Baduanjin Exercise for Stroke Rehabilitation: A Systematic Review with Meta-Analysis of Randomized Controlled Trials.

Author: Zou L1, Wang C2, Chen X3, Wang H4
1Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong, China.
2College of Physical Education, Jilin University, Changchun 130012, China.
3College of Sports Science, Jishou University, Jishou 416000, China.
4Department of Physical Education, Shanghai Jiaotong University, Shanghai 200240, China.
Conference/Journal: Int J Environ Res Public Health.
Date published: 2018 Mar 27
Other: Volume ID: 15 , Issue ID: 4 , Special Notes: doi: 10.3390/ijerph15040600. , Word Count: 203

Objective: The purpose of this review was to objectively evaluate the effects of Baduanjin exercise on rehabilitative outcomes in stroke patients. Methods: Both Chinese and English electronic databases were searched for potentially relevant trials. Two review authors independently screened eligible trials against the inclusion criteria, extracted data, and assessed the methodological quality by using the revised PEDro scale. Meta-analysis was only performed for balance function. Results: In total, there were eight randomized controlled trials selected in this systematic review. The aggregated result of four trials has shown a significant benefit in favor of Baduanjin on balance function (Hedges' g = 2.39, 95% CI 2.14 to 2.65, p < 0.001, I² = 61.54). Additionally, Baduanjin exercise effectively improved sensorimotor function of lower extremities and ability of daily activities as well as reduced depressive level, leading to improved quality of life. Conclusion: Baduanjin exercise as an adjunctive and safe method may be conducive to help stroke patients achieve the best possible short-term outcome and should be integrated with mainstream rehabilitation programs. More rigorous randomized controlled trials with long-term intervention periods among a large sample size of stroke patients are needed to draw a firm conclusion regarding the rehabilitative effects for this population.

KEYWORDS: Baduanjin; balance function; mind-body exercise; rehabilitation; stroke

PMID: 29584623 DOI: 10.3390/ijerph15040600