Effects of different traditional Chinese exercise for knee osteoarthritis patients: A network meta-analysis of randomized controlled trials.

IF 1.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Medicine Pub Date : 2024-09-20 DOI:10.1097/MD.0000000000039660

Tao Tao, Ming-Peng Shi, Xian-Shuai Zhang, Bo-Yang Tan, Ya-Nan Xiao, Feng-Ling Sun, Shao-Jun Li, Zhen-Hua Li

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Abstract

Background: The most popular traditional Chinese exercise (TCE) techniques include Tai Chi, Yijinjing, Baduanjin, Wuqinxi, and Qigong. Exercise is advised as a primary treatment for knee osteoarthritis (KOA) according to clinical standards. According to several studies, TCE may be an effective way to help people with KOA manage their pain, stiffness, and physical function. Which TCE therapy is the most effective and whose particular usefulness is still debatable. The network meta-analysis (NMA) method is used in this study to evaluate and compare the effects of various TCE therapies on KOA patients.

Methods: We will search PubMed, Embase, Scopus, Cochrane Library, Web of Science, the China National Knowledge Infrastructure, Wanfang, the Chinese Scientific Journal Database (VIP), and the China Biology Medical Literature Database (CBM) for randomized controlled trials reporting TCE therapy for KOA patients published before October 25, 2023. The Stata 16.0 program will compare the effectiveness of various TCE therapies on KOA patients using conventional pairwise and NMA.

Results: The final 29 studies included 15 articles on Tai Chi, 7 articles on Baduanjin, 4 articles on Wuqinxi, and 3 articles on Yijinjing. Tai Chi was first for the effect sizes of VAS scores, WOMAC pain scores, and WOMAC available scores, while Baduanjin was ranked top for WOMAC stiffness scores. Research should continue to be conducted on the effect of Qigong on KOA intervention.

Conclusions: This NMA will help determine the best TCE treatment for KOA and offer evidence-based bias for clinical decision-making.

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不同传统中医运动对膝关节骨性关节炎患者的影响：随机对照试验的网络荟萃分析。

背景：最流行的中国传统运动（TCE）技术包括太极拳、易筋经、八段锦、五禽戏和气功。根据临床标准，建议将运动作为膝关节骨性关节炎（KOA）的主要治疗方法。根据多项研究，TCE可能是帮助KOA患者控制疼痛、僵硬和身体功能的有效方法。究竟哪种 TCE疗法最有效，其具体效用如何，目前仍存在争议。本研究采用网络荟萃分析（NMA）方法来评估和比较各种TCE疗法对KOA患者的影响：我们将检索PubMed、Embase、Scopus、Cochrane Library、Web of Science、中国国家知识基础设施、万方数据库、中国科技期刊数据库（VIP）和中国生物医学文献数据库（CBM）中2023年10月25日之前发表的报道TCE疗法治疗KOA患者的随机对照试验。Stata16.0程序将采用传统的配对和NMA方法比较各种TCE疗法对KOA患者的疗效：最终的 29 项研究包括 15 篇关于太极的文章、7 篇关于八段锦的文章、4 篇关于五禽戏的文章和 3 篇关于易筋经的文章。在 VAS 评分、WOMAC 疼痛评分和 WOMAC 可用评分的效应大小方面，太极排名第一，而在 WOMAC 僵硬度评分方面，八段锦排名第一。应继续研究气功对 KOA 干预的效果：该 NMA 将有助于确定 KOA 的最佳 TCE 治疗方法，并为临床决策提供循证偏倚。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medicine 医学-医学：内科

CiteScore

2.80

自引率

0.00%

发文量

4342

审稿时长

>12 weeks

期刊介绍： Medicine is now a fully open access journal, providing authors with a distinctive new service offering continuous publication of original research across a broad spectrum of medical scientific disciplines and sub-specialties. As an open access title, Medicine will continue to provide authors with an established, trusted platform for the publication of their work. To ensure the ongoing quality of Medicine’s content, the peer-review process will only accept content that is scientifically, technically and ethically sound, and in compliance with standard reporting guidelines.