{"title":"太极拳对老年人减少跌倒和改善平衡功能的干预:随机对照试验的荟萃分析","authors":"Yuan Zhao, Yan Wang","doi":"10.1016/j.cnre.2015.10.003","DOIUrl":null,"url":null,"abstract":"<div><h3><strong>Objective</strong></h3><p>To systematically evaluate the effectiveness of fall prevention and balance function in the elderly.</p></div><div><h3><strong>Methods</strong></h3><p>Databases, including PubMed, Web of Science, Cochrane Library, Chinese Biomedical Literature Database (CBM), and CNKI were electronically searched, and the relevant references of the included papers were also manually searched. Two reviewers independently screened the articles according to the inclusion and exclusion criteria, extracted the data, and assessed the methodological quality. A meta-analysis was performed using the Cochrane Collaboration's RevMan 5.1 software.</p></div><div><h3><strong>Results</strong></h3><p>Six randomized controlled trials (RCTs) involving 2796 participants were included. The results of the meta-analysis showed that compared with a physiotherapy intervention, Tai Chi could significantly reduce the incidence rates of falls [relative risk (RR) = 0.82, 95% confidence interval (<em>CI</em>) (0.73, 0.92)], while there were significant differences in the Timed Up and Go test, Functional Reach Test and Berger Balance Scale.</p></div><div><h3><strong>Conclusions</strong></h3><p>Tai Chi is effective in reducing the risk of falls and improving balance in the elderly.</p></div>","PeriodicalId":57172,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cnre.2015.10.003","citationCount":"13","resultStr":"{\"title\":\"Tai Chi as an intervention to reduce falls and improve balance function in the elderly: A meta-analysis of randomized controlled trials\",\"authors\":\"Yuan Zhao, Yan Wang\",\"doi\":\"10.1016/j.cnre.2015.10.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3><strong>Objective</strong></h3><p>To systematically evaluate the effectiveness of fall prevention and balance function in the elderly.</p></div><div><h3><strong>Methods</strong></h3><p>Databases, including PubMed, Web of Science, Cochrane Library, Chinese Biomedical Literature Database (CBM), and CNKI were electronically searched, and the relevant references of the included papers were also manually searched. Two reviewers independently screened the articles according to the inclusion and exclusion criteria, extracted the data, and assessed the methodological quality. A meta-analysis was performed using the Cochrane Collaboration's RevMan 5.1 software.</p></div><div><h3><strong>Results</strong></h3><p>Six randomized controlled trials (RCTs) involving 2796 participants were included. The results of the meta-analysis showed that compared with a physiotherapy intervention, Tai Chi could significantly reduce the incidence rates of falls [relative risk (RR) = 0.82, 95% confidence interval (<em>CI</em>) (0.73, 0.92)], while there were significant differences in the Timed Up and Go test, Functional Reach Test and Berger Balance Scale.</p></div><div><h3><strong>Conclusions</strong></h3><p>Tai Chi is effective in reducing the risk of falls and improving balance in the elderly.</p></div>\",\"PeriodicalId\":57172,\"journal\":{\"name\":\"Frontiers of Nursing\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2016-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.cnre.2015.10.003\",\"citationCount\":\"13\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Frontiers of Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S209577181630024X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers of Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S209577181630024X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 13
摘要
目的系统评价老年人预防跌倒及平衡功能的效果。方法电子检索PubMed、Web of Science、Cochrane Library、中国生物医学文献数据库(CBM)、中国知网(CNKI)等数据库，并人工检索纳入论文的相关参考文献。两位审稿人根据纳入和排除标准独立筛选文章，提取数据，并评估方法学质量。采用Cochrane Collaboration的RevMan 5.1软件进行meta分析。结果共纳入6项随机对照试验(RCTs)，受试者2796人。meta分析结果显示，与物理治疗干预相比，太极拳可显著降低跌倒发生率[相对危险度(RR) = 0.82, 95%可信区间(CI)(0.73, 0.92)]，而Timed Up and Go测试、功能到达测试和Berger平衡量表差异有统计学意义。结论太极拳具有降低老年人跌倒风险、改善平衡性的作用。
Tai Chi as an intervention to reduce falls and improve balance function in the elderly: A meta-analysis of randomized controlled trials
Objective
To systematically evaluate the effectiveness of fall prevention and balance function in the elderly.
Methods
Databases, including PubMed, Web of Science, Cochrane Library, Chinese Biomedical Literature Database (CBM), and CNKI were electronically searched, and the relevant references of the included papers were also manually searched. Two reviewers independently screened the articles according to the inclusion and exclusion criteria, extracted the data, and assessed the methodological quality. A meta-analysis was performed using the Cochrane Collaboration's RevMan 5.1 software.
Results
Six randomized controlled trials (RCTs) involving 2796 participants were included. The results of the meta-analysis showed that compared with a physiotherapy intervention, Tai Chi could significantly reduce the incidence rates of falls [relative risk (RR) = 0.82, 95% confidence interval (CI) (0.73, 0.92)], while there were significant differences in the Timed Up and Go test, Functional Reach Test and Berger Balance Scale.
Conclusions
Tai Chi is effective in reducing the risk of falls and improving balance in the elderly.
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