Tianjin Medical University General Hospital, Tianjin, China.
Tianjin Medical University General Hospital Airport Site, Tianjin, China.
Disabil Rehabil. 2022 Jun;44(11):2197-2206. doi: 10.1080/09638288.2020.1830311. Epub 2020 Oct 12.
To systematically research the impact of Tai Chi intervention on cognitive rehabilitation of elderly adults with mild cognitive impairment (MCI).
Both English and Chinese databases were systematically searched from inception to December 2019: MEDLINE, EMBASE, the Cochrane Library, Web of Science, SinoMed database, China National Knowledge Infrastructure, Traditional Chinese Medicine clinical evidence database, Wanfang knowledge database, Chinese Science and Technology Periodical Database. Randomized controlled trials (RCTs) and quasi-experimental studies that involved older adults with MCI, Tai Chi intervention, and cognitive rehabilitation outcomes were included. The meta-analysis was conducted and reported according to PRISMA guidelines (PROSPERO registration number CRD42019124925).
Twelve studies were included. For the meta-analysis, Tai Chi exercise had a large beneficial effect on global cognitive ability and long-term delayed recall ability from the memory domain. In terms of executive ability, Tai Chi intervention had a moderate and significant effect on improving patients' executive function.
The results suggest a Tai Chi intervention lasting at least 12 weeks with a frequency of three times per week and 30-60 min per session. Tai Chi shows promise as an alternative mind-body intervention for MCI rehabilitation among elder patients.IMPLICATIONS FOR REHABILITATIONFrom a global perspective, Tai Chi may be an effective mind-body exercise for cognitive rehabilitation among elder patients with MCI, which is not restricted by the condition of equipment, manpower, and venue.This review suggests an intervention that includes a warm-up, exercise, and cool-down period and lasts at least 12 weeks with a frequency of three times per week and 30-60 min per session.It is also recommended to choose suitable training methods according to local conditions, including one-to-one coaching, group training, VCD, and visual reality technology for some developed regions.
系统研究太极拳干预对轻度认知障碍（MCI）老年患者认知康复的影响。
系统检索了从建库至 2019 年 12 月的中英文数据库：MEDLINE、EMBASE、Cochrane 图书馆、Web of Science、中国生物医学文献数据库、中国知网、中医药临床证据数据库、万方知识服务平台、中文科技期刊数据库。纳入 MCI 老年患者、太极拳干预和认知康复结局的随机对照试验（RCT）和准实验研究。根据 PRISMA 指南（PROSPERO 注册号 CRD42019124925）进行并报告荟萃分析。
共纳入 12 项研究。对于荟萃分析，太极拳运动对来自记忆域的整体认知能力和长期延迟回忆能力具有较大的有益影响。在执行能力方面，太极拳干预对改善患者的执行功能具有中度且显著的作用。
结果表明，每周至少 3 次，每次 30-60 分钟，持续 12 周以上的太极拳干预对 MCI 康复具有一定的效果。太极拳有望成为 MCI 老年患者认知康复的一种替代身心干预方法。
从全球角度来看，太极拳可能是一种有效的身心锻炼方法，可用于患有 MCI 的老年患者的认知康复，不受设备、人力和场地条件的限制。本综述建议干预包括热身、运动和冷却期，且持续时间至少 12 周，每周 3 次，每次 30-60 分钟。还建议根据当地条件选择合适的训练方法，包括一些发达地区的一对一辅导、小组训练、VCD 和虚拟现实技术。
