The Efficacy of Traditional Chinese Medical Exercise for Parkinson’s Disease: A Systematic Review and Meta-analysis
Identifieur interne : 000005 ( Main/Exploration ); précédent : 000004; suivant : 000006The Efficacy of Traditional Chinese Medical Exercise for Parkinson’s Disease: A Systematic Review and Meta-analysis
Auteurs : Yan Yang [République populaire de Chine] ; Wei Qing Qiu [République populaire de Chine] ; Yan Lei Hao [République populaire de Chine] ; Zhan Yun Lv [République populaire de Chine] ; Shu Ji Jiao [République populaire de Chine] ; Jun Feng Teng [République populaire de Chine]Source :
- PLoS ONE [ 1932-6203 ] ; 2015.
Abstract
Several studies assessed the efficacy of traditional Chinese medical exercise in the management of Parkinson’s disease (PD), but its role remained controversial. Therefore, the purpose of this systematic review is to evaluate the evidence on the effect of traditional Chinese medical exercise for PD.
Seven English and Chinese electronic databases, up to October 2014, were searched to identify relevant studies. The PEDro scale was employed to assess the methodological quality of eligible studies. Meta-analysis was performed by RevMan 5.1 software.
Fifteen trials were included in the review. Tai Chi and Qigong were used as assisting pharmacological treatments of PD in the previous studies. Tai Chi plus medication showed greater improvements in motor function (standardized mean difference, SMD, -0.57; 95% confidence intervals, CI, -1.11 to -0.04), Berg balance scale (BBS, SMD, -1.22; 95% CI -1.65 to -0.80), and time up and go test (SMD, -1.06; 95% CI -1.44 to -0.68). Compared with other therapy plus medication, Tai Chi plus medication also showed greater gains in motor function (SMD, -0.78; 95% CI -1.46 to -0.10), BBS (SMD, -0.99; 95% CI -1.44 to -0.54), and functional reach test (SMD, -0.77; 95% CI -1.51 to -0.03). However, Tai Chi plus medication did not showed better improvements in gait or quality of life. There was not sufficient evidence to support or refute the effect of Qigong plus medication for PD.
In the previous studies, Tai Chi and Qigong were used as assisting pharmacological treatments of PD. The current systematic review showed positive evidence of Tai Chi plus medication for PD of mild-to-moderate severity. So Tai Chi plus medication should be recommended for PD management, especially in improving motor function and balance. Qigong plus medication also showed potential gains in the management of PD. However, more high quality studies with long follow-up are warrant to confirm the current findings.
Url:
DOI: 10.1371/journal.pone.0122469
PubMed: 25830664
PubMed Central: 4382160
Affiliations:
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type="main">The Efficacy of Traditional Chinese Medical Exercise for Parkinson’s Disease: A Systematic Review and Meta-analysis</title><author><name sortKey="Yang, Yan" sort="Yang, Yan" uniqKey="Yang Y" first="Yan" last="Yang">Yan Yang</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Department of Neurology, Affiliated Hospital of Jining Medical University, Jining, Shandong, China</addr-line></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Affiliated Hospital of Jining Medical University, Jining, Shandong</wicri:regionArea><wicri:noRegion>Shandong</wicri:noRegion></affiliation></author><author><name sortKey="Qiu, Wei Qing" sort="Qiu, Wei Qing" uniqKey="Qiu W" first="Wei Qing" last="Qiu">Wei Qing Qiu</name><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Department of Neurology, Laizhou People’s Hospital of Shangdong, Laizhou, Shandong, China</addr-line></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Laizhou People’s Hospital of Shangdong, Laizhou, Shandong</wicri:regionArea><wicri:noRegion>Shandong</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff003"><addr-line>Binzhou Medical University Hospital, Binzhou, Shandong, China</addr-line></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Binzhou Medical University Hospital, Binzhou, Shandong</wicri:regionArea><wicri:noRegion>Shandong</wicri:noRegion></affiliation></author><author><name sortKey="Hao, Yan Lei" sort="Hao, Yan Lei" uniqKey="Hao Y" first="Yan Lei" last="Hao">Yan Lei Hao</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Department of Neurology, Affiliated Hospital of Jining Medical University, Jining, Shandong, China</addr-line></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Affiliated Hospital of Jining Medical University, Jining, Shandong</wicri:regionArea><wicri:noRegion>Shandong</wicri:noRegion></affiliation></author><author><name sortKey="Lv, Zhan Yun" sort="Lv, Zhan Yun" uniqKey="Lv Z" first="Zhan Yun" last="Lv">Zhan Yun Lv</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Department of Neurology, Affiliated Hospital of Jining Medical University, Jining, Shandong, China</addr-line></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, Affiliated Hospital of Jining Medical University, Jining, Shandong</wicri:regionArea><wicri:noRegion>Shandong</wicri:noRegion></affiliation></author><author><name sortKey="Jiao, Shu Ji" sort="Jiao, Shu Ji" uniqKey="Jiao S" first="Shu Ji" last="Jiao">Shu Ji Jiao</name><affiliation wicri:level="1"><nlm:aff id="aff004"><addr-line>Department of Neurology, The First People’s Hospital of Hebi, Hebi, Henan, China</addr-line></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, The First People’s Hospital of Hebi, Hebi, Henan</wicri:regionArea><wicri:noRegion>Henan</wicri:noRegion></affiliation></author><author><name sortKey="Teng, Jun Feng" sort="Teng, Jun Feng" uniqKey="Teng J" first="Jun Feng" last="Teng">Jun Feng Teng</name><affiliation wicri:level="1"><nlm:aff id="aff004"><addr-line>Department of Neurology, The First People’s Hospital of Hebi, Hebi, Henan, China</addr-line></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neurology, The First People’s Hospital of Hebi, Hebi, Henan</wicri:regionArea><wicri:noRegion>Henan</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background and Objective</title><p>Several studies assessed the efficacy of traditional Chinese medical exercise in the management of Parkinson’s disease (PD), but its role remained controversial. Therefore, the purpose of this systematic review is to evaluate the evidence on the effect of traditional Chinese medical exercise for PD.</p></sec><sec id="sec002"><title>Methods</title><p>Seven English and Chinese electronic databases, up to October 2014, were searched to identify relevant studies. The PEDro scale was employed to assess the methodological quality of eligible studies. Meta-analysis was performed by RevMan 5.1 software.</p></sec><sec id="sec003"><title>Results</title><p>Fifteen trials were included in the review. Tai Chi and Qigong were used as assisting pharmacological treatments of PD in the previous studies. Tai Chi plus medication showed greater improvements in motor function (standardized mean difference, SMD, -0.57; 95% confidence intervals, CI, -1.11 to -0.04), Berg balance scale (BBS, SMD, -1.22; 95% CI -1.65 to -0.80), and time up and go test (SMD, -1.06; 95% CI -1.44 to -0.68). Compared with other therapy plus medication, Tai Chi plus medication also showed greater gains in motor function (SMD, -0.78; 95% CI -1.46 to -0.10), BBS (SMD, -0.99; 95% CI -1.44 to -0.54), and functional reach test (SMD, -0.77; 95% CI -1.51 to -0.03). However, Tai Chi plus medication did not showed better improvements in gait or quality of life. There was not sufficient evidence to support or refute the effect of Qigong plus medication for PD.</p></sec><sec id="sec004"><title>Conclusions</title><p>In the previous studies, Tai Chi and Qigong were used as assisting pharmacological treatments of PD. The current systematic review showed positive evidence of Tai Chi plus medication for PD of mild-to-moderate severity. So Tai Chi plus medication should be recommended for PD management, especially in improving motor function and balance. Qigong plus medication also showed potential gains in the management of PD. However, more high quality studies with long follow-up are warrant to confirm the current findings.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Jankovic, J" uniqKey="Jankovic J">J Jankovic</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zhang, Zx" uniqKey="Zhang Z">ZX Zhang</name></author><author><name sortKey="Roman, Gc" uniqKey="Roman G">GC Roman</name></author><author><name sortKey="Hong, Z" uniqKey="Hong Z">Z Hong</name></author><author><name sortKey="Wu, Cb" uniqKey="Wu C">CB Wu</name></author><author><name sortKey="Qu, Qm" uniqKey="Qu Q">QM Qu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Den Eeden, Sk" uniqKey="Van Den Eeden S">SK Van Den Eeden</name></author><author><name sortKey="Tanner, Cm" uniqKey="Tanner C">CM Tanner</name></author><author><name sortKey="Bernstein, Al" uniqKey="Bernstein A">AL Bernstein</name></author><author><name 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first="Yan" last="Yang">Yan Yang</name></noRegion><name sortKey="Hao, Yan Lei" sort="Hao, Yan Lei" uniqKey="Hao Y" first="Yan Lei" last="Hao">Yan Lei Hao</name><name sortKey="Jiao, Shu Ji" sort="Jiao, Shu Ji" uniqKey="Jiao S" first="Shu Ji" last="Jiao">Shu Ji Jiao</name><name sortKey="Lv, Zhan Yun" sort="Lv, Zhan Yun" uniqKey="Lv Z" first="Zhan Yun" last="Lv">Zhan Yun Lv</name><name sortKey="Qiu, Wei Qing" sort="Qiu, Wei Qing" uniqKey="Qiu W" first="Wei Qing" last="Qiu">Wei Qing Qiu</name><name sortKey="Qiu, Wei Qing" sort="Qiu, Wei Qing" uniqKey="Qiu W" first="Wei Qing" last="Qiu">Wei Qing Qiu</name><name sortKey="Teng, Jun Feng" sort="Teng, Jun Feng" uniqKey="Teng J" first="Jun Feng" last="Teng">Jun Feng Teng</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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