The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, 8/F, Esther Lee Building, Shatin, N.T., Hong Kong; School of Nursing, Yunnan University of Traditional Chinese Medicine, Kunming, Yunnan, China.
The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, 8/F, Esther Lee Building, Shatin, N.T., Hong Kong.
Int J Nurs Stud. 2021 Jun;118:103911. doi: 10.1016/j.ijnurstu.2021.103911. Epub 2021 Mar 3.
Impaired physical mobility refers to a limitation in independent and purposeful physical movement of the body or one or more extremities. Physical restrictions result in negative consequences on an individual's physical and psychosocial functions. Sitting Tai Chi, a derivative form of traditional Tai Chi, has been found to increase the flexibility of all joints involved and enhance the ability to perform physical activity. However, the evidence of sitting Tai Chi on physical and psychosocial health outcomes on individuals with impaired physical mobility is limited.
To critically synthesize evidence that evaluates the effects of sitting Tai Chi on health outcomes among individuals with impaired physical mobility and to identify implementation strategies for the sitting Tai Chi intervention.
Searches were performed across 11 English and two Chinese databases systematically from inception to January 2020. Randomised controlled trials and non-randomised controlled trials, written in English or Chinese were included. Two independent reviewers screened all eligible studies, appraised risk of bias, and extracted the data. Meta-analyses were conducted using Review Manager 5.4 and narrative syntheses were performed where meta-analysis was inappropriate. The certainty of evidence was assessed using Grades of Recommendation, Assessment, Development and Evaluation profiler Guideline Development Tool. This study was registered in PROSPERO.
A total of 1,446 records were generated and 11 studies were eligible for inclusion. Meta-analysis reported a statistically significant effect size favouring sitting Tai Chi on depressive symptoms (SMD: -1.53, 95% CI: -2.81 to -0.21, 2 studies; very low quality), heart rate (MD: -5.72, 95% CI: -11.16 to -0.29, 2 studies; low quality) and social domain of quality of life (MD: 1.42, 95% CI: 0.66 to 2.19, 3 studies; low quality).
Sitting Tai Chi was found to have favourable effects on depressive symptoms, heart rate, and social domain of quality of life of individuals with impaired physical mobility. Very low to low quality evidence does not support the effectiveness of sitting Tai Chi on dynamic sitting balance, handgrip strength, and the physical and psychological domains of quality of life. There was limited evidence to suggest the best implementation strategies for the sitting Tai Chi intervention. It is anticipated that more well-designed studies will continue developing high quality evidence in this field.
身体活动受限是指身体或一个或多个肢体的独立和有目的的身体运动受限。身体限制会对个人的身体和社会心理功能产生负面影响。坐式太极拳是传统太极拳的一种衍生形式，已被发现能增加所有相关关节的灵活性，并提高进行身体活动的能力。然而，关于身体活动受限者进行坐式太极拳对身心健康结果的证据有限。
批判性综合评估身体活动受限者进行坐式太极拳对健康结果影响的证据，并确定坐式太极拳干预措施的实施策略。
从成立到 2020 年 1 月，系统地在 11 个英文数据库和 2 个中文数据库中进行了检索。纳入了以英文或中文发表的随机对照试验和非随机对照试验。两名独立的审查员筛选了所有合格的研究，评估了偏倚风险，并提取了数据。使用 Review Manager 5.4 进行荟萃分析，在不适合进行荟萃分析的情况下进行叙述性综合分析。使用 Grades of Recommendation, Assessment, Development and Evaluation（GRADE）证据质量评价工具评估证据的确定性。本研究在 PROSPERO 进行了注册。
共生成了 1446 条记录，有 11 项研究符合纳入标准。荟萃分析报告了坐式太极拳对抑郁症状（SMD：-1.53，95%CI：-2.81 至-0.21，2 项研究；极低质量）、心率（MD：-5.72，95%CI：-11.16 至-0.29，2 项研究；低质量）和生活质量的社会领域（MD：1.42，95%CI：0.66 至 2.19，3 项研究；低质量）有统计学意义的效果大小有利。
坐式太极拳对身体活动受限者的抑郁症状、心率和生活质量的社会领域有有利影响。极低到低质量的证据不支持坐式太极拳对动态坐姿平衡、手握力和生活质量的身体和心理领域的有效性。有有限的证据表明坐式太极拳干预措施的最佳实施策略。预计将有更多设计良好的研究继续在该领域提供高质量的证据。
