Commentary on the Cochrane review of Tai Chi for rheumatoid arthritis.
Commentary on the Cochrane review of Tai Chi for rheumatoid arthritis.
复制标题
对太极拳治疗类风湿性关节炎的 Cochrane 评论的评论。
DOI：
10.1016/j.explore.2008.04.011
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发表时间：
2008
期刊：
影响因子：
--
通讯作者：
Yeh,GloriaY
中科院分区：
文献类型：
--
作者：
Yeh,GloriaY
背景：类风湿性关节炎（RA）是一种慢性、全身性炎症性自身免疫性疾病，导致肌肉骨骼系统的破坏。治疗的主要目标是减轻疼痛，减少炎症，减缓或阻止关节损伤，预防残疾，保持或改善人的幸福感和功能。太极拳，也被称为太极拳，是一种古老的中国武术形式，在中国被认为是一种有效的关节炎疗法已有几个世纪了。目的：评估太极拳治疗类风湿关节炎的有效性和安全性。检索策略：我们使用Cochrane Collaboration随机对照试验检索策略，检索了Cochrane对照试验注册（CCTR）、MEDLINE、Pedro和CINAHL数据库，检索时间截止到2002年9月。我们还检索了截至2003年12月的中国生物医学数据库和截至2003年12月的北京中国传统医学研究院。选择标准：选择随机对照试验和对照临床试验，检查太极指导或太极哲学原则的锻炼计划的利弊。我们包括不接受治疗、假治疗或其他类型治疗的对照组。数据收集和分析：两位审稿人确定纳入本综述的研究，评定方法学质量，并使用标准化表格提取数据。主要结果：本综述纳入4项试验，共206名受试者。以太极拳为基础的运动项目对疾病活动的大多数结果，包括日常生活活动、关节疼痛和肿胀，以及患者的总体评分，没有临床上重要的或统计上显著的影响。就活动范围而言，太极拳参与者在踝关节足底屈曲方面有统计学意义和临床上重要的改善。没有发现有害影响。一项研究发现，与参加传统ROM运动/休息项目的人相比，参加太极舞蹈项目的人在完成太极拳项目后立即和四个月都报告了更高水平的参与和享受运动。结论：太极不会加重类风湿关节炎的症状。此外，太极拳对风湿性关节炎患者的下肢活动范围，特别是踝关节活动范围有统计学上显著的益处。纳入的研究没有评估对患者报告的疼痛的影响。
ABSTRACT OF THE COCHRANE REVIEWBackground: Rheumatoid arthritis (RA) is a chronic, systemic inflammatory autoimmune disease that results in the destruction of the musculoskeletal system. The major goals of treatment are to relieve pain, reduce inflammation, slow down or stop joint damage, prevent disability, and preserve or improve the person’s sense of well-being and ability to function. Tai Chi, interchangeably known as Tai Chi Chuan, is an ancient Chinese health-promoting martial art form that has been recognized in China as an effective arthritis therapy for centuries. Objectives: To assess the effectiveness and safety of Tai Chi as a treatment for people with RA.Search strategy: We searched the Cochrane Controlled Trials Register (CCTR), MEDLINE, Pedro, and CINAHL databases up to September 2002, using the Cochrane Collaboration search strategy for randomised controlled trials. We also searched the Chinese Biomedical Database up to December 2003 and the Beijing Chinese Academy of Traditional Medicine up to December 2003.Selection criteria: Randomized controlled trials and controlled clinical trials examining the benefits and harms of exercise programs with Tai Chi instruction or incorporating principles of Tai Chi philosophy were selected. We included control groups who received no therapy, sham therapy, or another type of therapy.Data collection and analysis: Two reviewers determined the studies to be included in this review, rated the methodological quality, and extracted data using standardized forms.Main results: Four trials including 206 participants were included in this review. Tai Chi-based exercise programs had no clinically important or statistically significant effect on most outcomes of disease activity, which included activities of daily living, tender and swollen joints, and patient global overall rating. For range of motion, Tai Chi participants had statistically significant and clinically important improvements in ankle plantar flexion. No detrimental effects were found. One study found that compared to people who participated in traditional ROM exercise/rest programs, those in a Tai Chi dance program reported a significantly higher level of participation in and enjoyment of exercise both immediately and four months after completion of the Tai Chi program.Conclusions: The results suggest Tai Chi does not exacerbate symptoms of rheumatoid arthritis. In addition, Tai Chi has statistically significant benefits on lower extremity range of motion, in particular ankle range of motion, for people with RA. The included studies did not assess the effects on patient-reported pain.