The effects of Tai Chi on lower limb proprioception in adults aged over 55: A systematic review and meta-analysis

Liye ZOU, Jia HAN, Chunxiao LI, Albert YEUNG, Stanley Sai-chuen HUI, William W. N. TSANG, Zhanbing REN, Lin WANG

Research output: Contribution to journalArticles

17 Citations (Scopus)

Abstract

Objective: To summarize and critically evaluate the effects of Tai Chi on lower limb proprioception in adults aged over 55.
Data Sources: Seven databases (Scopus, PubMed, Web of Science, SPORTDiscus, Cochrane Library, Wanfang, and CNKI) were searched from inception until April 14, 2018.
Study Selection: Eleven randomized controlled trials were included for meta-analysis.
Data Extraction: Two independent reviewers screened potentially relevant studies based on the inclusion criteria, extracted data, and assessed methodological quality of the eligible studies using the Physiotherapy Evidence Database (PEDro).
Data Synthesis: The pooled effect size (standardized mean difference, SMD) was calculated while the random-effects model was selected. PEDro scores ranged from 5 to 8 points (mean = 6.7). The study results showed that Tai Chi had significantly positive effects on lower limb joint proprioception. Effect sizes were moderate to large, including ankle plantar flexion (SMD = -0.55, 95% CI -0.9 to -0.2, p = 0.002, I2 = 0%, N = 162), dorsiflexion (SMD = -0.75, 95% CI -1.11 to -0.39, p < 0.001, I2 =0%, N = 162), non-dominant/left knee flexion (SMD = -0.71, 95% CI -1.10 to - 0.41, p< 0.001, I2 = 25.1%, N = 266), dominant/right knee-flexion (SMD = -0.82, 95% CI -1.06 to - 0.58, p < 0.001, I2 = 33.8%, N = 464).
Conclusions: There is moderate to strong evidence suggests that Tai Chi is an effective intervention to maintain and improve lower limb proprioception in adults aged over 55. More robust multi-center studies including oldest-old participants, with longer follow-ups and validated outcome measures are needed before a definitive conclusion is drawn. Copyright © 2018 Published by Elsevier Inc. on behalf of the American Congress of Rehabilitation Medicine.
Original languageEnglish
Pages (from-to)1102-1113
JournalArchives of Physical Medicine and Rehabilitation
Volume100
Issue number6
Early online dateAug 2018
DOIs
Publication statusPublished - Jun 2019

Citation

Zou, L., Han, J., Li, C., Yeung, A., Hui, S. S.-C., Tsang, W. W. N., . . . Wang, L. (2019). The effects of Tai Chi on lower limb proprioception in adults aged over 55: A systematic review and meta-analysis. Archives of Physical Medicine and Rehabilitation, 100(6), 1102-1113. doi: 10.1016/j.apmr.2018.07.425

Keywords

  • Tai Chi
  • Proprioception
  • Lower limb
  • Elderly

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