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Evidence-Based Complementary and Alternative Medicine
Volume 2015 (2015), Article ID 535237, 15 pages
http://dx.doi.org/10.1155/2015/535237
Review Article

Tai Chi Chuan Exercise for Patients with Breast Cancer: A Systematic Review and Meta-Analysis

1Institute of Medical Psychology, Evidence-Based Medicine Center, Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China
2Dean of Evidence-Based Medicine Center, Evidence-Based Medicine Center, Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China
3Department of Internal Medicine, Gansu Rehabilitaition Center Hospital, Lanzhou, Gansu 730000, China
4Department of Neurosurgery, The Affiliated Hospital of Logistics University of CAPF, Tianjin 300162, China
5The Second Department of Gynaecology, Gansu Province People’s Hospital, Lanzhou, Gansu 730000, China
6Department of Radiology, The Tumor Hospital of Gansu Province, Lanzhou, Gansu 730050, China

Received 17 August 2014; Accepted 21 December 2014

Academic Editor: Waris Qidwai

Copyright © 2015 Yuanqing Pan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. Tai Chi Chuan (TCC) is a form of aerobic exercise that may be an effective therapy for improving psychosomatic capacity among breast cancer survivors. This meta-analysis analyzed the available randomized controlled trials (RCTs) on the effects of TCC in relieving treatment-related side effects and quality of life in women with breast cancer. Methods. RCTs were searched in PubMed, Embase, Web of Science, and Cochrane Library through April 2014. Data were analyzed on pathology (pain, interleukin-6, and insulin-like growth factor 1), physical capacity (handgrip, limb physical fitness, and BMI), and well-being (physical, social, emotional, and general quality of life). Results. Nine RCTs, including a total of 322 breast cancer patients, were examined. Compared with control therapies, the pooled results suggested that TCC showed significant effects in improving handgrip dynamometer strength, limb elbow flexion (elbow extension, abduction, and horizontal adduction). No significant differences were observed in pain, interleukin-6, insulin-like growth factor, BMI, physical well-being, social or emotional well-being, or general health-related quality of life. Conclusion. The short-term effects of TCC may have potential benefits in upper limb functional mobility in patients with breast cancer. Additional randomized controlled trials with longer follow-up are needed to provide more reliable evidence.