网络荟萃分析四种传统中医运动疗法预防老年人跌倒的疗效。
Network meta-analysis of the efficacy of four traditional Chinese physical exercise therapies on the prevention of falls in the elderly.
机构信息
School of Physical Education, Shandong University, Jinan, China.
School of Physical Education, Huaibei Normal University, Huaibei, China.
出版信息
Front Public Health. 2023 Jan 4;10:1096599. doi: 10.3389/fpubh.2022.1096599. eCollection 2022.
INTRODUCTION
In recent years, traditional Chinese exercises have been passed down and reformed to play a significant role in the study of interventions for the treatment of falls in older people. However, few studies have evaluated the efficacy of various Chinese traditional exercises in the intervention of falls behavior in the elderly. In this study, four Chinese traditional exercises commonly used in clinical practice were selected as subjects to systematically evaluate the effectiveness of Tai Chi, Ba Duan Jin, Yi Jin Jing and Wu Qin Xi in intervening in the treatment of fall behavior in the elderly.
METHODS
We conducted a systematic review in accordance with the PRISMA guidelines. Four published randomized controlled trials (RCTs) of traditional Chinese exercise interventions for the treatment of falls behavior in older adults were searched through authoritative databases such as CNKI, Web of Science, PubMed, EMbase and the Cochrane Library, all from the time of construction to November 2022.
RESULTS
A total of 45 studies with 4 traditional interventions were included. Ba Duan Jin was more effective in improving TUGT [SMD = -1.93 (-2.49, -1.38), < 0.05] and MFES [SMD = -33.45 (-63.93, -2.97), < 0.05], while Yi Jin Jing was more effective in enhancing ECLSB [SMD = -0.19 (-5.12, -4.74), < 0.05] and BBS [SMD = -5.79 (-10.80, -0.78), < 0.05], both of which showed better effects.
DISCUSSION
The present evidence suggests that all four traditional Chinese body-building exercise therapies have a preventive effect on fall behavior in older adults. In clinical treatment and daily physical exercise, two exercises, BaDuan Jin and Yi Jin Jing, may be preferred to reduce the risk of falls in the elderly, but the exercise regimen of Qigong should be selected scientifically and rationally according to their actual conditions.
SYSTEMATIC REVIEW REGISTRATION
简介
近年来，传统中医运动得到传承和改革，在老年人跌倒干预研究中发挥了重要作用。然而，很少有研究评估各种中医传统运动在干预老年人跌倒行为方面的疗效。本研究选取临床常用的四种中医传统运动为研究对象，系统评价太极拳、八段锦、易筋经和五禽戏对老年人跌倒行为的干预效果。
方法
我们按照 PRISMA 指南进行了系统评价。通过中国知网、Web of Science、PubMed、EMbase 和 Cochrane Library 等权威数据库检索了 4 篇关于老年人跌倒行为中医运动干预的随机对照试验（RCT），均从建库至 2022 年 11 月。
结果
共纳入 4 种传统干预措施的 45 项研究。八段锦更能有效改善 TUGT[SMD=-1.93（-2.49，-1.38）， <0.05]和 MFES[SMD=-33.45（-63.93，-2.97）， <0.05]，而易筋经更能有效增强 ECLSB[SMD=-0.19（-5.12，-4.74）， <0.05]和 BBS[SMD=-5.79（-10.80，-0.78）， <0.05]，均显示出更好的效果。
讨论
目前的证据表明，四种传统中医健身运动疗法均对老年人跌倒行为具有预防作用。在临床治疗和日常体育锻炼中，八段锦和易筋经两种运动可能更有助于降低老年人跌倒的风险，但气功的运动方案应根据实际情况科学合理地选择。
系统评价注册
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