2023, Volume 19
Intervention effect of taijiquan exercises on the ankle joint of the elderly – meta analysis
Tianqi Liang1, Xiaoquan Zhang1, Yang Wang2, Elena Cherkashina3, Ilia Cherkashin3, Artur Kruszewski4, Marek Kruszewski4
1College of Sports Science, Shenyang Normal University, Shenyang, China
2School of Kinesiology and Health Promotion, Dalian University of Technology, Dalian, China
3School of Physical Education, Hainan Normal University, Haikou, China
4Department of Individual Sports, Jozef Pilsudski University of Physical Education in Warsaw, Warsaw, Poland
Author for correspondence: Ilia Cherkashin; School of Physical Education, Hainan Normal University, Haikou, China; email: 706037@mail.ru
Full text
Abstract
Background and Study Aim: Ankle sprain is the most common sports injury clinically, especially among the elderly. Once injured, it will seriously affect the patient's motor function and quality of life. As a traditional Chinese exercise, tai chi has always been favoured by the masses. The purpose of this systematically review is to know about the effects of tai chi on the ankle joints of the elderly.
Material and Methods: Computer searched PubMed, EMBASE, Web of Science, The Cochrane Library, CNKI, Wanfang database and VIP database for randomized controlled trials on the effects of taijiquan on the ankle joints of the elderly. The retrieval time was from the establishment of the database to December 2022. The software Review Manager 5.3 produced by the Cochrane Collaboration was used for statistical analysis, and continuous variables were expressed by standardized mean differences (SMD). Interval estimates are all with 95% confidence intervals (95% CI); significance level α = 0.05.
Results: A total of 20 literatures were included, with a total of 1,080 subjects. The results of meta analysis showed that after tai chi exercise, the elderly had improved muscle strength [SMD = 1.03, 95% CI (0.73-1.34), p<0.00001], proprioception [SMD = 1.26, 95% CI (0.72-1.80), p<0.00001], balance ability [SMD = 0.68, 95% CI (0.59-0.77), p<0.00001], were better than the control group, with statistical significance.
Conclusions: Tai chi exercise can improve ankle muscle strength, proprioception, and balance in the elderly. In recommendations addressed to people with various diseases particular care should be taken (the review refers to the results of examinations of healthy people) and consultations with specialists in medicine and physiotherapy.
Key words: muscle strength, balance ability, randomized controlled trials, proprioception