Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
Effects of Traditional Chinese Exercise on Mental Health and Physical Function With Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis.
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Ge Beihai, Liao Xianhui, Lai Furui, Luo Jinsong, Wang Zhengdong
Аннотация
BACKGROUND: The application of Traditional Chinese Exercise (TCE) in pulmonary rehabilitation is increasing. However, the effects of TCE on the mental health and physical function of patients with Chronic Obstructive Pulmonary Disease (COPD) remain unclear.
OBJECTIVE: To evaluate the potential effects of TCE on the psychological condition and physical function of patients with COPD and to explore possible moderating factors such as age and exercise duration.
METHODS: We systematically searched PubMed, Web of Science, CNKI, EMBASE, CBM, VIP, Cochrane Library, Wanfang, CINAHL, and Medline. Both manual and computer search methods were used for publications from the journal's inception to December 2024. Literature screening and quality assessment were conducted in accordance with the Cochrane Handbook for Systematic Reviews using the Risk of Bias 2.0 (RoB 2.0) tool.
RESULTS: A total of 32 randomized controlled trials (n = 2434) were included. TCE suggested statistically significant effects of functional capacity (6-minute walk distance), health-related quality of life (St. George's Respiratory Questionnaire and COPD Assessment Test), and mental health and well-being (anxiety and depression). Statistically significant effects were observed for dyspnea and Forced Vital Capacity (FVC), while no significant improvement was found in the Forced Expiratory Volume in one second (FEV1)/FVC ratio. Considerable heterogeneity was observed for most physical and quality of life, whereas heterogeneity for anxiety was low and for depression was moderate-high. Overall adherence to TCE interventions was high.
CONCLUSION: TCE, characterized by gentle and coordinated movements, appears to be a safe, low-cost, and culturally adaptable intervention that may improve physical function and psychological well-being in patients with COPD. However, variations in exercise type and study quality highlight the need for more standardized, high-quality trials to confirm these findings.
TRIAL REGISTRATION: PROSPERO registration: CRD420251007286.
OBJECTIVE: To evaluate the potential effects of TCE on the psychological condition and physical function of patients with COPD and to explore possible moderating factors such as age and exercise duration.
METHODS: We systematically searched PubMed, Web of Science, CNKI, EMBASE, CBM, VIP, Cochrane Library, Wanfang, CINAHL, and Medline. Both manual and computer search methods were used for publications from the journal's inception to December 2024. Literature screening and quality assessment were conducted in accordance with the Cochrane Handbook for Systematic Reviews using the Risk of Bias 2.0 (RoB 2.0) tool.
RESULTS: A total of 32 randomized controlled trials (n = 2434) were included. TCE suggested statistically significant effects of functional capacity (6-minute walk distance), health-related quality of life (St. George's Respiratory Questionnaire and COPD Assessment Test), and mental health and well-being (anxiety and depression). Statistically significant effects were observed for dyspnea and Forced Vital Capacity (FVC), while no significant improvement was found in the Forced Expiratory Volume in one second (FEV1)/FVC ratio. Considerable heterogeneity was observed for most physical and quality of life, whereas heterogeneity for anxiety was low and for depression was moderate-high. Overall adherence to TCE interventions was high.
CONCLUSION: TCE, characterized by gentle and coordinated movements, appears to be a safe, low-cost, and culturally adaptable intervention that may improve physical function and psychological well-being in patients with COPD. However, variations in exercise type and study quality highlight the need for more standardized, high-quality trials to confirm these findings.
TRIAL REGISTRATION: PROSPERO registration: CRD420251007286.