The effectiveness of Tai Chi for chronic musculoskeletal pain conditions: A systematic review and meta-analysis
Version of Record online: 28 MAY 2009
Copyright © 2009 by the American College of Rheumatology
Arthritis Care & Research
Volume 61, Issue 6, pages 717–724, 15 June 2009
How to Cite
Hall, A., Maher, C., Latimer, J. and Ferreira, M. (2009), The effectiveness of Tai Chi for chronic musculoskeletal pain conditions: A systematic review and meta-analysis. Arthritis & Rheumatism, 61: 717–724. doi: 10.1002/art.24515
- Issue online: 28 MAY 2009
- Version of Record online: 28 MAY 2009
- Manuscript Accepted: 23 FEB 2009
- Manuscript Received: 22 JUL 2008
- PhD scholarship funded by the Australian government
- Research fellowship funded by Australia's National Health and Medical Research Council
- Postdoctoral fellowship from The University of Sydney
To determine whether Tai Chi improves pain, disability, physical performance, and/or health-related quality of life (HRQOL) in people with chronic musculoskeletal pain.
Eight databases were searched for randomized controlled trials (RCTs). Two independent reviewers rated trial quality and extracted trial data. Effect sizes and 95% confidence intervals were calculated for individual trials, and pooled effect sizes were calculated using a random-effects model.
Seven RCTs were selected for inclusion in the review. Of these, 6 studied people with chronic arthritis and 1 studied people with chronic tension headaches. The trials were typically small and of low methodologic quality. The pooled effect size for arthritic populations on a 0–100 scale was 10.1 (range 6.3–13.9) points for pain reduction, and was 9.6 (range 5.2–14.0) points for disability reduction. Additionally, physical performance and HRQOL outcomes favored the Tai Chi intervention, but of these outcomes, only the level of tension and satisfaction with general health were statistically significant.
The available data on the effect of Tai Chi are sparse and derived principally from low-quality studies. These data suggest that Tai Chi has a small positive effect on pain and disability in people with arthritis. The extent to which it benefits other forms of musculoskeletal pain is unclear.