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Tai chi chuan exercise for patients with breast cancer: a systematic review and meta-analysis.

Pan Y, Yang K, Shi X, Liang H, Zhang F, Lv Q - Evid Based Complement Alternat Med (2015)

Bottom Line: No significant differences were observed in pain, interleukin-6, insulin-like growth factor, BMI, physical well-being, social or emotional well-being, or general health-related quality of life.Conclusion.The short-term effects of TCC may have potential benefits in upper limb functional mobility in patients with breast cancer.

View Article: PubMed Central - PubMed

Affiliation: Institute of Medical Psychology, Evidence-Based Medicine Center, Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China.

ABSTRACT
Objective. Tai Chi Chuan (TCC) is a form of aerobic exercise that may be an effective therapy for improving psychosomatic capacity among breast cancer survivors. This meta-analysis analyzed the available randomized controlled trials (RCTs) on the effects of TCC in relieving treatment-related side effects and quality of life in women with breast cancer. Methods. RCTs were searched in PubMed, Embase, Web of Science, and Cochrane Library through April 2014. Data were analyzed on pathology (pain, interleukin-6, and insulin-like growth factor 1), physical capacity (handgrip, limb physical fitness, and BMI), and well-being (physical, social, emotional, and general quality of life). Results. Nine RCTs, including a total of 322 breast cancer patients, were examined. Compared with control therapies, the pooled results suggested that TCC showed significant effects in improving handgrip dynamometer strength, limb elbow flexion (elbow extension, abduction, and horizontal adduction). No significant differences were observed in pain, interleukin-6, insulin-like growth factor, BMI, physical well-being, social or emotional well-being, or general health-related quality of life. Conclusion. The short-term effects of TCC may have potential benefits in upper limb functional mobility in patients with breast cancer. Additional randomized controlled trials with longer follow-up are needed to provide more reliable evidence.

No MeSH data available.


Related in: MedlinePlus

Forest plots of ORs with 95% CI for Tai Chi Chuan versus controls on (a) pain, (b) interleukin-6, (c) insulin-like growth factor, (d) handgrip dynamometer strength (kg), (e) elbow flexion (degrees), (f) elbow, extension (degrees), (g) abduction (degrees), (h) horizontal adduction (degrees), (i) body mass, (j) physical well-being, (k) social well-being, (l) emotional well-being, and (m) general health-related quality of life (random effect model). The width of the horizontal line represents the 95% CI of the individual studies, and the square proportional represents the weight of each study. The diamond represents the pooled OR and 95% CI.
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fig2: Forest plots of ORs with 95% CI for Tai Chi Chuan versus controls on (a) pain, (b) interleukin-6, (c) insulin-like growth factor, (d) handgrip dynamometer strength (kg), (e) elbow flexion (degrees), (f) elbow, extension (degrees), (g) abduction (degrees), (h) horizontal adduction (degrees), (i) body mass, (j) physical well-being, (k) social well-being, (l) emotional well-being, and (m) general health-related quality of life (random effect model). The width of the horizontal line represents the 95% CI of the individual studies, and the square proportional represents the weight of each study. The diamond represents the pooled OR and 95% CI.

Mentions: Three RCTs [4, 14, 16] assessed changes in pain in the TCC intervention and control groups. The outcome measures used to assess pain were a health-related quality of life questionnaire [14, 16] and the SF-36 health survey [14]. No substantial heterogeneity was present between studies (P = 0.91; I2 = 0%]. The pooled results suggested that the TCC group failed to improve pain compared with the control group (SMD −0.11; 95% CI −0.41, 0.18; P = 0.78] (Figure 2(a)) (Table 3).


Tai chi chuan exercise for patients with breast cancer: a systematic review and meta-analysis.

Pan Y, Yang K, Shi X, Liang H, Zhang F, Lv Q - Evid Based Complement Alternat Med (2015)

Forest plots of ORs with 95% CI for Tai Chi Chuan versus controls on (a) pain, (b) interleukin-6, (c) insulin-like growth factor, (d) handgrip dynamometer strength (kg), (e) elbow flexion (degrees), (f) elbow, extension (degrees), (g) abduction (degrees), (h) horizontal adduction (degrees), (i) body mass, (j) physical well-being, (k) social well-being, (l) emotional well-being, and (m) general health-related quality of life (random effect model). The width of the horizontal line represents the 95% CI of the individual studies, and the square proportional represents the weight of each study. The diamond represents the pooled OR and 95% CI.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4352428&req=5

fig2: Forest plots of ORs with 95% CI for Tai Chi Chuan versus controls on (a) pain, (b) interleukin-6, (c) insulin-like growth factor, (d) handgrip dynamometer strength (kg), (e) elbow flexion (degrees), (f) elbow, extension (degrees), (g) abduction (degrees), (h) horizontal adduction (degrees), (i) body mass, (j) physical well-being, (k) social well-being, (l) emotional well-being, and (m) general health-related quality of life (random effect model). The width of the horizontal line represents the 95% CI of the individual studies, and the square proportional represents the weight of each study. The diamond represents the pooled OR and 95% CI.
Mentions: Three RCTs [4, 14, 16] assessed changes in pain in the TCC intervention and control groups. The outcome measures used to assess pain were a health-related quality of life questionnaire [14, 16] and the SF-36 health survey [14]. No substantial heterogeneity was present between studies (P = 0.91; I2 = 0%]. The pooled results suggested that the TCC group failed to improve pain compared with the control group (SMD −0.11; 95% CI −0.41, 0.18; P = 0.78] (Figure 2(a)) (Table 3).

Bottom Line: No significant differences were observed in pain, interleukin-6, insulin-like growth factor, BMI, physical well-being, social or emotional well-being, or general health-related quality of life.Conclusion.The short-term effects of TCC may have potential benefits in upper limb functional mobility in patients with breast cancer.

View Article: PubMed Central - PubMed

Affiliation: Institute of Medical Psychology, Evidence-Based Medicine Center, Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China.

ABSTRACT
Objective. Tai Chi Chuan (TCC) is a form of aerobic exercise that may be an effective therapy for improving psychosomatic capacity among breast cancer survivors. This meta-analysis analyzed the available randomized controlled trials (RCTs) on the effects of TCC in relieving treatment-related side effects and quality of life in women with breast cancer. Methods. RCTs were searched in PubMed, Embase, Web of Science, and Cochrane Library through April 2014. Data were analyzed on pathology (pain, interleukin-6, and insulin-like growth factor 1), physical capacity (handgrip, limb physical fitness, and BMI), and well-being (physical, social, emotional, and general quality of life). Results. Nine RCTs, including a total of 322 breast cancer patients, were examined. Compared with control therapies, the pooled results suggested that TCC showed significant effects in improving handgrip dynamometer strength, limb elbow flexion (elbow extension, abduction, and horizontal adduction). No significant differences were observed in pain, interleukin-6, insulin-like growth factor, BMI, physical well-being, social or emotional well-being, or general health-related quality of life. Conclusion. The short-term effects of TCC may have potential benefits in upper limb functional mobility in patients with breast cancer. Additional randomized controlled trials with longer follow-up are needed to provide more reliable evidence.

No MeSH data available.


Related in: MedlinePlus