Application of traditional Chinese exercise in the rehabilitation of chronic obstructive pulmonary disease: a bibliometric analysis of the past 20 years_West China Medical Journal

Authors：

LI Jian , ZHOU Fujian , YU Juan , HU Zimu , YUAN Wenrong , CHEN Hemu , ZHAO Kai ,  GAO Xiaoping

Department of Rehabilitation Medicine, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230000, P. R. China;

Corresponding author：

GAO Xiaoping, Email: gxp678@163.com

Keywords：

Chronic obstructive pulmonary disease; traditional Chinese exercises; rehabilitation; bibliometrics; VOSviewer

DOI：

10.7507/1002-0179.202403197

Video：

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Objective To explore the research trends of traditional Chinese exercise in the rehabilitation of chronic obstructive pulmonary disease (COPD). Methods The Web of Science core collection database was searched to collect literature on traditional Chinese exercise for COPD rehabilitation published from 2004 to 2023. VOSviewer was used for bibliometric analysis of publication year, author, publication institution and country, citation and co-citation information. Results A total of 125 publications were included. No relevant publication was published from 2004 to 2008. Since 2009, the overall number of publications had shown a fluctuating upward trend, with no publications in 2012. From 2019 to 2023, the number of publications on related topics remained at a high level. Reached maximum publication volume in 2020. The annual citation frequency also showed a fluctuating increase, reaching its peak in 2022. Based on comprehensive analysis, Peter M. Wayne and Wu Weibing were the authors with high productivity, high citation, and frequent collaborations. The country with the highest number of publications was China, and the highest institution was Shanghai University of Sport. Initially, the keywords focused on rehabilitation, exercise testing, aerobic exercise, resistance exercise, and respiratory muscle strength. As the times progressed, the focus shifted to lung function, exercise tolerance, and mental health. The current trends included self-management and telemedicine. Conclusions Traditional Chinese exercises have been widely applied in the clinical practice of COPD rehabilitation, showing an upward trend. Facilitating patient self-management and establishing the role and significance of traditional Chinese exercises in remote healthcare for COPD patients may be the focus of future research.

Citation： LI Jian, ZHOU Fujian, YU Juan, HU Zimu, YUAN Wenrong, CHEN Hemu, ZHAO Kai, GAO Xiaoping. Application of traditional Chinese exercise in the rehabilitation of chronic obstructive pulmonary disease: a bibliometric analysis of the past 20 years. West China Medical Journal, 2024, 39(6): 899-905. doi: 10.7507/1002-0179.202403197 Copy

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2.	陈瑜婷, 黄玲, 夏俊杰, 等. 中国高原地区慢性阻塞性肺疾病患病率及危险因素 Meta 分析. 华西医学, 2023, 38(7): 1058-1064.
3.	Janssen DJA, Bajwah S, Boon MH, et al. European Respiratory Society clinical practice guideline: palliative care for people with COPD or interstitial lung disease. Eur Respir J, 2023, 62(2): 2202014.
4.	Rochester CL, Alison JA, Carlin B, et al. Pulmonary rehabilitation for adults with chronic respiratory disease: an official American Thoracic Society clinical practice guideline. Am J Respir Crit Care Med, 2023, 208(4): e7-e26.
5.	Priego-Jiménez S, Cavero-Redondo I, Pascual-Morena C, et al. Effect of different exercise programs on lung function in people with chronic obstructive pulmonary disease: a network meta-analysis of RCTs. Ann Phys Rehabil Med, 2024, 67(2): 101792.
6.	Yang Y, Yang L, Yang X, et al. Effects of Tai Chi on lung function, exercise capacity and psychosocial outcomes in patients with chronic obstructive pulmonary disease: systematic review and meta-analysis of randomized controlled trials. Biol Res Nurs, 2023, 25(4): 635-646.
7.	Cho I, Kim D, Park H. Bibliometrics and co-citation network analysis of systematic reviews of evidence-based nursing guidelines for preventing inpatient falls. Comput Inform Nurs, 2021, 40(2): 95-103.
8.	Huston P, McFarlane B. Health benefits of Tai Chi: what is the evidence?. Can Fam Physician, 2016, 62(11): 881-890.
9.	Lan C, Chen SY, Lai JS, et al. Tai Chi Chuan in medicine and health promotion. Evid Based Complement Alternat Med, 2013, 2013: 502131.
10.	Leung RW, McKeough ZJ, Peters MJ, et al. Short-form sun-style T’ai Chi as an exercise training modality in people with COPD. Eur Respir J, 2013, 41(5): 1051-1057.
11.	Chen YW, Hunt MA, Campbell KL, et al. The effect of Tai Chi on four chronic conditions-cancer, osteoarthritis, heart failure and chronic obstructive pulmonary disease: a systematic review and meta-analyses. Br J Sports Med, 2016, 50(7): 397-407.
12.	Chan AW, Lee A, Suen LK, et al. Tai Chi Qigong improves lung functions and activity tolerance in COPD clients: a single blind, randomized controlled trial. Complement Ther Med, 2011, 19(1): 3-11.
13.	Li P, Liu J, Lu Y, et al. Effects of long-term home-based Liuzijue exercise combined with clinical guidance in elderly patients with chronic obstructive pulmonary disease. Clin Interv Aging, 2018, 13: 1391-1399.
14.	Wu W, Liu X, Li P, et al. Effect of Liuzijue exercise combined with elastic band resistance exercise on patients with COPD: a randomized controlled trial. Evid Based Complement Alternat Med, 2018, 2018: 2361962.
15.	Chen H, Li P, Li N, et al. Rehabilitation effects of land and water-based aerobic exercise on lung function, dyspnea, and exercise capacity in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis. Medicine (Baltimore), 2021, 100(33): e26976.
16.	Yeh GY, Litrownik D, Wayne PM, et al. BEAM study (breathing, education, awareness, movement): a randomised controlled feasibility trial of Tai Chi exercise in patients with COPD. BMJ Open Respir Res, 2020, 7(1): e000697.
17.	Kraemer KM, Litrownik D, Moy ML, et al. Exploring Tai Chi exercise and mind-body breathing in patients with COPD in a randomized controlled feasibility trial. COPD, 2021, 18(3): 288-298.
18.	Moy ML, Wayne PM, Litrownik D, et al. Long-term exercise after pulmonary rehabilitation (LEAP): a pilot randomised controlled trial of Tai Chi in COPD. ERJ Open Res, 2021, 7(3): 00025-2021.
19.	Chan AW, Lee A, Suen LK, et al. Effectiveness of a Tai Chi Qigong program in promoting health-related quality of life and perceived social support in chronic obstructive pulmonary disease clients. Qual Life Res, 2010, 19(5): 653-664.
20.	Chan AW, Lee A, Lee DT, et al. Evaluation of the sustaining effects of Tai Chi Qigong in the sixth month in promoting psychosocial health in COPD patients: a single-blind, randomized controlled trial. ScientificWorldJournal, 2013, 2013: 425082.
21.	Chan AW, Lee A, Lee DT, et al. The sustaining effects of Tai Chi Qigong on physiological health for COPD patients: a randomized controlled trial. Complement Ther Med, 2013, 21(6): 585-594.
22.	Chen M, Zhang Y, Mao Y, et al. Bibliometric analysis of exercise and chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis, 2023, 18: 1115-1133.
23.	Li T, Chen J. Research trends on pulmonary rehabilitation: a bibliometric analysis from 2011 to 2020. Front Med (Lausanne), 2022, 9: 887793.
24.	Ngai SP, Jones AY, Tam WW. Tai Chi for chronic obstructive pulmonary disease (COPD). Cochrane Database Syst Rev, 2016, 2016(6): CD009953.
25.	Jiang L, Li P, Shi J, et al. Effects of pulmonary-based Qigong exercise in stable patients with chronic obstructive pulmonary disease: a randomized controlled trial. BMC Complement Med Ther, 2023, 23(1): 418.
26.	Malik S, Dua R, Krishnan AS, et al. Exercise capacity in patients with chronic obstructive pulmonary disease treated with tele-yoga versus tele-pulmonary rehabilitation: a pilot validation study. Cureus, 2022, 14(11): e30994.
27.	Zhou Y, Liu X, Wu W. Mapping the global research landscape and hotspot of exercise therapy and chronic obstructive pulmonary disease: a bibliometric study based on the web of science database from 2011 to 2020. Front Physiol, 2022, 13: 947637.
28.	Zhang A, Wang L, Long L, et al. Effectiveness and economic evaluation of hospital-outreach pulmonary rehabilitation for patients with chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis, 2020, 15: 1071-1083.
29.	Siu DCH, Gafni-Lachter L. Addressing barriers to chronic obstructive pulmonary disease (COPD) care: three innovative evidence-based approaches: a review. Int J Chron Obstruct Pulmon Dis, 2024, 19: 331-341.
30.	Cameron-Tucker HL, Wood-Baker R, Owen C, et al. Chronic disease self-management and exercise in COPD as pulmonary rehabilitation: a randomized controlled trial. Int J Chron Obstruct Pulmon Dis, 2014, 9: 513-523.
31.	Borge CR, Larsen MH, Osborne RH, et al. Impacts of a health literacy-informed intervention in people with chronic obstructive pulmonary disease (COPD) on hospitalization, health literacy, self-management, quality of life, and health costs - a randomized controlled trial. Patient Educ Couns, 2024, 123: 108220.
32.	Alghamdi SM. Content, mechanism, and outcome of effective telehealth solutions for management of chronic obstructive pulmonary diseases: a narrative review. Healthcare (Basel), 2023, 11(24): 3164.
33.	Vakkalanka JP, Holcombe A, Ward MM, et al. Chronic disease management through clinical video telehealth on health care utilization, and mortality in the veterans health administration: a retrospective cohort study. Telemed J E Health, 2024, 30(5): 1279-1288.
34.	Alhasani R, Janaudis Ferreira T, Marie-France Valois, et al. Enrollment and dropout rates of individuals with chronic obstructive pulmonary disease approached for telehealth interventions: a systematic review and meta-regression analysis. Heliyon, 2023, 10(1): e23776.
35.	张海军, 安康, 苏巧俐, 等. 新型冠状病毒肺炎疫情下慢性阻塞性肺疾病远程肺康复的应用现状. 华西医学, 2022, 37(8): 1140-1144.
36.	中国康复医学会循证康复医学工作委员会, 中国康复研究中心/中国康复科学所康复信息研究所, 兰州大学循证医学中心, 等. 慢性阻塞性肺疾病临床康复循证实践指南. 中国康复理论与实践, 2021, 27(1): 15-26.
37.	Shi H, Liu T, Dong C, et al. Scientific evidence of traditional chinese exercise (Qigong) for chronic obstructive pulmonary disease: an overview of systematic reviews and meta-analyses. Biomed Res Int, 2022, 2022: 7728973.
38.	Chen X, Gong D, Huang H, et al. Expert consensus and operational guidelines on exercise rehabilitation of chronic obstructive pulmonary disease with integrating traditional Chinese medicine and western medicine. J Thorac Dis, 2021, 13(6): 3323-3346.

1. Neumeier A, Keith R. Clinical guideline highlights for the hospitalist: the GOLD and NICE guidelines for the management of COPD. J Hosp Med, 2020, 15(4): 240-241.
2. 陈瑜婷, 黄玲, 夏俊杰, 等. 中国高原地区慢性阻塞性肺疾病患病率及危险因素 Meta 分析. 华西医学, 2023, 38(7): 1058-1064.
3. Janssen DJA, Bajwah S, Boon MH, et al. European Respiratory Society clinical practice guideline: palliative care for people with COPD or interstitial lung disease. Eur Respir J, 2023, 62(2): 2202014.
4. Rochester CL, Alison JA, Carlin B, et al. Pulmonary rehabilitation for adults with chronic respiratory disease: an official American Thoracic Society clinical practice guideline. Am J Respir Crit Care Med, 2023, 208(4): e7-e26.
5. Priego-Jiménez S, Cavero-Redondo I, Pascual-Morena C, et al. Effect of different exercise programs on lung function in people with chronic obstructive pulmonary disease: a network meta-analysis of RCTs. Ann Phys Rehabil Med, 2024, 67(2): 101792.
6. Yang Y, Yang L, Yang X, et al. Effects of Tai Chi on lung function, exercise capacity and psychosocial outcomes in patients with chronic obstructive pulmonary disease: systematic review and meta-analysis of randomized controlled trials. Biol Res Nurs, 2023, 25(4): 635-646.
7. Cho I, Kim D, Park H. Bibliometrics and co-citation network analysis of systematic reviews of evidence-based nursing guidelines for preventing inpatient falls. Comput Inform Nurs, 2021, 40(2): 95-103.
8. Huston P, McFarlane B. Health benefits of Tai Chi: what is the evidence?. Can Fam Physician, 2016, 62(11): 881-890.
9. Lan C, Chen SY, Lai JS, et al. Tai Chi Chuan in medicine and health promotion. Evid Based Complement Alternat Med, 2013, 2013: 502131.
10. Leung RW, McKeough ZJ, Peters MJ, et al. Short-form sun-style T’ai Chi as an exercise training modality in people with COPD. Eur Respir J, 2013, 41(5): 1051-1057.
11. Chen YW, Hunt MA, Campbell KL, et al. The effect of Tai Chi on four chronic conditions-cancer, osteoarthritis, heart failure and chronic obstructive pulmonary disease: a systematic review and meta-analyses. Br J Sports Med, 2016, 50(7): 397-407.
12. Chan AW, Lee A, Suen LK, et al. Tai Chi Qigong improves lung functions and activity tolerance in COPD clients: a single blind, randomized controlled trial. Complement Ther Med, 2011, 19(1): 3-11.
13. Li P, Liu J, Lu Y, et al. Effects of long-term home-based Liuzijue exercise combined with clinical guidance in elderly patients with chronic obstructive pulmonary disease. Clin Interv Aging, 2018, 13: 1391-1399.
14. Wu W, Liu X, Li P, et al. Effect of Liuzijue exercise combined with elastic band resistance exercise on patients with COPD: a randomized controlled trial. Evid Based Complement Alternat Med, 2018, 2018: 2361962.
15. Chen H, Li P, Li N, et al. Rehabilitation effects of land and water-based aerobic exercise on lung function, dyspnea, and exercise capacity in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis. Medicine (Baltimore), 2021, 100(33): e26976.
16. Yeh GY, Litrownik D, Wayne PM, et al. BEAM study (breathing, education, awareness, movement): a randomised controlled feasibility trial of Tai Chi exercise in patients with COPD. BMJ Open Respir Res, 2020, 7(1): e000697.
17. Kraemer KM, Litrownik D, Moy ML, et al. Exploring Tai Chi exercise and mind-body breathing in patients with COPD in a randomized controlled feasibility trial. COPD, 2021, 18(3): 288-298.
18. Moy ML, Wayne PM, Litrownik D, et al. Long-term exercise after pulmonary rehabilitation (LEAP): a pilot randomised controlled trial of Tai Chi in COPD. ERJ Open Res, 2021, 7(3): 00025-2021.
19. Chan AW, Lee A, Suen LK, et al. Effectiveness of a Tai Chi Qigong program in promoting health-related quality of life and perceived social support in chronic obstructive pulmonary disease clients. Qual Life Res, 2010, 19(5): 653-664.
20. Chan AW, Lee A, Lee DT, et al. Evaluation of the sustaining effects of Tai Chi Qigong in the sixth month in promoting psychosocial health in COPD patients: a single-blind, randomized controlled trial. ScientificWorldJournal, 2013, 2013: 425082.
21. Chan AW, Lee A, Lee DT, et al. The sustaining effects of Tai Chi Qigong on physiological health for COPD patients: a randomized controlled trial. Complement Ther Med, 2013, 21(6): 585-594.
22. Chen M, Zhang Y, Mao Y, et al. Bibliometric analysis of exercise and chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis, 2023, 18: 1115-1133.
23. Li T, Chen J. Research trends on pulmonary rehabilitation: a bibliometric analysis from 2011 to 2020. Front Med (Lausanne), 2022, 9: 887793.
24. Ngai SP, Jones AY, Tam WW. Tai Chi for chronic obstructive pulmonary disease (COPD). Cochrane Database Syst Rev, 2016, 2016(6): CD009953.
25. Jiang L, Li P, Shi J, et al. Effects of pulmonary-based Qigong exercise in stable patients with chronic obstructive pulmonary disease: a randomized controlled trial. BMC Complement Med Ther, 2023, 23(1): 418.
26. Malik S, Dua R, Krishnan AS, et al. Exercise capacity in patients with chronic obstructive pulmonary disease treated with tele-yoga versus tele-pulmonary rehabilitation: a pilot validation study. Cureus, 2022, 14(11): e30994.
27. Zhou Y, Liu X, Wu W. Mapping the global research landscape and hotspot of exercise therapy and chronic obstructive pulmonary disease: a bibliometric study based on the web of science database from 2011 to 2020. Front Physiol, 2022, 13: 947637.
28. Zhang A, Wang L, Long L, et al. Effectiveness and economic evaluation of hospital-outreach pulmonary rehabilitation for patients with chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis, 2020, 15: 1071-1083.
29. Siu DCH, Gafni-Lachter L. Addressing barriers to chronic obstructive pulmonary disease (COPD) care: three innovative evidence-based approaches: a review. Int J Chron Obstruct Pulmon Dis, 2024, 19: 331-341.
30. Cameron-Tucker HL, Wood-Baker R, Owen C, et al. Chronic disease self-management and exercise in COPD as pulmonary rehabilitation: a randomized controlled trial. Int J Chron Obstruct Pulmon Dis, 2014, 9: 513-523.
31. Borge CR, Larsen MH, Osborne RH, et al. Impacts of a health literacy-informed intervention in people with chronic obstructive pulmonary disease (COPD) on hospitalization, health literacy, self-management, quality of life, and health costs - a randomized controlled trial. Patient Educ Couns, 2024, 123: 108220.
32. Alghamdi SM. Content, mechanism, and outcome of effective telehealth solutions for management of chronic obstructive pulmonary diseases: a narrative review. Healthcare (Basel), 2023, 11(24): 3164.
33. Vakkalanka JP, Holcombe A, Ward MM, et al. Chronic disease management through clinical video telehealth on health care utilization, and mortality in the veterans health administration: a retrospective cohort study. Telemed J E Health, 2024, 30(5): 1279-1288.
34. Alhasani R, Janaudis Ferreira T, Marie-France Valois, et al. Enrollment and dropout rates of individuals with chronic obstructive pulmonary disease approached for telehealth interventions: a systematic review and meta-regression analysis. Heliyon, 2023, 10(1): e23776.
35. 张海军, 安康, 苏巧俐, 等. 新型冠状病毒肺炎疫情下慢性阻塞性肺疾病远程肺康复的应用现状. 华西医学, 2022, 37(8): 1140-1144.
36. 中国康复医学会循证康复医学工作委员会, 中国康复研究中心/中国康复科学所康复信息研究所, 兰州大学循证医学中心, 等. 慢性阻塞性肺疾病临床康复循证实践指南. 中国康复理论与实践, 2021, 27(1): 15-26.
37. Shi H, Liu T, Dong C, et al. Scientific evidence of traditional chinese exercise (Qigong) for chronic obstructive pulmonary disease: an overview of systematic reviews and meta-analyses. Biomed Res Int, 2022, 2022: 7728973.
38. Chen X, Gong D, Huang H, et al. Expert consensus and operational guidelines on exercise rehabilitation of chronic obstructive pulmonary disease with integrating traditional Chinese medicine and western medicine. J Thorac Dis, 2021, 13(6): 3323-3346.

West China Medical Journal

Application of traditional Chinese exercise in the rehabilitation of chronic obstructive pulmonary disease: a bibliometric analysis of the past 20 years

Abstract Full text Figures/Tables Video References Cited by

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