Cargando…

Traditional Chinese Mind and Body Exercises for Neck Pain: A Meta-Analysis of Randomized Controlled Trials

BACKGROUND: Neck pain is common and can have a significant impact on patients' physical functionality, mobility, and quality of life (QOL). In clinical practice, traditional Chinese mind and body exercise (TCMBE) is a combination of different types of exercise based on traditional Chinese medic...

Descripción completa

Detalles Bibliográficos
Autores principales: Xie, Yu-Hua, Liao, Man-Xia, Wang, Mao-Yuan, Fernando, W. C. Hewith A., Gu, Yue-Ming, Wang, Xue-Qiang, Liao, Lin-Rong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8500771/
https://www.ncbi.nlm.nih.gov/pubmed/34630786
http://dx.doi.org/10.1155/2021/5426595
_version_ 1784580516654088192
author Xie, Yu-Hua
Liao, Man-Xia
Wang, Mao-Yuan
Fernando, W. C. Hewith A.
Gu, Yue-Ming
Wang, Xue-Qiang
Liao, Lin-Rong
author_facet Xie, Yu-Hua
Liao, Man-Xia
Wang, Mao-Yuan
Fernando, W. C. Hewith A.
Gu, Yue-Ming
Wang, Xue-Qiang
Liao, Lin-Rong
author_sort Xie, Yu-Hua
collection PubMed
description BACKGROUND: Neck pain is common and can have a significant impact on patients' physical functionality, mobility, and quality of life (QOL). In clinical practice, traditional Chinese mind and body exercise (TCMBE) is a combination of different types of exercise based on traditional Chinese medicine, including qigong, tai chi, the 12-words-for-life-nurturing exercise, and so on, and many studies have found that it is safe and effective at helping patients with neck pain. OBJECTIVE: The aim of this study was to investigate the effectiveness of TCMBE on pain intensity, functional mobility, and QOL in individuals with neck pain. METHODS: The PubMed, MEDLINE, PEDro, and Embase databases were systematically searched for relevant studies. Randomized controlled trials reporting the effects of TCMBE on pain intensity, functional mobility, and QOL in individuals with neck pain were included. Screening, data extraction, and literature quality assessments were performed independently by two reviewers. RevMan5.4 software was used for data analysis. RESULTS: Six studies with 716 participants met the inclusion criteria. Compared with the control groups, TCMBE had no therapeutic advantage in improving pain intensity (visual analogue scale: mean difference (MD) = 1.8, 95% confidence interval (CI): −7.70 to 11.46, and P = 0.70); functional mobility (neck disability index: MD = 0.15, 95% CI: −6.37 to 6.66, and P = 0.96; neck pain and disability scale: MD = 1.31, 95% CI: −4.10 to 6.71, and P = 0.64); or 36-item short-form health survey (SF-36) scores for physical function (MD = 5.58, 95% CI: −8.03 to 19.18, and P = 0.42), general health (MD = 1.87, 95% CI: −4.99 to 8.72, and P = 0.59), body pain (MD = 2.26, 95% CI: −3.80 to 8.32, and P = 0.46), vitality (MD = 6.24, 95% CI: −1.49 to 13.98, and P = 0.11), social function (MD = 8.06, 95% CI: −4.85 to 20.98, and P = 0.22), role physical (MD = –1.46, 95% CI: −8.54 to 5.62, and P = 0.69), or role emotional (MD = 6.5, 95% CI: −3.45 to 16.45, and P = 0.2). However, TCMBE was less effective at improving mental health results based on the SF-36 survey (MD = 3.37, 95% CI: 0.5 to 6.24, and P = 0.02). CONCLUSIONS: Based on the meta-analysis, there is insufficient evidence to support the clinical use of TCMBE in improving pain intensity and enhancing functional mobility and QOL in individuals with neck pain.
format Online
Article
Text
id pubmed-8500771
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-85007712021-10-09 Traditional Chinese Mind and Body Exercises for Neck Pain: A Meta-Analysis of Randomized Controlled Trials Xie, Yu-Hua Liao, Man-Xia Wang, Mao-Yuan Fernando, W. C. Hewith A. Gu, Yue-Ming Wang, Xue-Qiang Liao, Lin-Rong Pain Res Manag Review Article BACKGROUND: Neck pain is common and can have a significant impact on patients' physical functionality, mobility, and quality of life (QOL). In clinical practice, traditional Chinese mind and body exercise (TCMBE) is a combination of different types of exercise based on traditional Chinese medicine, including qigong, tai chi, the 12-words-for-life-nurturing exercise, and so on, and many studies have found that it is safe and effective at helping patients with neck pain. OBJECTIVE: The aim of this study was to investigate the effectiveness of TCMBE on pain intensity, functional mobility, and QOL in individuals with neck pain. METHODS: The PubMed, MEDLINE, PEDro, and Embase databases were systematically searched for relevant studies. Randomized controlled trials reporting the effects of TCMBE on pain intensity, functional mobility, and QOL in individuals with neck pain were included. Screening, data extraction, and literature quality assessments were performed independently by two reviewers. RevMan5.4 software was used for data analysis. RESULTS: Six studies with 716 participants met the inclusion criteria. Compared with the control groups, TCMBE had no therapeutic advantage in improving pain intensity (visual analogue scale: mean difference (MD) = 1.8, 95% confidence interval (CI): −7.70 to 11.46, and P = 0.70); functional mobility (neck disability index: MD = 0.15, 95% CI: −6.37 to 6.66, and P = 0.96; neck pain and disability scale: MD = 1.31, 95% CI: −4.10 to 6.71, and P = 0.64); or 36-item short-form health survey (SF-36) scores for physical function (MD = 5.58, 95% CI: −8.03 to 19.18, and P = 0.42), general health (MD = 1.87, 95% CI: −4.99 to 8.72, and P = 0.59), body pain (MD = 2.26, 95% CI: −3.80 to 8.32, and P = 0.46), vitality (MD = 6.24, 95% CI: −1.49 to 13.98, and P = 0.11), social function (MD = 8.06, 95% CI: −4.85 to 20.98, and P = 0.22), role physical (MD = –1.46, 95% CI: −8.54 to 5.62, and P = 0.69), or role emotional (MD = 6.5, 95% CI: −3.45 to 16.45, and P = 0.2). However, TCMBE was less effective at improving mental health results based on the SF-36 survey (MD = 3.37, 95% CI: 0.5 to 6.24, and P = 0.02). CONCLUSIONS: Based on the meta-analysis, there is insufficient evidence to support the clinical use of TCMBE in improving pain intensity and enhancing functional mobility and QOL in individuals with neck pain. Hindawi 2021-10-01 /pmc/articles/PMC8500771/ /pubmed/34630786 http://dx.doi.org/10.1155/2021/5426595 Text en Copyright © 2021 Yu-Hua Xie et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Xie, Yu-Hua
Liao, Man-Xia
Wang, Mao-Yuan
Fernando, W. C. Hewith A.
Gu, Yue-Ming
Wang, Xue-Qiang
Liao, Lin-Rong
Traditional Chinese Mind and Body Exercises for Neck Pain: A Meta-Analysis of Randomized Controlled Trials
title Traditional Chinese Mind and Body Exercises for Neck Pain: A Meta-Analysis of Randomized Controlled Trials
title_full Traditional Chinese Mind and Body Exercises for Neck Pain: A Meta-Analysis of Randomized Controlled Trials
title_fullStr Traditional Chinese Mind and Body Exercises for Neck Pain: A Meta-Analysis of Randomized Controlled Trials
title_full_unstemmed Traditional Chinese Mind and Body Exercises for Neck Pain: A Meta-Analysis of Randomized Controlled Trials
title_short Traditional Chinese Mind and Body Exercises for Neck Pain: A Meta-Analysis of Randomized Controlled Trials
title_sort traditional chinese mind and body exercises for neck pain: a meta-analysis of randomized controlled trials
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8500771/
https://www.ncbi.nlm.nih.gov/pubmed/34630786
http://dx.doi.org/10.1155/2021/5426595
work_keys_str_mv AT xieyuhua traditionalchinesemindandbodyexercisesforneckpainametaanalysisofrandomizedcontrolledtrials
AT liaomanxia traditionalchinesemindandbodyexercisesforneckpainametaanalysisofrandomizedcontrolledtrials
AT wangmaoyuan traditionalchinesemindandbodyexercisesforneckpainametaanalysisofrandomizedcontrolledtrials
AT fernandowchewitha traditionalchinesemindandbodyexercisesforneckpainametaanalysisofrandomizedcontrolledtrials
AT guyueming traditionalchinesemindandbodyexercisesforneckpainametaanalysisofrandomizedcontrolledtrials
AT wangxueqiang traditionalchinesemindandbodyexercisesforneckpainametaanalysisofrandomizedcontrolledtrials
AT liaolinrong traditionalchinesemindandbodyexercisesforneckpainametaanalysisofrandomizedcontrolledtrials