Effectiveness of Tai Chi on fibromyalgia patients: A meta-analysis of randomized controlled trials

Ching An Cheng, Ya Wen Chiu, Dean Wu, Yi Chun Kuan, Sheng Ni Chen, Ka Wai Tam

Research output: Contribution to journalArticle

Abstract

Objective: To identify empirical evidence on the effectiveness of Tai Chi in treating fibromyalgia (FM). Method: We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) to compare the effectiveness of Tai Chi and standard care or conventional therapeutic exercise in patients with FM. PubMed, Medline, and Physiotherapy Evidence Database were searched for relevant studies published before May 2019. Treatment effectiveness was evaluated using the fibromyalgia impact questionnaire (FIQ), and the total score, pain score, sleep quality index, fatigue, depression, and quality of life were assessing among the patients. Results: Six RCTs with 657 patients were included. Results of our meta-analysis indicated that Tai Chi exerts significant positive effects on reducing the total FIQ score at 12–16 weeks (standard mean difference [SMD]: −0.61; 95% confidence interval [CI]: −0.90 to −0.31) and pain score (SMD: −0.88; 95% CI: −1.58 to −0.18), improving sleep quality (SMD: −0.57; 95% CI: −0.86 to −0.28), relieving fatigue (SMD: −0.92; 95% CI: −1.81 to −0.04), alleviating depression (SMD: −0.49; 95% CI: −0.97 to −0.01), and enhancing quality of life physically (SMD: 6.21; 95% CI: 3.18–9.24) and psychologically (SMD: 5.15; 95% CI: 1.50–8.81). Conclusion: Tai Chi exerts significantly greater effects on patients with FM than standard care; therefore, we suggest that Tai Chi can be used as an alternative treatment. However, more large-scale, high-quality, and multicenter trials are required to provide stronger evidence on the effectiveness of Tai Chi, as an alternative to aerobic exercise, compared with conventional therapeutic exercise.

Original languageEnglish
Pages (from-to)1-8
Number of pages8
JournalComplementary Therapies in Medicine
Volume46
DOIs
Publication statusPublished - Oct 1 2019

Fingerprint

Tai Ji
Fibromyalgia
Meta-Analysis
Randomized Controlled Trials
Confidence Intervals
Exercise
Fatigue
Sleep
Quality of Life
Depression
Pain
PubMed
Multicenter Studies
Therapeutics
Databases

Keywords

  • Fibromyalgia
  • Fibromyalgia impact questionnaire
  • Meta-analysis
  • Symptom management
  • Tai Chi

ASJC Scopus subject areas

  • Complementary and Manual Therapy
  • Complementary and alternative medicine
  • Advanced and Specialised Nursing

Cite this

@article{c9b25af355704c1699834bda14392a76,
title = "Effectiveness of Tai Chi on fibromyalgia patients: A meta-analysis of randomized controlled trials",
abstract = "Objective: To identify empirical evidence on the effectiveness of Tai Chi in treating fibromyalgia (FM). Method: We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) to compare the effectiveness of Tai Chi and standard care or conventional therapeutic exercise in patients with FM. PubMed, Medline, and Physiotherapy Evidence Database were searched for relevant studies published before May 2019. Treatment effectiveness was evaluated using the fibromyalgia impact questionnaire (FIQ), and the total score, pain score, sleep quality index, fatigue, depression, and quality of life were assessing among the patients. Results: Six RCTs with 657 patients were included. Results of our meta-analysis indicated that Tai Chi exerts significant positive effects on reducing the total FIQ score at 12–16 weeks (standard mean difference [SMD]: −0.61; 95{\%} confidence interval [CI]: −0.90 to −0.31) and pain score (SMD: −0.88; 95{\%} CI: −1.58 to −0.18), improving sleep quality (SMD: −0.57; 95{\%} CI: −0.86 to −0.28), relieving fatigue (SMD: −0.92; 95{\%} CI: −1.81 to −0.04), alleviating depression (SMD: −0.49; 95{\%} CI: −0.97 to −0.01), and enhancing quality of life physically (SMD: 6.21; 95{\%} CI: 3.18–9.24) and psychologically (SMD: 5.15; 95{\%} CI: 1.50–8.81). Conclusion: Tai Chi exerts significantly greater effects on patients with FM than standard care; therefore, we suggest that Tai Chi can be used as an alternative treatment. However, more large-scale, high-quality, and multicenter trials are required to provide stronger evidence on the effectiveness of Tai Chi, as an alternative to aerobic exercise, compared with conventional therapeutic exercise.",
keywords = "Fibromyalgia, Fibromyalgia impact questionnaire, Meta-analysis, Symptom management, Tai Chi",
author = "Cheng, {Ching An} and Chiu, {Ya Wen} and Dean Wu and Kuan, {Yi Chun} and Chen, {Sheng Ni} and Tam, {Ka Wai}",
year = "2019",
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T1 - Effectiveness of Tai Chi on fibromyalgia patients

T2 - A meta-analysis of randomized controlled trials

AU - Cheng, Ching An

AU - Chiu, Ya Wen

AU - Wu, Dean

AU - Kuan, Yi Chun

AU - Chen, Sheng Ni

AU - Tam, Ka Wai

PY - 2019/10/1

Y1 - 2019/10/1

N2 - Objective: To identify empirical evidence on the effectiveness of Tai Chi in treating fibromyalgia (FM). Method: We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) to compare the effectiveness of Tai Chi and standard care or conventional therapeutic exercise in patients with FM. PubMed, Medline, and Physiotherapy Evidence Database were searched for relevant studies published before May 2019. Treatment effectiveness was evaluated using the fibromyalgia impact questionnaire (FIQ), and the total score, pain score, sleep quality index, fatigue, depression, and quality of life were assessing among the patients. Results: Six RCTs with 657 patients were included. Results of our meta-analysis indicated that Tai Chi exerts significant positive effects on reducing the total FIQ score at 12–16 weeks (standard mean difference [SMD]: −0.61; 95% confidence interval [CI]: −0.90 to −0.31) and pain score (SMD: −0.88; 95% CI: −1.58 to −0.18), improving sleep quality (SMD: −0.57; 95% CI: −0.86 to −0.28), relieving fatigue (SMD: −0.92; 95% CI: −1.81 to −0.04), alleviating depression (SMD: −0.49; 95% CI: −0.97 to −0.01), and enhancing quality of life physically (SMD: 6.21; 95% CI: 3.18–9.24) and psychologically (SMD: 5.15; 95% CI: 1.50–8.81). Conclusion: Tai Chi exerts significantly greater effects on patients with FM than standard care; therefore, we suggest that Tai Chi can be used as an alternative treatment. However, more large-scale, high-quality, and multicenter trials are required to provide stronger evidence on the effectiveness of Tai Chi, as an alternative to aerobic exercise, compared with conventional therapeutic exercise.

AB - Objective: To identify empirical evidence on the effectiveness of Tai Chi in treating fibromyalgia (FM). Method: We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) to compare the effectiveness of Tai Chi and standard care or conventional therapeutic exercise in patients with FM. PubMed, Medline, and Physiotherapy Evidence Database were searched for relevant studies published before May 2019. Treatment effectiveness was evaluated using the fibromyalgia impact questionnaire (FIQ), and the total score, pain score, sleep quality index, fatigue, depression, and quality of life were assessing among the patients. Results: Six RCTs with 657 patients were included. Results of our meta-analysis indicated that Tai Chi exerts significant positive effects on reducing the total FIQ score at 12–16 weeks (standard mean difference [SMD]: −0.61; 95% confidence interval [CI]: −0.90 to −0.31) and pain score (SMD: −0.88; 95% CI: −1.58 to −0.18), improving sleep quality (SMD: −0.57; 95% CI: −0.86 to −0.28), relieving fatigue (SMD: −0.92; 95% CI: −1.81 to −0.04), alleviating depression (SMD: −0.49; 95% CI: −0.97 to −0.01), and enhancing quality of life physically (SMD: 6.21; 95% CI: 3.18–9.24) and psychologically (SMD: 5.15; 95% CI: 1.50–8.81). Conclusion: Tai Chi exerts significantly greater effects on patients with FM than standard care; therefore, we suggest that Tai Chi can be used as an alternative treatment. However, more large-scale, high-quality, and multicenter trials are required to provide stronger evidence on the effectiveness of Tai Chi, as an alternative to aerobic exercise, compared with conventional therapeutic exercise.

KW - Fibromyalgia

KW - Fibromyalgia impact questionnaire

KW - Meta-analysis

KW - Symptom management

KW - Tai Chi

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