Effect of Tai Chi Exercise on Balance Function of Stroke Patients: A Meta-Analysis.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2018-12-03 DOI:10.12659/MSMBR.911951

Shouzhi Wu, Jian Chen, Shuyi Wang, Mingfei Jiang, Ximei Wang, Yufeng Wen

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引用次数: 44

Abstract

BACKGROUND Tai Chi is an ancient form of physical activity that has been shown to improve cardiovascular function, but to date there had been no comprehensive systematic review on the effect of Tai Chi exercise on balance function of patients with stroke. This study evaluated the effect of Tai Chi exercise on balance function in stroke patients. MATERIAL AND METHODS PubMed, Cochrane library, and China National Knowledge Information databases and the Wan Fang medical network were searched to collect the articles. The random-effects model was used to assess the effect of Tai Chi exercise on balance function of stroke patients. RESULTS Six studies were chosen to perform the meta-analysis according to the inclusion and exclusion criteria. There were significant improvements of balance on Berg Balance Scale score (MD=4.823, 95% CI: 2.138-7.508), the standing balance with fall rates (RR=0.300, 95%CI: 0.120-0.770), functional reach test and dynamic gait index in Tai Chi intervention group compared to the control intervention group. However, the short physical performance battery for balance (SPBB) showed Tai Chi did not significantly improve the ability of balance for stroke patients (MD=0.293, 95%CI: -0.099~0.685). CONCLUSIONS Tai Chi exercise might have a significant impact in improving balance efficiency by increasing BBS score and reducing fall rate.

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太极拳运动对脑卒中患者平衡功能的影响:meta分析。

太极拳是一种古老的体育活动形式，已被证明可以改善心血管功能，但迄今为止，还没有关于太极拳运动对中风患者平衡功能影响的全面系统综述。本研究评估太极拳运动对脑卒中患者平衡功能的影响。材料与方法检索PubMed、Cochrane图书馆、中国国家知识数据库和万方医学网，收集文献。采用随机效应模型评价太极拳运动对脑卒中患者平衡功能的影响。结果根据纳入和排除标准，选择6项研究进行meta分析。与对照组相比，太极拳干预组在Berg平衡量表评分(MD=4.823, 95%CI: 2.138 ~ 7.508)、站立平衡与跌倒率(RR=0.300, 95%CI: 0.120 ~ 0.770)、功能到达测试和动态步态指数方面均有显著改善。然而，短期平衡物理性能电池(SPBB)显示，太极拳对脑卒中患者的平衡能力没有显著改善(MD=0.293, 95%CI: -0.099~0.685)。结论太极拳运动可能通过提高BBS评分和降低跌倒率来改善平衡效率。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.