The effectiveness of traditional Chinese medicine-based exercise on physical performance, balance and muscle strength among older adults: a systematic review with meta-analysis

Wang, Cenyi; Liang, Jiling; Si, Yuhao; Li, Zeyun; Lu, Aming

doi:10.1007/s40520-021-01964-2

Cited by 28 publications

(25 citation statements)

References 39 publications

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“…Our study also demonstrated that the participants in the EXD + BE group showed significant improvement in lower limb balance. The present study supports previous studies showing the improvement of lower limb balance function from EXD and BE [ 17 , 21 , 40 , 49 – 51 ]. In addition, there is a significant positive correlation between lower limb balance (BBS test score) and BMD improvement (lumbar spine L2–4; r = 0.402, p < 0.05).…”

Section: Discussionsupporting

confidence: 93%

“…The effectiveness of Baduanjin as an exercise intervention has been recognized in many international studies [ 21 ]. It consists of eight independent, simple, subtle, and smooth movements and is a form of qigong.…”

Section: Introductionmentioning

confidence: 99%

“…It consists of eight independent, simple, subtle, and smooth movements and is a form of qigong. BE, an important means of Chinese traditional rehabilitation therapy [ 21 ], can improve patients' blood microcirculation, transport blood calcium to the bone, promote calcium absorption, promote bone mineral salt deposition, promote and increase the proliferation and activity of bone cells, delay bone loss with age, and increase BMD [ 22 ]. Although the potential effectiveness of each movement may be different, the overall Baduanjin exercise (BE) has been demonstrated to improve physical and psychological health [ 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

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The Effects of Er Xian Decoction Combined with Baduanjin Exercise on Bone Mineral Density, Lower Limb Balance Function, and Mental Health in Women with Postmenopausal Osteoporosis: A Randomized Controlled Trial

Lin

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Background. Postmenopausal osteoporosis (PMOP) is a common disease in older women that can severely jeopardize their health. Previous studies have demonstrated the effect of Er xian decoction (EXD) or Baduanjin exercise (BE) on PMOP. However, reports on the effect of EXD combined with BE on PMOP are limited. This study aimed to investigate the impact of EXD combined with BE on bone mineral density (BMD), lower limb balance, and mental health in women with PMOP. Methods. A 1 : 1 : 1 simple randomization technique was employed. Fifty participants with postmenopausal osteoporosis were allocated to three groups: the EXD group (EXD = 15); the BE group (BE = 18); and the combined group (EXD + BE = 17). After both 8 weeks and 16 weeks of intervention treatment, participants improved significantly with respect to BMD and the one-leg standing test (OLST), Berg balance scale (BBS), timed up and go (TUG) test, self-anxiety scale (SAS), and self-rating depression scale (SDS). The results were used to compare the effect of the intervention on BMD, lower limb balance function, and mental health in patients with PMOP. Results. Compared to the EXD and BE groups, the EXD + BE group showed the strongest effects on BMD, lower limb balance function, and mental health ( p < 0.01 ). A correlation between BMD and lower limb balance and mental health was noted in the EXD + BE group. The change in mental health (SAS score) was correlated with BMD (femoral neck) improvement. Conclusions. The present study demonstrates that EXD combined with BE (EXD + BE) may have a therapeutic advantage over both monotherapies for treating BMD, lower limb balance function, and mental health in patients with PMOP. The feasibility of the approach for a large-scale RCT was also confirmed. Er xian decoction combined with Baduanjin exercise (EXD + BE) might offer a viable treatment alternative for participants with postmenopausal osteoporosis given its promising effects in disease control and treatment, with good efficacy and safety profiles.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Effects of Er Xian Decoction Combined with Baduanjin Exercise on Bone Mineral Density, Lower Limb Balance Function, and Mental Health in Women with Postmenopausal Osteoporosis: A Randomized Controlled Trial

Lin

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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“…Flexion and extension, raising and lowering, opening and shutting the trunk of the limbs, altering breathing according to the action, keeping balance, and continually changing the center of gravity are all techniques used in fitness Qi gong (Subramanian, 2017;Penn et al, 2019). Also, given that a previous review assessed the effect of single TCE on walking ability and balance (Yang et al, 2015;Winser et al, 2018;Wang et al, 2021), the current study found similar results, indicating that TCE could help patients with PD to improve their balance. It reduces nerve exhaustion, relaxes the neural system, strengthens core muscles, enhances joint activity, and improves proprioceptive input to the trunk and lower limbs, all of which help individuals with PD to improve their balance.…”

Section: Discussionsupporting

confidence: 67%

Efficacy of Traditional Chinese Exercise in Improving Gait and Balance in Cases of Parkinson's Disease: A Systematic Review and Meta-analysis

Tang

Wang

et al. 2022

Front. Aging Neurosci.

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BackgroundThe efficacy of traditional Chinese exercise (TCE)-based intervention in the improvement of motor function in patients with Parkinson's disease (PD) is controversial. The present study aimed to assess the effects of TCE on balance and gait outcomes, as well as motor symptoms in individuals with PD, and evaluate potential discrete moderators such as TCE dosage-related variables.MethodPubMed, Embase, Cochrane's Library, Web of Science, Medline, and Scopus were systematically searched from their dates of inception to February 2022. All studies were randomized controlled trials (RCTs) of TCE-based interventions for PD. The treatment effects were estimated using a random-effect meta-analysis model with standardized mean differences (Hedges' g). The Physiotherapy Evidence Database was used to evaluate the methodological quality of the study.ResultFifteen studies involving a total of 873 participants were included in the final analysis. The meta-analytic findings revealed significant improvements in balance outcomes [Berg Balance Scales (BBS) (g = 0.83, 95% CI = 0.37–1.29, p = 0.000, I2 = 84%), time up and go (TUG) (g = −0.80, 95% CI = −1.13– −0.47, p = 0.000, I2 = 81%), and the one legged blind balance test (g = 0.49, 95% CI = 0.13–0.86, p = 0.01, I2 = 10%)], as well as gait outcomes [gait velocity (g = 0.28, 95% CI = 0.02–0.54, p = 0.04, I2 = 64%), 6-min walking test (6MWT) (g = 0.32, 95% CI 0.01–0.62, p = 0.04, I2= 15%), stride length (g = 0.25, 95% CI = 0.08–0.41, p = 0.003, I2 = 42%)], and motor symptoms [Unified Parkinson's Disease Rating Scale part III (UPDRS-III) (g = −0.77, 95% CI = −1.06– −0.48, p = 0.000, I2 = 76%)]. However, cadence (g = −0.03) and step length (g = 0.02) did not differ significantly. The moderator shows that the effects of TCE on BBS and gait velocity were moderated by Pedro score, exercise type, control group type, and number of sessions. Meta-regression found that TCE (exercise duration, number of sessions, and session duration) was significantly associated with improved UPDRS-III and BBS scores.ConclusionThese findings provide evidence for the therapeutic benefits of TCE as an adjunct therapy for patients with PD. TEC dosage (high-intensity long sessions) may moderate some favorable effects.Systematic Review RegistrationPROSPERO, identifier CRD42022314686.

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“…(e.g., Tai Chi, yoga, Pilates) (n = 11)[31,32,37,40,49,56,59,71,74,75,84], dance (n = 5)[39,51,61,73,81], and other (e.g., aquatics, stretching) (n = 10)[30,47,49,53,55,68,77,[81][82][83]. Nutritional supplements included protein (n = 5)[41,43,48,79,85], creatine (n = 2)[36,76], vitamin D (n = 1)[25], or dairy (n = 1)[46].…”

mentioning

confidence: 99%

Community-based group physical activity and/or nutrition interventions to promote mobility in older adults: an umbrella review

et al. 2022

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Background Physical activity and a healthy diet are important in helping to maintain mobility with aging. This umbrella review aims to identify group-based physical activity and/or nutrition interventions for community-dwelling older adults that improve mobility-related outcomes. Methods Five electronic databases (MEDLINE, Embase, CINAHL, Cochrane CENTRAL, Sociological Abstracts) were searched from inception to December 2021. Eligibility criteria included systematic reviews exploring the effectiveness of physical activity or structured exercise, alone or combined with nutrition interventions on mobility-related outcomes (aerobic capacity, physical function, balance, falls/safety, muscle strength, health-related quality of life/wellbeing). Interventions must have been delivered in a group setting to community-dwelling older adults aged 55+. Two reviewers independently performed eligibility screening, critical appraisal (using AMSTAR 2) and data extraction. The GRADE approach was used to reflect the certainty of evidence based on the size of the effect within each mobility-related outcome category. Older adult/provider research partners informed data synthesis and results presentation. Results In total, 62 systematic reviews (1 high, 21 moderate, 40 low/critically low quality) were identified; 53 included physical activity only, and nine included both physical activity and nutritional supplements. No reviews included nutrition interventions alone. Combined aerobic/resistance, general physical activity, and mind-body exercise all improved physical function and balance (moderate-high certainty). Aerobic/resistance training improved aerobic capacity (high certainty). Resistance training and general physical activity improved muscle strength (moderate certainty). Aerobic/resistance training and general physical activity are likely to reduce falls among older adults (moderate certainty). There was no evidence of benefit for nutritional supplementation with physical activity. Conclusions Group-based physical activity interventions that combine aerobic and resistance, general PA and mind-body exercise can improve measures of mobility in community-dwelling older adults. We found no reviews focused on nutrition only, highlighting a gap in the literature.

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The effectiveness of traditional Chinese medicine-based exercise on physical performance, balance and muscle strength among older adults: a systematic review with meta-analysis

Cited by 28 publications

References 39 publications

The Effects of Er Xian Decoction Combined with Baduanjin Exercise on Bone Mineral Density, Lower Limb Balance Function, and Mental Health in Women with Postmenopausal Osteoporosis: A Randomized Controlled Trial

The Effects of Er Xian Decoction Combined with Baduanjin Exercise on Bone Mineral Density, Lower Limb Balance Function, and Mental Health in Women with Postmenopausal Osteoporosis: A Randomized Controlled Trial

Efficacy of Traditional Chinese Exercise in Improving Gait and Balance in Cases of Parkinson's Disease: A Systematic Review and Meta-analysis

Community-based group physical activity and/or nutrition interventions to promote mobility in older adults: an umbrella review

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