Gao Fengwei, Yan Panpan, Qiao Fengjie, Wang Chunshun, Liu Guochun, Liu Ningning, Zhang Jidong, Ma Yongzhi
Division of Sports Science and Physical Education, Tsinghua University, 100084 Beijing, China.
College of Exercise Medicine, Chongqing Medical University, 400016 Chongqing, China.
Rev Cardiovasc Med. 2025 Mar 24;26(3):27104. doi: 10.31083/RCM27104. eCollection 2025 Mar.
Stroke is a common cerebrovascular disease characterized by a high incidence rate, significant disability, frequent recurrence, and elevated mortality. Exercise plays a crucial role in stroke rehabilitation, yet the relationship between traditional Chinese exercise and stroke recovery remains unclear. This study aims to evaluate the effectiveness of various conventional Chinese exercises through a systematic network meta-analysis and identify the most effective interventions for improving the rehabilitation outcomes of stroke patients.
A systematic search was conducted in PubMed, Cochrane Library, Embase, Web of Science, China National Knowledge Infrastructure, Wanfang Data, and the China Science and Technology Journal Database (up to July 2024) to identify randomized controlled trials (RCTs) evaluating traditional Chinese exercises for stroke patients. Trials were included if they utilized at least one form of traditional Chinese exercise. The methodological quality of the included studies was assessed using the Cochrane Risk of Bias tool (ROB 2.0). Data analysis was performed using Stata 17.0 and the Mvmeta package, employing a random-effects model.
A total of 43 studies involving 2083 stroke patients were included. These studies assessed outcomes including upper limb motor function, lower limb motor function, overall motor ability, walking ability, balance ability, self-care ability, cognitive function, depression, quality of life, and sleep quality. Baduanjin, originating in the Song Dynasty and consisting of eight movements based on traditional Chinese medicine theories,was the most effective in improving upper limb motor function, overall motor ability, walking ability, self-care ability, cognitive function, quality of life, and sleep quality. Taiji, a practice integrating Chinese philosophy, martial arts, and wellness concepts, was the most effective in enhancing lower limb motor function. Wuqinxi, inspired by the dynamic movements of animals such as the tiger, deer, bear, apes, and birds, showed the best results for balance improvement. Liuzijue, a traditional exercise combining specific sound production, breathing, and movement, was most effective in alleviating depressive symptoms.
These findings suggest that Baduanjin may be the most effective intervention for stroke rehabilitation. However, further high-quality RCTs are required to confirm these results.
CRD42024566780, https://www.crd.york.ac.uk/PROSPERO/view/CRD42024566780.
中风是一种常见的脑血管疾病，具有发病率高、致残严重、复发频繁和死亡率高的特点。运动在中风康复中起着关键作用，但传统中医运动与中风恢复之间的关系仍不明确。本研究旨在通过系统的网络荟萃分析评估各种传统中医运动的有效性，并确定改善中风患者康复结局的最有效干预措施。
在PubMed、Cochrane图书馆、Embase、科学引文索引、中国知网、万方数据和中国科技期刊数据库（截至2024年7月）中进行系统检索，以识别评估中风患者传统中医运动的随机对照试验（RCT）。如果试验至少使用一种传统中医运动形式，则纳入试验。使用Cochrane偏倚风险工具（ROB 2.0）评估纳入研究的方法学质量。使用Stata 17.0和Mvmeta软件包进行数据分析，采用随机效应模型。
共纳入43项研究，涉及2083例中风患者。这些研究评估的结局包括上肢运动功能、下肢运动功能、整体运动能力、步行能力、平衡能力、自理能力、认知功能、抑郁、生活质量和睡眠质量。八段锦起源于宋代，由基于中医理论的八个动作组成，在改善上肢运动功能、整体运动能力、步行能力、自理能力、认知功能、生活质量和睡眠质量方面最有效。太极拳是一种融合了中国哲学、武术和健康理念的运动，在增强下肢运动功能方面最有效。五禽戏受虎、鹿、熊、猿、鸟等动物动态动作的启发，在改善平衡方面效果最佳。六字诀是一种将特定发声、呼吸和动作相结合的传统运动，在缓解抑郁症状方面最有效。
这些发现表明八段锦可能是中风康复最有效的干预措施。然而，需要进一步的高质量随机对照试验来证实这些结果。
PROSPERO注册编号：CRD42024566780，https://www.crd.york.ac.uk/PROSPERO/view/CRD42024566780 。
