中国传统运动对慢性踝关节不稳定患者的影响和最佳剂量：系统回顾和荟萃分析

IF 3.3 3区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary therapies in medicine Pub Date : 2025-02-12 DOI:10.1016/j.ctim.2025.103145

Yikun Yin , Qihan Lin , Yongsheng Liu

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引用次数: 0

摘要

背景：中医运动促进慢性踝关节不稳患者功能恢复的有效性，以及干预类型、持续时间、频率和周期等变量对治疗结果的潜在影响，仍需进一步研究。方法在中国知网（CNKI）、维普、万方、中国生物医学文献数据库（CBM）、PubMed、EBSCO（Medline、CINAHL、SPORTDiscus）、Embase、Cochrane Library、ProQuest、Web of Science等数据库中进行文献检索，随机对照试验评估中国传统运动干预对慢性踝关节不稳患者的影响。出版时间范围从每个数据库开始到2025年1月20日。采用STATA 15软件对纳入的研究进行meta分析。结果纳入12项随机对照试验（RCTs），共323例患者。与对照组相比，传统中式运动有以下改善：CAIT: WMD = 4.02,95 % CI [3.22, 4.81], z = 9.90,P <； 0.001。平衡:ANT: SMD = 0.38,95年 % CI [0.18, 0.59], z = 3.71,P = 0.003。下午:SMD = 0.49,95年 % CI [0.26, 0.70], z = 4.73,P & lt; 0.001.PL: SMD = 0.67,95 % CI [0.46, 0.88], z = 6.35,P & lt; 0.001.C: SMD = 0.80,95 % CI [0.35, 1.25], z = 3.51,P & lt; 0.001。译本:Plantarflexion: SMD = -0.58,95年 % CI(-0.94−0.21),z = 3.09,P = 0.002。反演:SMD = -0.46,95年 % CI(-0.86−0.06),z = 2.23,P = 0.025。肌肉力量：跖屈：SMD = 0.81,95 % CI [0.43, 1.18], z = 4.25,P <； 0.001。反演:SMD = 0.66,95年 % CI [0.25, 1.07], z = 3.16,P = 0.002。外翻:SMD = 1.04,95年 % CI [0.62, 1.46], z = 4.82,P & lt; 0.001。亚组分析：在12周的干预期内，每周进行两次太极训练，每次60分钟，显示出最有效的改善。证据水平：中国传统运动对CAI患者balance - ant、balance - pm、balance - pl平衡方向影响的证据水平为“中等”。结论中国传统运动对CAI患者的平衡、肌肉力量和关节位置感有显著改善。根据目前的研究结果，太极拳训练似乎对CAI患者有更大的好处。建议CAI患者每周参加两次太极训练，每次持续60 分钟，持续12周。系统评价注册：prospero数据库，CRD42024613359。

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The effects and optimal dosage of traditional Chinese exercises on patients with chronic ankle instability: A systematic review and meta-analysis

Background

The effectiveness of Traditional Chinese exercises in promoting functional recovery in patients with chronic ankle instability, as well as the potential impact of variables such as intervention type, duration, frequency, and cycle on treatment outcomes, still requires further investigation.

Methods

Literature searches were conducted in multiple databases including China National Knowledge Infrastructure (CNKI), VIP, Wanfang, China Biomedical Literature Database (CBM), PubMed, EBSCO(Medline、CINAHL、SPORTDiscus), Embase, Cochrane Library, ProQuest, and Web of Science for randomized controlled trials assessing the effects of Traditional Chinese Exercises interventions on patients with Chronic Ankle Instability. The publication timeframe spanned from the inception of each database until January 20, 2025. Meta-analysis was performed using STATA 15 software on the included studies.

Results

Twelve randomized controlled trials (RCTs) involving 323 patients were included in this analysis. Compared with the control group, Traditional Chinese exercises showed the following improvements: CAIT: WMD = 4.02, 95 % CI [3.22, 4.81], z = 9.90, P < 0.001.Balance: ANT: SMD = 0.38, 95 % CI [0.18, 0.59], z = 3.71, P = 0.003.PM: SMD = 0.49, 95 % CI [0.26, 0.70], z = 4.73, P < 0.001.PL: SMD = 0.67, 95 % CI [0.46, 0.88], z = 6.35, P < 0.001.C: SMD = 0.80, 95 % CI [0.35, 1.25], z = 3.51, P < 0.001.JPS:Plantarflexion: SMD = -0.58, 95 % CI [-0.94, −0.21], z = 3.09, P = 0.002.Inversion: SMD = -0.46, 95 % CI [-0.86, −0.06], z = 2.23, P = 0.025.Muscle Strength: Plantarflexion: SMD = 0.81, 95 % CI [0.43, 1.18], z = 4.25, P < 0.001.Inversion: SMD = 0.66, 95 % CI [0.25, 1.07], z = 3.16, P = 0.002.Eversion: SMD = 1.04, 95 % CI [0.62, 1.46], z = 4.82, P < 0.001.Subgroup Analysis: Tai Chi training conducted twice weekly for a 12-week intervention period, with 60-minute sessions, demonstrated the most effective improvements. Level of Evidence: The evidence level for the effects of Traditional Chinese exercises on Balance-ANT, Balance-PM, and Balance-PL balance directions in CAI patients is rated as "moderate."

Conclusion

Traditional Chinese exercise has been shown to significantly improve balance, muscle strength, and joint position sense in CAI patients. Based on the current findings, Tai Chi training appears to provide greater benefits for CAI patients. It is recommended that CAI patients participate in Tai Chi training twice a week, with each session lasting 60 minutes, over a 12-week period.

Systematic review registration

PROSPERO database, CRD42024613359.

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来源期刊

Complementary therapies in medicine 医学-全科医学与补充医学

CiteScore

8.60

自引率

2.80%

发文量

101

审稿时长

112 days

期刊介绍： Complementary Therapies in Medicine is an international, peer-reviewed journal that has considerable appeal to anyone who seeks objective and critical information on complementary therapies or who wishes to deepen their understanding of these approaches. It will be of particular interest to healthcare practitioners including family practitioners, complementary therapists, nurses, and physiotherapists; to academics including social scientists and CAM researchers; to healthcare managers; and to patients. Complementary Therapies in Medicine aims to publish valid, relevant and rigorous research and serious discussion articles with the main purpose of improving healthcare.