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太极拳对帕金森病认知功能改善的Meta 分析。

Tai Ji on Cognitive Function Improvement in Parkinson's Disease: A Meta-Analysis.

机构信息

School of Physical Education, Wuhan Sports University, 430079 Wuhan, Hubei, China.

School of Sports Science, Jishou University, 416000 Jishou, Hunan, China.

出版信息

J Integr Neurosci. 2023 Aug 16;22(5):123. doi: 10.31083/j.jin2205123.

Abstract

BACKGROUND

Tai Ji (TJ) can improve cognitive function, which in turn brings life quality to Parkinson's disease (PD) patients. Cognitive function is thus important for PD patients. Analyzing the cognitive function and obtaining precise TJ exercise prescriptions are effective in treating PD patients.

OBJECTIVES

The purpose of this review was to discuss the current Randomized Controlled Trials (RCTs) of TJ and cognitive function improvement in PD.

MATERIALS AND METHODS

Databases, including PubMed, Web of Science, Scopus, Cochrane Library, EBSCOhost, Wan Fang, and CNKI, were searched. Cochrane systematic evaluation method was adopted wherein 6 RCTs met the final inclusion criteria.

RESULTS

Among the 6 included RCTs, 3 were of high quality, and the rest were of medium quality. Quantitative analysis exhibited that TJ intervention improved the cognitive function of PD patients. TJ promoted the global cognitive function ( < 0.05) and the executive function ( = 0.09) compared with the control. However there was no significant improvement in cognitive motor. TJ training intervention doses of two times a week with 45-60 min sessions over ≤12 weeks could improve the cognitive function of PD patients.

CONCLUSIONS

TJ affects the cognitive function of PD patients. However, this effect may have a reduced or no significant impact as the disease increases. PD patients can choose TJ as an intervention for 45-60 min twice a week for at least 12 weeks to accomplish maximum improvement in cognitive function.

摘要

背景

太极(TJ)可以改善认知功能,进而提高帕金森病(PD)患者的生活质量。因此,认知功能对于 PD 患者而言非常重要。分析认知功能并获得准确的 TJ 运动处方,对于 PD 患者的治疗具有重要意义。

目的

本综述旨在讨论目前关于 TJ 对 PD 患者认知功能改善的随机对照试验(RCT)。

材料和方法

检索了 PubMed、Web of Science、Scopus、Cochrane 图书馆、EBSCOhost、万方和中国知网等数据库。采用 Cochrane 系统评价方法,最终纳入 6 项 RCT。

结果

纳入的 6 项 RCT 中,有 3 项为高质量研究,其余 3 项为中等质量研究。定量分析表明,TJ 干预可改善 PD 患者的认知功能。与对照组相比,TJ 促进了 PD 患者的整体认知功能(<0.05)和执行功能(=0.09)。然而,在认知运动方面没有显著改善。TJ 训练干预每周 2 次,每次 45-60 分钟,持续≤12 周,可以改善 PD 患者的认知功能。

结论

TJ 影响 PD 患者的认知功能。然而,随着疾病的发展,这种影响可能会减弱或没有显著影响。PD 患者可以选择每周 2 次、每次 45-60 分钟的 TJ 干预,至少进行 12 周,以最大限度地提高认知功能。

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