Table_2_Effects of traditional Chinese exercises or their integration with medical treatments on cognitive impairment: a network meta-analysis based on randomized controlled trials.xlsx

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养生功法在单独应用及与医疗治疗相结合的情况下，对认知功能障碍的影响进行总结与批判性评估。研究方法通过对PubMed、Embase、Web of Science、Cochrane Library、CNKI、万方和VIP等学术数据库进行系统检索，识别评估传统中医养生功法及其与医疗治疗相结合应用于改善认知功能障碍的随机对照试验（RCTs）。研究质量评估采用Cochrane手册中的偏倚风险评估工具。共纳入24项RCTs，涉及1808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，以比较干预措施的效果。研究结果网络Meta分析显示，针灸结合太极（Aandtaiji）在MOCA评分上显示出最显著的改善，其次是气功。太极软球练习（Taijiball）在MMSE评分上表现出最大的改善。结论将传统中医养生功法与医疗治疗相结合，在提高MOCA评分方面更为有效，而单独的养生功法则在提升MMSE评分方面显示出更佳的成效。长期练习太极与气功能够增强认知功能障碍患者的认知功能。