Does Tai Chi improve balance and reduce falls incidence in neurological disorders? A systematic review and meta-analysis

Objective: To evaluate the effect of Tai Chi on balance and reducing falls incidence in neurological disorders. Data sources: AMED, Embase, Web of Science, SCOPUS, EBSCO and Medline from inception until February 2018. Review method: Randomized controlled trials of Tai Chi compared with active or no...

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Bibliographic Details
Published in:Clinical rehabilitation 2018-09, Vol.32 (9), p.1157-1168
Main Authors: Winser, Stanley John, Tsang, William WN, Krishnamurthy, Karthikeyan, Kannan, Priya
Format: Article
Language:English
Subjects:
Accidental Falls - prevention & control
Balance
Clinical trials
Confidence intervals
Evidence-based medicine
Exercise Test
Falls
Humans
Martial arts
Meta-analysis
Neurological disorders
Parkinson Disease - physiopathology
Parkinson's disease
Postural Balance - physiology
Stroke - physiopathology
Systematic review
Tai chi
Tai Ji
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Summary:Objective: To evaluate the effect of Tai Chi on balance and reducing falls incidence in neurological disorders. Data sources: AMED, Embase, Web of Science, SCOPUS, EBSCO and Medline from inception until February 2018. Review method: Randomized controlled trials of Tai Chi compared with active or no treatment control, measuring balance with the Berg Balance Scale or the Timed Up and Go Test and number of falls in neurological disorders were included. Methodological quality was assessed using PEDro and quality of evidence using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system. Results: A total of 10 studies involving 720 participants were reviewed. Seven studies were in Parkinson’s disease and three in stroke. Seven studies were of high methodological quality and three were low. Meta-analyses of balance measured with the Timed Up and Go Test in Parkinson’s disease revealed a statistically significant effect of Tai Chi compared to no treatment (weighted mean difference (WMD), –2.13; 95% confidence interval (CI), −3.26 to −1.00; P 
ISSN:0269-2155
1477-0873
DOI:10.1177/0269215518773442