Chang Wen-Dien, Chen Shuya, Lee Chia-Lun, Lin Hung-Yu, Lai Ping-Tung
Department of Sports Medicine, China Medical University, No. 91, Hsueh-Shih Road, Taichung 404402, Taiwan.
Department of Physical Therapy, China Medical University, No. 91, Hsueh-Shih Road, Taichung 404402, Taiwan.
Evid Based Complement Alternat Med. 2016;2016:1813979. doi: 10.1155/2016/1813979. Epub 2016 Aug 21.
Purpose. To conduct a meta-analysis and systematic review examining whether Tai Chi Chuan could have mental and physical benefits for patients with knee osteoarthritis. Methods. MEDLINE, PUBMED, EMBASE, and CINAHL databases were searched for relevant studies. Data of the studies were collected, and outcomes were classified using the International Classification of Functioning, Disability, and Health model. Effect sizes of the mental and physical components were determined, along with the recommendation grades of Philadelphia Panel Classification System for Tai Chi Chuan on knee osteoarthritis. Results. Eleven studies were selected and retrieved from the databases. The results of meta-analysis revealed that the effects of Tai Chi Chuan were observed for physical components in the body functions and structures domain. The effects favoring Tai Chi Chuan were observed in the physical component in the activities and participation domain. Insufficient data was included in the meta-analysis of the mental component. Conclusions. The review revealed that Tai Chi Chuan had beneficial outcomes for patients with knee osteoarthritis. The evidence-based results represented that it had small-to-moderate effects on body functions and structures, activities, and participation of physical component. However, there was insufficient evidence to support that Tai Chi Chuan had beneficial mental effect.
目的。进行一项荟萃分析和系统评价，以研究太极拳是否对膝骨关节炎患者的身心有益。方法。检索MEDLINE、PUBMED、EMBASE和CINAHL数据库中的相关研究。收集研究数据，并使用《国际功能、残疾和健康分类》模型对结果进行分类。确定心理和身体成分的效应大小，以及费城小组太极拳对膝骨关节炎分类系统的推荐等级。结果。从数据库中筛选并检索到11项研究。荟萃分析结果显示，在身体功能和结构领域的身体成分方面观察到了太极拳的效果。在活动和参与领域的身体成分方面观察到了有利于太极拳的效果。心理成分的荟萃分析纳入的数据不足。结论。该评价显示，太极拳对膝骨关节炎患者有有益的结果。基于证据的结果表明，它对身体功能和结构、活动以及身体成分的参与有小到中等的影响。然而，没有足够的证据支持太极拳有有益的心理作用。
