Effects of Tai Chi Yunshou on upper-limb function and balance in stroke survivors: A systematic review and meta-analysis |
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| Institution: | 1. Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China;2. Chinese Evidence-based Medicine Center and Cochrane China Center, West China Hospital, Sichuan University, Chengdu, China;3. NMPA Key Laboratory for Real World Data Research and Evaluation in Hainan, Chengdu, China;4. Sichuan Center of Technology Innovation for Real World Data, Chengdu, China;5. Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, China;6. Nursing School, Chengdu University of Traditional Chinese Medicine, Chengdu, China;1. School of Physical Education and Health, Shanghai Lixin University of Accounting and Finance, Shanghai, China;2. Physical Education Department, Shanghai University of Finance and Economics, Shanghai, China;1. School of Human Kinetics, University of Ottawa, Ottawa, Ontario, Canada;2. Cancer Therapeutic Program, Ottawa Hospital Research Institute, The Ottawa Hospital, Ottawa, Ontario, Canada;3. Institut du savoir Montfort, Hôpital Montfort, Ottawa, Ontario, Canada;1. Department of Physical and Art, China Agricultural University, Beijing, 100083, China;2. Central Primary School, Liyuan Town, Tongzhou District, Beijing, 101121, China;3. Beijing Foreign Languages School, Beijing Foreign Studies University, Beijing, 100089, China;4. Beijing Sport University Hospital, Beijing, 100084, China;5. Institute of Physical Education, Huzhou University, Huzhou, 313000, China;1. Post-Graduate Program in Nutrition Sciences, Fluminense Federal University (UFF), Niterói, RJ, Brazil;2. Post-Graduate Program in Medical Sciences, Fluminense Federal University (UFF), Niterói, RJ, Brazil;3. Post-Graduate Program in Cardiovascular Sciences, Fluminense Federal University (UFF), Niterói, RJ, Brazil;4. Nutrition Division, Pedro Ernesto University Hospital, Rio de Janeiro State University (UERJ), Rio de Janeiro, Brazil;5. Institute of Nutrition, Rio de Janeiro State University (UERJ), Rio de Janeiro, Brazil;6. Nephology Division, Department of Internal Medicine, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil;8. HIV/AIDS Clinical Research Center, National Institute of Infectology Evandro Chagas (INI/Fiocruz), Rio de Janeiro, RJ, Brazil;9. Post-Graduate Program in Science and Biotechnology, Fluminense Federal University (UFF), Niterói, RJ, Brazil;10. Graduate Program in Biological Sciences – Physiology, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil;1. Department of Clinical Nutrition & Dietetics, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran;2. Social Security Organization, Tehran, Iran;3. Department of Nutrition, Science and Research Branch, Islamic Azad University, Tehran, Iran;4. Faculty of Biostatistics, Shahid Beheshti University of Medical Sciences, Tehran, Iran;5. Obesity Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran |
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| Abstract: | Background and purposePhysical rehabilitation plays an important role in the recovery of motor function after a stroke. This study aimed to evaluate the effects of Tai Chi Yunshou (TCY), a form of physical therapy, on upper-limb function and balance in stroke survivors.MethodsMEDLINE, Embase, CENTRAL and five Chinese databases were retrieved from inception to July 1, 2020 (updated on March 31, 2022). Randomized controlled trials of TCY versus no-treatment for stroke were included. The RoB-2 was used to evaluate the quality of included studies. Upper-limb motor impairment, balance, and activities of daily living (ADLs) were measured by Fugl-Meyer Assessment Upper Extremity Scale (FMA-UE), Berg Balance Scale (BBS), and Barthel Index (BI), respectively. Data synthesis was performed using RevMan (v5.3), and expressed as mean difference (MD) with 95% confidence intervals (CI).ResultsSeven studies with 529 participants were included. Compared with no-treatment, TCY improved FMA-UE (MD = 7.31, 95% CI: 5.86–8.77, minimal clinically important difference MCID]: 9–10), BBS (MD = 4.68, 95% CI: 0.28–9.07, MCID: 4), and BI (MD = 4.12, 95% CI: 3.28–4.96, MCID: 1.85) in stroke survivors.ConclusionTCY may benefit balance and ADLs in rehabilitation after a stroke, but it may not improve upper-limb function clinically. |
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| Keywords: | Postural balance Stroke Systematic review Tai Ji Upper extremity |
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