School of Physical Education, Central China Normal University, Wuhan, Hubei, China.
School of Sports Economics and Management, Hubei University of Economics, Wuhan, Hubei, China.
PeerJ. 2024 Nov 13;12:e18512. doi: 10.7717/peerj.18512. eCollection 2024.
Despite numerous studies affirming the potential of traditional Chinese exercises (TCEs) in enhancing balance in older adults, systematic integration is lacking. This study evaluated the effectiveness of five TCEs-Baduanjin, Liuzijue, Tai Chi, Wuqinxi, and Yijinjing-in improving balance among older adults using network meta-analysis.
This meta-analysis was registered in PROSPERO with the registration number CRD42023481450. Related articles indexed by Web of Science, Cochrane, PubMed, Embase, China National Knowledge Infrastructure (CNKI), Wanfang, and VIP databases before October 2023 were searched. Randomized controlled trials (RCTs) involving TCEs interventions to improve balance function conducted in older adults who aged ≥60 years were included. Two researchers used Review Manager to assess the quality of the studies, and analyzed the data using Stata and R.
In total, 46 RCTs and 3,333 older adults were included. The aforementioned TCEs had positive effects on improving balance in older adults. Tai Chi revealed significant intervention effects in performing the Single-Leg Stand with eyes Closed (SLSC), 6-Min Walk Test (6MWT), and Short Form 36-Item Physical Component Summary (SF-36PCS). Liuzijue significantly improved performance in the Timed Up and Go Test (TUGT), 6MWT, SF-36PCS, and Berg Balance Scale (BBS). Baduanjin, Wuqinxi, and Yijinjing showed noteworthy intervention effects on the BBS. Tai Chi ranked highest in the SLSC, 6MWT, and SF-36PCS in the surface under the cumulative ranking, while Liuzijue and Yijinjing ranked highest in the TUGT and BBS, respectively.
Tai Chi, Liuzijue, and Yijinjing improved the static, dynamic, and overall balance outcomes, respectively. Older adults can make a reasonable choice among these TCEs based on their needs.
尽管有大量研究证实了传统中医功法（TCEs）在增强老年人平衡能力方面的潜力，但系统整合仍有所欠缺。本研究采用网络荟萃分析评估了五套 TCEs（八段锦、六字诀、太极拳、五禽戏和易筋经）对改善老年人平衡能力的效果。
本荟萃分析已在 PROSPERO 注册，注册号为 CRD42023481450。检索了截至 2023 年 10 月，Web of Science、Cochrane、PubMed、Embase、中国知网（CNKI）、万方和维普数据库中收录的有关 TCE 干预措施改善老年人平衡功能的随机对照试验（RCTs）。纳入的 RCTs 均为针对年龄≥60 岁的老年人进行的 TCE 干预以改善平衡功能的研究。两名研究人员使用 Review Manager 评估研究质量，并使用 Stata 和 R 分析数据。
共纳入 46 项 RCT 和 3333 名老年人。上述 TCEs 对改善老年人平衡能力均有积极影响。太极拳在单腿闭眼站立（SLSC）、6 分钟步行测试（6MWT）和健康调查简表 36 项躯体成分摘要（SF-36PCS）方面显示出显著的干预效果。六字诀显著改善了计时起立行走测试（TUGT）、6MWT、SF-36PCS 和 Berg 平衡量表（BBS）的表现。八段锦、五禽戏和易筋经对 BBS 表现出显著的干预效果。在 SLSC、6MWT 和 SF-36PCS 方面，太极拳在累积排序曲线上的排序最高，而在 TUGT 和 BBS 方面，六字诀和易筋经的排序最高。
太极拳、六字诀和易筋经分别改善了静态、动态和整体平衡结果，老年人可以根据自己的需求在这些 TCEs 中做出合理的选择。
