Network Meta-Analysis on the Effects of Traditional Chinese Exercise on Stroke Patients.

IF 1.9 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Reviews in cardiovascular medicine Pub Date : 2025-03-24 eCollection Date: 2025-03-01 DOI:10.31083/RCM27104
Fengwei Gao, Panpan Yan, Fengjie Qiao, Chunshun Wang, Guochun Liu, Ningning Liu, Jidong Zhang, Yongzhi Ma
{"title":"Network Meta-Analysis on the Effects of Traditional Chinese Exercise on Stroke Patients.","authors":"Fengwei Gao, Panpan Yan, Fengjie Qiao, Chunshun Wang, Guochun Liu, Ningning Liu, Jidong Zhang, Yongzhi Ma","doi":"10.31083/RCM27104","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Stroke is a common cerebrovascular disease characterized by a high incidence rate, significant disability, frequent recurrence, and elevated mortality. Exercise plays a crucial role in stroke rehabilitation, yet the relationship between traditional Chinese exercise and stroke recovery remains unclear. This study aims to evaluate the effectiveness of various conventional Chinese exercises through a systematic network meta-analysis and identify the most effective interventions for improving the rehabilitation outcomes of stroke patients.</p><p><strong>Methods: </strong>A systematic search was conducted in PubMed, Cochrane Library, Embase, Web of Science, China National Knowledge Infrastructure, Wanfang Data, and the China Science and Technology Journal Database (up to July 2024) to identify randomized controlled trials (RCTs) evaluating traditional Chinese exercises for stroke patients. Trials were included if they utilized at least one form of traditional Chinese exercise. The methodological quality of the included studies was assessed using the Cochrane Risk of Bias tool (ROB 2.0). Data analysis was performed using Stata 17.0 and the Mvmeta package, employing a random-effects model.</p><p><strong>Results: </strong>A total of 43 studies involving 2083 stroke patients were included. These studies assessed outcomes including upper limb motor function, lower limb motor function, overall motor ability, walking ability, balance ability, self-care ability, cognitive function, depression, quality of life, and sleep quality. Baduanjin, originating in the Song Dynasty and consisting of eight movements based on traditional Chinese medicine theories,was the most effective in improving upper limb motor function, overall motor ability, walking ability, self-care ability, cognitive function, quality of life, and sleep quality. Taiji, a practice integrating Chinese philosophy, martial arts, and wellness concepts, was the most effective in enhancing lower limb motor function. Wuqinxi, inspired by the dynamic movements of animals such as the tiger, deer, bear, apes, and birds, showed the best results for balance improvement. Liuzijue, a traditional exercise combining specific sound production, breathing, and movement, was most effective in alleviating depressive symptoms.</p><p><strong>Conclusions: </strong>These findings suggest that Baduanjin may be the most effective intervention for stroke rehabilitation. However, further high-quality RCTs are required to confirm these results.</p><p><strong>The prospero registration: </strong>CRD42024566780, https://www.crd.york.ac.uk/PROSPERO/view/CRD42024566780.</p>","PeriodicalId":20989,"journal":{"name":"Reviews in cardiovascular medicine","volume":"26 3","pages":"27104"},"PeriodicalIF":1.9000,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951498/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Reviews in cardiovascular medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.31083/RCM27104","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Stroke is a common cerebrovascular disease characterized by a high incidence rate, significant disability, frequent recurrence, and elevated mortality. Exercise plays a crucial role in stroke rehabilitation, yet the relationship between traditional Chinese exercise and stroke recovery remains unclear. This study aims to evaluate the effectiveness of various conventional Chinese exercises through a systematic network meta-analysis and identify the most effective interventions for improving the rehabilitation outcomes of stroke patients.

Methods: A systematic search was conducted in PubMed, Cochrane Library, Embase, Web of Science, China National Knowledge Infrastructure, Wanfang Data, and the China Science and Technology Journal Database (up to July 2024) to identify randomized controlled trials (RCTs) evaluating traditional Chinese exercises for stroke patients. Trials were included if they utilized at least one form of traditional Chinese exercise. The methodological quality of the included studies was assessed using the Cochrane Risk of Bias tool (ROB 2.0). Data analysis was performed using Stata 17.0 and the Mvmeta package, employing a random-effects model.

Results: A total of 43 studies involving 2083 stroke patients were included. These studies assessed outcomes including upper limb motor function, lower limb motor function, overall motor ability, walking ability, balance ability, self-care ability, cognitive function, depression, quality of life, and sleep quality. Baduanjin, originating in the Song Dynasty and consisting of eight movements based on traditional Chinese medicine theories,was the most effective in improving upper limb motor function, overall motor ability, walking ability, self-care ability, cognitive function, quality of life, and sleep quality. Taiji, a practice integrating Chinese philosophy, martial arts, and wellness concepts, was the most effective in enhancing lower limb motor function. Wuqinxi, inspired by the dynamic movements of animals such as the tiger, deer, bear, apes, and birds, showed the best results for balance improvement. Liuzijue, a traditional exercise combining specific sound production, breathing, and movement, was most effective in alleviating depressive symptoms.

Conclusions: These findings suggest that Baduanjin may be the most effective intervention for stroke rehabilitation. However, further high-quality RCTs are required to confirm these results.

The prospero registration: CRD42024566780, https://www.crd.york.ac.uk/PROSPERO/view/CRD42024566780.

中医传统运动对脑卒中患者影响的网络meta分析。
背景:脑卒中是一种常见的脑血管疾病,具有发病率高、致残率高、复发率高、死亡率高的特点。运动在脑卒中康复中起着至关重要的作用,但中国传统运动与脑卒中康复之间的关系尚不清楚。本研究旨在通过系统的网络荟萃分析,评估各种传统中式运动的有效性,并确定最有效的干预措施,以改善脑卒中患者的康复效果。方法:系统检索PubMed、Cochrane Library、Embase、Web of Science、中国国家知识基础设施、万方数据和中国科技期刊数据库(截至2024年7月),以确定评估中国传统运动对脑卒中患者的随机对照试验(rct)。如果试验使用了至少一种中国传统运动形式,则纳入其中。采用Cochrane风险偏倚工具(ROB 2.0)评估纳入研究的方法学质量。数据分析采用Stata 17.0和Mvmeta软件包,采用随机效应模型。结果:共纳入43项研究,涉及2083例脑卒中患者。这些研究评估的结果包括上肢运动功能、下肢运动功能、整体运动能力、行走能力、平衡能力、自我照顾能力、认知功能、抑郁、生活质量和睡眠质量。八段筋起源于宋代,由八种基于中医理论的动作组成,对改善上肢运动功能、整体运动能力、行走能力、自理能力、认知功能、生活质量和睡眠质量最为有效。太极是一种融合了中国哲学、武术和健康理念的练习,对增强下肢运动功能最有效。五禽戏的灵感来自老虎、鹿、熊、猿和鸟等动物的动态运动,在平衡改善方面表现出最好的效果。六子觉是一种结合特定发声、呼吸和动作的传统运动,对缓解抑郁症状最有效。结论:八段锦可能是脑卒中康复治疗中最有效的干预措施。然而,需要进一步的高质量随机对照试验来证实这些结果。普洛斯彼罗注册:CRD42024566780, https://www.crd.york.ac.uk/PROSPERO/view/CRD42024566780。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Reviews in cardiovascular medicine
Reviews in cardiovascular medicine 医学-心血管系统
CiteScore
2.70
自引率
3.70%
发文量
377
审稿时长
1 months
期刊介绍: RCM is an international, peer-reviewed, open access journal. RCM publishes research articles, review papers and short communications on cardiovascular medicine as well as research on cardiovascular disease. We aim to provide a forum for publishing papers which explore the pathogenesis and promote the progression of cardiac and vascular diseases. We also seek to establish an interdisciplinary platform, focusing on translational issues, to facilitate the advancement of research, clinical treatment and diagnostic procedures. Heart surgery, cardiovascular imaging, risk factors and various clinical cardiac & vascular research will be considered.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信