Effects of Tai Chi on balance and gait in stroke survivors: A systematic meta-analysis of randomized controlled trials

Li, Gai Yan; Wang, Wei; Liu, Gong Liang; Zhang, Ying

doi:10.2340/16501977-2346

Cited by 20 publications

(15 citation statements)

References 13 publications

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“…When practicing tai chi, patients need to control their body balance while continuously changing position and bodily center of gravity. In addition, tai chi helps improve the ability of controlling muscles and joints, which is associated with better balance control (62). Moreover, the results of sensitivity analysis based on the PEDro scale score were consistent with the previous findings, except for physical function and bodily pain, which might be due to insufficient eligible studies.…”

Section: Discussionsupporting

confidence: 86%

Effects of tai chi on physiology, balance and quality of life in patients with type 2 diabetes: A systematic review and meta-analysis

Zhou¹,

Zhou²,

Li³

et al. 2019

J Rehabil Med

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patients with type 2 diabetes mellitus was carried out. The results indicate that tai chi is favourable in improving outcomes in some areas, e.g. fasting plasma glucose, glycosylated haemoglobin (HbA1c), total cholesterol, balance, and quality of life. However, differences between study methods limit the conclusions regarding some outcomes. Tai chi might be a suitable complementary therapy for individuals with type 2 diabetes mellitus.Objective: To systematically synthesize and critically evaluate evidence on the effects of tai chi for patients with type 2 diabetes mellitus. Data sources: Seven electronic databases (Wan Fang, SinoMed, China National Knowledge Infrastructure, VIP, PubMed, Embase, and Cochrane Library) were systematically searched from their inception to March 2018. Study selection: Randomized controlled trials investigating the effects of tai chi on individuals with type 2 diabetes mellitus were eligible. Data extraction: Biomedical outcomes (fasting plasma glucose, glycosylated haemoglobin (HbA1c), fasting insulin, insulin resistance, body mass index, total cholesterol, blood pressure) as well as balance and quality of life-related outcomes were extracted independently by 2 reviewers. Stata 12.0 software was used to synthesize data if there was no or moderate heterogeneity across studies. Otherwise, narrative summaries were performed. Data synthesis: A total of 23 studies (25 articles) involving 1,235 patients were included in this meta-analysis. Significant changes in tai chi-related effects were observed in lowering fasting plasma glucose (standardized mean difference; SMD -0.67; 95% confidence interval (95% CI) -0.87 to -0.47; p < 0.001), HbA1c (mean difference; MD-0.88%; 95% CI -1.45% to -0.31%; p =0.002) and insulin resistance (MD -0.41; 95% CI -0.78 to -0.04; p = 0.029). Beneficial effects of tai chi were also found in decreasing body mass index (MD -0.82 kg/ m 2 ; 95% CI -1.28 to -0.37 kg/m 2 ; p < 0.001) and total cholesterol (SMD -0.59; 95% CI -0.90 to -0.27; p < 0.001). In addition, tai chi reduced blood pressure (systolic blood pressure (MD -10.03 mmHg; 95% CI -15.78 to -4.29 mmHg; p = 0.001), diastolic blood pressure (MD -4.85 mmHg; 95% CI -8.23 to -1.47 mmHg; p = 0.005)) and improved quality of life-related outcomes (physical function (MD 7.07; 95% CI 0.79-13.35; p = 0.027), bodily pain (MD 4.30; 95% CI 0.83-7.77; p = 0.015) and social function (MD 13.84; 95% CI 6.22-21.47; p < 0.001)). However, no impact was exerted on fasting insulin (SMD -0.32; 95% CI -0.71 to 0.07; p = 0.110) or balance (MD 2.71 s; 95% CI -3.29 to 8.71 s; p = 0.376). Conclusion: Tai chi is effective in controlling biome-dical outcomes and improving quality of life-related outcomes in individuals with type 2 diabetes mellitus, although no effects were observed on balance and fasting insulin. Further high-quality research is needed to elucidate the effects of different types of tai chi, the long-term effects of tai chi, the impact on respiratory function, and the association between tai chi and the risk of developi...

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Section: Discussionsupporting

confidence: 86%

Effects of tai chi on physiology, balance and quality of life in patients with type 2 diabetes: A systematic review and meta-analysis

Zhou¹,

Zhou²,

Li³

et al. 2019

J Rehabil Med

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“…One study showed that tai chi promoted health, prevented disease, and had a positive effect on arterial stiffness and static/dynamic balance (15). Some studies have shown that tai chi can enhance the use of active neural networks by regulating physical and psychological methods (14).…”

Section: Summary Of the Main Resultsmentioning

confidence: 99%

“…Traditional Chinese exercise can effectively reduce systolic blood pressure (SBP) and diastolic blood pressure (DBP), thereby improving symptoms in patients with cardiovascular disease (14). Some studies regard to the following aspects: generating random sequences, allocation of hidden methods, application of the blinding method, incomplete results, selective reporting of results, and other bias.…”

mentioning

confidence: 99%

Effects of Tai Chi on essential hypertension and related risk Factors: A meta-analysis of randomized controlled trials

Guan

Yang²,

Guan³

et al. 2020

J Rehabil Med

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Physical exercise is an important part of hypertension management. The impact of different training styles and durations of tai chi on essential hypertension has not been evaluated to date. The aim of this systematic review was to assess the existing literature on the impact of tai chi in patients with essential hypertension. Background: Physical exercise is an important part of hypertension management. The impact of different training styles and durations of tai chi on essential hypertension has not been evaluated to date. Objective: To analyse the influence of tai chi on blood pressure and related risk factors in patients with essential hypertension. Methods: A systematic review to assess the existing literature on the impact of tai chi in patients with essential hypertension. Randomized controlled trials were identified in Chinese and English databases to study the impact of tai chi on essential hypertension. Two reviewers selected studies independently of each other. Qualified trials were selected and their methodological quality critically evaluated. Results: Thirteen trials were included in the analysis. Following tai chi there was a significant difference between intervention and control groups with regard to change in systolic blood pressure (SBP) (weighted mean difference = −6.58, 95% confidence interval (95% CI) (−8.14, −5.02), p = 0.005) and diastolic blood pressure (DBP) (standardized mean difference = −0.57, 95% CI (−0.77, −0.37), p < 0.0001). Taking into account the subgroup analyses, the combined results showed that 24-movement or yang-style tai chi significantly reduced both systolic and diastolic blood pressure over a period ≤ 12 weeks or > 12 weeks in all studies. However, other styles of tai chi did not significantly reduce systolic or diastolic blood pressure after a duration ≤ 12 weeks. Conclusion: Tai chi is an effective physical exercise in treating essential hypertension compared with control interventions. Different training durations and styles have different effects. Further randomized controlled trials are needed into the use of tai chi for the treatment and prevention of essential hypertension and other related chronic diseases.

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“…44 , 49 , 50 Meta-analyses also suggest a possible role for tai chi in stroke rehabilitation to improve balance and gait and prevent falls. 44 , 51 , 52 Further, studies indicate tai chi may reduce fractures, a common consequence of falls, by improving bone mineral density in osteoporosis. A clinical trial demonstrated statistically significant improvements after 9 months, with participation in at least 75% of classes, suggesting results may depend on length and compliance with intervention.…”

Section: Tai Chimentioning

confidence: 99%

Movement-Based Therapies in Rehabilitation

Phuphanich

Droessler

Altman

et al. 2020

Physical Medicine and Rehabilitation Clinics of North America

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Movement therapy refers to a broad range of Eastern and Western mindful movement-based practices used to treat the mind, body, and spirit concurrently. Forms of movement practice are universal across human culture and exist in ancient history. Research demonstrates forms of movement therapy, such as dance, existed in the common ancestor shared by humans and chimpanzees, approximately 6 million years ago. Movement-based therapies innately promote health and wellness by encouraging proactive participation in one’s own health, creating community support and accountability, and so building a foundation for successful, permanent, positive change.

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Effects of Tai Chi on balance and gait in stroke survivors: A systematic meta-analysis of randomized controlled trials

Abstract: Tai chi may be beneficial for stroke survivors with respect to gait ability in the short term, but further large, long-term randomized controlled trials with standard evaluation indicators are needed to confirm this conclusion.

Cited by 20 publications

References 13 publications

Effects of tai chi on physiology, balance and quality of life in patients with type 2 diabetes: A systematic review and meta-analysis

Effects of tai chi on physiology, balance and quality of life in patients with type 2 diabetes: A systematic review and meta-analysis

Effects of Tai Chi on essential hypertension and related risk Factors: A meta-analysis of randomized controlled trials

Movement-Based Therapies in Rehabilitation

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