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      Effect of baduanjin on the fall and balance function in middle-aged and elderly people : A protocol for systematic review and meta-analysis

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          Abstract

          Background:

          The risk of fall seriously affects the health and quality of life of the middle-aged and elderly people, especially the injury and disability caused by fall of the middle-aged and elderly people, which imposes a huge burden on family and social medical care. Baduanjin exercise may be an effective intervention to enhance the muscle strength and stability of lower limbs, improve the balance ability and gait of middle-aged and elderly people, reduce the incidence of falls, improve the quality of life, and promote the health of middle-aged and elderly people. The aim of this study is to summarize evidence and systematically review the efficacy and safety of Baduanjin on the fall and balance function in middle-aged and elderly people.

          Methods:

          We conducted a systematic search of English and Chinese RCTs in the following 8 electronic databases: PubMed, EMBASE, Web of Science, The Cochrane Library, Chinese Biomedical Literature Database (CBM), Chinese National Knowledge Infrastructure (CNKI), Chinese Science and Technology Periodical Database (VIP), Wanfang Database, from their respective dates of inception to July 2021. Other resources will be searched if necessary. The primary outcome is the fall rate in middle-aged and elderly people and the secondary outcomes include the Single-Leg Standing (SLS) Test, Berg Balance Scale (BBS), Timed Up and Go (TUG) Test. The study selection, data extraction, risk of bias, data synthesis and analysis, reporting biases, and the quality of evidence will be independently conducted by 2 reviewers who use the EndNote X9 software, Cochrane handbook assessment tool, RevMan 5.3 software, a funnel plot and GRADE system.

          Results:

          This study will evaluate the effect of Baduanjin on falls and balance function of middle-aged and elderly people from multiple outcome evaluation indicators such as fall rate, and provide high-quality evidence.

          Conclusion:

          This study will provide evidence for whether Baduanjin has an effect on falls and balance function in middle-aged and elderly people.

          Ethics and dissemination:

          Ethics approval is not required for systematic review, since it does not infringe on personal interests. The results will be submitted to peer-review journals or disseminated at scientific conferences.

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          Most cited references35

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          The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials

          Flaws in the design, conduct, analysis, and reporting of randomised trials can cause the effect of an intervention to be underestimated or overestimated. The Cochrane Collaboration’s tool for assessing risk of bias aims to make the process clearer and more accurate
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            Recommendations for examining and interpreting funnel plot asymmetry in meta-analyses of randomised controlled trials

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              Grading quality of evidence and strength of recommendations.

              Users of clinical practice guidelines and other recommendations need to know how much confidence they can place in the recommendations. Systematic and explicit methods of making judgments can reduce errors and improve communication. We have developed a system for grading the quality of evidence and the strength of recommendations that can be applied across a wide range of interventions and contexts. In this article we present a summary of our approach from the perspective of a guideline user. Judgments about the strength of a recommendation require consideration of the balance between benefits and harms, the quality of the evidence, translation of the evidence into specific circumstances, and the certainty of the baseline risk. It is also important to consider costs (resource utilisation) before making a recommendation. Inconsistencies among systems for grading the quality of evidence and the strength of recommendations reduce their potential to facilitate critical appraisal and improve communication of these judgments. Our system for guiding these complex judgments balances the need for simplicity with the need for full and transparent consideration of all important issues.
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                Author and article information

                Journal
                Medicine (Baltimore)
                Medicine (Baltimore)
                MEDI
                Medicine
                Lippincott Williams & Wilkins (Hagerstown, MD )
                0025-7974
                1536-5964
                17 September 2021
                17 September 2021
                : 100
                : 37
                : e27250
                Affiliations
                [a ]Department of Tuina and Rehabilitation Medicine, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, Hubei, China
                [b ]Hubei Academy of Traditional Chinese Medicine, Wuhan, Hubei, China
                [c ]Hubei University of Chinese Medicine, Wuhan, Hubei, China.
                Author notes
                []Correspondence: Jing Zhou, Hubei University of Chinese Medicine, No. 16 Huangjiahu West Road, Hongshan District, Wuhan, Hubei 430065, China (e-mail: zhoujing@ 123456hbtcm.edu.cn ).
                Author information
                http://orcid.org/0000-0002-6214-4582
                http://orcid.org/0000-0002-8376-799X
                Article
                MD-D-21-05925 27250
                10.1097/MD.0000000000027250
                8447992
                a3962156-c402-4ebe-874e-6d7046589acd
                Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

                This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0

                History
                : 27 August 2021
                : 30 August 2021
                Funding
                Funded by: Hubei Technological Innovation Special Fund
                Award ID: 2017ACA192
                Award Recipient : Yan Zhao
                Categories
                7000
                Research Article
                Study Protocol Systematic Review
                Custom metadata
                TRUE

                baduanjin,balance,fall,meta-analysis,middle-aged and elderly people,protocol,systematic review

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