Author: Fen Feng1, Xiao-Chao Luo2, Ya-Jie Chen1, Jia-Jia Li3, Hua Kang4, Bo-Hua Yan5
Affiliation: <sup>1</sup> Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China. <sup>2</sup> Chinese Evidence-based Medicine Center and Cochrane China Center, West China Hospital, Sichuan University, Chengdu, China; NMPA Key Laboratory for Real World Data Research and Evaluation in Hainan, Chengdu, China; Sichuan Center of Technology Innovation for Real World Data, Chengdu, China. <sup>3</sup> Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, China. <sup>4</sup> Nursing School, Chengdu University of Traditional Chinese Medicine, Chengdu, China. <sup>5</sup> Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China. Electronic address: firstname.lastname@example.org.
Conference/Journal: Complement Ther Clin Pract
Date published: 2023 Feb 20
Other: Volume ID: 51 , Pages: 101741 , Special Notes: doi: 10.1016/j.ctcp.2023.101741. , Word Count: 197
Background and purpose:
Physical 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.
MEDLINE, 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).
Seven 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.
TCY may benefit balance and ADLs in rehabilitation after a stroke, but it may not improve upper-limb function clinically.
Keywords: Postural balance; Stroke; Systematic review; Tai Ji; Upper extremity.
PMID: 36868000 DOI: 10.1016/j.ctcp.2023.101741