目的:体育锻炼可以改善身心健康。然而,有关中国传统运动(TCE)对身心健康的定量影响的信息仍然有限。因此,本系统综述和荟萃分析旨在定量探讨TCE对多发性硬化(MS)患者身心健康的影响.
方法:在七个电子数据库(PubMed,Scopus,CINAHL,WebofScience,科克伦图书馆,中国国家知识基础设施,和万方)从成立到2024年3月7日,使用以下术语,太极,太极,太极拳,气功,八段锦,五禽戏,伊锦京,多发性硬化症,和播散性硬化症。包括报告TCE对MS患者身体功能或心理健康结果影响的随机对照试验(RCTs)和非RCTs。使用随机效应模型和95%置信区间(95%CI)来计算效应大小。
结果:11项研究,包括461名MS患者,纳入本荟萃分析。TCE显着增加平衡(d=0.88,95%CI[0.45,1.31],p<0.001,I2=39.26%),日常生活活动(d=1.17,95%CI[0.30,2.04],p<0.001,I2=89.15%),多发性硬化影响量表(MSIS)评分(d=0.53,95%CI[0.12,0.93],p=0.01,I2=0%),抑郁症(d=0.66,95%CI[0.003,1.32],p=0.049,I2=62.97%),和特定活动平衡置信度(ABC)得分(d=1.30,95%CI[0.41,2.18],与对照条件相比,p<0.001,I2=0%)。
结论:这项荟萃分析表明TCE在改善平衡方面的功效,日常生活活动,MSIS分数,抑郁症,MS患者的ABC评分。然而,需要进一步的高质量研究来调查这些发现.
OBJECTIVE: Physical exercise improves physical and psychological health. However, information on the quantitative impact of Traditional Chinese Exercise (TCE) on physical and psychological health remains limited. Therefore, this systematic review and meta-analysis aimed to quantitatively explore the effects of TCE on the physical and psychological health of patients with multiple sclerosis (MS).
METHODS: A comprehensive search was conducted across seven electronic databases (PubMed, SCOPUS, CINAHL, Web of Science, Cochrane Library, China National Knowledge Infrastructure, and Wanfang) from their inception to March 7, 2024 using the terms, Taiji, Tai Chi, Tai Chi Chuan, Qigong, Baduanjin, Wuqinxi, Yijinjing, multiple sclerosis, and disseminated sclerosis. Randomized controlled trials (RCTs) and non-RCTs reporting the effects of TCE on physical function or psychological health outcomes in MS patients were included. A random-effects model and 95 % confidence intervals (95 % CI) were used to compute the effect sizes.
RESULTS: Eleven studies, including 461 subjects with MS, were included in this meta-analysis. TCE significantly increased balance (d = 0.88, 95 % CI [0.45, 1.31], p < 0.001, I2 = 39.26 %), activities of daily living (d = 1.17, 95 % CI [0.30, 2.04], p < 0.001, I2 = 89.15 %), Multiple Sclerosis Impact Scale (MSIS) scores (d = 0.53, 95 % CI [0.12, 0.93], p = 0.01, I2 = 0 %), depression (d = 0.66, 95 % CI [0.003, 1.32], p = 0.049, I2 = 62.97 %), and Activities-Specific Balance Confidence (ABC) scores (d = 1.30, 95 % CI [0.41, 2.18], p < 0.001, I2 = 0 %) compared with control conditions.
CONCLUSIONS: This meta-analysis suggests the efficacy of TCE in improving balance, activities of daily living, MSIS scores, depression, and ABC scores in MS patients. However, further high-quality research is warranted to investigate these findings.