Effect of Traditional Chinese Exercise on Gait and Balance for Stroke: A Systematic Review and Meta-Analysis.
Author: Chen BL1, Guo JB2, Liu MS3, Li X1, Zou J4, Chen X5, Zhang LL5, Yue YS2, Wang XQ6.
Affiliation:
1Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China. 2Second School of Clinical Medical, Nanjing University of Chinese Medicine, Nanjing, China. 3Bulloch Academy, Statesboro, United States of America. 4Key Laboratory of Exercise and Health Sciences of Ministry of Education, Shanghai University of Sport, Shanghai, China. 5Kinesiology and Exercise Science, Shanghai University of Sport, Shanghai, China. 6Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China; Department of Rehabilitation Medicine, Shanghai Shangti Orthopaedic Hospital, Shanghai, China.
Conference/Journal: PLoS One.
Date published: 2015 Aug 20
Other:
Volume ID: 10 , Issue ID: 8 , Pages: e0135932 , Special Notes: doi: 10.1371/journal.pone.0135932. , Word Count: 313
OBJECTIVE:
A systematic review is conducted to determine the effect of traditional Chinese exercise for patients with stroke.
METHODS:
Studies are obtained from PubMed, Embase, Cochrane Library, EBSCO, Web of Science, and CNKI. Only randomized controlled trials were left to evaluate the effects of traditional Chinese exercise for patients with stroke, and with no limits on study data or language. The primary outcome was the Berg balance score (BBS), Functional walking scale. And a random-effects model was used to calculate the pooled mean difference (MD) with 95% confidence interval (CI).
RESULTS:
A total of 9 studies on 820 participants conform to the inclusion criteria, whereas eight studies on 704 participants are used as data sources for the meta-analysis, all trials were published between 2004 and 2013. The BBS indicates that the efficacy of traditional Chinese exercise on balance of patients with stroke is better than that of other training or no training in short term [MD (95%CI) = 11.85 [5.41, 18.30], P < 0.00001]. And the short physical performance battery, Functional walking scale, limit of stability were observed significant differences on balance (p<0.05) and gait (p<0.05) between traditional Chinese exercise and other exercises or no exercise. In addition, there is an article showed that some other form (physiotherapy exercises focused on balance) significantly improved balance ability for stroke patients compared to tai chi chuan practice (Berg test = 0.01, Romberg, and standing on one leg).
CONCLUSION:
In our meta analysis, the positive findings of this study suggest traditional Chinese exercise has beneficial effects on the balance ability in short term. However, we drew the conclusion according to the extreme heterogeneity, and evidence of better quality and from a larger sample size is required. Because of the inconsistent outcomes, there are short of enough good evidence for patients with stroke to prove the effects of traditional Chinese exercise on gait.
SYSTEMATIC REVIEW REGISTRATION:
http://www.crd.york.ac.uk/PROSPERO PROSPERO registration number: CRD42013006474.
PMID: 26291978
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