A systematic review and meta-analysis of Tai Chi for osteoarthritis of the knee

Lauche, R; Langhorst, J; Dobos, G; Cramer, H

A systematic review and meta-analysis of Tai Chi for osteoarthritis of the knee

Lauche, R

Langhorst, J Dobos, G Cramer, H

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Publication Type:: Journal Article
Citation:: Complementary Therapies in Medicine, 2013, 21 (4), pp. 396 - 406
Issue Date:: 2013-08-01

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Field	Value	Language
dc.contributor.author	Lauche, R https://orcid.org/0000-0002-4171-7935	en_US
dc.contributor.author	Langhorst, J	en_US
dc.contributor.author	Dobos, G	en_US
dc.contributor.author	Cramer, H https://orcid.org/0000-0002-3640-8046	en_US
dc.date.available	2013-06-05	en_US
dc.date.issued	2013-08-01	en_US
dc.identifier.citation	Complementary Therapies in Medicine, 2013, 21 (4), pp. 396 - 406	en_US
dc.identifier.issn	0965-2299	en_US
dc.identifier.uri	http://hdl.handle.net/10453/116649
dc.description.abstract	Objectives: This paper aimed to systematically review and meta-analyze the effectiveness of Tai Chi for osteoarthritis of the knee. Methods: MEDLINE, the Cochrane Library, EMBASE, Scopus, PsycInfo and CAMBASE were screened through April 2013. Randomized controlled trials (RCTs) comparing Tai Chi to control conditions were included. Two authors independently assessed risk of bias using the risk of bias tool recommended by the Cochrane Back Review Group. Outcome measures included pain, physical functional, joint stiffness, quality of life, and safety. For each outcome, standardized mean differences and 95% confidence intervals were calculated. Results: 5 RCTs with a total of 252 patients were included. Four studies had a low risk of bias. Analysis showed moderate overall evidence for short-term effectiveness for pain, physical function, and stiffness. Strong evidence was found for short-term improvement of the physical component of quality of life. No long-term effects were observed. Tai Chi therapy was not associated with serious adverse events. Conclusion: This systematic review found moderate evidence for short-term improvement of pain, physical function and stiffness in patients with osteoarthritis of the knee practicing Tai Chi. Assuming that Tai Chi is at least short-term effective and safe it might be preliminarily recommended as an adjuvant treatment for patients with osteoarthritis of the knee. More high quality RCTs are urgently needed to confirm these results. © 2013 Elsevier Ltd.	en_US
dc.relation.ispartof	Complementary Therapies in Medicine	en_US
dc.relation.isbasedon	10.1016/j.ctim.2013.06.001	en_US
dc.subject.classification	Complementary & Alternative Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Osteoarthritis, Knee	en_US
dc.subject.mesh	Tai Ji	en_US
dc.title	A systematic review and meta-analysis of Tai Chi for osteoarthritis of the knee	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	21	en_US
utslib.for	1104 Complementary and Alternative Medicine	en_US
utslib.for	1701 Psychology	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	21	en_US

Abstract:

Objectives: This paper aimed to systematically review and meta-analyze the effectiveness of Tai Chi for osteoarthritis of the knee. Methods: MEDLINE, the Cochrane Library, EMBASE, Scopus, PsycInfo and CAMBASE were screened through April 2013. Randomized controlled trials (RCTs) comparing Tai Chi to control conditions were included. Two authors independently assessed risk of bias using the risk of bias tool recommended by the Cochrane Back Review Group. Outcome measures included pain, physical functional, joint stiffness, quality of life, and safety. For each outcome, standardized mean differences and 95% confidence intervals were calculated. Results: 5 RCTs with a total of 252 patients were included. Four studies had a low risk of bias. Analysis showed moderate overall evidence for short-term effectiveness for pain, physical function, and stiffness. Strong evidence was found for short-term improvement of the physical component of quality of life. No long-term effects were observed. Tai Chi therapy was not associated with serious adverse events. Conclusion: This systematic review found moderate evidence for short-term improvement of pain, physical function and stiffness in patients with osteoarthritis of the knee practicing Tai Chi. Assuming that Tai Chi is at least short-term effective and safe it might be preliminarily recommended as an adjuvant treatment for patients with osteoarthritis of the knee. More high quality RCTs are urgently needed to confirm these results. © 2013 Elsevier Ltd.

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http://hdl.handle.net/10453/116649