chunzhi; Tang, Yong

doi:10.3389/fonc.2020.00607

Cited by 39 publications

(40 citation statements)

References 96 publications

(115 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…At the same time, Tai Chi Chuan (TCC) is an aerobic exercise that emphasizes the organic combination of mind and body training and is a perfect long-term exercise for breast cancer survivors after surgery (Pan et al, 2015 ). Previous studies showed that TCC had obvious advantages in comparison with traditional rehabilitation methods (Luo et al, 2020 ; Galantino, Callens, Cardena, Piela, & Mao, 2013 ;. Yao, Ge, & Yu et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a nurse-led Mindfulness-based Tai Chi Chuan (MTCC) program on Posttraumatic Growth and perceived stress and anxiety of breast cancer survivors

Zhang

et al. 2022

European Journal of Psychotraumatology

View full text Add to dashboard Cite

Background With the development of positive psychology, posttraumatic growth research on cancer patients has attracted increasing attention from researchers. It is immensely important to effectively increase the posttraumatic growth level of cancer patients and improve their quality of life. Objectives To investigate the effectiveness of a nurse-led mindfulness-based Tai Chi Chuan (MTCC) programme for increasing posttraumatic growth (PTG) and decreasing the perceived stress and anxiety of breast cancer survivors. Methods A RCT was conducted. Participants were randomly assigned to either the MTCC group or the control group. The programme included 59 women with stage I–III breast cancer. Participants in the intervention group participated in a nurse-led 8-week, twice a week, one-hour per day mindfulness-based exercise programme. The effectiveness of the intervention was measured three times (T1 – before intervention; T2 – after intervention; T3 – one year after intervention) using validated scales, including the PTG inventory (PTGI), Perceived Stress Scale (PSS), and Self-rating Anxiety Scale (SAS). A repeated-measure analysis of variance model was used to analyse the data. Results Compared with the wait-list control group, the PTG level in the MTCC group was much higher after the 8-week intervention and the follow-up ( F = 374.98, P < .000). The results showed that MTCC increased the level of PTG, and the effect persisted 1 year after intervention. In addition, PSS ( F = 55.22, P < .000) and SAS ( F = 148.92, P < .000) scores were significantly decreased at T2 and T3. Conclusion The research preliminarily revealed that the MTCC programme was simple, effective, and more suitable to clinical nurses which should be recommended to cancer survivors to promote their recovery.

show abstract

Section: Discussionmentioning

confidence: 99%

Effectiveness of a nurse-led Mindfulness-based Tai Chi Chuan (MTCC) program on Posttraumatic Growth and perceived stress and anxiety of breast cancer survivors

Zhang

et al. 2022

European Journal of Psychotraumatology

View full text Add to dashboard Cite

show abstract

“…Sixteen reviews [23,24,[36][37][38][39][40][41][42][43][44][45][46][47][48][49] explored the effects of exercise therapy on CRF by including studies with different types of exercise, including aerobic exercise, yoga, resistance exercise, and Pilates. For the other 13 reviews, six [50][51][52][53][54][55] focused on yoga, five [56][57][58][59][60] on aerobic exercise, and two [61,62] on tai chi. Routine methods of care and/or health education without any active exercise components were commonly utilized as the study comparisons.…”

Section: Characteristics Of the Included Reviewsmentioning

confidence: 99%

Effects of exercise interventions on cancer-related fatigue in breast cancer patients: an overview of systematic reviews

Zhou

Wang

et al. 2022

Support Care Cancer

View full text Add to dashboard Cite

Objective This overview of systematic reviews aims to critically appraise and consolidate evidence from current systematic reviews (SRs)/meta-analyses on the effects of exercise interventions on cancer-related fatigue (CRF) in breast cancer patients. Methods SRs/meta-analyses that explored the effects of exercise interventions on CRF in breast cancer patients compared with the routine methods of treatment and care were retrieved from nine databases. The methodological quality of the included SRs was appraised using A MeaSurement Tool to Assess systematic Reviews II (AMSTAR II). The Grading of Recommendations Assessment, Development and Evaluation (GRADE) was used to calculate the grading of outcomes in the included SRs. The exercise type, frequency, duration, and inclusion/absence of supervision were further evaluated with subgroup analyses. The Stata 16.0 software was utilized for data analysis. Results Twenty-nine reviews were included. The overall methodological quality and level of evidence of the included reviews were unsatisfactory, with only three reviews rated as high methodological quality and no review identified as high-quality evidence. Moderate certainty evidence indicated that exercise could improve fatigue in breast cancer patients (SMD = − 0.40 [95%CI − 0.58, − 0.22]; P = 0.0001). Subgroup analysis based on the types of exercise showed that yoga (SMD = − 0.30 [95%CI − 0.56, − 0.05]; I2 = 28.7%) and aerobic exercise (SMD = − 0.29 [95%CI − 0.56, − 0.02]; I2 = 16%) had a significantly better effect on CRF in breast cancer patients; exercising for over 6 months (SMD = − 0.88 [95%CI − 1.59, − 0.17]; I2 = 42.7%; P = 0.0001), three times per week (SMD = − 0.77 [95%CI − 1.04, − 0.05]; I2 = 0%; P = 0.0001), and for 30 to 60 min per session (SMD = − 0.81 [95%CI − 1.15, − 0.47]; I2 = 42.3%; P = 0.0001) can contribute to a moderate improvement of CRF. Supervised exercise (SMD = − 0.48 [95%CI − 0.77, − 0.18]; I2 = 87%; P = 0.001) was shown to relieve CRF. Conclusion Exercise played a favorable role in alleviating CRF in breast cancer. Yoga was recommended as a promising exercise modality for CRF management in the majority of the included studies. Exercising for at least three times per week with 30 to 60 min per session could be recommended as a suitable dosage for achieving improvement in CRF. Supervised exercise was found to be more effective in alleviating CRF than unsupervised exercise. More rigorously designed clinical studies are needed to specify the exact exercise type, duration, frequency, and intensity to have an optimal effect on CRF in breast cancer patients. Trial registration ClinicalTrials.gov Identifier: CRD42020219866.

show abstract

“…Some techniques of traditional Chinese exercise guide and transfer attention from pain via meditating and imagining, which can help alleviate back pain, improve psychosocial well-being, and increase confidence. As a representative, the Tai-chi exercise has attracted attention worldwide in the field of sports medicine for its good effect on chronic diseases [ 32 – 34 ]. However, Wuqinxi has become an alternative choice in China in recent years due to its unique movements and effects [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of Wuqinxi in the Patients with Chronic Low Back Pain: A Randomized Controlled Trial

Yao

Zhang

et al. 2020

Evidence-Based Complementary and Alternative Medicine

View full text Add to dashboard Cite

Low back pain (LBP) is one of the major concerns of the current health care. The guidelines for chronic LBP recommend traditional Chinese exercise as an effective treatment. As one of the representatives of traditional Chinese exercise, Wuqinxi has been famous in China for its effects on improving health and treating chronic diseases for thousands of years. The objectives of the study were to assess the effects of Wuqinxi in the patients with chronic LBP on pain intensity, trunk muscle strength, and quality of life. The primary outcome measure was assessed by the Short-Form McGill Pain Questionnaire (SF-MPQ), including the Visual Analog Scale (VAS) and Present Pain Intensity (PPI) as the subtables. The effects of Wuqinxi on the quality of life were also assessed by the Short-Form Health Survey (SF-36) and the Pittsburgh Sleep Quality Index (PSQI) from physical component summary (PCS), mental component summary (MCS), and sleep quality. Besides, the electrical activities of the rectus abdominis (RA), obliquus externus abdominis (OEA), lumbar erector spinae (ES), and multifidus (MF) were assessed by integrated electromyogram (iEMG) after the end of the intervention. Both the groups showed statistically significant improvement in SF-MPQ, SF-36, PSQI, and iEMG at 12 weeks and 24 weeks when compared with baseline (P<0.05). However, Wuqinxi demonstrated better effects in SF-MPQ and MCS after 24 weeks of intervention compared with the general exercise (P<0.05). The patients in the Wuqinxi group (WQXG) also showed a significantly higher iEMG on OEA than the general exercise group (GEG) in 30°/s and 90°/s (P<0.05). Our results showed that Wuqinxi had better effects on chronic LBP for a long time compared with general exercise, including pain intensity and quality of life. Thus, Wuqinxi should be recognized as a possible standalone therapy and self-management skill in chronic LBP, which is suitable for long-term practice.

show abstract

Effect of Tai Chi Chuan in Breast Cancer Patients: A Systematic Review and Meta-Analysis

Cited by 39 publications

References 96 publications

Effectiveness of a nurse-led Mindfulness-based Tai Chi Chuan (MTCC) program on Posttraumatic Growth and perceived stress and anxiety of breast cancer survivors

Effectiveness of a nurse-led Mindfulness-based Tai Chi Chuan (MTCC) program on Posttraumatic Growth and perceived stress and anxiety of breast cancer survivors

Effects of exercise interventions on cancer-related fatigue in breast cancer patients: an overview of systematic reviews

Effects of Wuqinxi in the Patients with Chronic Low Back Pain: A Randomized Controlled Trial

Contact Info

Product

Resources

About