Effects of Tai Chi Exercise on Balance Function in Stroke Patients: An Overview of Systematic Review
Background. Tai chi (TC) has received increased attention in stroke rehabilitation, yet services are greatly underutilized. An increasing number of systematic reviews and meta-analyses (SRs/MAs) have begun to investigate the effects of TC on balance function in stroke patients. The aim of this curre...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Neural Plasticity |
| Online Access: | http://dx.doi.org/10.1155/2022/3895514 |
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| author | Caixia Hu Xiaohui Qin Minqing Jiang Miaoqing Tan Shuying Liu Yuhua Lu Changting Lin Richun Ye |
| author_facet | Caixia Hu Xiaohui Qin Minqing Jiang Miaoqing Tan Shuying Liu Yuhua Lu Changting Lin Richun Ye |
| author_sort | Caixia Hu |
| collection | DOAJ |
| description | Background. Tai chi (TC) has received increased attention in stroke rehabilitation, yet services are greatly underutilized. An increasing number of systematic reviews and meta-analyses (SRs/MAs) have begun to investigate the effects of TC on balance function in stroke patients. The aim of this current study was to systematically collate, appraise, and synthesize the results of these SRs/MAs using a systematic overview. Methods. Eight databases were searched: PubMed, Cochrane Library, Embase, Web of Science, CNKI, SinoMed, Chongqing VIP, and Wanfang Data. SRs/MAs of TC on balance function in stroke patients were included. Literature selection, data extraction, and assessment of the review quality were performed by two independent reviewers. Methodological quality was assessed by the Assessing the Methodological Quality of Systematic Reviews 2 (AMSTAR-2), reporting quality by Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), and evidence quality by Grading of Recommendations, Assessment, Development, and Evaluation (GRADE). Results. Nine SRs/MAs were included in this study. For methodological quality, what resulted in unsatisfactory methodological quality was noncompliance with critical item 4 (using a comprehensive literature search strategy) and critical item 7 (providing the list of excluded research literature). For reporting quality, what resulted in unsatisfactory reporting quality was inadequate reporting of Q1 (protocol and registration), Q8 (search), Q15 (risk of bias across studies), Q16 (additional analyses), Q22 (risk of bias across studies), Q23 (additional analysis), and Q27 (funding). For GRADE, the evidence quality was high in 0, moderate in 3, low in 11, and very low in 6. Risk of bias was the most common factor leading to downgrading of evidence, followed by inconsistency, imprecision, publication bias, and indirectness. Conclusions. TC may have beneficial effects on balance function in stroke survivors; however, this finding is limited by the generally low methodology, reporting quality, and evidence quality for published SRs/MAs. |
| format | Article |
| id | doaj-art-7145e32e70664e59a7e7888c5358e8e5 |
| institution | Kabale University |
| issn | 1687-5443 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Neural Plasticity |
| spelling | doaj-art-7145e32e70664e59a7e7888c5358e8e52025-02-03T06:10:55ZengWileyNeural Plasticity1687-54432022-01-01202210.1155/2022/3895514Effects of Tai Chi Exercise on Balance Function in Stroke Patients: An Overview of Systematic ReviewCaixia Hu0Xiaohui Qin1Minqing Jiang2Miaoqing Tan3Shuying Liu4Yuhua Lu5Changting Lin6Richun Ye7Department of NeurologyDepartment of NeurologyDepartment of NeurologyDepartment of NeurologyDepartment of NeurologyDepartment of NeurologyDepartment of NeurologyDepartment of NeurologyBackground. Tai chi (TC) has received increased attention in stroke rehabilitation, yet services are greatly underutilized. An increasing number of systematic reviews and meta-analyses (SRs/MAs) have begun to investigate the effects of TC on balance function in stroke patients. The aim of this current study was to systematically collate, appraise, and synthesize the results of these SRs/MAs using a systematic overview. Methods. Eight databases were searched: PubMed, Cochrane Library, Embase, Web of Science, CNKI, SinoMed, Chongqing VIP, and Wanfang Data. SRs/MAs of TC on balance function in stroke patients were included. Literature selection, data extraction, and assessment of the review quality were performed by two independent reviewers. Methodological quality was assessed by the Assessing the Methodological Quality of Systematic Reviews 2 (AMSTAR-2), reporting quality by Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), and evidence quality by Grading of Recommendations, Assessment, Development, and Evaluation (GRADE). Results. Nine SRs/MAs were included in this study. For methodological quality, what resulted in unsatisfactory methodological quality was noncompliance with critical item 4 (using a comprehensive literature search strategy) and critical item 7 (providing the list of excluded research literature). For reporting quality, what resulted in unsatisfactory reporting quality was inadequate reporting of Q1 (protocol and registration), Q8 (search), Q15 (risk of bias across studies), Q16 (additional analyses), Q22 (risk of bias across studies), Q23 (additional analysis), and Q27 (funding). For GRADE, the evidence quality was high in 0, moderate in 3, low in 11, and very low in 6. Risk of bias was the most common factor leading to downgrading of evidence, followed by inconsistency, imprecision, publication bias, and indirectness. Conclusions. TC may have beneficial effects on balance function in stroke survivors; however, this finding is limited by the generally low methodology, reporting quality, and evidence quality for published SRs/MAs.http://dx.doi.org/10.1155/2022/3895514 |
| spellingShingle | Caixia Hu Xiaohui Qin Minqing Jiang Miaoqing Tan Shuying Liu Yuhua Lu Changting Lin Richun Ye Effects of Tai Chi Exercise on Balance Function in Stroke Patients: An Overview of Systematic Review Neural Plasticity |
| title | Effects of Tai Chi Exercise on Balance Function in Stroke Patients: An Overview of Systematic Review |
| title_full | Effects of Tai Chi Exercise on Balance Function in Stroke Patients: An Overview of Systematic Review |
| title_fullStr | Effects of Tai Chi Exercise on Balance Function in Stroke Patients: An Overview of Systematic Review |
| title_full_unstemmed | Effects of Tai Chi Exercise on Balance Function in Stroke Patients: An Overview of Systematic Review |
| title_short | Effects of Tai Chi Exercise on Balance Function in Stroke Patients: An Overview of Systematic Review |
| title_sort | effects of tai chi exercise on balance function in stroke patients an overview of systematic review |
| url | http://dx.doi.org/10.1155/2022/3895514 |
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