繁体中文练习(“TCE”管理模式),包括但不限于太极拳,八段锦,和伊金晶,对改善膝关节骨性关节炎患者的身体功能有很好的效果,但是对患者心理健康的影响关注较少,目前没有足够的证据支持它。我们进行了这项研究,以提供有关中国传统运动治疗的膝骨关节炎患者的身心健康的最佳证据的系统综合。关于中国传统运动有效性的文献(太极拳,八段锦,伊锦京,气功,等。)与常规疗法(下肢肌肉力量训练和有氧训练,健康教育,股四头肌强化运动,等。)关于西安大略省和麦克马斯特大学关节炎指数(WOMAC),视觉模拟量表(VAS),简式36(SF-36),定时启动和启动测试(TUG),Pubmed和Berg平衡量表(BBS)在膝骨关节炎(KOA)中的应用,WebofScience,奥维德技术公司,中国国家知识基础设施(CNKI),中国科技期刊数据库(VIP),万方数据库,和SinoMed从成立到2022年4月收集。本研究纳入了33项研究,共2621例。研究结果表明,与常规治疗相比,中国传统锻炼在患者WOMAC评分上更有优势,显著降低KOA患者的总体WOMAC评分(SMD=-0.99;95%CI:-1.38,-0.60;p<0.00001)和缓解疼痛(SMD=-0.76;95%CI:-1.11,-0.40;p<0.0001)。与常规治疗相比,它在改善心理成分评分(MCS)(SMD=0.32;95%CI:-0.00,0.65;p=0.05)和身体成分评分(PCS)(SMD=0.34;95%CI:0.05,0.62;p=0.02)方面也具有优势。与常规治疗相比,中国传统运动可以显着降低对定时和去测试(TUG)评分的影响(SMD=-0.30;95%CI:-0.50,-0.11;p=0.002),贝克抑郁量表(DBI)评分(SMD=-0.62;95%CI:-1.03,-0.22;p=0.002),并增加对Berg平衡量表(BBS)评分的影响(SMD=0.60;95%CI:0.37,0.83;p<0.00001)。这项研究的结果表明,中医运动可以显着改善膝关节骨性关节炎患者的身体功能和心理健康。需要更多高质量的临床循证数据来证实中医运动对KOA患者身心健康的治疗效果。
Traditional Chinese exercise (\"TCE\" management modalities), including but not limited to Tai Chi, Baduanjin, and Yijinjing, has a good effect on improving the physical function of patients with knee osteoarthritis, but less attention has been paid to the impact on the psychological health of patients, and currently there is insufficient evidence to support it. We conducted this study to provide a systematic synthesis of best evidence regarding the physical and mental health of patients with knee osteoarthritis treated by traditional Chinese exercise. Literature on the effectiveness of traditional Chinese exercise (Tai Chi, Baduanjin, Yijinjing, Qigong, etc.) versus conventional therapy (muscle-strength training of the lower extremity and aerobic training, wellness education, quadriceps strengthening exercises, etc.) on Western Ontario and McMaster Universities Arthritis Index (WOMAC), visual analog scale (VAS), Short Form-36 (SF-36), Timed Up and Go Test (TUG), and Berg Balance Scale (BBS) in knee osteoarthritis (KOA) from Pubmed, Web of Science, Ovid Technologies, China National Knowledge Infrastructure (CNKI), Chinese Science and Technology Periodical Database (VIP), Wanfang Database, and SinoMed were collected from their inception to April 2022. Thirty-three studies with 2621 cases were included in this study. The study\'s results indicated that compared with conventional therapy, traditional Chinese exercise had more advantages on patients\' WOMAC score, significantly reducing patients\' overall WOMAC score (SMD = -0.99; 95% CI: -1.38, -0.60; p < 0.00001) and relieving pain (SMD = -0.76; 95% CI: -1.11, -0.40; p < 0.0001) in patients with KOA. It also has advantages over conventional therapy in improving mental component score (MCS) (SMD = 0.32; 95% CI: -0.00, 0.65; p = 0.05) and physical component score (PCS) (SMD = 0.34; 95% CI: 0.05, 0.62; p = 0.02). Compared with conventional therapy, traditional Chinese exercise can significantly reduce the effect on timed up and go test (TUG) score (SMD = -0.30; 95% CI: -0.50, -0.11; p = 0.002), beck depression inventory (DBI) score (SMD = -0.62; 95% CI: -1.03, -0.22; p = 0.002), and increase the impact on Berg Balance Scale (BBS) score (SMD = 0.60; 95% CI: 0.37, 0.83; p < 0.00001). The findings of this study indicated that traditional Chinese exercise improved body function and mental health in patients with knee osteoarthritis significantly. More high-quality clinical evidence-based data was needed to confirm the therapeutic effect of traditional Chinese exercise on the physical and mental health in KOA patients.