Mao Wenhui, Wang Ting, Sun Mengzi, Zhang Fangtong, Li Li
School of Sports Science, Nanjing Normal University, Nanjing 210023, China.
School of Sport Science, Beijing Sport University, Beijing 100084, China.
Healthcare (Basel). 2023 May 26;11(11):1559. doi: 10.3390/healthcare11111559.
Effects of Tai Chi on people with peripheral neuropathy (PN) are not yet apparent. This systematic review was conducted to evaluate the effects of Tai Chi on postural control in people with PN.
Literature was screened in seven databases for relevant randomized controlled trials. The reports and methodological quality were evaluated. A meta-analysis was performed using RevMan5.4 software.
Ten reports were included, involving a total of 344 subjects. The meta-analysis found that Tai Chi therapy for people with PN resulted in a smaller sway area, in the double-leg stance with eyes closed test (SMD = -2.43, I = 0%), than that observed in the control group, greater distance covered in the six-minute walking test (SMD = -0.46, I = 49%) and faster performance in the timed-up-and-go test (SMD = 0.68, I = 50%), than the baseline.
Tai chi effectively enhanced dynamic postural control in people with PN. However, no better effects on postural control from Tai Chi than from other rehabilitation approaches were observed in this study. Further high-quality trials are needed to better understand Tai Chi's effects on individuals with PN.
太极拳对周围神经病变（PN）患者的影响尚不明显。本系统评价旨在评估太极拳对PN患者姿势控制的影响。
在七个数据库中筛选相关随机对照试验的文献。对报告和方法学质量进行评估。使用RevMan5.4软件进行荟萃分析。
纳入十篇报告，共涉及344名受试者。荟萃分析发现，PN患者的太极拳疗法在闭眼双腿站立测试中的摆动面积小于对照组（标准化均数差[SMD]=-2.43，I=0%），在六分钟步行测试中的行走距离大于基线水平（SMD=-0.46，I=49%），在计时起立行走测试中的表现快于基线水平（SMD=0.68，I=50%）。
太极拳有效增强了PN患者的动态姿势控制。然而，本研究未观察到太极拳在姿势控制方面比其他康复方法有更好的效果。需要进一步开展高质量试验，以更好地了解太极拳对PN患者的影响。
