A Network Meta-Analysis of the Effects of Different Traditional Fitness Practices on Motor Function and Activities of Daily Living in Stroke Patients
Objective To compare the effects of four traditional Chinese fitness practices-Tai Chi,Baduanjin,Yijinjing,and Wuqinxi-on improving motor function and activities of daily living in stroke patients using a network meta-analysis.Methods Systematic searches were conducted in databases such as CNKI,Wanfang,PubMed,and Web of Science to identify randomized con-trolled trials(RCTs)published on traditional fitness practices improving motor function and ac-tivities of daily living in stroke patients,with retrieval dates from the establishment of each data-base to March 20,2024.The studies included were evaluated for quality and bias risk,and data were combined and analyzed using Stata 15.1 software for network meta-analysis.Results A to-tal of 36 studies with 37 trials were included.Meta-analysis results showed that compared to conventional rehabilitation therapy,the four traditional fitness practices significantly improved stroke patients'balance(BBS),lower limb motor function(FMA),functional walking ability(FAC),and activities of daily living(BI)scores.Cumulative probability ranking showed:For bal-ance ability:Wuqinxi>Baduanjin>Yijinjing>Tai Chi>Conventional rehabilitation.For lower limb mo-tor function:Wuqinxi>Baduanjin>Tai Chi>Yijinjing>Conventional rehabilitation.For functional walk-ing ability:Baduanjin>Tai Chi>Wuqinxi>Conventional rehabilitation.For activities of daily living:Baduanjin>Wuqinxi>Yijinjing>Tai Chi>Conventional rehabilitation.Conclusion The four traditional fit-ness practices demonstrated certain therapeutic effects on improving motor function and activi-ties of daily living in stroke patients.Among them,Wuqinxi was most advantageous in improving balance and lower limb motor function,while Baduanjin was more effective in improving function-al walking ability and activities of daily living.Due to the limitations of the number and quality of included studies,these conclusions need to be further validated by more high-quality research.
traditional fitness practicesstrokenetwork meta-analysisbalance abilitymotor functionactivities of daily living
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