Tai Chi Chuan for cardiac rehabilitation in patients with coronary arterial disease.
BACKGROUND
Several studies have shown that Tai Chi Chuan can improve cardiac function in patients with heart disease.


OBJECTIVE
To conduct a systematic review of the literature to assess the effects of Tai Chi Chuan on cardiac rehabilitation for patients with coronary artery disease.


METHODS
We performed a search for studies published in English, Portuguese and Spanish in the following databases: MEDLINE, EMBASE, LILACS and Cochrane Register of Controlled Trials. Data were extracted in a standardized manner by three independent investigators, who were responsible for assessing the methodological quality of the manuscripts.


RESULTS
The initial search found 201 studies that, after review of titles and abstracts, resulted in a selection of 12 manuscripts. They were fully analyzed and of these, nine were excluded. As a final result, three randomized controlled trials remained. The studies analyzed in this systematic review included patients with a confirmed diagnosis of coronary artery disease, all were clinically stable and able to exercise. The three experiments had a control group that practiced structured exercise training or received counseling for exercise. Follow-up ranged from 2 to 12 months.


CONCLUSIONS
Preliminary evidence suggests that Tai Chi Chuan can be an unconventional form of cardiac rehabilitation, being an adjunctive therapy in the treatment of patients with stable coronary artery disease. However, the methodological quality of the included articles and the small sample sizes clearly indicate that new randomized controlled trials are needed in this regard.
Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
Rosane Maria
RM
Nery
Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
Maurice
M
Zanini
Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
Juliana Nery
JN
Ferrari
Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
César Augusto
CA
Silva
Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
Leonardo Fontanive
LF
Farias
Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
João Carlos
JC
Comel
Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
Karlyse Claudino
KC
Belli
Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
Anderson Donelli da
AD
Silveira
Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Antonio Cardoso
AC
Santos
Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
Ricardo
R
Stein
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015982:Bias; D003324:Coronary Artery Disease / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016032:Randomized Controlled Trials as Topic; D012107:Research Design / Q000592:standards; D026302:Tai Ji; D016896:Treatment Outcome