Objective:The objective of this study is to evaluate the effects of health Qigong on the rehabilitation of hemiplegic patients after stroke.Methods:The randomized controlled trials on health Qigong intervention in reh...Objective:The objective of this study is to evaluate the effects of health Qigong on the rehabilitation of hemiplegic patients after stroke.Methods:The randomized controlled trials on health Qigong intervention in rehabilitation after stroke were searched in eight databases:PubMed,Cochrane Library,Embase,Web of Science,CBM,CNKI,Wanfang Database,and VIP Database from the inception to February 2022,and the data were analyzed using RevMan 5.3 software.Results:A total of 17 studies involving 1146 hemiplegic patients after stroke were included.Meta‑analysis results showed that the motor function and activities of daily living in the intervention group were better than those in the control group at different intervention times(intervention time<3 months and 3 months–24 weeks)(P<0.01).When the intervention time was<3 months,the improvement of balance function in the intervention group was better than that in the control group(P<0.01).However,when the intervention time was 3 months–24 weeks,there was no significant difference in the balance function between the intervention group and the control group(P=0.10).Conclusion:Health Qigong has a positive effect on the improvement of motor function and activities of daily living in hemiplegic patients after stroke,but the improvement of balance function is not sure.Due to the low overall quality of the included literature and the heterogeneity of some research results,more rigorous randomized controlled trials are needed to verify its efficacy.展开更多
目的:采用网状Meta分析法评价中国传统功法(CTE)治疗膝骨关节炎(KOA)的效果。方法:检索PubMed、Web of Science、Embase、Cochrane Library、国家知识基础设施数据库(CNKI)、中文科技期刊数据库(CCD)中国学术期刊数据库(CSPD)和中国生...目的:采用网状Meta分析法评价中国传统功法(CTE)治疗膝骨关节炎(KOA)的效果。方法:检索PubMed、Web of Science、Embase、Cochrane Library、国家知识基础设施数据库(CNKI)、中文科技期刊数据库(CCD)中国学术期刊数据库(CSPD)和中国生物医学文献数据库(SinoMed)中发表的CTE治疗KOA的随机对照试验(Randomized Controlled Trials,RCT),检索时间截至2022年8月。结局指标包括骨关节炎指数(WOMAC)、VAS。用Cochrane偏倚风险评估工具ROB2对纳入文献进行偏倚风险评估。用Revman5.4对文献进行质量评价,制作文献风险偏倚图;用Stata16.0进行Meta分析,当结局指标纳入文献数量≥10,绘制“比较-校正”漏斗图并进行egger检验,确定发表偏倚和小样本效应。结果:共纳入13篇文献,包括5种CTE:太极、易筋经、八段锦、五禽戏、站桩功。结果显示纳入文献整体质量较高。网状Meta分析结果显示:在缓解僵硬和疼痛方面,五禽戏效果最好;在改善功能活动方面,易筋经效果最好。在缓解僵硬方面:与太极拳相比,五禽戏的效果更好(MD=-64.69,95%CI为-107.07~-22.31,P<0.05),五禽戏的效果最好。纳入文献均未报道CTE的安全性。结论:基于现有证据,CTE治疗KOA的效果优于传统康复训练,其中五禽戏和易筋经的效果优于其他CTE。展开更多
文摘Objective:The objective of this study is to evaluate the effects of health Qigong on the rehabilitation of hemiplegic patients after stroke.Methods:The randomized controlled trials on health Qigong intervention in rehabilitation after stroke were searched in eight databases:PubMed,Cochrane Library,Embase,Web of Science,CBM,CNKI,Wanfang Database,and VIP Database from the inception to February 2022,and the data were analyzed using RevMan 5.3 software.Results:A total of 17 studies involving 1146 hemiplegic patients after stroke were included.Meta‑analysis results showed that the motor function and activities of daily living in the intervention group were better than those in the control group at different intervention times(intervention time<3 months and 3 months–24 weeks)(P<0.01).When the intervention time was<3 months,the improvement of balance function in the intervention group was better than that in the control group(P<0.01).However,when the intervention time was 3 months–24 weeks,there was no significant difference in the balance function between the intervention group and the control group(P=0.10).Conclusion:Health Qigong has a positive effect on the improvement of motor function and activities of daily living in hemiplegic patients after stroke,but the improvement of balance function is not sure.Due to the low overall quality of the included literature and the heterogeneity of some research results,more rigorous randomized controlled trials are needed to verify its efficacy.
