Effect of Tai Chi Training on Plantar Loads during Walking in Individuals with Knee Osteoarthritis

Zhang, Zhiwang; Huang, Lingyan; Liu, Yu; Wang, Lin

doi:10.1155/2020/3096237

Cited by 13 publications

(11 citation statements)

References 48 publications

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“…Studies from six countries were represented. The United States was the most common country (n = 12), [23][24][25][26][27][28][29][30][31][32][33][34][35] followed by China [36][37][38][39][40] (n = 4), Korea [41][42][43][44] (n = 3), Australia 45 (n = 1), India 46 (n = 1), and Canada 47 (n = 1). The systematic review includes a total of 1592 participants (median study size of 48, ranging from 14 to 250).…”

Section: Resultsmentioning

confidence: 99%

Analysis of Movement-Based Mind–Body Interventions to Guide the Implementation of Osteoarthritis Exercise Programs: A Descriptive Review of Randomized Controlled Trials

Zhang

Roster

Wang

2021

The Journal of Alternative and Complementary Medicine

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Background: Clear and complete reporting of the components of complex interventions is required in clinical trials to ensure that research can be reliably replicated and successfully translated into clinical practice. Movement-based mind-body exercises, such as Tai Chi, qigong, and Yoga (TQY), are considered complex interventions and recommended for individuals with osteoarthritis in the latest guidelines of the American College of Rheumatology. This review analyzes the intervention reporting of randomized controlled trials of TQY to guide the implementation in osteoarthritis exercise programs.Methods: We searched PubMed, Cochrane Central Register of Controlled Trials, and EMBASE for TQY exercise trials in osteoarthritis between 2000 and 2020. Pairs of researchers independently screened the records, extracted study characteristics, and assessed 19 items on the Consensus on Exercise Reporting Template (CERT) checklist. For each of these items, the numbers of studies that clearly reported the item were calculated. We then identified the items in the studies that are key to delivering home-based exercises for further analysis.Results: We included 27 publications reporting 22 TQY interventions in the analysis. None of the studies reported sufficient details on all the 19 CERT items. The median completeness of reporting score was 11 and ranged from 6 to 15 of 19. The most frequently incompletely reported items (number reporting and percentage of studies) were ''starting level rule'' (n = 1, 5%) and ''progression rule'' (n = 1, 5%). Other incompletely reported items included ''fidelity or adherence (planned)'' (n = 9, 41%), ''motivations'' (n = 9, 41%), and ''progression description'' (n = 5, 23%).Conclusions: The content analysis highlights motivational strategies for long-term adherence to home-based exercises, which may help clinicians develop interventions for their patients. Details of TQY exercises interventions for osteoarthritis are incompletely reported in the included studies. The study suggests that improvements in content reporting are especially needed on items related to exercise intensity and program progression decisions, and motivational strategies in future implementation.

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Section: Resultsmentioning

confidence: 99%

Analysis of Movement-Based Mind–Body Interventions to Guide the Implementation of Osteoarthritis Exercise Programs: A Descriptive Review of Randomized Controlled Trials

Zhang

Roster

Wang

2021

The Journal of Alternative and Complementary Medicine

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“…Land exercise is better than water exercise in improving pain and enhancing function ( Escalante et al, 2011 ). Many traditional techniques are being applied more and more in OA, such as Baduanjin ( An et al, 2008 ), tai chi chuan ( Zhang Z. et al, 2020 ), Wuqinxi ( Xiao and Li, 2021 ), and yoga ( Kuntz et al, 2018 ). They can improve the physical function of OA patients and have a significant impact on the psychological status of OA patients.…”

Section: Discussionmentioning

confidence: 99%

Exercise for Osteoarthritis: A Literature Review of Pathology and Mechanism

Kong

Wang

Zhang

2022

Front. Aging Neurosci.

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Osteoarthritis (OA) has a very high incidence worldwide and has become a very common joint disease in the elderly. Currently, the treatment methods for OA include surgery, drug therapy, and exercise therapy. In recent years, the treatment of certain diseases by exercise has received increasing research and attention. Proper exercise can improve the physiological function of various organs of the body. At present, the treatment of OA is usually symptomatic. Limited methods are available for the treatment of OA according to its pathogenesis, and effective intervention has not been developed to slow down the progress of OA from the molecular level. Only by clarifying the mechanism of exercise treatment of OA and the influence of different exercise intensities on OA patients can we choose the appropriate exercise prescription to prevent and treat OA. This review mainly expounds the mechanism that exercise alleviates the pathological changes of OA by affecting the degradation of the ECM, apoptosis, inflammatory response, autophagy, and changes of ncRNA, and summarizes the effects of different exercise types on OA patients. Finally, it is found that different exercise types, exercise intensity, exercise time and exercise frequency have different effects on OA patients. At the same time, suitable exercise prescriptions are recommended for OA patients.

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“…The shortest adequate treatment time of Tai Chi for patients with KOA is 2–5 weeks ( Lee et al, 2018 ). A clinical experiment showed that Tai Chi can change KOA patients’ gait and plantar pressure load pattern during walking ( Zhang et al, 2020 ). You et al (2021) found that Tai Chi can be an excellent physical training strategy for improving postural control and walking function in older individuals with KOA.…”

Section: Exercise Training and Koamentioning

confidence: 99%

Benefits and Mechanisms of Exercise Training for Knee Osteoarthritis

et al. 2021

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Knee osteoarthritis is a chronic degenerative disease. Cartilage and subchondral bone degeneration, as well as synovitis, are the main pathological changes associated with knee osteoarthritis. Mechanical overload, inflammation, metabolic factors, hormonal changes, and aging play a vital role in aggravating the progression of knee osteoarthritis. The main treatments for knee osteoarthritis include pharmacotherapy, physiotherapy, and surgery. However, pharmacotherapy has many side effects, and surgery is only suitable for patients with end-stage knee osteoarthritis. Exercise training, as a complementary and adjunctive physiotherapy, can prevent cartilage degeneration, inhibit inflammation, and prevent loss of the subchondral bone and metaphyseal bone trabeculae. Increasing evidence indicates that exercise training can improve pain, stiffness, joint dysfunction, and muscle weakness in patients with knee osteoarthritis. There are several exercise trainings options for the treatment of knee osteoarthritis, including aerobic exercise, strength training, neuromuscular exercise, balance training, proprioception training, aquatic exercise, and traditional exercise. For Knee osteoarthritis (KOA) experimental animals, those exercise trainings can reduce inflammation, delay cartilage and bone degeneration, change tendon, and muscle structure. In this review, we summarize the main symptoms of knee osteoarthritis, the mechanisms of exercise training, and the therapeutic effects of different exercise training methods on patients with knee osteoarthritis. We hope this review will allow patients in different situations to receive appropriate exercise therapy for knee osteoarthritis, and provide a reference for further research and clinical application of exercise training for knee osteoarthritis.

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Effect of Tai Chi Training on Plantar Loads during Walking in Individuals with Knee Osteoarthritis

Cited by 13 publications

References 48 publications

Analysis of Movement-Based Mind–Body Interventions to Guide the Implementation of Osteoarthritis Exercise Programs: A Descriptive Review of Randomized Controlled Trials

Analysis of Movement-Based Mind–Body Interventions to Guide the Implementation of Osteoarthritis Exercise Programs: A Descriptive Review of Randomized Controlled Trials

Exercise for Osteoarthritis: A Literature Review of Pathology and Mechanism

Benefits and Mechanisms of Exercise Training for Knee Osteoarthritis

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