Table_1_Effects of traditional Chinese exercises or their integration with medical treatments on cognitive impairment: a network meta-analysis based on randomized controlled trials.docx

ObjectiveThis study aims to summarize and critically evaluate the effects of traditional Chinese exercises, both in isolation and in combination with medical treatments, on cognitive impairment.MethodsA systematic search of academic databases, including PubMed, Embase, Web of Science, Cochrane Library, CNKI, Wanfang, and VIP, was conducted to identify the randomized controlled trials (RCTs) that evaluated traditional Chinese exercises and their integration with medical treatments for addressing cognitive impairment. Study quality was assessed using the Cochrane Handbook’s Risk of Bias tool. A total of 24 RCTs involving 1,808 participants were included. The primary outcome measures were the Montreal Cognitive Assessment (MOCA) and the Mini-Mental State Examination (MMSE). Subgroup analyses were performed to compare the intervention effects.ResultsThe network meta-analysis revealed that acupuncture combined with Tai Chi (Aandtaiji) showed the most significant improvement in MOCA scores, followed by Qigong. Tai Chi soft ball exercise (Taijiball) demonstrated the greatest improvement in MMSE scores.ConclusionThe combination of traditional Chinese exercises with medical treatment is more effective in improving MOCA scores, while traditional exercises alone yield better results to enhance MMSE scores. The extended practice of Tai Chi and Qigong enhances cognitive function in patients with cognitive impairment.

研究目的本项研究旨在对传统中医锻炼的效果进行总结和批判性评估，包括单独进行以及与医疗治疗相结合的情况，以探讨其对认知障碍的影响。研究方法对PubMed、Embase、Web of Science、Cochrane Library、CNKI、万方和VIP等学术数据库进行了系统检索，以识别评估传统中医锻炼及其与医疗治疗相结合治疗认知障碍的随机对照试验（RCTs）。研究质量评估采用了Cochrane手册中的偏倚风险工具。共纳入了24项RCTs，涉及1,808名参与者。主要结局指标为蒙特利尔认知评估（MOCA）和简易精神状态检查（MMSE）。进行了亚组分析，以比较干预效果。研究结果网络Meta分析显示，针灸结合太极（Aandtaiji）在MOCA评分方面的改善最为显著，其次是气功。太极球操（Taijiball）在MMSE评分方面的改善最为显著。结论将传统中医锻炼与医疗治疗相结合，在提高MOCA评分方面更为有效，而单独进行传统锻炼则对提升MMSE评分更为有益。长期练习太极和气功有助于提高认知障碍患者的认知功能。