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Background
Osteoarthritis (OA) of the knee is one of the most common chronic degenerative joint diseases, and a multi-disciplinary approach to educating patients with OA knee are effective in symptoms management. Tai Chi exercise is a novel approach to relieving knee OA symptoms. Combining both educational program and Tai Chi has not yet been explo...
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Introduction:
Health-related quality of life (HRQL), pain and sleep have been described as relevant traits in patients with human immunodeficiency virus (HIV). The aim of this study is to describe and evaluate HRQL, pain and sleep and their interdependence in HIV-positive patients.
Methods:
A cross-sectional study on HIV-infected patients was co...
Citations
... 5,8,9 Furthermore, a substantial body of clinical studies corroborates its beneficial effects. [16][17][18] In recent years, several published randomized controlled trials (RCT) and systematic reviews (SRs) have demonstrated the advantages of Tai Chi for KOA patients. The methodological inconsistencies and controversial conclusions in systematic reviews limit their utility as therapeutic guides, with mixed findings regarding Tai Chi's effectiveness in treating KOA and some studies indicating evidence quality issues. ...
Background
Knee Osteoarthritis (KOA) has become a serious health issue for elderly patients. Several systematic reviews (SRs) have reported Tai Chi has widely been used in the treatment of KOA. However, the methodology and conclusions of these SRs are controversial. This overview aims to summarize and evaluate the available evidence for the efficacy and safety of Tai Chi for KOA.
Methods
Two independent researchers searched eight databases from the inception to April 30, 2022. The included SRs were assessed respectively by A Measurement Tool to Assess Systematic Reviews (AMSTAR) 2, the Risk of Bias in Systematic Reviews (ROBIS) tool, and the Preferred Reporting Item for Systematic Review and Meta-analysis (PRISMA) statement. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) tool was used to assess the quality of the included SRs in terms of outcome indicators.
Results
Six SRs were finally included in this overview. The results of methodological quality, reporting quality, and risk of bias of the included SRs were generally unsatisfactory. The limitations were a lack of explaining the reasons for selection, a list of excluded literature, reporting bias assessment, and reporting the potential sources of conflict of interest. In addition, only 1 item was assessed as moderate quality by using the GRADE tool. Limitations were the most common downgraded factors.
Conclusion
Tai Chi is effective as a non-pharmacological intervention in the integrative treatment of KOA. However, the quality of evidence and methodological quality of SRs is generally unsatisfactory, suggesting that these results must be interpreted with caution.
Trial Registration/Protocol Registration
PROSPERO registration number: CRD42022315146.
... KOA can cause symptoms such as pain, stiffness, and loss of function, and is a high-risk factor for disability in the elderly [45]. The WOMAC is a standardized questionnaire that has been widely used to assess the physical condition of patients with KOA in three areas: pain, stiffness, and function [46]. Our study showed that among the 13 mind-body therapies, Baduanjin is quite effective in reducing WOMAC in patients with KOA. ...
... This is similar to the findings of Zhi-peng Zeng, Fenglan Wang, and Ruojin Li, and the study demonstrated that Baduanjin is a safe and effective exercise program for intervention in KOA [17,47,48]. In addition, Kevin Ki-Wai Ho's study applied Baduanjin to 112 patients with KOA in the community, and after 6 months, the patients had a significant reduction in WOMAC without any adverse events [46]. AN Bing-Chen's study found in a follow-up study of 28 patients with KOA who consistently participated in Bajuanjin exercises that the patients showed significant improvements in all three aspects of WOMAC (pain, stiffness, and function) after one year and that for KOA patients Bajuanjin was a safe and viable option [49]. ...
Introduction
Knee osteoarthritis (KOA) is a frequent degenerative condition. Patients with KOA have employed mind-body therapies frequently, and their efficacy has been established. The main purpose of our study is to compare the effects of different mind-body therapies on patients with KOA.
Material and methods
Only randomized controlled trials (RCTs) were gathered through searches in the Cochrane Library, PubMed, EBSCO, Web of Science, Medline, and Embase to investigate the effects of various mind-body therapies on effect in KOA patients. The Cochrane bias risk assessment tool was used to assess the methodological quality of the included studies, and the data analysis program was then used to analyze the data in accordance.
Results
The study used an overall sample size of 859 from a total of 17 RCTs. In addition, a total of 13 different mind-body therapies were included in our study. According to the network meta-findings, analysis's patients' scores on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) can be significantly improved by Baduanjin (SUCRA:98.3%), the Time Up and Go (TUG) Test can be significantly decreased by balance training (SUCRA:99.4%), the 36-Item Short Form Health Survey questionnaire's mental health component can be significantly improved by MBSR (SUCRA:87.9%), and balance training can significantly improve patients’ physical health component of SF-36 (SUCRA:90.3%).
Conclusions
According to the Network's Ranking Plot, Bajuanjin or Balance Training and MBSR can offer patients with KOA higher benefits for motor function or quality of life than other mind-body therapies. The medical staff can choose different mind-body therapies according to the patient's actual condition.
... Traditional Chinese non-pharmacological therapies refers to a series of external therapies under the guidance of traditional Chinese medicine theory. Many studies support the benefits of traditional Chinese non-pharmacological therapies including acupuncture, Tai Chi, moxibustion, and many others, which not only improves pain, depression (Zhang and Yuan, 2020;Ho et al., 2021), and sleep quality , but also helps reduce the operation rates (Gang et al., 2020) and the financial burden on patients. A survey shows that acupuncture as an intervention method of KOA was expected to save 100,000 pounds per year . ...
Objective
The benefits of traditional Chinese non-pharmacological therapies in the treatment of Knee osteoarthritis (KOA) are receiving increasing attention. Therefore, this study aims to systematically analyze the global research on the treatment of KOA by Chinese traditional non-pharmacological therapies using bibliometric analysis and present the results with a knowledge map form.
Methods
Literature related to traditional Chinese non-pharmacological therapies used in the treatment of KOA from 2012 to 2022 was searched from the Web of Science core database and PubMed database. CiteSpace, SCImago Graphica and VOSviewer were used to extract nations, institutions, journals, authors, references, keywords, as well as the most widely used acupoints, therapies and evaluation indexes.
Results
A total of 375 literature have been included. 32 countries around the world have participated in the research. China, the United States, and Europe were at the center of the global cooperation network. The most prolific institutions and authors were from China represented by Cun-zhi Liu and Jian-feng Tu of Beijing University of Chinese Medicine, the institution with the highest cited frequency was University of York, and “Osteoarthritis Cartilage” was the most frequently cited journal. The most frequently cited literature was “OARSI guidelines for the non-surgical management of knee, hip, and poly articular osteoarthritis.” 22 kinds of Chinese non-pharmacological therapies were used to treat KOA, among which acupuncture was the most commonly used one, and ST36 (Zusanli) and WOMAC were the most commonly selected acupoint and evaluation index.
Conclusion
In the past decade, the value of Chinese non-pharmacological therapies in the treatment of KOA has received widespread attention. It was a common concern of global researchers to relieve the pain of KOA patients and restore the quality of life. Under the background that acupuncture accounts for a relatively high proportion, the next step may consider how to make the balanced development of a variety of Chinese non-pharmacological therapies. In addition, the problem of how to eliminate the placebo effect maybe the direction of future research.
