Evidence map›Paper›PMID 41804330›Full record

ReviewJournal of pain research2026

Comparison of the Efficacy of Different Traditional Chinese Exercises in the Treatment of Chronic Non-Specific Low Back Pain: A Bayesian Network Meta-Analysis.

Min Huang, Haitao Liu, Lirong Zeng, Jing Chen

Abstract readReview
In one paragraph

Review in Journal of pain research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Min HuangCollege of Medical Imaging Laboratory and Rehabilitation, Xiangnan University, Chenzhou, Hunan, 423000, People's Republic of China.
Haitao LiuCollege of Medical Imaging Laboratory and Rehabilitation, Xiangnan University, Chenzhou, Hunan, 423000, People's Republic of China.
Lirong ZengDepartment of Rehabilitation Medicine, The First People's Hospital of Chenzhou (The First Affliated Hospital of Xiangnan University), Chenzhou, Hunan, 423000, People's Republic of China.
Jing ChenCollege of Medical Imaging Laboratory and Rehabilitation, Xiangnan University, Chenzhou, Hunan, 423000, People's Republic of China.ORCID 0000-0002-0476-9859

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic non-specific low back pain (CNSLBP) is a disabling condition worldwide, with exercise therapy as its first-line intervention. Traditional Chinese exercises (eg, Tai Ji, Baduanjin, Wuqinxi) have gained attention, but their comparative efficacy remains unclear. Objective: To compare the efficacy of six traditional Chinese exercises-Tai Ji, Yijinjing, Wuqinxi, Baduanjin, Chan-Chuang Qigong, and Liuzijue-in patients with CNSLBP via Bayesian network meta-analysis. Methods: We searched Chinese (CNKI, Wanfang, VIP, SionMed) and English (PubMed, Web of Science, Cochrane Library, Embase) databases up to December 3, 2025. A total of 24 randomized controlled trials (RCTs) with 2,067 participants were included. The overall methodological quality was moderate, with common limitations in blinding and allocation concealment. A Bayesian random-effects model was used to compare interventions based on visual analogue scale (VAS) and Oswestry disability index (ODI) scores, with ranking performed via the surface under the cumulative ranking curve (SUCRA). Conventional therapy (CT) was defined as rehabilitation training (eg, core muscle strengthening, suspension training, rehabilitation gymnastics), Western medicine, manipulation, or acupuncture. Results: For pain reduction (VAS), Wuqinxi combined with CT (SUCRA=0.80), Chan-Chuang Qigong combined with CT (0.77), and Yijinjing alone (0.69) ranked highest. In pairwise comparisons, these interventions showed statistically significant improvements over conventional therapy alone (P < 0.05). For functional improvement (ODI), Liuzijue combined with CT (0.99), Baduanjin combined with CT (0.76), and Tai Ji combined with CT (0.72) performed best, with significant differences versus CT (P < 0.05). Notably, combined therapies generally outperformed single-modality exercises. Meta-regression suggested that longer intervention durations enhanced the effects of Baduanjin and Wuqinxi. Conclusion: Traditional Chinese exercises, particularly Wuqinxi and Liuzijue when combined with conventional therapy, show promising effects for pain relief and functional improvement in CNSLBP. However, the evidence quality is moderate to low, limited by heterogeneity and methodological constraints. Future studies should prioritize higher-quality designs, longer follow-up, and standardized intervention protocols.

Indexed as

Bayes theoremexercise therapylow back painmeta-analysis as topicmind-body therapiesnetwork meta-analysisrehabilitationtreatment outcome

Identifiers

PMID41804330
PMCPMC12967548

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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.