Traditional Chinese exercises on pain and disability in middle-aged and elderly patients with lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trials
BackgroundTraditional Chinese exercises (TCEs) have played a significant role in treating various diseases. However, there is limited research assessing the efficacy of TCEs in treating Lumbar disc herniation (LDH). This study aimed to systematically evaluate the effects of four commonly used TCEs (...
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Frontiers Media S.A.
2023-11-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2023.1265040/full |
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| author | Weiye Zhang Gewen Wang Rong Xie Jiawen Zhan Jiawen Zhan Liguo Zhu Liguo Zhu Liguo Zhu Chunyou Wan Hualong Xie Chuhao Cai Yuxuan Du |
| author_facet | Weiye Zhang Gewen Wang Rong Xie Jiawen Zhan Jiawen Zhan Liguo Zhu Liguo Zhu Liguo Zhu Chunyou Wan Hualong Xie Chuhao Cai Yuxuan Du |
| author_sort | Weiye Zhang |
| collection | DOAJ |
| description | BackgroundTraditional Chinese exercises (TCEs) have played a significant role in treating various diseases. However, there is limited research assessing the efficacy of TCEs in treating Lumbar disc herniation (LDH). This study aimed to systematically evaluate the effects of four commonly used TCEs (Baduanjin, Yijinjing, Taichi, and Wuqinxi) on pain and disability in elderly patients with LDH.ObjectivesTo assess the quality of relevant randomized controlled trials (RCTs) to provide evidence support for the treatment of LDH.MethodsRCTs were identified through eight databases. Meta-analysis and trial sequence analysis (TSA) were conducted using RevMan 5.4, Stata 17.0, and TSA 0.9.ResultsA total of 22 RCTs, involving 1931 patients, were included in the analysis. TCEs exhibited a superior effectiveness in treating LDH compared to the control group. However, the TSA analysis suggested the possibility of false positives, indicating the need for more high-quality RCT evidence. Nevertheless, TCEs showed reliable results in significantly improving the VAS score and JOA score of LDH patients.ConclusionCurrent evidence indicates that the four TCEs have advantages in treating LDH in middle-aged and elderly individuals. However, considering the limitations of this study, we need to exercise caution in drawing conclusions, and further research is required to validate these findings.Systematic Review Registrationhttp://www.crd.york.ac.uk/PROSPERO, identifier [CRD42023431633]. |
| first_indexed | 2024-03-11T11:44:28Z |
| format | Article |
| id | doaj.art-4765a800bafb4f5a869b5683cc46dc9d |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-03-11T11:44:28Z |
| publishDate | 2023-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-4765a800bafb4f5a869b5683cc46dc9d2023-11-09T16:17:03ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-11-011010.3389/fmed.2023.12650401265040Traditional Chinese exercises on pain and disability in middle-aged and elderly patients with lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trialsWeiye Zhang0Gewen Wang1Rong Xie2Jiawen Zhan3Jiawen Zhan4Liguo Zhu5Liguo Zhu6Liguo Zhu7Chunyou Wan8Hualong Xie9Chuhao Cai10Yuxuan Du11Third Department of Sports Medicine, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, ChinaThird Department of Sports Medicine, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, ChinaThird Department of Sports Medicine, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, ChinaThird Department of Sports Medicine, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, ChinaBeijing Key Laboratory of Bone Setting Technology of Traditional Chinese Medicine, Beijing, ChinaThird Department of Sports Medicine, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, ChinaBeijing Key Laboratory of Bone Setting Technology of Traditional Chinese Medicine, Beijing, ChinaSecond Department of Spine, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, ChinaDepartment of Orthopedics, Tianjin Hospital, Tianjin, ChinaThird Department of Sports Medicine, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, ChinaThird Department of Sports Medicine, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, ChinaThird Department of Sports Medicine, Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, ChinaBackgroundTraditional Chinese exercises (TCEs) have played a significant role in treating various diseases. However, there is limited research assessing the efficacy of TCEs in treating Lumbar disc herniation (LDH). This study aimed to systematically evaluate the effects of four commonly used TCEs (Baduanjin, Yijinjing, Taichi, and Wuqinxi) on pain and disability in elderly patients with LDH.ObjectivesTo assess the quality of relevant randomized controlled trials (RCTs) to provide evidence support for the treatment of LDH.MethodsRCTs were identified through eight databases. Meta-analysis and trial sequence analysis (TSA) were conducted using RevMan 5.4, Stata 17.0, and TSA 0.9.ResultsA total of 22 RCTs, involving 1931 patients, were included in the analysis. TCEs exhibited a superior effectiveness in treating LDH compared to the control group. However, the TSA analysis suggested the possibility of false positives, indicating the need for more high-quality RCT evidence. Nevertheless, TCEs showed reliable results in significantly improving the VAS score and JOA score of LDH patients.ConclusionCurrent evidence indicates that the four TCEs have advantages in treating LDH in middle-aged and elderly individuals. However, considering the limitations of this study, we need to exercise caution in drawing conclusions, and further research is required to validate these findings.Systematic Review Registrationhttp://www.crd.york.ac.uk/PROSPERO, identifier [CRD42023431633].https://www.frontiersin.org/articles/10.3389/fmed.2023.1265040/fulllumbar disc herniationBaduanjinYijinjingTaichiWuqinxitraditional Chinese exercises |
| spellingShingle | Weiye Zhang Gewen Wang Rong Xie Jiawen Zhan Jiawen Zhan Liguo Zhu Liguo Zhu Liguo Zhu Chunyou Wan Hualong Xie Chuhao Cai Yuxuan Du Traditional Chinese exercises on pain and disability in middle-aged and elderly patients with lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trials Frontiers in Medicine lumbar disc herniation Baduanjin Yijinjing Taichi Wuqinxi traditional Chinese exercises |
| title | Traditional Chinese exercises on pain and disability in middle-aged and elderly patients with lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trials |
| title_full | Traditional Chinese exercises on pain and disability in middle-aged and elderly patients with lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trials |
| title_fullStr | Traditional Chinese exercises on pain and disability in middle-aged and elderly patients with lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trials |
| title_full_unstemmed | Traditional Chinese exercises on pain and disability in middle-aged and elderly patients with lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trials |
| title_short | Traditional Chinese exercises on pain and disability in middle-aged and elderly patients with lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trials |
| title_sort | traditional chinese exercises on pain and disability in middle aged and elderly patients with lumbar disc herniation a systematic review and meta analysis of randomized controlled trials |
| topic | lumbar disc herniation Baduanjin Yijinjing Taichi Wuqinxi traditional Chinese exercises |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2023.1265040/full |
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