Network meta-analysis of the efficacy of four traditional Chinese physical exercise therapies on the prevention of falls in the elderly

IntroductionIn recent years, traditional Chinese exercises have been passed down and reformed to play a significant role in the study of interventions for the treatment of falls in older people. However, few studies have evaluated the efficacy of various Chinese traditional exercises in the interven...

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Main Authors: Meichao Cheng, Ya Wang, Shun Wang, Wenxiao Cao, Xianliang Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.1096599/full
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author Meichao Cheng
Ya Wang
Shun Wang
Wenxiao Cao
Xianliang Wang
author_facet Meichao Cheng
Ya Wang
Shun Wang
Wenxiao Cao
Xianliang Wang
author_sort Meichao Cheng
collection DOAJ
description IntroductionIn recent years, traditional Chinese exercises have been passed down and reformed to play a significant role in the study of interventions for the treatment of falls in older people. However, few studies have evaluated the efficacy of various Chinese traditional exercises in the intervention of falls behavior in the elderly. In this study, four Chinese traditional exercises commonly used in clinical practice were selected as subjects to systematically evaluate the effectiveness of Tai Chi, Ba Duan Jin, Yi Jin Jing and Wu Qin Xi in intervening in the treatment of fall behavior in the elderly.MethodsWe conducted a systematic review in accordance with the PRISMA guidelines. Four published randomized controlled trials (RCTs) of traditional Chinese exercise interventions for the treatment of falls behavior in older adults were searched through authoritative databases such as CNKI, Web of Science, PubMed, EMbase and the Cochrane Library, all from the time of construction to November 2022.ResultsA total of 45 studies with 4 traditional interventions were included. Ba Duan Jin was more effective in improving TUGT [SMD = −1.93 (−2.49, −1.38), P < 0.05] and MFES [SMD = −33.45 (−63.93, −2.97), P < 0.05], while Yi Jin Jing was more effective in enhancing ECLSB [SMD = −0.19 (−5.12, −4.74), P < 0.05] and BBS [SMD = −5.79 (−10.80, −0.78), P < 0.05], both of which showed better effects.DiscussionThe present evidence suggests that all four traditional Chinese body-building exercise therapies have a preventive effect on fall behavior in older adults. In clinical treatment and daily physical exercise, two exercises, BaDuan Jin and Yi Jin Jing, may be preferred to reduce the risk of falls in the elderly, but the exercise regimen of Qigong should be selected scientifically and rationally according to their actual conditions.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/#myprospero.
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spelling doaj.art-ed51d5da10724aee99ad1c7a0cb2a7d32023-01-04T20:43:01ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-01-011010.3389/fpubh.2022.10965991096599Network meta-analysis of the efficacy of four traditional Chinese physical exercise therapies on the prevention of falls in the elderlyMeichao Cheng0Ya Wang1Shun Wang2Wenxiao Cao3Xianliang Wang4School of Physical Education, Shandong University, Jinan, ChinaSchool of Physical Education, Huaibei Normal University, Huaibei, ChinaSchool of Physical Education, Huaibei Normal University, Huaibei, ChinaSchool of Physical Education, Huaibei Normal University, Huaibei, ChinaSchool of Physical Education, Shandong University, Jinan, ChinaIntroductionIn recent years, traditional Chinese exercises have been passed down and reformed to play a significant role in the study of interventions for the treatment of falls in older people. However, few studies have evaluated the efficacy of various Chinese traditional exercises in the intervention of falls behavior in the elderly. In this study, four Chinese traditional exercises commonly used in clinical practice were selected as subjects to systematically evaluate the effectiveness of Tai Chi, Ba Duan Jin, Yi Jin Jing and Wu Qin Xi in intervening in the treatment of fall behavior in the elderly.MethodsWe conducted a systematic review in accordance with the PRISMA guidelines. Four published randomized controlled trials (RCTs) of traditional Chinese exercise interventions for the treatment of falls behavior in older adults were searched through authoritative databases such as CNKI, Web of Science, PubMed, EMbase and the Cochrane Library, all from the time of construction to November 2022.ResultsA total of 45 studies with 4 traditional interventions were included. Ba Duan Jin was more effective in improving TUGT [SMD = −1.93 (−2.49, −1.38), P < 0.05] and MFES [SMD = −33.45 (−63.93, −2.97), P < 0.05], while Yi Jin Jing was more effective in enhancing ECLSB [SMD = −0.19 (−5.12, −4.74), P < 0.05] and BBS [SMD = −5.79 (−10.80, −0.78), P < 0.05], both of which showed better effects.DiscussionThe present evidence suggests that all four traditional Chinese body-building exercise therapies have a preventive effect on fall behavior in older adults. In clinical treatment and daily physical exercise, two exercises, BaDuan Jin and Yi Jin Jing, may be preferred to reduce the risk of falls in the elderly, but the exercise regimen of Qigong should be selected scientifically and rationally according to their actual conditions.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/#myprospero.https://www.frontiersin.org/articles/10.3389/fpubh.2022.1096599/fullTai ChiBa Duan JinYi Jin JingWu Qin Xinetwork meta-analysis
spellingShingle Meichao Cheng
Ya Wang
Shun Wang
Wenxiao Cao
Xianliang Wang
Network meta-analysis of the efficacy of four traditional Chinese physical exercise therapies on the prevention of falls in the elderly
Frontiers in Public Health
Tai Chi
Ba Duan Jin
Yi Jin Jing
Wu Qin Xi
network meta-analysis
title Network meta-analysis of the efficacy of four traditional Chinese physical exercise therapies on the prevention of falls in the elderly
title_full Network meta-analysis of the efficacy of four traditional Chinese physical exercise therapies on the prevention of falls in the elderly
title_fullStr Network meta-analysis of the efficacy of four traditional Chinese physical exercise therapies on the prevention of falls in the elderly
title_full_unstemmed Network meta-analysis of the efficacy of four traditional Chinese physical exercise therapies on the prevention of falls in the elderly
title_short Network meta-analysis of the efficacy of four traditional Chinese physical exercise therapies on the prevention of falls in the elderly
title_sort network meta analysis of the efficacy of four traditional chinese physical exercise therapies on the prevention of falls in the elderly
topic Tai Chi
Ba Duan Jin
Yi Jin Jing
Wu Qin Xi
network meta-analysis
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.1096599/full
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