Intervention Treatment for Myocardial Infarction With Tai Chi: A Systematic Review and Meta-analysis

To assess the efficacy of Tai Chi (TC) in patients with myocardial infarction and provide up-to-date evidence for its application. Three English databases (PubMed, Embase, and Cochrane Central Register of Controlled Trials) and 3 Chinese databases (China Knowledge Resource Integrated, Wanfang, Weipu...

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Veröffentlicht in:Archives of physical medicine and rehabilitation 2020-12, Vol.101 (12), p.2206-2218
Hauptverfasser: Wu, Bingxin, Ding, Yining, Zhong, Biying, Jin, Xiao, Cao, Yongtao, Xu, Danping
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container_issue 12
container_start_page 2206
container_title Archives of physical medicine and rehabilitation
container_volume 101
creator Wu, Bingxin
Ding, Yining
Zhong, Biying
Jin, Xiao
Cao, Yongtao
Xu, Danping
description To assess the efficacy of Tai Chi (TC) in patients with myocardial infarction and provide up-to-date evidence for its application. Three English databases (PubMed, Embase, and Cochrane Central Register of Controlled Trials) and 3 Chinese databases (China Knowledge Resource Integrated, Wanfang, Weipu) were screened for the time period between January 1, 1976 and May 31, 2019. Seven randomized and controlled experiments were included. Two independent researchers under 2 independent advisors extracted and classified the data from all relevant studies based on the prespecified inclusion criteria and rules for data extraction. A total of 615 patients were included in this study. The TC group was comprised of 294 patients, and the control group included 261 patients. The results revealed that TC has significant effects on the outcomes of the 6-minute walk (standardized mean difference, 1.30; 95% confidence interval, 0.50-2.11) and left ventricular ejection fraction (standardized mean difference, 1; 95% confidence interval, 0.43-1.57) compared with no or low-density exercise. Also, TC positively affected the quality of life, pro-B type natriuretic peptide, and short form-36. However, TC did not significantly affect activities of daily living (P=.060), sense of coherence-13 (P=.057) and N-terminal-pro-brain natriuretic peptide (P=.081). A moderate to high heterogeneity was observed across all comparisons. Compared with no exercise or other types of low-intensity physical activities, TC improved the outcome of the 6-minute walk, left ventricular ejection fraction, quality of life, and short form-36 scores, but reduced the outcome of pro-B type natriuretic peptide in patients with myocardial infarction. Therefore, TC could be an effective exercise option for cardiac rehabilitation. More research should be done to identify the effects of TC on academic functioning and to determine ways of motivating patients to use preventive TC interventions.
doi_str_mv 10.1016/j.apmr.2020.02.012
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Three English databases (PubMed, Embase, and Cochrane Central Register of Controlled Trials) and 3 Chinese databases (China Knowledge Resource Integrated, Wanfang, Weipu) were screened for the time period between January 1, 1976 and May 31, 2019. Seven randomized and controlled experiments were included. Two independent researchers under 2 independent advisors extracted and classified the data from all relevant studies based on the prespecified inclusion criteria and rules for data extraction. A total of 615 patients were included in this study. The TC group was comprised of 294 patients, and the control group included 261 patients. The results revealed that TC has significant effects on the outcomes of the 6-minute walk (standardized mean difference, 1.30; 95% confidence interval, 0.50-2.11) and left ventricular ejection fraction (standardized mean difference, 1; 95% confidence interval, 0.43-1.57) compared with no or low-density exercise. Also, TC positively affected the quality of life, pro-B type natriuretic peptide, and short form-36. However, TC did not significantly affect activities of daily living (P=.060), sense of coherence-13 (P=.057) and N-terminal-pro-brain natriuretic peptide (P=.081). A moderate to high heterogeneity was observed across all comparisons. Compared with no exercise or other types of low-intensity physical activities, TC improved the outcome of the 6-minute walk, left ventricular ejection fraction, quality of life, and short form-36 scores, but reduced the outcome of pro-B type natriuretic peptide in patients with myocardial infarction. Therefore, TC could be an effective exercise option for cardiac rehabilitation. More research should be done to identify the effects of TC on academic functioning and to determine ways of motivating patients to use preventive TC interventions.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2020.02.012</identifier><identifier>PMID: 32234412</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Cardiac Rehabilitation - methods ; Exercise therapy ; Female ; Humans ; Male ; Middle Aged ; Myocardial infarction ; Myocardial Infarction - physiopathology ; Myocardial Infarction - rehabilitation ; Natriuretic Peptide, Brain - blood ; Peptide Fragments - blood ; Prevention &amp; control ; Quality of Life ; Rehabilitation ; Stroke Volume ; Tai chi ; Tai Ji - methods ; Treatment Outcome ; Ventricular Function, Left ; Walk Test</subject><ispartof>Archives of physical medicine and rehabilitation, 2020-12, Vol.101 (12), p.2206-2218</ispartof><rights>2020 American Congress of Rehabilitation Medicine</rights><rights>Copyright © 2020 American Congress of Rehabilitation Medicine. 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Three English databases (PubMed, Embase, and Cochrane Central Register of Controlled Trials) and 3 Chinese databases (China Knowledge Resource Integrated, Wanfang, Weipu) were screened for the time period between January 1, 1976 and May 31, 2019. Seven randomized and controlled experiments were included. Two independent researchers under 2 independent advisors extracted and classified the data from all relevant studies based on the prespecified inclusion criteria and rules for data extraction. A total of 615 patients were included in this study. The TC group was comprised of 294 patients, and the control group included 261 patients. The results revealed that TC has significant effects on the outcomes of the 6-minute walk (standardized mean difference, 1.30; 95% confidence interval, 0.50-2.11) and left ventricular ejection fraction (standardized mean difference, 1; 95% confidence interval, 0.43-1.57) compared with no or low-density exercise. 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More research should be done to identify the effects of TC on academic functioning and to determine ways of motivating patients to use preventive TC interventions.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>32234412</pmid><doi>10.1016/j.apmr.2020.02.012</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-0712-886X</orcidid><orcidid>https://orcid.org/0000-0001-5307-1695</orcidid></addata></record>
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subjects Aged
Cardiac Rehabilitation - methods
Exercise therapy
Female
Humans
Male
Middle Aged
Myocardial infarction
Myocardial Infarction - physiopathology
Myocardial Infarction - rehabilitation
Natriuretic Peptide, Brain - blood
Peptide Fragments - blood
Prevention & control
Quality of Life
Rehabilitation
Stroke Volume
Tai chi
Tai Ji - methods
Treatment Outcome
Ventricular Function, Left
Walk Test
title Intervention Treatment for Myocardial Infarction With Tai Chi: A Systematic Review and Meta-analysis
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