Effects of mind-body exercise on knee osteoarthritis : a systematic review and meta-analysis of randomized controlled trials

© 2024. The Author(s)..

OBJECTIVE: To evaluate the effect of mind-body exercise on improving knee osteoarthritis (KOA) and thereby informing osteoarthritis exercise rehabilitation.

METHODS: The China National Knowledge Infrastructure (CNKI), Wanfang, PubMed/Medline, Cochrane Library, Web of Science, EBSCO, Embase, Scopus, and ProQuest databases were searched to identify randomized controlled trials (RCTs) that involved tai chi, yoga, and baduanjin interventions for KOA. The search period ranged from inception to October 25, 2022. The methodological quality of the included studies was evaluated by the Cochrane risk of bias assessment tool, and the included data were statistically analyzed and plotted using Review Manager 5.3 and Stata 14.0 software.

RESULTS: We included 17 articles with a total of 1122 patients. Compared with the control group, mind-body exercise significantly improved patient pain (standardized mean difference (SMD) = -0.65, 95% confidence interval (CI) [-0.87, -0.42], p < 0.00001), stiffness (SMD = -0.75, 95% CI [-1.05, -0.45], p < 0.00001), physical function (SMD = -0.82, 95% CI [-1.03, -0.62], p < 0.00001), mental health (SMD = 0.31, 95% CI [0.11, 0.51], p = 0.002), and depression (SMD = -0.32, 95% CI [-0.50, -0.15], p = 0.0003). In terms of motor ability, mind-body exercise significantly increased the 6-min walking distance (SMD = 18.45, 95% CI [5.80, 31.10], p = 0.004) and decreased timed up and go test time (SMD = -1.15, 95% CI [-1.71, -0.59], p < 0.0001).

CONCLUSIONS: The current study showed that mind-body exercise is safe and effective for KOA patients. However, given the methodological limitations of the included studies, additional high-quality evidence is needed to support the conclusions of this study.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:25

Enthalten in:

BMC musculoskeletal disorders - 25(2024), 1 vom: 22. März, Seite 229

Sprache:

Englisch

Beteiligte Personen:

Qiao, Hujun [VerfasserIn]
Hao, Xin [VerfasserIn]
Wang, Guoxiang [VerfasserIn]

Links:

Volltext

Themen:

Baduanjin
Journal Article
Knee osteoarthritis
Meta-Analysis
Meta-analysis
Mind–body exercise
Systematic Review
Taichi
Yoga

Anmerkungen:

Date Completed 25.03.2024

Date Revised 25.03.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12891-024-07278-4

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370046978