Efficacy and evidence certainty of traditional Chinese exercises for musculoskeletal disorders: an umbrella review of meta-analyses

作者：Wen-Xiao Chen, Yi-Zi Li, Long-Dan Kang, Xiaofeng Jiang, Yu-Han Chen, Dan Yang, Ying Wang, Zhao Yu-ge, Fang-Hua Liu, Jia-Xin Liu, Wei-Yi Xing, Wen-Rui Zheng, Ying Qin, Yu Li, Xi-Yang Chen, Dong-Run Li, Yi-Lin Xu, Rui Yang, Zan-Fei Feng, Lan Wang, Ting‐Ting Gong, Ming Lu, Qi‐Jun Wu · 发表于：British Journal of Sports Medicine · 年份：2026 · DOI：10.1136/bjsports-2026-111792 · 研究领域：Myofascial pain diagnosis and treatment、Osteoarthritis Treatment and Mechanisms、Fibromyalgia and Chronic Fatigue Syndrome Research

OBJECTIVES: To comprehensively evaluate the efficacy and exercise prescription parameters of traditional Chinese exercises (TCEs) on health outcomes in patients with musculoskeletal disorders (MSDs) and rigorously assess the certainty of the evidence. DESIGN: Umbrella review. DATA SOURCES: PubMed, Embase, Cochrane Library, Scopus, Web of Science, PEDro, Ovid Medline, CINAHL and SPORTDiscus databases were searched from inception to 6 March 2026. ELIGIBILITY CRITERIA FOR STUDY SELECTION: Systematic reviews with meta-analyses of randomised controlled trials (RCTs) that investigated TCE interventions for individuals with MSDs. RESULTS: 92 meta-analyses, comprising data from 1744 primary RCTs, were included, yielding 547 unique outcome associations. TCE modalities included mixed/unspecified TCEs (37.3%), Tai Chi (41.5%), Baduanjin (11.0%), Yijinjing (4.2%), Qigong (3.8%), Wuqinxi (1.8%) and Daoyin (0.4%). Targeted MSDs spanned 10 categories, most commonly arthritis (38.8%). Methodological quality was high for 65 (70.7%) meta-analyses (A Measurement Tool to Assess Systematic Reviews). Applying the Grading of Recommendations, Assessment, Development and Evaluations framework, 23 associations (4.2%) were supported by high-certainty evidence and 179 (32.7%) by moderate-certainty evidence. High-certainty evidence demonstrated that TCEs significantly improved physical function in knee osteoarthritis, enhanced mental health in patients with knee osteoarthritis and neck pain and improved ...