Effects of Tai Chi on Lower Limb Proprioception in Adults Aged Over 55

A Systematic Review and Meta-Analysis

Liye Zou, Jia Han, Chunxiao Li, Albert S. Yeung, Stanley Sai chuen Hui, William W.N. Tsang, Zhanbing Ren, Lin Wang

Research output: Contribution to journalReview article

7 Citations (Scopus)

Abstract

Objective: To summarize and critically evaluate the effects of Tai Chi on lower limb proprioception in adults older than 55. Data sources: Seven databases (Scopus, PubMed, Web of Science, SPORTDiscus, Cochrane Library, Wanfang, CNKI) were searched from inception until April 14, 2018. Study selection: Eleven randomized controlled trials were included for meta-analysis. Data extraction: Two independent reviewers screened potentially relevant studies based on the inclusion criteria, extracted data, and assessed methodological quality of the eligible studies using the Physiotherapy Evidence Database (PEDro). Data synthesis: The pooled effect size (standardized mean difference [SMD]) was calculated while the random-effects model was selected. Physiotherapy Evidence Database scores ranged from 5 to 8 points (mean=6.7). The study results showed that Tai Chi had significantly positive effects on lower limb joint proprioception. Effect sizes were moderate to large, including ankle plantar flexion (SMD=-0.55; 95% confidence interval [95% CI], -0.9 to -0.2; P=.002; I 2=0%; n=162), dorsiflexion (SMD=-0.75; 95% CI, -1.11 to -0.39; P<.001; I 2=0%; n=162), nondominant or left knee flexion (SMD=-0.71; 95% CI, -1.10 to -0.41; P<.001; I 2=25.1%; n=266), dominant or right knee flexion (SMD=-0.82; 95% CI, -1.06 to -0.58; P<.001; I 2=33.8%; n=464). Conclusions: There is moderate to strong evidence that suggests that Tai Chi is an effective intervention to maintain and improve lower limb proprioception in adults older than 55. More robust multicenter studies including oldest-old participants, with longer follow-ups and validated outcome measures, are needed before a definitive conclusion is drawn.

Original languageEnglish
Pages (from-to)1102-1113
Number of pages12
JournalArchives of Physical Medicine and Rehabilitation
Volume100
Issue number6
DOIs
Publication statusPublished - Jun 2019

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Tai Ji
Proprioception
Meta-Analysis
Lower Extremity
Confidence Intervals
Databases
Knee
Information Storage and Retrieval
PubMed
Ankle
Libraries
Multicenter Studies
Randomized Controlled Trials
Joints
Outcome Assessment (Health Care)

Cite this

Zou, Liye ; Han, Jia ; Li, Chunxiao ; Yeung, Albert S. ; Hui, Stanley Sai chuen ; Tsang, William W.N. ; Ren, Zhanbing ; Wang, Lin. / Effects of Tai Chi on Lower Limb Proprioception in Adults Aged Over 55 : A Systematic Review and Meta-Analysis. In: Archives of Physical Medicine and Rehabilitation. 2019 ; Vol. 100, No. 6. pp. 1102-1113.
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title = "Effects of Tai Chi on Lower Limb Proprioception in Adults Aged Over 55: A Systematic Review and Meta-Analysis",
abstract = "Objective: To summarize and critically evaluate the effects of Tai Chi on lower limb proprioception in adults older than 55. Data sources: Seven databases (Scopus, PubMed, Web of Science, SPORTDiscus, Cochrane Library, Wanfang, CNKI) were searched from inception until April 14, 2018. Study selection: Eleven randomized controlled trials were included for meta-analysis. Data extraction: Two independent reviewers screened potentially relevant studies based on the inclusion criteria, extracted data, and assessed methodological quality of the eligible studies using the Physiotherapy Evidence Database (PEDro). Data synthesis: The pooled effect size (standardized mean difference [SMD]) was calculated while the random-effects model was selected. Physiotherapy Evidence Database scores ranged from 5 to 8 points (mean=6.7). The study results showed that Tai Chi had significantly positive effects on lower limb joint proprioception. Effect sizes were moderate to large, including ankle plantar flexion (SMD=-0.55; 95{\%} confidence interval [95{\%} CI], -0.9 to -0.2; P=.002; I 2=0{\%}; n=162), dorsiflexion (SMD=-0.75; 95{\%} CI, -1.11 to -0.39; P<.001; I 2=0{\%}; n=162), nondominant or left knee flexion (SMD=-0.71; 95{\%} CI, -1.10 to -0.41; P<.001; I 2=25.1{\%}; n=266), dominant or right knee flexion (SMD=-0.82; 95{\%} CI, -1.06 to -0.58; P<.001; I 2=33.8{\%}; n=464). Conclusions: There is moderate to strong evidence that suggests that Tai Chi is an effective intervention to maintain and improve lower limb proprioception in adults older than 55. More robust multicenter studies including oldest-old participants, with longer follow-ups and validated outcome measures, are needed before a definitive conclusion is drawn.",
keywords = "Elderly, Lower limb, Proprioception, Rehabilitation, Tai Chi",
author = "Liye Zou and Jia Han and Chunxiao Li and Yeung, {Albert S.} and Hui, {Stanley Sai chuen} and Tsang, {William W.N.} and Zhanbing Ren and Lin Wang",
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Effects of Tai Chi on Lower Limb Proprioception in Adults Aged Over 55 : A Systematic Review and Meta-Analysis. / Zou, Liye; Han, Jia; Li, Chunxiao; Yeung, Albert S.; Hui, Stanley Sai chuen; Tsang, William W.N.; Ren, Zhanbing; Wang, Lin.

In: Archives of Physical Medicine and Rehabilitation, Vol. 100, No. 6, 06.2019, p. 1102-1113.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Effects of Tai Chi on Lower Limb Proprioception in Adults Aged Over 55

T2 - A Systematic Review and Meta-Analysis

AU - Zou, Liye

AU - Han, Jia

AU - Li, Chunxiao

AU - Yeung, Albert S.

AU - Hui, Stanley Sai chuen

AU - Tsang, William W.N.

AU - Ren, Zhanbing

AU - Wang, Lin

PY - 2019/6

Y1 - 2019/6

N2 - Objective: To summarize and critically evaluate the effects of Tai Chi on lower limb proprioception in adults older than 55. Data sources: Seven databases (Scopus, PubMed, Web of Science, SPORTDiscus, Cochrane Library, Wanfang, CNKI) were searched from inception until April 14, 2018. Study selection: Eleven randomized controlled trials were included for meta-analysis. Data extraction: Two independent reviewers screened potentially relevant studies based on the inclusion criteria, extracted data, and assessed methodological quality of the eligible studies using the Physiotherapy Evidence Database (PEDro). Data synthesis: The pooled effect size (standardized mean difference [SMD]) was calculated while the random-effects model was selected. Physiotherapy Evidence Database scores ranged from 5 to 8 points (mean=6.7). The study results showed that Tai Chi had significantly positive effects on lower limb joint proprioception. Effect sizes were moderate to large, including ankle plantar flexion (SMD=-0.55; 95% confidence interval [95% CI], -0.9 to -0.2; P=.002; I 2=0%; n=162), dorsiflexion (SMD=-0.75; 95% CI, -1.11 to -0.39; P<.001; I 2=0%; n=162), nondominant or left knee flexion (SMD=-0.71; 95% CI, -1.10 to -0.41; P<.001; I 2=25.1%; n=266), dominant or right knee flexion (SMD=-0.82; 95% CI, -1.06 to -0.58; P<.001; I 2=33.8%; n=464). Conclusions: There is moderate to strong evidence that suggests that Tai Chi is an effective intervention to maintain and improve lower limb proprioception in adults older than 55. More robust multicenter studies including oldest-old participants, with longer follow-ups and validated outcome measures, are needed before a definitive conclusion is drawn.

AB - Objective: To summarize and critically evaluate the effects of Tai Chi on lower limb proprioception in adults older than 55. Data sources: Seven databases (Scopus, PubMed, Web of Science, SPORTDiscus, Cochrane Library, Wanfang, CNKI) were searched from inception until April 14, 2018. Study selection: Eleven randomized controlled trials were included for meta-analysis. Data extraction: Two independent reviewers screened potentially relevant studies based on the inclusion criteria, extracted data, and assessed methodological quality of the eligible studies using the Physiotherapy Evidence Database (PEDro). Data synthesis: The pooled effect size (standardized mean difference [SMD]) was calculated while the random-effects model was selected. Physiotherapy Evidence Database scores ranged from 5 to 8 points (mean=6.7). The study results showed that Tai Chi had significantly positive effects on lower limb joint proprioception. Effect sizes were moderate to large, including ankle plantar flexion (SMD=-0.55; 95% confidence interval [95% CI], -0.9 to -0.2; P=.002; I 2=0%; n=162), dorsiflexion (SMD=-0.75; 95% CI, -1.11 to -0.39; P<.001; I 2=0%; n=162), nondominant or left knee flexion (SMD=-0.71; 95% CI, -1.10 to -0.41; P<.001; I 2=25.1%; n=266), dominant or right knee flexion (SMD=-0.82; 95% CI, -1.06 to -0.58; P<.001; I 2=33.8%; n=464). Conclusions: There is moderate to strong evidence that suggests that Tai Chi is an effective intervention to maintain and improve lower limb proprioception in adults older than 55. More robust multicenter studies including oldest-old participants, with longer follow-ups and validated outcome measures, are needed before a definitive conclusion is drawn.

KW - Elderly

KW - Lower limb

KW - Proprioception

KW - Rehabilitation

KW - Tai Chi

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UR - http://www.ncbi.nlm.nih.gov/pubmed/30125554

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U2 - 10.1016/j.apmr.2018.07.425

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M3 - Review article

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EP - 1113

JO - Archives of physical medicine

JF - Archives of physical medicine

SN - 0003-9993

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