Capital Medical University, Beijing, China.
Anhui Medical University, Hefei, Anhui, China.
Clin Rehabil. 2021 Jan;35(1):26-38. doi: 10.1177/0269215520951020. Epub 2020 Aug 18.
To evaluate the state of evidence for the beneficial and harmful effects of Tai Chi on non-motor disorders in post-stroke patients.
Systematic review and meta-analysis of published studies.
Stroke survivors who received conventional rehabilitation therapy or Tai Chi training.
We searched seven electronic literature databases and one clinical registry platform to collect data from randomized controlled trials published up to July 26, 2020.
A total of 11 randomized controlled trials with 723 stroke survivors met the inclusion criteria, of which six were included in the meta-analysis. Among the 11 studies, one was assessed as "low", eight were assessed as "moderate", and only two were assessed as "high" for the assessment of methodologic quality. Compared to patients who received conventional rehabilitation therapy, those who received Tai Chi training showed greater improvement in scores of depression (standardized mean difference (SMD) [95% confidence interval (CI)] = 0.36 [0.10, 0.61], Grading of Recommendations Assessment, Development, and Evaluation [GRADE]: very low). There were no differences in the improvements in post-stroke global mental disorders (mean difference (MD [95% CI] = 6.15 [-3.05, 15.36], GRADE: moderate) or sleep disorders (MD [95% CI] = 0.33 [-1.51, 1.81], GRADE: low) between Tai Chi and control groups.
Tai Chi may alleviate post-stroke depression in stroke survivors but has no clear effects on post-stroke cognitive and sleep disorders.
评估太极拳对脑卒中后患者非运动障碍的有益和有害影响的证据状况。
已发表研究的系统评价和荟萃分析。
接受常规康复治疗或太极拳训练的脑卒中幸存者。
我们检索了 7 个电子文献数据库和 1 个临床注册平台，以收集截至 2020 年 7 月 26 日发表的随机对照试验的数据。
共有 11 项符合纳入标准的随机对照试验，纳入了 723 名脑卒中幸存者，其中 6 项被纳入荟萃分析。在这 11 项研究中，有 1 项被评估为“低”，8 项被评估为“中”，只有 2 项被评估为“高”，用于评估方法学质量。与接受常规康复治疗的患者相比，接受太极拳训练的患者在抑郁评分方面的改善更为显著（标准化均数差（SMD）[95%置信区间（CI）] = 0.36 [0.10, 0.61]，推荐分级评估、制定与评估[GRADE]：极低）。太极拳组和对照组在脑卒中后整体精神障碍（平均差（MD [95%CI] = 6.15 [-3.05, 15.36]，GRADE：中度）或睡眠障碍（MD [95%CI] = 0.33 [-1.51, 1.81]，GRADE：低）方面的改善无差异。
太极拳可能缓解脑卒中后患者的抑郁症状，但对脑卒中后的认知和睡眠障碍没有明显影响。
