Tai chi for health benefits in patients with multiple sclerosis: A systematic review

Zou, Liye; Wang, Huiru; Xiao, Zhongjun; Fang, Qun; Zhang, Mark; T, Li; Du, Geng; Liu, Yang

doi:10.1371/journal.pone.0170212

Cited by 60 publications

(49 citation statements)

References 62 publications

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“…The meta-analysis results of Tai Chi, Yoga, and Health Qigong on motor function showed improvement (SMD = −0.61, p < 0.001). There is evidence that balance training in Tai Chi, Yoga, and Health Qigong can reduce the contraction of antagonist muscles [48][49][50][51]. The initial delay time of muscle activation is shortened, and reflex activity is increased.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Mind-Body Exercises on Motor Function, Depressive Symptoms, and Quality of Life in Parkinson’s Disease: A Systematic Review and Meta-Analysis

Jin

Wang

Liu

et al. 2019

IJERPH

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Purpose: To systematically evaluate the effects of mind-body exercises (Tai Chi, Yoga, and Health Qigong) on motor function (UPDRS, Timed-Up-and-Go, Balance), depressive symptoms, and quality of life (QoL) of Parkinson’s patients (PD). Methods: Through computer system search and manual retrieval, PubMed, Web of Science, The Cochrane Library, CNKI, Wanfang Database, and CQVIP were used. Articles were retrieved up to the published date of June 30, 2019. Following the Cochrane Collaboration System Evaluation Manual (version 5.1.0), two researchers independently evaluated the quality and bias risk of each article, including 22 evaluated articles. The Pedro quality score of 6 points or more was found for 86% (19/22) of these studies, of which 21 were randomized controlled trials with a total of 1199 subjects; and the trial intervention time ranged from 4 to 24 weeks. Interventions in the control group included no-intervention controls, placebo, waiting-lists, routine care, and non-sports controls. Meta-analysis was performed on the literature using RevMan 5.3 statistical software, and heterogeneity analysis was performed using Stata 14.0 software. Results: (1) Mind-body exercises significantly improved motor function in PD patients, including UPDRS (SMD = −0.61, p < 0.001), TUG (SMD = −1.47, p < 0.001) and balance function (SMD = 0.79, p < 0.001). (2) Mind-body exercises also had significant effects on depression (SMD = −1.61, p = 0.002) and QoL (SMD = 0.66, p < 0.001). (3) Among the indicators, UPDRS (I2 = 81%) and depression (I2 = 91%) had higher heterogeneity; according to the results of the separate combined effect sizes of TUG (I2 = 29%), Balance (I2 = 16%) and QoL (I2 = 35%), it shows that the heterogeneity is small; (4) After meta-regression analysis of the age limit and other possible confounding factors, further subgroup analysis showed that the reason for the heterogeneity of UPDRS motor function may be related to the sex of PD patients and severity of the disease; the outcome of depression was heterogeneous. The reason for this may be the use of specific drugs in the experiment and the duration of intervention in the trial. Conclusion: (1) Mind-body exercises were found to have significant improvements in motor function, depressive symptoms, and quality of life in patients with Parkinson’s disease, and can be used as an effective method for clinical exercise intervention in PD patients. (2) Future clinical intervention programs for PD patients need to fully consider specific factors such as gender, severity of disease, specific drug use, and intervention cycle to effectively control heterogeneity factors, so that the clinical exercise intervention program for PD patients is objective, scientific, and effective.

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Section: Discussionmentioning

confidence: 99%

The Impact of Mind-Body Exercises on Motor Function, Depressive Symptoms, and Quality of Life in Parkinson’s Disease: A Systematic Review and Meta-Analysis

Jin

Wang

Liu

et al. 2019

IJERPH

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“…This idea is supported by the finding that engaging in long-term TC training significantly improved executive function performance in older adults with MCI [46,47]. With regard to Multiple sclerosis (MS), evidence in the literature indicates that (1) brain white matter changes are associated with changes in cognitive performance in MS [48,49] and (2) TC interventions in MS improve both motor-cognitive abilities (e.g., balance) and quality of life [26,50]. Whether such cognitive and motor-cognitive performance improvements after long-term TC training are caused by changes in brain white matter networks among other factors (e.g., upregulation of neurotrophic factors, grey matter changes) is a promising area for further investigations.…”

Section: Discussionmentioning

confidence: 97%

“…Such unique features have attracted people worldwide in pursuit of health and longevity, especially the frail elderly who experience functional decline [24,25]. Early studies have extensively investigated the health benefits of TC, suggesting that it effectively improved physical (e.g., balance, lower-limb strength, flexibility, and cardiovascular fitness) [26,27] and mental (e.g., stress, anxiety, pain, and depression) health outcomes of different age groups [28,29].…”

Section: Of 11mentioning

confidence: 99%

Tai Chi Training Evokes Significant Changes in Brain White Matter Network in Older Women

et al. 2020

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Background: Cognitive decline is age relevant and it can start as early as middle age. The decline becomes more obvious among older adults, which is highly associated with increased risk of developing dementia (e.g., Alzheimer’s disease). White matter damage was found to be related to cognitive decline through aging. The purpose of the current study was to compare the effects of Tai Chi (TC) versus walking on the brain white matter network among Chinese elderly women. Methods: A cross-sectional study was conducted where 42 healthy elderly women were included. Tai Chi practitioners (20 females, average age: 62.9 ± 2.38 years, education level 9.05 ± 1.8 years) and the matched walking participants (22 females, average age: 63.27 ± 3.58 years, educational level: 8.86 ± 2.74 years) underwent resting-state functional magnetic resonance imaging (rsfMRI) scans. Diffusion tensor imaging (DTI) and graph theory were employed to study the data, construct the white matter matrix, and compare the brain network attributes between the two groups. Results: Results from graph-based analyses showed that the small-world attributes were higher for the TC group than for the walking group (p < 0.05, Cohen’s d = 1.534). Some effects were significant (p < 0.001) with very large effect sizes. Meanwhile, the aggregation coefficient and local efficiency attributes were also higher for the TC group than for the walking group (p > 0.05). However, no significant difference was found between the two groups in node attributes and edge analysis. Conclusion: Regular TC training is more conducive to optimize the brain functioning and networking of the elderly. The results of the current study help to identify the mechanisms underlying the cognitive protective effects of TC.

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“…Note-worthily, exercise as one of the rehabilitation modalities has been gradually recognized to be effective for symptomatic management of COPD, specifically alleviating the clinical symptoms, preventing the exacerbation of lung functions, and improving quality of life of the COPD patients [15]. Baduanjin exercise is one of ancient Chinese health-Qigong exercise [16][17][18], which involves training of musculoskeletal relaxation and stretching, breathing control, and mental focus at a slow pace [19,20]. Because Baduanjin exercise is a mild-to-moderate intensity exercise and consists of eight simple movements [21], it has been commonly prescribed for patients with chronic diseases who have low exercise tolerance at Chinese medicine hospitals [22].…”

Section: Introductionmentioning

confidence: 99%

Mind-Body (Baduanjin) Exercise Prescription for Chronic Obstructive Pulmonary Disease:A Systematic Review with Meta-Analysis

Liu¹,

Lin²,

Li³

et al. 2018

Preprint

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Baduanjin exercise is a traditional Chinese health-Qigong routine, created by an ancient physician for health promotion. Its mild-to-moderate exercise intensity is suitable for individuals with medical conditions. Recently, a large number of trials were conducted to investigate the effects of Baduanjin exercise in patients with chronic obstructive pulmonary disease (COPD). It needs to be determined whether Baduanjin exercise prescription is beneficial for the management of COPD patients. Thus, we conducted a systematic review to objectively evaluate the existing literature on this topic. We searched six databases (PubMed, Web of Science, Cochrane Library, Scopus, CNKI, and Wanfang) from its inception till early May, 2018. The adapted PEDro scale was used for study quality assessment of all randomized controlled trials (RCT). The pooled effect size (Hedge's g) of exercise capability (6-Minute Walking Test, 6-MWT), lung function parameters (forced expiratory volume in first second, FEV1; forced volume vital capacity, FVC; FEV1/FVC ratio), and quality of life were calculated based on the random-effects model. Twenty may potentially improve exercise capability and pulmonary function of COPD patients as well as quality of life. Baduanjin exercise could be tentatively prescribed for COPD in combination with the conventional rehabilitation program to quicken the process of recovery. To confirm the positive effects of Baduanjin exercise for COPD patients, future researchers need to consider our suggestions mentioned in this article.

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Tai chi for health benefits in patients with multiple sclerosis: A systematic review

Cited by 60 publications

References 62 publications

The Impact of Mind-Body Exercises on Motor Function, Depressive Symptoms, and Quality of Life in Parkinson’s Disease: A Systematic Review and Meta-Analysis

The Impact of Mind-Body Exercises on Motor Function, Depressive Symptoms, and Quality of Life in Parkinson’s Disease: A Systematic Review and Meta-Analysis

Tai Chi Training Evokes Significant Changes in Brain White Matter Network in Older Women

Mind-Body (Baduanjin) Exercise Prescription for Chronic Obstructive Pulmonary Disease:A Systematic Review with Meta-Analysis

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