Effect of Tai Chi alone or as additional therapy on low back pain: Systematic review and meta-analysis of randomized controlled trials.

摘要: BACKGROUND This is the first systematic review evaluating and statistically synthesis current studies regarding effects of Tai Chi on pain disability in patients with low back (LBP). METHODS Seven electronic databases including PubMed, EMBASE, Web Science, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang VIP information from inception to early March 2019 were searched. The Physiotherapy Evidence Database (PEDro) Scale was used assess quality all included randomized controlled trials (RCTs). pooled effect size (weight mean difference, WMD) 95% confidence interval (CI) calculated determine among LBP based random model. RESULTS aggregated results meta-analysis suggested that significantly decreased (WMD = -1.27, 95%CI -1.50 -1.04, P < .00001, I = 74%) improve function disability, Oswestry index (ODI) subitems: intensity (WMD = -1.70, CI -2.63 -0.76, P = .0004, I = 89%); personal care (WMD = -1.93, -2.86 -1.00, P < .0001, I = 90%); lifting (WMD = -1.69, -2.22 -1.15, I = 66%); walking (WMD = -2.05, -3.05 -1.06, I = 88%); standing -2.51 -0.89, I = 84%); sleeping (WMD = -2.98, -3.73 -2.22, I = 80%); social life (WMD = -2.06, -2.77 -1.35, P < 0.00001, I = 80%) traveling (WMD = -2.20, -3.21 -1.19, I = 90%), Japanese Orthopedic Association (JOA) score (WMD = 7.22, 5.59-8.86, I = 0%), Medical Outcomes Study Questionnaire Short Form 36 Health Survey (SF-36) physical functioning (WMD = 3.30, 1.92-4.68, P < .00001), Roland-Morris Disability (RMDQ) (WMD = -2.19, -2.56 -1.82, P < .00001). CONCLUSION We drew a cautious conclusion alone or as additional therapy routine may decrease for LBP. Further are needed be conducted our suggestions mentioned review.