Comparative efficacy of traditional and modern mind-body exercises in middle-aged and older adults with knee osteoarthritis: a network meta-analysis of randomized controlled trials - Report - MDSpire

Comparative efficacy of traditional and modern mind-body exercises in middle-aged and older adults with knee osteoarthritis: a network meta-analysis of randomized controlled trials

  • By

  • Rui Pan

  • Ao Mi

  • Hui Cheng

  • July 2, 2026

  • 0 min

Share

Clinical Report: Efficacy Comparison of Traditional Versus Contemporary Mind-Body Exercises

Overview

This network meta-analysis evaluates the efficacy of various mind-body exercises for knee osteoarthritis (KOA) in older adults. Key findings indicate that Tai Chi and Wuqinxi significantly reduced WOMAC pain scores, while Pilates significantly improved WOMAC physical function scores, and Baduanjin significantly improved WOMAC stiffness scores.

Background

Knee osteoarthritis (KOA) is a prevalent condition that significantly impacts the quality of life in older adults. Traditional and contemporary mind-body exercises are increasingly recognized as potential non-pharmacological interventions to alleviate symptoms and improve function in KOA patients.

Data Highlights

InterventionOutcomeEffect
Tai ChiWOMAC pain scoreSignificantly reduced
WuqinxiWOMAC pain scoreSignificantly reduced
PilatesWOMAC physical function scoreSignificantly improved
BaduanjinWOMAC stiffness scoreSignificantly improved
Yijinjing, Yoga, Tai ChiMental healthSignificantly improved

Key Findings

  • Tai Chi and Wuqinxi significantly reduced WOMAC pain scores compared to no exercise intervention.
  • Pilates, Baduanjin, and Tai Chi significantly improved WOMAC physical function scores.
  • Baduanjin significantly improved stiffness in KOA patients.
  • Yijinjing, yoga, and Tai Chi significantly improved mental health outcomes.
  • Results should be interpreted with caution due to low certainty in several comparisons.
  • Further high-quality, long-term RCTs are needed to strengthen the evidence base.

Clinical Implications

The findings indicate that specific mind-body exercises target different symptoms of KOA.

Conclusion

This analysis presents various mind-body exercises for managing knee osteoarthritis in older adults. Further research is necessary to confirm these findings.

Related Resources & Content

  1. Frontiers in Digital Health, 2026 -- A mobile intervention to reduce pain and improve health-III: protocol for a remotely delivered randomized controlled trial of physical activity for pain management in older adults with obesity and knee or hip osteoarthritis
  2. Frontiers in Psychiatry, 2026 -- Comparative effectiveness of non-pharmacological interventions on depression and anxiety in aging populations: a systematic review and network meta-analysis of randomized controlled trials
  3. Clinical Rheumatology, 2026 -- Six-session non-operative exercise program yields sustained benefits for up to 18 months in end-stage knee osteoarthritis: a retrospective cohort study
  4. VA/DOD CLINICAL PRACTICE GUIDELINE FOR THE NON-SURGICAL MANAGEMENT OF HIP & KNEE OSTEOARTHRITIS, 2026
  5. Comparative efficacy and safety of exercise modalities in knee osteoarthritis: systematic review and network meta-analysis - PubMed
  6. Clinical Rheumatology — Effectiveness of Home-Based Exercise Therapy on Muscle Strength and Joint Flexibility in Managing Pre-Radiographic Knee Osteoarthritis Among Elderly Individuals: Results from a Randomized Controlled Trial
  7. Study Shows Tai Chi and Physical Therapy Were Equally Helpful for Knee Osteoarthritis | NCCIH
  8. VA/DOD CLINICAL PRACTICE GUIDELINE FOR THE NON-SURGICAL MANAGEMENT OF HIP & KNEE OSTEOARTHRITIS
  9. Comparative efficacy and safety of exercise modalities in knee osteoarthritis: systematic review and network meta-analysis - PubMed
  10. Frontiers | Comparative effectiveness of traditional Chinese exercises for knee osteoarthritis: a systematic review and Bayesian network meta-analysis

Original Source(s)

Related Content