PMID- 36868000 OWN - NLM STAT- MEDLINE DCOM- 20230414 LR - 20230414 IS - 1873-6947 (Electronic) IS - 1744-3881 (Linking) VI - 51 DP - 2023 May TI - Effects of Tai Chi Yunshou on upper-limb function and balance in stroke survivors: A systematic review and meta-analysis. PG - 101741 LID - S1744-3881(23)00022-1 [pii] LID - 10.1016/j.ctcp.2023.101741 [doi] AB - BACKGROUND AND PURPOSE: Physical rehabilitation plays an important role in the recovery of motor function after a stroke. This study aimed to evaluate the effects of Tai Chi Yunshou (TCY), a form of physical therapy, on upper-limb function and balance in stroke survivors. METHODS: MEDLINE, Embase, CENTRAL and five Chinese databases were retrieved from inception to July 1, 2020 (updated on March 31, 2022). Randomized controlled trials of TCY versus no-treatment for stroke were included. The RoB-2 was used to evaluate the quality of included studies. Upper-limb motor impairment, balance, and activities of daily living (ADLs) were measured by Fugl-Meyer Assessment Upper Extremity Scale (FMA-UE), Berg Balance Scale (BBS), and Barthel Index (BI), respectively. Data synthesis was performed using RevMan (v5.3), and expressed as mean difference (MD) with 95% confidence intervals (CI). RESULTS: Seven studies with 529 participants were included. Compared with no-treatment, TCY improved FMA-UE (MD = 7.31, 95% CI: 5.86-8.77, minimal clinically important difference [MCID]: 9-10), BBS (MD = 4.68, 95% CI: 0.28-9.07, MCID: 4), and BI (MD = 4.12, 95% CI: 3.28-4.96, MCID: 1.85) in stroke survivors. CONCLUSION: TCY may benefit balance and ADLs in rehabilitation after a stroke, but it may not improve upper-limb function clinically. CI - Copyright (c) 2023 Elsevier Ltd. All rights reserved. FAU - Feng, Fen AU - Feng F AD - Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China. FAU - Luo, Xiao-Chao AU - Luo XC AD - Chinese Evidence-based Medicine Center and Cochrane China Center, West China Hospital, Sichuan University, Chengdu, China; NMPA Key Laboratory for Real World Data Research and Evaluation in Hainan, Chengdu, China; Sichuan Center of Technology Innovation for Real World Data, Chengdu, China. FAU - Chen, Ya-Jie AU - Chen YJ AD - Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China. FAU - Li, Jia-Jia AU - Li JJ AD - Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, China. FAU - Kang, Hua AU - Kang H AD - Nursing School, Chengdu University of Traditional Chinese Medicine, Chengdu, China. FAU - Yan, Bo-Hua AU - Yan BH AD - Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China. Electronic address: yanbohua@cdutcm.edu.cn. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20230220 PL - England TA - Complement Ther Clin Pract JT - Complementary therapies in clinical practice JID - 101225531 MH - Humans MH - Activities of Daily Living MH - *Stroke Rehabilitation MH - *Tai Ji MH - *Stroke/therapy MH - Upper Extremity MH - Survivors OTO - NOTNLM OT - Postural balance OT - Stroke OT - Systematic review OT - Tai Ji OT - Upper extremity EDAT- 2023/03/04 06:00 MHDA- 2023/04/14 06:42 CRDT- 2023/03/03 18:11 PHST- 2022/04/18 00:00 [received] PHST- 2023/01/31 00:00 [revised] PHST- 2023/02/18 00:00 [accepted] PHST- 2023/04/14 06:42 [medline] PHST- 2023/03/04 06:00 [pubmed] PHST- 2023/03/03 18:11 [entrez] AID - S1744-3881(23)00022-1 [pii] AID - 10.1016/j.ctcp.2023.101741 [doi] PST - ppublish SO - Complement Ther Clin Pract. 2023 May;51:101741. doi: 10.1016/j.ctcp.2023.101741. Epub 2023 Feb 20.