Author: Tao Tao1, Ming-Peng Shi2, Xian-Shuai Zhang2, Bo-Yang Tan1, Ya-Nan Xiao1, Feng-Ling Sun3, Shao-Jun Li3, Zhen-Hua Li3
Affiliation: <sup>1</sup> College of Integrated Chinese and Western Medicine, Changchun University of Chinese Medicine, Changchun, China.
<sup>2</sup> College of Traditional Chinese Medicine, Changchun University of Chinese Medicine, Changchun, China.
<sup>3</sup> Affiliated Hospital of the Changchun University of Chinese Medicine, Changchun, China.
Conference/Journal: Medicine (Baltimore)
Date published: 2024 Sep 20
Other:
Volume ID: 103 , Issue ID: 38 , Pages: e39660 , Special Notes: doi: 10.1097/MD.0000000000039660. , Word Count: 239
Background:
The most popular traditional Chinese exercise (TCE) techniques include Tai Chi, Yijinjing, Baduanjin, Wuqinxi, and Qigong. Exercise is advised as a primary treatment for knee osteoarthritis (KOA) according to clinical standards. According to several studies, TCE may be an effective way to help people with KOA manage their pain, stiffness, and physical function. Which TCE therapy is the most effective and whose particular usefulness is still debatable. The network meta-analysis (NMA) method is used in this study to evaluate and compare the effects of various TCE therapies on KOA patients.
Methods:
We will search PubMed, Embase, Scopus, Cochrane Library, Web of Science, the China National Knowledge Infrastructure, Wanfang, the Chinese Scientific Journal Database (VIP), and the China Biology Medical Literature Database (CBM) for randomized controlled trials reporting TCE therapy for KOA patients published before October 25, 2023. The Stata 16.0 program will compare the effectiveness of various TCE therapies on KOA patients using conventional pairwise and NMA.
Results:
The final 29 studies included 15 articles on Tai Chi, 7 articles on Baduanjin, 4 articles on Wuqinxi, and 3 articles on Yijinjing. Tai Chi was first for the effect sizes of VAS scores, WOMAC pain scores, and WOMAC available scores, while Baduanjin was ranked top for WOMAC stiffness scores. Research should continue to be conducted on the effect of Qigong on KOA intervention.
Conclusions:
This NMA will help determine the best TCE treatment for KOA and offer evidence-based bias for clinical decision-making.
PMID: 39312376 PMCID: PMC11419486 DOI: 10.1097/MD.0000000000039660