A Meta-Analysis on the Efficacy of Tai Chi in Patients with Parkinson's Disease between 2008 and 2014
Identifieur interne : 000032 ( Pmc/Checkpoint ); précédent : 000031; suivant : 000033A Meta-Analysis on the Efficacy of Tai Chi in Patients with Parkinson's Disease between 2008 and 2014
Auteurs : Ji Zhou [République populaire de Chine] ; Tao Yin [République populaire de Chine] ; Qian Gao [République populaire de Chine] ; Xiao Cun Yang [République populaire de Chine]Source :
- Evidence-based Complementary and Alternative Medicine : eCAM [ 1741-427X ] ; 2015.
Abstract
Url:
DOI: 10.1155/2015/593263
PubMed: 25649281
PubMed Central: 4306407
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A Meta-Analysis on the Efficacy of Tai Chi in Patients with Parkinson's Disease between 2008 and 2014</title><author><name sortKey="Zhou, Ji" sort="Zhou, Ji" uniqKey="Zhou J" first="Ji" last="Zhou">Ji Zhou</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Tuina, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Tuina, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Yin, Tao" sort="Yin, Tao" uniqKey="Yin T" first="Tao" last="Yin">Tao Yin</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Rehabilitation, Taian People's Hospital, Taian, Shandong 271000, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Rehabilitation, Taian People's Hospital, Taian, Shandong 271000</wicri:regionArea><wicri:noRegion>Shandong 271000</wicri:noRegion></affiliation></author><author><name sortKey="Gao, Qian" sort="Gao, Qian" uniqKey="Gao Q" first="Qian" last="Gao">Qian Gao</name><affiliation wicri:level="1"><nlm:aff id="I3">Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 201203</wicri:regionArea><wicri:noRegion>Shanghai 201203</wicri:noRegion></affiliation></author><author><name sortKey="Yang, Xiao Cun" sort="Yang, Xiao Cun" uniqKey="Yang X" first="Xiao Cun" last="Yang">Xiao Cun Yang</name><affiliation wicri:level="1"><nlm:aff id="I3">Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 201203</wicri:regionArea><wicri:noRegion>Shanghai 201203</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25649281</idno><idno type="pmc">4306407</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4306407</idno><idno type="RBID">PMC:4306407</idno><idno type="doi">10.1155/2015/593263</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000326</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000326</idno><idno type="wicri:Area/Pmc/Curation">000214</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000214</idno><idno type="wicri:Area/Pmc/Checkpoint">000032</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000032</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A Meta-Analysis on the Efficacy of Tai Chi in Patients with Parkinson's Disease between 2008 and 2014</title><author><name sortKey="Zhou, Ji" sort="Zhou, Ji" uniqKey="Zhou J" first="Ji" last="Zhou">Ji Zhou</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Tuina, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Tuina, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Yin, Tao" sort="Yin, Tao" uniqKey="Yin T" first="Tao" last="Yin">Tao Yin</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Rehabilitation, Taian People's Hospital, Taian, Shandong 271000, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Rehabilitation, Taian People's Hospital, Taian, Shandong 271000</wicri:regionArea><wicri:noRegion>Shandong 271000</wicri:noRegion></affiliation></author><author><name sortKey="Gao, Qian" sort="Gao, Qian" uniqKey="Gao Q" first="Qian" last="Gao">Qian Gao</name><affiliation wicri:level="1"><nlm:aff id="I3">Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 201203</wicri:regionArea><wicri:noRegion>Shanghai 201203</wicri:noRegion></affiliation></author><author><name sortKey="Yang, Xiao Cun" sort="Yang, Xiao Cun" uniqKey="Yang X" first="Xiao Cun" last="Yang">Xiao Cun Yang</name><affiliation wicri:level="1"><nlm:aff id="I3">Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 201203</wicri:regionArea><wicri:noRegion>Shanghai 201203</wicri:noRegion></affiliation></author></analytic><series><title level="j">Evidence-based Complementary and Alternative Medicine : eCAM</title><idno type="ISSN">1741-427X</idno><idno type="eISSN">1741-4288</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Objective</italic>. The purpose of this systematic review is to evaluate the evidence on the effect of Tai Chi for Parkinson's disease (PD).<italic> Methods</italic>. Six electronic databases up to June 2014 were searched. The methodological quality was assessed with PEDro scale. Standardised mean difference and 95% confidence intervals of random-effects model were calculated.<italic> Results</italic>. Nine studies were included in our review. The aggregated results are in favor of Tai Chi on improving motor function (<italic>P</italic> = 0.002) and balance (<italic>P</italic> < 0.00001) in patients with PD. However, there is no sufficient evidence to support or refute the value of Tai Chi on improving gait velocity (<italic>P</italic> = 0.11), stride length (<italic>P</italic> = 0.21), or quality of life (<italic>P</italic> = 0.40). And there is no valid evidence in follow-up effects of Tai Chi for PD. Conclusion. The current results suggest that Tai Chi can significantly improve the motor function and balance in patients with PD, but there is indeed not enough evidence to conclude that Tai Chi is effective for PD because of the small treatment effect, methodological flaws of eligible studies, and insufficient follow-up. Consequently, high-quality studies with long follow-up are warranted to confirm current beneficial findings.</p></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="Van Den Eeden, S K" uniqKey="Van Den Eeden S">S. K. Van Den Eeden</name></author><author><name sortKey="Tanner, C M" uniqKey="Tanner C">C. M. Tanner</name></author><author><name sortKey="Bernstein, A L" uniqKey="Bernstein A">A. L. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Evid Based Complement Alternat Med</journal-id><journal-id journal-id-type="iso-abbrev">Evid Based Complement Alternat Med</journal-id><journal-id journal-id-type="publisher-id">ECAM</journal-id><journal-title-group><journal-title>Evidence-based Complementary and Alternative Medicine : eCAM</journal-title></journal-title-group><issn pub-type="ppub">1741-427X</issn><issn pub-type="epub">1741-4288</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25649281</article-id><article-id pub-id-type="pmc">4306407</article-id><article-id pub-id-type="doi">10.1155/2015/593263</article-id><article-categories><subj-group subj-group-type="heading"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title>A Meta-Analysis on the Efficacy of Tai Chi in Patients with Parkinson's Disease between 2008 and 2014</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Zhou</surname><given-names>Ji</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>Yin</surname><given-names>Tao</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Gao</surname><given-names>Qian</given-names></name><xref ref-type="aff" rid="I3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Yang</surname><given-names>Xiao Cun</given-names></name><xref ref-type="aff" rid="I3"><sup>3</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Department of Tuina, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China</aff><aff id="I2"><sup>2</sup>Department of Rehabilitation, Taian People's Hospital, Taian, Shandong 271000, China</aff><aff id="I3"><sup>3</sup>Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China</aff><author-notes><corresp id="cor1">*Ji Zhou: <email>zhouji_22@hotmail.com</email></corresp><fn fn-type="other"><p>Academic Editor: Rajnish Chaturvedi</p></fn></author-notes><pub-date pub-type="ppub"><year>2015</year></pub-date><pub-date pub-type="epub"><day>8</day><month>1</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>8</day><month>1</month><year>2015</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on the
<volume>2015</volume><elocation-id>593263</elocation-id><history><date date-type="received"><day>6</day><month>10</month><year>2014</year></date><date date-type="rev-recd"><day>26</day><month>12</month><year>2014</year></date><date date-type="accepted"><day>26</day><month>12</month><year>2014</year></date></history><permissions><copyright-statement>Copyright © 2015 Ji Zhou et al.</copyright-statement><copyright-year>2015</copyright-year><license license-type="open-access"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p><italic>Objective</italic>. The purpose of this systematic review is to evaluate the evidence on the effect of Tai Chi for Parkinson's disease (PD).<italic> Methods</italic>. Six electronic databases up to June 2014 were searched. The methodological quality was assessed with PEDro scale. Standardised mean difference and 95% confidence intervals of random-effects model were calculated.<italic> Results</italic>. Nine studies were included in our review. The aggregated results are in favor of Tai Chi on improving motor function (<italic>P</italic> = 0.002) and balance (<italic>P</italic> < 0.00001) in patients with PD. However, there is no sufficient evidence to support or refute the value of Tai Chi on improving gait velocity (<italic>P</italic> = 0.11), stride length (<italic>P</italic> = 0.21), or quality of life (<italic>P</italic> = 0.40). And there is no valid evidence in follow-up effects of Tai Chi for PD. Conclusion. The current results suggest that Tai Chi can significantly improve the motor function and balance in patients with PD, but there is indeed not enough evidence to conclude that Tai Chi is effective for PD because of the small treatment effect, methodological flaws of eligible studies, and insufficient follow-up. Consequently, high-quality studies with long follow-up are warranted to confirm current beneficial findings.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Flow chart for this meta-analysis. RCTs: randomized controlled trials.</p></caption><graphic xlink:href="ECAM2015-593263.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Forest plot showing the effect of Tai Chi on unified Parkinson's disease rating scale III (UPDRS III), timed up and go, and six-minute walk in patients with Parkinson's disease.</p></caption><graphic xlink:href="ECAM2015-593263.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Forest plot showing the effect of Tai Chi on balance in patients with Parkinson's disease.</p></caption><graphic xlink:href="ECAM2015-593263.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>Forest plot showing the effect of Tai Chi on gait in patients with Parkinson's disease.</p></caption><graphic xlink:href="ECAM2015-593263.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>Forest plot showing the effect of Tai Chi on quality of life in patients with Parkinson's disease.</p></caption><graphic xlink:href="ECAM2015-593263.005"></graphic></fig><table-wrap id="tab1" orientation="portrait" position="float"><label>Table 1</label><caption><p>Characteristics of randomized controlled trials of Tai Chi for Parkinson's disease. </p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">First author, year, country</th><th align="center" rowspan="1" colspan="1">Sample size </th><th align="center" rowspan="1" colspan="1">Mean age (year)</th><th align="center" rowspan="1" colspan="1">Hoehn and Yahr stage</th><th align="center" rowspan="1" colspan="1">Treatment duration (week)</th><th align="center" rowspan="1" colspan="1">Main outcome <break></break>assessments</th><th align="center" rowspan="1" colspan="1">Experimental group <break></break>intervention</th><th align="center" rowspan="1" colspan="1">Control group <break></break>intervention</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">Hackney, 2008, <break></break>US [<xref rid="B13" ref-type="bibr">12</xref>]</td><td align="center" rowspan="1" colspan="1">33</td><td align="center" rowspan="1" colspan="1">64</td><td align="center" rowspan="1" colspan="1">1.5–3</td><td align="center" rowspan="1" colspan="1">10–13</td><td align="center" rowspan="1" colspan="1">UPDRS III, BBS, gait, TUG, six-minute walk</td><td align="center" rowspan="1" colspan="1">Yang-style Tai Chi <break></break>(60 min/20 sessions)</td><td align="center" rowspan="1" colspan="1">No intervention</td></tr><tr><td align="left" rowspan="1" colspan="1">Hackney, 2009, <break></break>US [<xref rid="B14" ref-type="bibr">13</xref>]</td><td align="center" rowspan="1" colspan="1">75</td><td align="center" rowspan="1" colspan="1">67</td><td align="center" rowspan="1" colspan="1">1–3</td><td align="center" rowspan="1" colspan="1">13</td><td align="center" rowspan="1" colspan="1">PDQ-39</td><td align="center" rowspan="1" colspan="1">Yang-style Tai Chi <break></break>(60 min/20 sessions)</td><td align="center" rowspan="1" colspan="1"> (1) Tango <break></break> (2) Waltz/Foxtrot <break></break> (3) No intervention <break></break>(60 min/20 sessions)</td></tr><tr><td align="left" rowspan="1" colspan="1">Li, 2011, <break></break>China [<xref rid="B15" ref-type="bibr">14</xref>]</td><td align="center" rowspan="1" colspan="1">56</td><td align="center" rowspan="1" colspan="1">68</td><td align="center" rowspan="1" colspan="1">2.5–3</td><td align="center" rowspan="1" colspan="1">8</td><td align="center" rowspan="1" colspan="1">UPDRS III, BBS, PDQ-39</td><td align="center" rowspan="1" colspan="1">Tai Chi <break></break>(30–45 min/80 sessions)</td><td align="center" rowspan="1" colspan="1">Walking <break></break>(40 min/80 sessions)</td></tr><tr><td align="left" rowspan="1" colspan="1">Zhu, 2011, <break></break>China [<xref rid="B16" ref-type="bibr">15</xref>]</td><td align="center" rowspan="1" colspan="1">40</td><td align="center" rowspan="1" colspan="1">64</td><td align="center" rowspan="1" colspan="1">1-2</td><td align="center" rowspan="1" colspan="1">4</td><td align="center" rowspan="1" colspan="1">UPDRS III, BBS</td><td align="center" rowspan="1" colspan="1">Tai Chi <break></break>(30–45 min/40 sessions)</td><td align="center" rowspan="1" colspan="1">Walking <break></break>(40 min/40 sessions)</td></tr><tr><td align="left" rowspan="1" colspan="1">Li, 2012, <break></break>US [<xref rid="B10" ref-type="bibr">10</xref>]</td><td align="center" rowspan="1" colspan="1">195</td><td align="center" rowspan="1" colspan="1">69</td><td align="center" rowspan="1" colspan="1">1–4</td><td align="center" rowspan="1" colspan="1">24</td><td align="center" rowspan="1" colspan="1">UPDRS III, gait, TUG, functional-reach test</td><td align="center" rowspan="1" colspan="1">Tai Chi <break></break>(60 min/48 sessions)</td><td align="center" rowspan="1" colspan="1">(1) Stretching <break></break>(2) Resistance training <break></break>(60 min/48 sessions)</td></tr><tr><td align="left" rowspan="1" colspan="1">Amano, 2013, <break></break>US [<xref rid="B11" ref-type="bibr">11</xref>]</td><td align="center" rowspan="1" colspan="1">45</td><td align="center" rowspan="1" colspan="1">66</td><td align="center" rowspan="1" colspan="1">2-3</td><td align="center" rowspan="1" colspan="1">16</td><td align="center" rowspan="1" colspan="1">UPDRS III, gait</td><td align="center" rowspan="1" colspan="1">Yang-style Tai Chi <break></break>(60 min/32–48 sessions)</td><td align="center" rowspan="1" colspan="1">(1) Qigong <break></break>(60 min/32 sessions) <break></break>(2) No intervention</td></tr><tr><td align="left" rowspan="1" colspan="1">Choi, 2013, <break></break>US [<xref rid="B17" ref-type="bibr">16</xref>]</td><td align="center" rowspan="1" colspan="1">22</td><td align="center" rowspan="1" colspan="1">63</td><td align="center" rowspan="1" colspan="1">1-2</td><td align="center" rowspan="1" colspan="1">12</td><td align="center" rowspan="1" colspan="1">UPDRS, TUG, gait, six-minute walk, one-leg standing</td><td align="center" rowspan="1" colspan="1">Tai Chi <break></break>(60 min/36 sessions)</td><td align="center" rowspan="1" colspan="1">No intervention</td></tr><tr><td align="left" rowspan="1" colspan="1">Nocera, 2013, <break></break>US [<xref rid="B18" ref-type="bibr">17</xref>]</td><td align="center" rowspan="1" colspan="1">23</td><td align="center" rowspan="1" colspan="1">66</td><td align="center" rowspan="1" colspan="1">2-3</td><td align="center" rowspan="1" colspan="1">16</td><td align="center" rowspan="1" colspan="1">Cognitive-executive function, <break></break>PDQ-39</td><td align="center" rowspan="1" colspan="1">Yang-style Tai Chi <break></break>(60 min/48 sessions)</td><td align="center" rowspan="1" colspan="1">No intervention</td></tr><tr><td align="left" rowspan="1" colspan="1">Gao, 2014, <break></break>China [<xref rid="B19" ref-type="bibr">18</xref>]</td><td align="center" rowspan="1" colspan="1">80</td><td align="center" rowspan="1" colspan="1">69</td><td align="center" rowspan="1" colspan="1">1–4</td><td align="center" rowspan="1" colspan="1">12</td><td align="center" rowspan="1" colspan="1">UPDRS III, BBS, TUG</td><td align="center" rowspan="1" colspan="1">Yang-style Tai Chi <break></break>(60 min/36 sessions)</td><td align="center" rowspan="1" colspan="1">No intervention</td></tr></tbody></table><table-wrap-foot><fn><p>UPDRS: unified Parkinson's disease rating scale; BBS: berg balance scale; TUG: timed up and go; PDQ-39: Parkinson's disease questionnaire-39. </p></fn></table-wrap-foot></table-wrap><table-wrap id="tab2" orientation="portrait" position="float"><label>Table 2</label><caption><p>PEDro scales of included randomized controlled trials.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Study</th><th align="center" rowspan="1" colspan="1">Eligibility criteria</th><th align="center" rowspan="1" colspan="1">Random allocation</th><th align="center" rowspan="1" colspan="1">Concealed allocation</th><th align="center" rowspan="1" colspan="1">Similar at baseline</th><th align="center" rowspan="1" colspan="1">Subjects blinded</th><th align="center" rowspan="1" colspan="1">Therapists blinded</th><th align="center" rowspan="1" colspan="1">Assessors blinded</th><th align="center" rowspan="1" colspan="1"><15% dropouts</th><th align="center" rowspan="1" colspan="1">Intention-to-treat analysis</th><th align="center" rowspan="1" colspan="1">Between-group comparisons</th><th align="center" rowspan="1" colspan="1">Point measures and variability data</th><th align="center" rowspan="1" colspan="1">Total</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">Hackney and Earhart 2008 [<xref rid="B13" ref-type="bibr">12</xref>]</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">5</td></tr><tr><td align="left" rowspan="1" colspan="1">Hackney and Earhart 2009 [<xref rid="B14" ref-type="bibr">13</xref>]</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">5</td></tr><tr><td align="left" rowspan="1" colspan="1">Li 2011 [<xref rid="B15" ref-type="bibr">14</xref>]</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">6</td></tr><tr><td align="left" rowspan="1" colspan="1">Zhu et al. 2011 [<xref rid="B16" ref-type="bibr">15</xref>]</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">6</td></tr><tr><td align="left" rowspan="1" colspan="1">Li et al. 2012 [<xref rid="B10" ref-type="bibr">10</xref>]</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">7</td></tr><tr><td align="left" rowspan="1" colspan="1">Amano et al. 2013 [<xref rid="B11" ref-type="bibr">11</xref>]</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">7</td></tr><tr><td align="left" rowspan="1" colspan="1">Choi et al. 2013 [<xref rid="B17" ref-type="bibr">16</xref>]</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">6</td></tr><tr><td align="left" rowspan="1" colspan="1">Nocera et al. 2013 [<xref rid="B18" ref-type="bibr">17</xref>]</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">6</td></tr><tr><td align="left" rowspan="1" colspan="1">Gao et al. 2014 [<xref rid="B19" ref-type="bibr">18</xref>]</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">0</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">6</td></tr></tbody></table><table-wrap-foot><fn><p>0: does not meet the criteria; 1: meets the criteria. Criteria (without eligibility criteria) were used to calculate the total PEDro score.</p></fn></table-wrap-foot></table-wrap></floats-group></pmc><affiliations><list><country><li>République populaire de Chine</li></country><settlement><li>Pékin</li></settlement></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Zhou, Ji" sort="Zhou, Ji" uniqKey="Zhou J" first="Ji" last="Zhou">Ji Zhou</name></noRegion><name sortKey="Gao, Qian" sort="Gao, Qian" uniqKey="Gao Q" first="Qian" last="Gao">Qian Gao</name><name sortKey="Yang, Xiao Cun" sort="Yang, Xiao Cun" uniqKey="Yang X" first="Xiao Cun" last="Yang">Xiao Cun Yang</name><name sortKey="Yin, Tao" sort="Yin, Tao" uniqKey="Yin T" first="Tao" last="Yin">Tao Yin</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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