Tai Chi as an intervention to reduce falls and improve balance function in the elderly: A meta-analysis of randomized controlled trials

Zhao, Yuan; Wang, Yan

doi:10.1016/j.cnre.2015.10.003

Cited by 15 publications

(11 citation statements)

References 16 publications

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“…We found that (1) there was no effect on BBS by using the TCMBE, based on the synthesis ESs of 3 randomized controlled trials; (2) TCMBE intervention did not significantly improve old adults' TUG though displaying the pooled ESs of seven randomized controlled trials; and (3) there was a significant improvement on static balance power, in particular, if the subjects participate in the TCMBE program for more than 150 minutes per week. These findings seem to be different from the previous meta-analysis [8, 14, 32], in which Tai Chi intervention significantly improved the BBS and TUG compared with control group. The current study includes more eligible trials using the TCMBE interventions and its characteristics are homogenous compared to previous meta-analysis, such that if one study has three different groups, we use the TCMBE group to compare with the other two groups, respectively.…”

Section: Discussioncontrasting

confidence: 99%

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Traditional Chinese Mind and Body Exercises for Promoting Balance Ability of Old Adults: A Systematic Review and Meta‐Analysis

Chen

Zhang

Wang

et al. 2016

Evidence-Based Complementary and Alternative Medicine

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The purpose of this study was to provide a quantitative evaluation of the effectiveness of traditional Chinese mind and body exercises in promoting balance ability for old adults. The eligible studies were extensively searched from electronic databases (Medline, CINAHL, SportDicus, and Web of Science) until 10 May 2016. Reference lists of relevant publications were screened for future hits. The trials used randomized controlled approaches to compare the effects of traditional Chinese mind and body exercise (TCMBE) on balance ability of old adults that were included. The synthesized results of Berg Balance Scale (BBS), Timed Up and Go Test (TUG), and static balance with 95% confidence intervals were counted under a random-effects model. Ten studies were selected based on the inclusion criteria, and a total of 1,798 participants were involved in this review. The results of the meta-analysis showed that TCMBE had no significant improvement on BBS and TUG, but the BBS and TUG could be obviously improved by prolonging the intervention time. In addition, the results showed that TCMBE could significantly improve the static balance compared to control group. In conclusion, old adults who practiced TCMBE with the time not less than 150 minutes per week for more than 15 weeks could promote the balance ability.

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Section: Discussioncontrasting

confidence: 99%

“…TCMBE as an effective, low-cost, and safety exercise approach is widely accepted in elderly people in China and other Asian countries [12–14]. During recent years, many studies reported that motor movements of elderly people were improved by participating in Tai Chi, Qigong, and Baduanjin [10, 15, 16].…”

Section: Introductionmentioning

confidence: 99%

Traditional Chinese Mind and Body Exercises for Promoting Balance Ability of Old Adults: A Systematic Review and Meta‐Analysis

Chen

Zhang

Wang

et al. 2016

Evidence-Based Complementary and Alternative Medicine

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“…Tai Chi exercises were beneficial for the balance and functional mobility of people with PD, as detected by the BBS and FR tests. This result was consistent with the findings of a prior review that aimed at evaluating the effects of Tai Chi on balance function in an elderly population [22]. According to Li et al, a significant prepost change in FR was observed after participating in Tai Chi exercises [23].…”

Section: Discussionsupporting

confidence: 90%

Effects of Tai Chi Exercise on Reducing Falls and Improving Balance Performance in Parkinson’s Disease: A Meta-Analysis

Liu¹,

Yeh²,

Wu³

et al. 2019

Parkinson's Disease

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Introduction. Parkinson’s disease (PD) is a common neurodegenerative disorder that may increase the risk of falls, functional limitation, and balance deficits. Tai Chi was used as an option for improving balance in people with PD. The aim of this meta-analysis was to evaluate the effects of Tai Chi on falls, balance, and functional mobility in individuals with PD. Method. The literature search was conducted in PubMed, the Cochrane Library, CINAHL, PEDro, Medline, Embase, sportDISCUS, Trip, and the National Digital Library of Theses and Dissertations in Taiwan. Randomized controlled trials (RCTs) analyzing the effects of Tai Chi, compared to no intervention or to other physical training, on falls, functional mobility, and balance in PD patients were selected. The outcome measurements included fall rates, Berg Balance Scale (BBS), Functional Reach (FR) test, and the Timed Up and Go (TUG) test. Two reviewers independently assessed the methodological quality and extracted data from the studies using the PEDro scale. Results. Five RCTs that included a total of 355 PD patients were included in this review. The quality of evidence in these studies was rated as moderate to high. Compared to no intervention or other physical training, Tai Chi significantly decreased fall rates (odds ratio = 0.47, 95% confidence interval (CI) 0.30 to 0.74, and p=0.001) and significantly improved balance and functional mobility (BBS mean difference (MD) = 3.47, 95% CI 2.11 to 4.80, and p<0.001; FR MD = 3.55 cm, 95% CI 1.88 to 5.23, and p<0.001; TUG MD = −1.06 s, 95% CI −1.61 to −0.51, and p<0.001) in people with PD. Conclusion. This meta-analysis provides moderate- to high-quality evidence from five RCTs that Tai Chi could be a good physical training strategy for preventing falls and improving balance and functional mobility in people with PD.

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“…Tai chi can therefore play a role in both physical and mental rehabilitation. Some studies have suggested that tai chi has favourable effects on a variety of factors, including cardiovascular protection (10), fall prevention (11), balance (12), flexibility (13), depression (14) and quality of life (QoL) (15). Tai chi has potential benefits in treating different diseases, including chronic obstructive pulmonary disease (16), Parkinson's disease (17), osteoarthritis (18) and stroke (19).…”

Section: Data Sourcesmentioning

confidence: 99%

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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Tai Chi as an intervention to reduce falls and improve balance function in the elderly: A meta-analysis of randomized controlled trials

Cited by 15 publications

References 16 publications

Traditional Chinese Mind and Body Exercises for Promoting Balance Ability of Old Adults: A Systematic Review and Meta‐Analysis

Traditional Chinese Mind and Body Exercises for Promoting Balance Ability of Old Adults: A Systematic Review and Meta‐Analysis

Effects of Tai Chi Exercise on Reducing Falls and Improving Balance Performance in Parkinson’s Disease: A 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

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