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Published on: May 16, 2025
Tai chi for rheumatoid arthritis: systematic review
M S Lee1, M H Pittler, E Ernst
1Complementary Medicine, Peninsula Medical School, Universities of Exeter & Plymouth, 25 Victoria Park Road, Exeter, EX2 4NT, UK. myeong.lee@pms.ac.uk; drmslee@gmail.com
This review found limited evidence that tai chi benefits rheumatoid arthritis (RA) patients. Current studies are low quality, showing no significant pain reduction, so tai chi
Area of Science:
- Rheumatology
- Complementary and Alternative Medicine
- Clinical Trials
Background:
- Rheumatoid arthritis (RA) is a chronic autoimmune disease causing joint inflammation and pain.
- Effective management strategies for RA are continuously sought, including non-pharmacological interventions.
- Tai chi, a mind-body exercise, is explored for its potential therapeutic benefits.
Purpose of the Study:
- To systematically review controlled clinical trials evaluating tai chi's effectiveness in treating rheumatoid arthritis (RA).
- To assess the methodological quality of available studies on tai chi for RA.
Main Methods:
- Comprehensive systematic searches of multiple electronic databases (Medline, Pubmed, AMED, etc.) and hand-searches were conducted up to January 2007.
- Included studies were controlled clinical trials (RCTs and CCTs) of tai chi for RA patients.
- Methodological quality was assessed using the Jadad score.
Main Results:
- Two RCTs and three CCTs met inclusion criteria.
- Included RCTs suggested potential benefits of tai chi for RA disability, quality of life, depression, and mood.
- However, two RCTs found no significant effectiveness of tai chi for pain reduction compared to control groups.
Conclusions:
- The current body of evidence on tai chi for RA is limited and of low methodological quality.
- The available data is not sufficiently convincing to support tai chi as an effective treatment for rheumatoid arthritis.
- Further high-quality research is needed to establish the true value of tai chi in RA management.
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