PDF(Pubmed)
Abstract：
OBJECTIVE: To evaluate the effect of mind-body exercise on improving knee osteoarthritis (KOA) and thereby informing osteoarthritis exercise rehabilitation.
METHODS: The China National Knowledge Infrastructure (CNKI), Wanfang, PubMed/Medline, Cochrane Library, Web of Science, EBSCO, Embase, Scopus, and ProQuest databases were searched to identify randomized controlled trials (RCTs) that involved tai chi, yoga, and baduanjin interventions for KOA. The search period ranged from inception to October 25, 2022. The methodological quality of the included studies was evaluated by the Cochrane risk of bias assessment tool, and the included data were statistically analyzed and plotted using Review Manager 5.3 and Stata 14.0 software.
RESULTS: We included 17 articles with a total of 1122 patients. Compared with the control group, mind-body exercise significantly improved patient pain (standardized mean difference (SMD) = -0.65, 95% confidence interval (CI) [-0.87, -0.42], p < 0.00001), stiffness (SMD = -0.75, 95% CI [-1.05, -0.45], p < 0.00001), physical function (SMD = -0.82, 95% CI [-1.03, -0.62], p < 0.00001), mental health (SMD = 0.31, 95% CI [0.11, 0.51], p = 0.002), and depression (SMD = -0.32, 95% CI [-0.50, -0.15], p = 0.0003). In terms of motor ability, mind-body exercise significantly increased the 6-min walking distance (SMD = 18.45, 95% CI [5.80, 31.10], p = 0.004) and decreased timed up and go test time (SMD = -1.15, 95% CI [-1.71, -0.59], p < 0.0001).
CONCLUSIONS: The current study showed that mind-body exercise is safe and effective for KOA patients. However, given the methodological limitations of the included studies, additional high-quality evidence is needed to support the conclusions of this study.
METHODS: The China National Knowledge Infrastructure (CNKI), Wanfang, PubMed/Medline, Cochrane Library, Web of Science, EBSCO, Embase, Scopus, and ProQuest databases were searched to identify randomized controlled trials (RCTs) that involved tai chi, yoga, and baduanjin interventions for KOA. The search period ranged from inception to October 25, 2022. The methodological quality of the included studies was evaluated by the Cochrane risk of bias assessment tool, and the included data were statistically analyzed and plotted using Review Manager 5.3 and Stata 14.0 software.
RESULTS: We included 17 articles with a total of 1122 patients. Compared with the control group, mind-body exercise significantly improved patient pain (standardized mean difference (SMD) = -0.65, 95% confidence interval (CI) [-0.87, -0.42], p < 0.00001), stiffness (SMD = -0.75, 95% CI [-1.05, -0.45], p < 0.00001), physical function (SMD = -0.82, 95% CI [-1.03, -0.62], p < 0.00001), mental health (SMD = 0.31, 95% CI [0.11, 0.51], p = 0.002), and depression (SMD = -0.32, 95% CI [-0.50, -0.15], p = 0.0003). In terms of motor ability, mind-body exercise significantly increased the 6-min walking distance (SMD = 18.45, 95% CI [5.80, 31.10], p = 0.004) and decreased timed up and go test time (SMD = -1.15, 95% CI [-1.71, -0.59], p < 0.0001).
CONCLUSIONS: The current study showed that mind-body exercise is safe and effective for KOA patients. However, given the methodological limitations of the included studies, additional high-quality evidence is needed to support the conclusions of this study.
摘要：
目的：评价身心锻炼对膝关节骨性关节炎（KOA）的改善作用，为骨关节炎的运动康复提供指导。
方法：中国国家知识基础设施(CNKI)，万方,PubMed/Medline,科克伦图书馆,WebofScience,EBSCO,Embase,Scopus,和ProQuest数据库进行搜索，以确定涉及太极拳的随机对照试验（RCT），瑜伽,和八段锦对KOA的干预。搜索期从开始到2022年10月25日。通过Cochrane偏倚风险评估工具对纳入研究的方法学质量进行评估,使用ReviewManager5.3和Stata14.0软件对纳入的数据进行统计分析和绘图。
结果：我们纳入了17篇文章，共1122例患者。与对照组相比,身心锻炼显着改善患者疼痛（标准化平均差（SMD）=-0.65，95％置信区间（CI）[-0.87，-0.42]，p<0.00001),刚度(SMD=-0.75，95%CI[-1.05，-0.45]，p<0.00001),物理功能（SMD=-0.82，95%CI[-1.03，-0.62]，p<0.00001),心理健康(SMD=0.31，95%CI[0.11，0.51]，p=0.002),和抑郁（SMD=-0.32，95%CI[-0.50，-0.15]，p=0.0003)。在运动能力方面，身心锻炼显著增加了6分钟步行距离(SMD=18.45，95%CI[5.80，31.10]，p=0.004），并减少了计时和测试时间（SMD=-1.15，95%CI[-1.71，-0.59]，p<0.0001)。
结论：目前的研究表明，心身锻炼对KOA患者是安全有效的。然而,鉴于纳入研究的方法学局限性，需要更多的高质量证据来支持本研究的结论.
方法：中国国家知识基础设施(CNKI)，万方,PubMed/Medline,科克伦图书馆,WebofScience,EBSCO,Embase,Scopus,和ProQuest数据库进行搜索，以确定涉及太极拳的随机对照试验（RCT），瑜伽,和八段锦对KOA的干预。搜索期从开始到2022年10月25日。通过Cochrane偏倚风险评估工具对纳入研究的方法学质量进行评估,使用ReviewManager5.3和Stata14.0软件对纳入的数据进行统计分析和绘图。
结果：我们纳入了17篇文章，共1122例患者。与对照组相比,身心锻炼显着改善患者疼痛（标准化平均差（SMD）=-0.65，95％置信区间（CI）[-0.87，-0.42]，p<0.00001),刚度(SMD=-0.75，95%CI[-1.05，-0.45]，p<0.00001),物理功能（SMD=-0.82，95%CI[-1.03，-0.62]，p<0.00001),心理健康(SMD=0.31，95%CI[0.11，0.51]，p=0.002),和抑郁（SMD=-0.32，95%CI[-0.50，-0.15]，p=0.0003)。在运动能力方面，身心锻炼显著增加了6分钟步行距离(SMD=18.45，95%CI[5.80，31.10]，p=0.004），并减少了计时和测试时间（SMD=-1.15，95%CI[-1.71，-0.59]，p<0.0001)。
结论：目前的研究表明，心身锻炼对KOA患者是安全有效的。然而,鉴于纳入研究的方法学局限性，需要更多的高质量证据来支持本研究的结论.
