Objective:

To compare the relative effectiveness of different traditional Chinese exercise modalities with standard care for improving post-stroke motor outcomes.

Approach:

• Literature Search: Systematic search of multiple databases for RCTs evaluating traditional Chinese exercises for post-stroke motor dysfunction.
• Inclusion Criteria: Adults with clinically diagnosed ischemic or hemorrhagic stroke in acute, subacute, or chronic stages.
• Outcome Measures: Primary outcomes: upper- and lower-extremity motor function (FMA-UE, FMA-LE); Secondary outcomes: balance function (BBS), activities of daily living (BI).
• Analysis Method: Bayesian network meta-analysis performed, with intervention rankings estimated using SUCRA.

Key Findings:

• Tai Chi and Wuqinxi showed statistically significant improvements in FMA-UE scores compared to standard care.
• Baduanjin, Tai Chi, and Wuqinxi improved FMA-LE scores significantly.
• All four exercise modalities significantly improved BBS and BI scores.
• Tai Chi ranked highest for improving FMA-UE, Wuqinxi for FMA-LE, Yijinjing for BBS, and Baduanjin for BI.

Interpretation:

The study provides evidence regarding the effectiveness of traditional Chinese exercises in enhancing motor function in stroke survivors.

Limitations:

• Heterogeneity in intervention protocols and outcome measures across trials.
• Lack of direct head-to-head comparisons among different exercise modalities.

Conclusion:

Traditional Chinese exercises may serve as adjunctive therapies for improving motor function in stroke survivors.

Sources:

• Systematic Review Registration