Easwaran Kobena, Gopalasingam Yathaven, Green Danielle D, Lach Veronica, Melnyk Jordan A, Wan Christina, Bartlett Doreen J
Physical Therapy, Elborn College, Western University, London, Canada.
Disabil Rehabil. 2021 Oct;43(21):2978-2989. doi: 10.1080/09638288.2020.1725916. Epub 2020 Feb 18.
To complete a scoping review of meta-analyses summarizing evidence of the effectiveness of Tai Chi for adults with health conditions.
Meta-analyses were retrieved from Medline, Embase, AMED, CINAHL, SPORTDiscus, PsychINFO, Web of Science, PubMed Health and the Cochrane Library from database inception to early September 2018. Multistage deduplication and screening processes identified full-length, unique, peer-reviewed meta-analyses. Two people independently appraised 42 meta-analyses based on the GRADE system and organized results into 3 appendices subsequently collated into heterogeneous, statistically significant, and statistically insignificant tables.
"High" and "moderate" quality evidence indicates that Tai Chi can significantly benefit adults with health conditions including cancers, chronic obstructive pulmonary disease, coronary heart disease, depression, heart failure, hypertension, low back pain, osteoarthritis, osteoporosis, Parkinson's Disease and stroke. Outcomes included significant improvements in activities of daily living, balance, exercise capacity, gait, mastery, mental health, mobility, motor function, participation in daily life, physical function, quality of life, range of motion, and strength; with reductions in blood pressure, body mass index, depression, disability, dyspnea, falls, fatigue, pain, stiffness, and waist circumference.
Healthcare providers now have information to advise clients with health conditions on the effectiveness of Tai Chi for overall health promotion. IMPLICATIONS FOR REHABILITATIONTai Chi is a form of safe, enjoyable, light-to-moderate aerobic physical activity for adults that is inexpensive to implement in diverse community settings.Adults with health conditions require physical activity for prevention of secondary impairments and over-all health promotion.This scoping review of meta-analyses elucidates "high" and "moderate" quality evidence of the effectiveness of Tai Chi in improving important outcomes for people with numerous health conditions.This information can be useful for healthcare providers who wish to recommend effective community-based physical activity to clients they are serving.
完成一项关于荟萃分析的范围综述，总结太极拳对患有健康问题的成年人有效性的证据。
从Medline、Embase、AMED、CINAHL、SPORTDiscus、PsychINFO、科学网、PubMed Health和Cochrane图书馆检索从数据库建立到2018年9月初的荟萃分析。多阶段重复数据删除和筛选过程确定了全长、独特、经过同行评审的荟萃分析。两人根据GRADE系统独立评估了42项荟萃分析，并将结果整理成3个附录，随后整理成异质性、具有统计学意义和无统计学意义的表格。
“高”质量和“中等”质量的证据表明，太极拳可以显著有益于患有包括癌症、慢性阻塞性肺疾病、冠心病、抑郁症、心力衰竭、高血压、腰痛、骨关节炎、骨质疏松症、帕金森病和中风等健康问题的成年人。结果包括日常生活活动能力、平衡能力、运动能力、步态、掌控感、心理健康、活动能力、运动功能、参与日常生活、身体功能、生活质量、关节活动范围和力量的显著改善；血压、体重指数、抑郁、残疾、呼吸困难、跌倒、疲劳、疼痛、僵硬和腰围降低。
医疗保健提供者现在有信息可以向患有健康问题的客户建议太极拳对促进整体健康的有效性。对康复的意义太极拳是一种对成年人安全、有趣、轻度至中度的有氧体育活动，在不同社区环境中实施成本低廉。患有健康问题的成年人需要体育活动来预防继发性损伤和促进整体健康。这项对荟萃分析的范围综述阐明了“高”质量和“中等”质量的证据，证明太极拳对患有多种健康问题的人改善重要结果的有效性。这些信息对于希望向他们所服务的客户推荐有效的基于社区的体育活动的医疗保健提供者可能有用。
