SynthesisBMJ open sport & exercise medicine2021
Effect of Tai Chi on muscle strength, physical endurance, postural balance and flexibility: a systematic review and meta-analysis.
Synthesis in BMJ open sport & exercise medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
50 citing papers in PubMed, 7 syntheses or guidelines pooled it, 98 citations in OpenAlex.
- Exercise for fracture prevention - evidence and consensus-based practice guideline of the osteology umbrella association (DVO).BMC endocrine disorders · 2026Guideline
- Remote exercise snacking and fall-related functional outcomes in older adults: a systematic review including a meta-analysis.Frontiers in physiology · 2026Pooled it
- The effects of traditional Chinese mind-body training on physical health in university students: a multilevel meta-analysis.Frontiers in physiology · 2026Pooled it
- At least 150 min per week of Tai chi practice improves sleep quality in the older people: evidence from a meta-analysis.European geriatric medicine · 2025Pooled it
- Comparing the efficacy of different types of exercise therapy in patients with essential hypertension: a systematic review and network meta-analysis.Frontiers in cardiovascular medicine · 2025Pooled it
- Effects of Physical Activity Interventions on Strength, Balance and Falls in Middle-Aged Adults: A Systematic Review and Meta-Analysis.Sports medicine - open · 2023Pooled it
- Effects of qigong exercise on the physical and mental health of college students: a systematic review and Meta-analysis.BMC complementary medicine and therapies · 2022Pooled it
- Effects of a 12-week Tai Chi program on postural stability and gait biomechanics in prefrail older adults: a randomized controlled study.Journal of neuroengineering and rehabilitation · 2026Trial
- Effects of Tai Chi Chuan on balance function in adults 60 years or older with type 2 diabetes and mild cognitive impairment in China: A secondary analysis of a multi-center randomized clinical trial.Journal of diabetes investigation · 2025Trial
- Effect of pilates on the physical and mental health of drug-dependent individuals - a randomized controlled trial.BMC psychiatry · 2025Trial
- Trial
- Trial
- Gaming-Based Tele-Exercise Program to Improve Physical Function in Frail Older Adults: Feasibility Randomized Controlled Trial.Journal of medical Internet research · 2024Trial
- The influence of Tai Chi exercise on the subjective well-being in the aged: the mediating role of physical fitness and cognitive function.BMC geriatrics · 2023Trial
- Physical Activity and Functioning Following Tai Chi and a Wellness Comparison Intervention in Veterans with Gulf War Illness.Behavioral medicine (Washington, D.C.)Trial
- Effect of Remote Tai Chi Training vs. Strength Training on Muscle Mass and Grip Strength in Older Mexican Adults in the Context of the COVID-19 Pandemic.Sports (Basel, Switzerland) · 2026Article
- Re-conceptualizing Parkinson's disease as a lifelong neurobiological trajectory: A framework for prevention.Neuroprotection (Chichester, England) · 2026Review
- Global Trends in Tai Chi Research: A Bibliometric Analysis.Sports (Basel, Switzerland) · 2026Review
- The effects of Tai Chi Chuan combined with unstable resistance training on knee muscle strength and dynamic balance in female college students: a randomized controlled study protocol.Frontiers in public health · 2026Article
- Tai Chi exercise and neuroplasticity: a narrative review according to neural mechanisms and clinical utilizations in brain health.Frontiers in neuroscience · 2026Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the impact of Tai Chi training on muscle strength, physical endurance, postural balance and flexibility, as measured by tests commonly used in health-related fitness or competitive sports contexts.
designSystematic review and meta-analysis. DATA SOURCES: The following databases were searched up to 31 July 2020: CINAHL, Cochrane Library, MEDLINE via PubMed and SPORTDiscus. ELIGIBILITY CRITERIA FOR STUDIES: Inclusion: (1) Randomised controlled trials published in German or English; (2) Tai Chi used as an intervention to improve physical performance; (3) Test methods commonly used in health-related fitness or competitive sports and (4) Participants aged ≥16 years (irrespective of health status). Exclusion: (1) Studies not focusing on Tai Chi or including Tai Chi mixed with other interventions and (2) Modified or less than eight Tai Chi movements.
resultsOut of 3817 records, 31 studies were included in the review, 21 of them in the meta-analysis. Significant improvements in handgrip strength (2.34 kg, 95% CI 1.53 to 3.14), walking distance during 6 min (43.37 m, 95% CI 29.12 to 57.63), standing time in single-leg-stance with open eyes (6.41 s, 95% CI 4.58 to 8.24) and thoracolumbar spine flexibility (2.33 cm, 95% CI 0.11 to 4.55) were observed.
conclusionTai Chi training seems to moderately improve physical fitness when evaluated by tests used in health-related fitness or competitive sports. Moreover, thoracolumbar spine flexibility seems to be a factor in the improvement of postural balance. Further research is needed, including younger healthy participants performing a widely used, standardised form (eg, Peking-style routine) with high-intensity movements (eg, use of lower stances).
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.