Guo Cunxiao, Wang Yuanwang, Wang Shuang, Zhang Shouyao, Tai Xiantao
School of Acupuncture, Tuina and Rehabilitation, Yunnan University of Chinese Medicine, Kunming, Yunnan 650500, China.
Evid Based Complement Alternat Med. 2023 Feb 21;2023:5507186. doi: 10.1155/2023/5507186. eCollection 2023.
Stroke is currently the second largest contributor to disability-adjusted life years (DALYs) in developing countries, and it is the third largest contributor to DALYs in developed countries. It requires a large number of resources from the health care system every year, which places a great burden on society, families, and individuals. The treatment of traditional Chinese medicine exercise therapy (TCMET) during stroke recovery has become a hot topic of current research due to its few adverse events and high efficiency. This article sorts out the latest progress of TCMET on the recovery of stroke through the review method and explores its role and mechanism based on existing clinical and experimental studies. TCMET treatment of stroke recovery mainly includes Tai Chi, Baduanjin, Daoyin, Yi Jin Jing, five-fowl play, and six-character tips, which can effectively improve motor function, balance and coordination ability, cognitive dysfunction, nerve function, depression or emotional state, daily living ability, and so on after stroke. The mechanisms of stroke treated by TCMET are discussed, and deficiencies in the literature are discussed and analyzed. It is hoped that some guiding suggestions will be provided for future clinical treatment and experimental studies.
中风目前是发展中国家伤残调整生命年(DALYs)的第二大成因,在发达国家则是第三大成因。每年它都需要医疗保健系统投入大量资源,给社会、家庭和个人带来巨大负担。中风康复期的中医运动疗法(TCMET)因其不良事件少且效率高,已成为当前研究的热点话题。本文通过综述方法梳理了中医运动疗法在中风康复方面的最新进展,并基于现有临床和实验研究探讨其作用及机制。中医运动疗法治疗中风康复主要包括太极拳、八段锦、导引、易筋经、五禽戏和六字诀,可有效改善中风后的运动功能、平衡与协调能力、认知功能障碍、神经功能、抑郁或情绪状态、日常生活能力等。文中讨论了中医运动疗法治疗中风的机制,并对文献中的不足之处进行了讨论和分析。希望能为未来的临床治疗和实验研究提供一些指导性建议。