Shihui Chen1, Yanjie Zhang2,3, Yong Tai Wang4, Xiaolei Liu5, Wook Song2,6, Xiru Du7. 1. Department of Kinesiology, Texas A&M University Texarkana, TX, USA. 2. Health and Exercise Science Laboratory, Institute of Sports Science, Seoul National University, Seoul, South Korea. 3. Physical Education Unit, School of Humanities and Social Science, The Chinese University of Hong Kong-Shenzhen, Shenzhen, Guangdong, China. 4. College of Nursing and Health Sciences, University of Texas at Tyler, Tyler, TX, USA. 5. Chinese Traditional Regimen Exercise Intervention Research Center, Beijing Sport University, Beijing, China. 6. Institute on Aging, Seoul National University, Seoul, South Korea. 7. College of Sport Arts, Guangzhou Sport University, Guangzhou, Guangdong, China.
Abstract
OBJECTIVE: This study was to evaluate the effects of Qigong on clinical motor symptoms, walking ability, and balance of patients with Parkinson's disease. DATA SOURCES: Seven electronic databases (MEDLINE, Web of Science, CINAHL, SportDiscus, Scopus, China National Knowledge Infrastructure, and Wanfang Database) were searched from inception to June 28, 2020. METHODS: Two reviewers independently selected and extracted the data from studies with randomized controlled trial, and effect sizes were calculated by employing random-effect models with 95% confidential interval (CI). We used Physiotherapy Evidence Database scale to evaluate the quality of included studies. RESULTS: A total of seven studies with 325 participants (180 males and 145 females) were included in this meta-analysis. Results of this meta-analysis showed that Qigong had significantly positive effects on motor symptoms (SMD = 0.59, 95% CI [0.24, 0.93]), walking ability (SMD = 0.78, 95% CI [0.10, 1.47]), and balance (SMD = 0.72, 95% CI [0.23, 1.20]) in patients with Parkinson's disease. Subgroup analysis showed Qigong exercise had significant difference on improving motor symptoms and walking ability compared to passive control (P < 0.01), and no significant difference compared to active control. Subgroup analysis of Qigong exercise revealed a significant difference on balance compared to both active and passive control (P < 0.05). In addition, meta-regression result indicated that the effect of Qigong exercise on motor symptoms was influenced by age. CONCLUSION: The findings from current meta-analysis supported Qigong exercise as a beneficial alternative therapy may contribute to increasing motor function, walking ability, and balance for patients with Parkinson's disease.
OBJECTIVE: This study was to evaluate the effects of Qigong on clinical motor symptoms, walking ability, and balance of patients with Parkinson's disease. DATA SOURCES: Seven electronic databases (MEDLINE, Web of Science, CINAHL, SportDiscus, Scopus, China National Knowledge Infrastructure, and Wanfang Database) were searched from inception to June 28, 2020. METHODS: Two reviewers independently selected and extracted the data from studies with randomized controlled trial, and effect sizes were calculated by employing random-effect models with 95% confidential interval (CI). We used Physiotherapy Evidence Database scale to evaluate the quality of included studies. RESULTS: A total of seven studies with 325 participants (180 males and 145 females) were included in this meta-analysis. Results of this meta-analysis showed that Qigong had significantly positive effects on motor symptoms (SMD = 0.59, 95% CI [0.24, 0.93]), walking ability (SMD = 0.78, 95% CI [0.10, 1.47]), and balance (SMD = 0.72, 95% CI [0.23, 1.20]) in patients with Parkinson's disease. Subgroup analysis showed Qigong exercise had significant difference on improving motor symptoms and walking ability compared to passive control (P < 0.01), and no significant difference compared to active control. Subgroup analysis of Qigong exercise revealed a significant difference on balance compared to both active and passive control (P < 0.05). In addition, meta-regression result indicated that the effect of Qigong exercise on motor symptoms was influenced by age. CONCLUSION: The findings from current meta-analysis supported Qigong exercise as a beneficial alternative therapy may contribute to increasing motor function, walking ability, and balance for patients with Parkinson's disease.
Entities:
Keywords:
Parkinson’s disease; Qigong; balance; motor impairment; walking endurance
Authors: Livia P Carvalho; Simon Décary; Isabelle Beaulieu-Boire; Rosalie Dostie; Isabelle Lalonde; Émilie Texier; Laurence Laprise; Elizabeth Pepin; Mélodie Gilbert; Hélène Corriveau; Michel Tousignant Journal: Int J Environ Res Public Health Date: 2021-06-30 Impact factor: 3.390