Departamento de Fisioterapia, Facultad de Enfermería, Fisioterapia y Podología, Universidad de Sevilla, c/Avicena s/n, Sevilla, Spain.
Instituto de Biomedicina de Sevilla, IBiS, Departamento de Fisioterapia, Universidad de Sevilla, Seville, Spain.
Disabil Rehabil. 2024 Jun;46(12):2496-2511. doi: 10.1080/09638288.2023.2233899. Epub 2023 Jul 22.
PURPOSE: To gather evidence on the effectiveness and safety of qigong, tai chi, and yoga to modulate symptoms associated with chronic respiratory diseases. METHODS: A search of systematic reviews was conducted in CINHAL, Embase, PubMed, PsycINFO, SPORTDiscus, and the Cochrane Library from inception to November 2022. Systematic reviews with meta-analyses investigating physical and psychological measures were eligible. The methodological quality of systematic reviews (AMSTAR-2), the spin of information in abstracts, and the overlap of primary studies were explored. RESULTS: Twenty-seven systematic reviews involving 37 000 participants, 146 studies, and 150 meta-analyses were included. Reviews investigated asthma ( = 4) and chronic obstructive pulmonary disease (COPD) ( = 23). Most reviews discussed their findings without considering the risk of bias of primary studies. The overlap ranged between slight (5%) and very high (35%). Yoga was better than control interventions to improve symptoms related with asthma. In adults with COPD, qigong improved dyspnoea, exercise endurance, lung function, and quality of life, while tai chi and yoga increased exercise endurance. CONCLUSIONS: The impact of yoga on symptoms associated with asthma varied depending on the lung function parameter and the control group. Qigong, tai chi, and yoga could be effective to improve COPD-related symptoms, especially exercise endurance.
目的:收集气功、太极拳和瑜伽调节慢性呼吸系统疾病相关症状的有效性和安全性的证据。
方法:从建库到 2022 年 11 月,在 CINHAL、Embase、PubMed、PsycINFO、SPORTDiscus 和 Cochrane Library 中进行了系统评价检索。纳入了调查身体和心理指标的物理和心理措施的系统评价。探讨了系统评价的方法学质量(AMSTAR-2)、摘要中的信息扭曲以及主要研究的重叠。
结果:纳入了 27 项系统评价,涉及 37000 名参与者、146 项研究和 150 项荟萃分析。综述探讨了哮喘( = 4)和慢性阻塞性肺疾病(COPD)( = 23)。大多数综述在讨论结果时没有考虑主要研究的偏倚风险。重叠范围从轻微(5%)到非常高(35%)。瑜伽比对照干预措施更能改善与哮喘相关的症状。在 COPD 成人中,气功改善呼吸困难、运动耐力、肺功能和生活质量,而太极拳和瑜伽增加运动耐力。
结论:瑜伽对哮喘相关症状的影响因肺功能参数和对照组而异。气功、太极拳和瑜伽可能对改善 COPD 相关症状有效,尤其是运动耐力。
Int J Environ Res Public Health. 2022-9-23
Cochrane Database Syst Rev. 2016-6-7