Introduction: Chronic obstructive pulmonary disease (COPD) is the third leading cause of death worldwide. It is characterized as persistent airway obstruction and chronic lung inflammation, leading to lung tissue damage and impaired lung function. Common symptoms include chronic cough, difficulty breathing, chest tightness and fatigue, which limits the performance of daily activities, contributes to decrease in physical activity and quality of life. Besides medications, it is commonly managed with pulmonary rehabilitation programs. Tai Chi originates from traditional Chinese martial arts and combines gentle, slow, harmonious movements with focus on breathing, relaxation, and meditation. Due to its positive effects and low to moderate intensity, it appears a suitable form of exercise for patients with COPD. Purpose: The purpose of this review was to determine the impact of Tai Chi exercise on the quality of life, physical performance and lung function in patients with COPD. Methods: The review included literature published in English from electronic databases PubMed and PEDro. Results: Seven studies were included in the literature review. They compared Tai Chi with other types of exercise and control group. In all studies, which evaluated the 6-minute walk test, dyspnoea sensation and quality of life using the St. George's Respiratory Questionnaire, statistically significant improvements were found in the Tai Chi group. Three out of six studies reported statistically significant improvements in lung volumes in the Tai Chi group. Discussion and Conclusion: Based on our review, it can be concluded that Tai Chi has positive impact on improving physical performance, overall well-being, and quality of life in patients with COPD. Consistent implementation of Tai Chi exercise could potentially reduce the sensation of dyspnoea. There is somewhat less evidence that Tai Chi exercise affects lung function and the number of acute exacerbations. Tai Chi exercise appears to be a safe, suitable, and engaging form of exercise to complement pulmonary rehabilitation, as it also includes elements of meditation and relaxation or as a maintenance program following completion of pulmonary rehabilitation in patients with COPD.
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