首页|Effects of Tai Chi and Qigong on health indicators in people with lumbar disc herniation:A systematic review and meta-analysis

Effects of Tai Chi and Qigong on health indicators in people with lumbar disc herniation:A systematic review and meta-analysis

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  • 国家科技期刊平台
  • NETL
  • NSTL
  • 万方数据
Objective:To evaluate the effect of Tai Chi and Qigong on patients with lumbar disc herniation(LDH).Methods:Relevant data were retrieved from nine English and Chinese databases,including Cochrane Library,PubMed,and Wanfang Data,etc.from inception to June 2024.All published randomized controlled trials assessing the effect of Tai Chi and Qigong on visual analog scale(VAS),Japanese Or-thopedic Association(JOA)score,and other health indicators in participants with LDH compared to usual medical care or other treatments were included.Grey literature,trials involving the pushing of hands(Tui Shou)or Tai Chi with weapons,and trials with co-interventions(Tai Chi/Qigong plus another treatment)were excluded.Methodological quality was analyzed using the Cochrane risk of bias tool,and evidence quality was assessed using the Grading of Recommendations,Assessment,Development,and Evaluations(GRADE)tool.Results:Fourteen trials(954 patients)were included in this study.Tai Chi and Qigong were associated with lower VAS pain scores(standardized mean difference-0.55,95％confidence interval[CI]-0.95 to-0.15,P=.01),higher JOA scores(mean difference[MD]4.40,95％CI 2.62 to 6.18,P＜.001)and straight leg raise test results(MD 9.40°,95％CI 7.64 to 11.15,P＜.001)in patients with LDH.Furthermore,compared with usual care,Tai Chi and Qigong showed enhanced effects on pain and JOA scores.When compared to other exercises or massage,the effect on pain scores was similar but that on JOA scores was significant.Conclusions:Tai Chi and Qigong may have favorable effects on VAS pain and JOA scores compared with usual care,and on JOA scores compared with other exercises or massage in patients with LDH.Given the overall poor quality of the evidence,the results of current study should be interpreted cautiously.

Tai ChiQigongLumbar disc herniationRandomized controlled trialSystematic reviewMeta-analysis

Anni Zhao、Junru Mao、Yiqing Cai、Mi'na Wang、Hongguo Rong、Jingjing Huang、Xuanzhi Luo、Xin Liu

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School of Life Sciences,Beijing University of Chinese Medicine.Beijing,102488,China

Centre for Evidence-Based Chinese Medicine,Beijing University of Chinese Medicine,Beijing,100029,China

Graduate School,Beijing University of Chinese Medicine,Beijing 100029,China

Department of Acupuncture and Moxibustion,Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China

School of Life Sciences,Beijing University of Chinese Medicine,Beijing 102488,China

School of Human Movement and Nutrition Sciences,The University of Queensland,Brisbane,Qld 4072,Australia

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2024

10.1016/j.jtcms.2024.09.001

中医科学杂志(英文)
北京中医药大学,清华大学出版社有限公司

中医科学杂志(英文)

ISSN：2095-7548
年,卷(期)：2024.11(4)