Journal of Integrative Nursing (Jan 2024)

The effect of traditional Chinese medicine rehabilitation exercise (pulmonary Daoyin) in patients with chronic obstructive pulmonary disease: A systematic review and meta-analysis

  • Yuyin Chen,
  • Yuhua Qiu,
  • Kaimin Zhou,
  • Ruyi Tan,
  • Wanlin Peng,
  • Xiuhong Long,
  • Meijiang Chen

DOI
https://doi.org/10.4103/jin.jin_153_23
Journal volume & issue
Vol. 6, no. 1
pp. 3 – 14

Abstract

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Objective: Previous research has demonstrated that pulmonary Daoyin could be an efficacious way to ameliorate the physical and psychological state of sufferers with chronic obstructive pulmonary disease (COPD) and bolster the quality of life. However, the results are not consistent. Thus, the objective of this research is to assess the impacts of pulmonary Daoyin in individuals with COPD. Methods: Relevant articles were searched in Web of Science, Cochrane Library, PubMed, EMBASE, SinoMed, CNKI, Wanfang, and VIP from database inception to January 2024. Results: There were a total of 15 randomized controlled trials (RCTs) included in this meta-analysis involving 1732 patients, of which 864 participated in the intervention group and 868 in the control group. When comparing with the control group, the COPD patients practicing pulmonary Daoyin demonstrated a significant improvement in 6 min walking distance (mean difference [MD] = 24.53, 95% confidence interval [CI] [18.55, 30.52], P <0.00001), forced expiratory volume in the 1 s (FEV1) (MD = 0.39, 95% CI [0.18, 0.59], P = 0.0002), percentage of FEV1 to the predicted value (FEV1%) (MD = 5.35, 95% CI [3.22, 7.48], P < 0.0001), the forced vital capacity (FVC) (MD = 0.39, 95% CI [0.06, 0.73], P = 0.02), percentage of FVC to the predicted value (FVC%) (MD = 7.52, 95% CI [4.91, 10.13], P < 0.00001), the ratio of FEV1/FVC (MD = 4.95, 95% CI [0.91, 8.99], P = 0.02), peak expiratory flow rate (standardized MD = 0.98, 95% CI [0.74, 1.22], P < 0.00001), modified Medical Research Council (mMRC) scale (MD= −0.47, 95% CI [−0.89, −0.04], P=0.03), and Borg scale (MD =−0.65, 95% CI [−0.75, −0.55], P < 0.00001). Conclusions: Our findings may illuminate the influence of pulmonary Daoyin on exercise ability, breathlessness, and pulmonary function in COPD patients. More rigorous RCTs with larger samples and longer-term interventions will be required moving forward.

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