Effects of Tai Chi Chuan on Older Adults' Balance: A Systematic Review With Meta-Analysis.

IF 1.4 4区医学 Q4 GERIATRICS & GERONTOLOGY

Journal of Aging and Physical Activity Pub Date : 2024-09-06 DOI:10.1123/japa.2023-0423

Rafael Bertolini, Rafael Vercelino, Luis Fernando Ferreira, Luis Henrique Telles da Rosa

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引用次数: 0

Abstract

Background: Tai Chi Chuan (TCC) is considered a mind and body practice of Chinese origin, considered as an intangible cultural heritage of humanity by UNESCO, and recommended by the World Health Organization as a therapeutic approach to prevent falls.

Objective: To assess the effects of TCC on older adult's balance.

Methods: A systematic review of randomized clinical trials was conducted by two independent reviewers using the ROB2 tool to assess the risk of bias under the following databases: PubMed, SCOPUS, Web of Science, PEDro, Embase, Cochrane, CINAHL, and LILACS. A meta-analysis of the selected articles for the dynamic and static balance criteria was conducted in a population of older adults (over 65 years) with publications from 2010 to 2024.

Results: Eighteen randomized clinical trials fulfilled the criteria. TCC improves dynamic balance in the timed up and go and gait speeds tests, and static balance in the single-leg test and functional reach test when compared with the control group in the meta-analysis. Adverse events were found in only one study, and the training parameters were heterogeneous.

Conclusion: TCC improves older adults with both dynamic and static balance. The results of the parameters indicate a direction in which TCC is prescribed for clinical practice with minimal or no risk of adverse effects.

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太极拳对老年人平衡能力的影响：带 Meta 分析的系统回顾

背景：太极拳（TCC）是一种源于中国的身心修炼方法，被联合国教科文组织视为人类非物质文化遗产，并被世界卫生组织推荐为预防跌倒的治疗方法：方法：对随机临床研究进行系统回顾：方法：两位独立审稿人使用 ROB2 工具对随机临床试验进行了系统性审查，以评估以下数据库中的偏倚风险：PubMed、SCOPUS、Web of Science、PEDro、Embase、Cochrane、CINAHL 和 LILACS。根据动态和静态平衡标准对所选文章进行了荟萃分析，分析对象为 2010 年至 2024 年发表的老年人（65 岁以上）：结果：18 项随机临床试验符合标准。在荟萃分析中，与对照组相比，TCC能在定时起立和步速测试中改善动态平衡，在单腿测试和功能性伸展测试中改善静态平衡。只有一项研究发现了不良事件，而且训练参数也不尽相同：结论：TCC 可改善老年人的动态和静态平衡。参数结果表明，TCC 可用于临床实践，且不良反应风险极低或没有。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Aging and Physical Activity 医学-老年医学

CiteScore

2.60

自引率

6.70%

发文量

105

审稿时长

>12 weeks

期刊介绍： The Journal of Aging and Physical Activity (JAPA) is a multidisciplinary journal that publishes peer-reviewed original research reports, scholarly reviews, and professional-application articles on the relationship between physical activity and the aging process. The journal encourages the submission of articles that can contribute to an understanding of (a) the impact of physical activity on physiological, psychological, and social aspects of older adults and (b) the effect of advancing age or the aging process on physical activity among older adults. In addition to publishing research reports and reviews, JAPA publishes articles that examine the development, implementation, and evaluation of physical activity programs among older adults. Articles from the biological, behavioral, and social sciences, as well as from fields such as medicine, clinical psychology, physical and recreational therapy, health, physical education, and recreation, are appropriate for the journal. Studies using animal models do not fit within our mission statement and should be submitted elsewhere.