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The effect of Tai Chi on the pulmonary rehabilitation of chronic obstructive pulmonary disease: a systematic review and meta-analysis.
Ann Palliat Med. 2021 Apr; 10(4):3763-3782.AP

Abstract

BACKGROUND

The effectiveness of Tai Chi for chronic obstructive pulmonary disease (COPD) so far is unclear. The present systematic review aimed to determine the influence of Tai Chi among people with COPD.

METHODS

We searched six electronic databases for relevant studies in September, 2019. The methods of standard meta-analysis were used for identifying relevant studies, quality appraisal, and synthesis. The primary outcomes were six-minute walking distance (6MWD), percentage predicted forced expiratory flow volume in the first second (%PredFEV1), and St. George's Respiratory Questionnaire (SGRQ) score.

RESULTS

A total of 23 studies including 1663 participants were included in the meta-analysis. The pooled data showed that the Tai Chi group was associated with a significant improvement in 6MWD [mean difference (MD) 40.83 m, 95% CI: 32.47 to 49.19], %PredFEV1 (MD 1.67%, 95% CI: 0.41 to 2.93), SGRQ score (MD -6.57, 95% CI: -10.17 to -2.98), and Chronic Respiratory Disease Questionnaire (CRQ) (MD 1.60, 95% CI: 0.89 to 2.30) relative to the blank control population. When compared with breathing exercises, the 6MWD was significantly enhanced with Tai Chi (MD 14.15 m, 95% CI: 3.76 to 24.53). Finally, when compared with breathing and walking exercises, Tai Chi was associated with a significant improvement in 6MWD (MD 7.68 m, 95% CI: 2.28 to 13.09 m) and SGRQ score (MD -6.31, 95% CI: -9.13 to -1.48).

CONCLUSIONS

Tai Chi may have the potential to reduce dyspnoea, enhance exercise capacity, and improve the quality of life in COPD patients. People with COPD may obtain benefit from practicing Tai Chi.

Authors+Show Affiliations

Department of Pulmonary and Critical Care Medicine, Fujian Medical University Teaching Hospital, Fujian Provincial Geriatric Hospital, Fujian Provincial Hospital North Branch, Fuzhou, China; Department of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.Department of Pulmonary Medicine, the First Hospital Affiliated to Soochow University, Suzhou, China.Department of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.Department of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.Department of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.Department of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.Department of Pulmonary and Critical Care Medicine, Fujian Medical University Teaching Hospital, Fujian Provincial Geriatric Hospital, Fujian Provincial Hospital North Branch, Fuzhou, China.Department of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.Department of Respiratory Medicine, Affiliated Hospital of Putian University, Putian, China.Department of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China.

Pub Type(s)

Journal Article
Meta-Analysis
Systematic Review

Language

eng

PubMed ID

33894710

Citation

Liu, Xin, et al. "The Effect of Tai Chi On the Pulmonary Rehabilitation of Chronic Obstructive Pulmonary Disease: a Systematic Review and Meta-analysis." Annals of Palliative Medicine, vol. 10, no. 4, 2021, pp. 3763-3782.
Liu X, Fu C, Hu W, et al. The effect of Tai Chi on the pulmonary rehabilitation of chronic obstructive pulmonary disease: a systematic review and meta-analysis. Ann Palliat Med. 2021;10(4):3763-3782.
Liu, X., Fu, C., Hu, W., Hao, S., Xie, L., Wu, X., Wang, J., Liu, Z., Lin, Q., & Li, S. (2021). The effect of Tai Chi on the pulmonary rehabilitation of chronic obstructive pulmonary disease: a systematic review and meta-analysis. Annals of Palliative Medicine, 10(4), 3763-3782. https://doi.org/10.21037/apm-20-940
Liu X, et al. The Effect of Tai Chi On the Pulmonary Rehabilitation of Chronic Obstructive Pulmonary Disease: a Systematic Review and Meta-analysis. Ann Palliat Med. 2021;10(4):3763-3782. PubMed PMID: 33894710.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of Tai Chi on the pulmonary rehabilitation of chronic obstructive pulmonary disease: a systematic review and meta-analysis. AU - Liu,Xin, AU - Fu,Cuiping, AU - Hu,Weiping, AU - Hao,Shengyu, AU - Xie,Liang, AU - Wu,Xu, AU - Wang,Jihong, AU - Liu,Zilong, AU - Lin,Qunying, AU - Li,Shanqun, Y1 - 2021/04/15/ PY - 2020/04/13/received PY - 2021/01/08/accepted PY - 2021/4/26/pubmed PY - 2021/5/15/medline PY - 2021/4/25/entrez KW - Tai Chi KW - chronic obstructive KW - dyspnea KW - exercise tolerance KW - pulmonary disease SP - 3763 EP - 3782 JF - Annals of palliative medicine JO - Ann Palliat Med VL - 10 IS - 4 N2 - BACKGROUND: The effectiveness of Tai Chi for chronic obstructive pulmonary disease (COPD) so far is unclear. The present systematic review aimed to determine the influence of Tai Chi among people with COPD. METHODS: We searched six electronic databases for relevant studies in September, 2019. The methods of standard meta-analysis were used for identifying relevant studies, quality appraisal, and synthesis. The primary outcomes were six-minute walking distance (6MWD), percentage predicted forced expiratory flow volume in the first second (%PredFEV1), and St. George's Respiratory Questionnaire (SGRQ) score. RESULTS: A total of 23 studies including 1663 participants were included in the meta-analysis. The pooled data showed that the Tai Chi group was associated with a significant improvement in 6MWD [mean difference (MD) 40.83 m, 95% CI: 32.47 to 49.19], %PredFEV1 (MD 1.67%, 95% CI: 0.41 to 2.93), SGRQ score (MD -6.57, 95% CI: -10.17 to -2.98), and Chronic Respiratory Disease Questionnaire (CRQ) (MD 1.60, 95% CI: 0.89 to 2.30) relative to the blank control population. When compared with breathing exercises, the 6MWD was significantly enhanced with Tai Chi (MD 14.15 m, 95% CI: 3.76 to 24.53). Finally, when compared with breathing and walking exercises, Tai Chi was associated with a significant improvement in 6MWD (MD 7.68 m, 95% CI: 2.28 to 13.09 m) and SGRQ score (MD -6.31, 95% CI: -9.13 to -1.48). CONCLUSIONS: Tai Chi may have the potential to reduce dyspnoea, enhance exercise capacity, and improve the quality of life in COPD patients. People with COPD may obtain benefit from practicing Tai Chi. SN - 2224-5839 UR - https://www.unboundmedicine.com/medline/citation/33894710/The_effect_of_Tai_Chi_on_the_pulmonary_rehabilitation_of_chronic_obstructive_pulmonary_disease:_a_systematic_review_and_meta_analysis_ L2 - https://doi.org/10.21037/apm-20-940 DB - PRIME DP - Unbound Medicine ER -