The Efficacy of Traditional Chinese Medical Exercise for Parkinson's Disease: A Systematic Review and Meta-analysis.

Author: Yang Y1, Qiu WQ2, Hao YL1, Lv ZY1, Jiao SJ3, Teng JF3.
1Department of Neurology, Affiliated Hospital of Jining Medical University, Jining, Shandong, China. 2Department of Neurology, Laizhou People's Hospital of Shangdong, Laizhou, Shandong, China; Binzhou Medical University Hospital, Binzhou, Shandong, China. 3Department of Neurology, The First People's Hospital of Hebi, Hebi, Henan, China. Abstract
Conference/Journal: PLoS One.
Date published: 2015 Apr 1
Other: Volume ID: 10 , Issue ID: 4 , Pages: e0122469 , Special Notes: doi: 10.1371/journal.pone.0122469. , Word Count: 302

Several studies assessed the efficacy of traditional Chinese medical exercise in the management of Parkinson's disease (PD), but its role remained controversial. Therefore, the purpose of this systematic review is to evaluate the evidence on the effect of traditional Chinese medical exercise for PD.
Seven English and Chinese electronic databases, up to October 2014, were searched to identify relevant studies. The PEDro scale was employed to assess the methodological quality of eligible studies. Meta-analysis was performed by RevMan 5.1 software.
Fifteen trials were included in the review. Tai Chi and Qigong were used as assisting pharmacological treatments of PD in the previous studies. Tai Chi plus medication showed greater improvements in motor function (standardized mean difference, SMD, -0.57; 95% confidence intervals, CI, -1.11 to -0.04), Berg balance scale (BBS, SMD, -1.22; 95% CI -1.65 to -0.80), and time up and go test (SMD, -1.06; 95% CI -1.44 to -0.68). Compared with other therapy plus medication, Tai Chi plus medication also showed greater gains in motor function (SMD, -0.78; 95% CI -1.46 to -0.10), BBS (SMD, -0.99; 95% CI -1.44 to -0.54), and functional reach test (SMD, -0.77; 95% CI -1.51 to -0.03). However, Tai Chi plus medication did not showed better improvements in gait or quality of life. There was not sufficient evidence to support or refute the effect of Qigong plus medication for PD.
In the previous studies, Tai Chi and Qigong were used as assisting pharmacological treatments of PD. The current systematic review showed positive evidence of Tai Chi plus medication for PD of mild-to-moderate severity. So Tai Chi plus medication should be recommended for PD management, especially in improving motor function and balance. Qigong plus medication also showed potential gains in the management of PD. However, more high quality studies with long follow-up are warrant to confirm the current findings.
PMID: 25830664