The Effect of Traditional Chinese Medicine Exercises on the Rehabilitation of Patients with Hemiplegia after a Stroke:A Meta-analysis of Randomized Controlled Trials
The objective of this meta-analysis was to evaluate the effectiveness of traditional Chinese medicine (TCM) exercises on the rehabilitation of post-stroke hemiplegic patientsMethods:On retrieving eight databases on a computer,we investigated the results of randomized controlled trials (RCTs) on the efficacy of four TCM exercises (taiji,baduanjin,wuqinxi,and yijining) in the rehabilitation of post-stroke hemiplegic patientsThe Cochrane risk of bias tool was used to estimate the quality of the literatures,and RevMan53 was utilized to analyse the dataResults:A total of 17 articles were included,encompassing 1 000 stroke patientsFour TCM exercise groups were superior to the control group in improving the limb motor functionWithin 30 days,30~60 days,and after 60 days of treatment,the TCM exercise group was superior to the control group in terms of improving the motor function,balance function,and daily living abilityIn terms of improving the lower limb motor function,the TCM exercise group was superior to the control group after 30 days of treatment(436[302,570]); however,there was no significant difference in the FMA-L scores between the two groups within 30 days of treatment(113[-034,261])Within 6 months and after 6 months post stroke,the TCM exercise group was better than the control group at improving the limb motor function,balance function,and daily living abilityIn terms of improving the lower limb motor function,the TCM exercise group was superior to the control group within 6 months after stroke(397[263,531]),but no significant difference was found in the FMA-L scores of the two groups within 7 months(068[-114,250])Conclusion:The results of this meta-analysis revealed that TCM exercises can improve the limb motor function,balance function,and daily living ability in patients with hemiplegia after strokeHowever,because of the lack of literature on lower limb movement,the outcomes of each subgroup were inconsistentTherefore,more RCTs with high-quality,large sample sizes,and multiple measurement time points are required.