1
|
Colvin A, Murray L, Noble J, Chastin S. Effects of Breaking Up Sedentary Behavior With Short Bouts of Yoga and Tai-Chi on Glycemia, Concentration, and Well-Being. J Phys Act Health 2024; 21:181-188. [PMID: 37992705 DOI: 10.1123/jpah.2023-0308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2023] [Revised: 10/18/2023] [Accepted: 10/24/2023] [Indexed: 11/24/2023]
Abstract
BACKGROUND Investigating the effects of breaking up sedentary behavior with short bouts of Yoga and Tai-Chi on glycemic control, concentration, and well-being in healthy individuals. METHODS In this randomized balanced incomplete block study, 15 adults (age = 26 [2.50] y, 8 females) completed 2 of 3 protocols: uninterrupted sitting (Control), sitting interrupted with 3 minutes of Yoga every 30 minutes, or with 3 minutes of Tai-Chi every 30 minutes. Protocols lasted 7.5 hours and included a standardized diet. Glucose was measured every 30 minutes with a glucometer (Abbott FreeStyle Libre). Concentration and well-being were recorded with self-reported ecological momentary assessment. Area under the curve was calculated for glucose data. Statistical analyses were performed as a hierarchical repeated-measures model. RESULTS Glucose area under the curve for the Yoga intervention (34.55 [3.12] mmol/L) was significantly lower than the Control (38.14 [3.18] mmol/L; P < .05). There was a trend toward lower glucose in the Tai-Chi group compared with the Control, but no significant differences were found (AUCTai-Chi = 36.64 [3.11] mmol/L; P = .57). Mean concentration in all groups decreased throughout the day, with the largest decrease in the Control. Well-being for the Yoga and Control groups decreased but increased with Tai-Chi. Concentration and well-being responses were not statistically significant between intervention groups. CONCLUSIONS Breaking up sedentary behavior using 3-minute bouts of Yoga significantly lowers blood glucose in healthy individuals without compromising concentration or well-being. Tai-Chi did not provide the same significant effect on glucose levels but allowed better maintenance of concentration and well-being. These interventions provide effective ways to combat the deleterious effects of prolonged sedentary time while maintaining concentration and well-being.
Collapse
Affiliation(s)
- Alexander Colvin
- School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, United Kingdom
- Physiotherapy Department, National Health Service, New Victoria Hospital, Glasgow, United Kingdom
| | - Lynne Murray
- School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, United Kingdom
- Physiotherapy Department, National Health Service, Stobhill Hospital, Glasgow, United Kingdom
| | - Jillian Noble
- School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, United Kingdom
- MSK Physiotherapy Department, National Health Service, South Lanarkshire, United Kingdom
| | - Sebastien Chastin
- School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, United Kingdom
| |
Collapse
|
2
|
Bailey LE, Morris MA. Mind-body therapies adjuvant to chemotherapy improve quality of life and fatigue in top cancers: A systematic review and meta-analysis. Complement Ther Clin Pract 2024; 54:101811. [PMID: 38029633 DOI: 10.1016/j.ctcp.2023.101811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Revised: 11/03/2023] [Accepted: 11/20/2023] [Indexed: 12/01/2023]
Abstract
BACKGROUND Breast, lung and colorectal cancers are 3 of the top 4 most common cancers worldwide. Their treatment with chemotherapy often results in adverse effects on quality of life, fatigue and functional exercise capacity amongst patients. Mind-body therapies, including yoga, Tai chi and Qigong, are commonly used as complementary and alternative therapies in cancer. This meta-analysis evaluates the effects of yoga, Tai chi and Qigong in alleviating the adverse effects of chemotherapy. METHODS Various databases were systematically interrogated using specific search terms, returning 1901 manuscripts. Removal of duplicates, irrelevant studies, those lacking available data and applying inclusion/exclusion criteria reduced this number to 9 manuscripts for inclusion in the final meta-analyses. Mean differences were calculated to determine pooled effect sizes using RStudio. RESULTS This is the first systematic review and meta-analysis to demonstrate significant improvements in fatigue for colorectal cancer patients undergoing chemotherapy with a reduction of -1.40 (95 % CI: -2.24 to -0.56; p = 0.001) observed in mind-body therapy intervention groups. CONCLUSION Yoga, Tai chi and Qigong could all be implemented alongside adjuvant therapies to alleviate the adverse effects on colorectal cancer patient fatigue during chemotherapy treatment. REVIEW REGISTRATION This systematic review and meta-analysis is registered on InPlasy: registration number INPLASY202390035; doi: https://doi.org/10.37766/inplasy2023.9.0035.
Collapse
Affiliation(s)
- Lucy Ella Bailey
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
| | - Mhairi Anne Morris
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
| |
Collapse
|
3
|
Qi F, Soh KG, Nasiruddin NJM, Leong OS, He S, Liu H. Effect of Taichi Chuan on health-related physical fitness in adults: A systematic review with meta-analysis. Complement Ther Med 2023; 77:102971. [PMID: 37586435 DOI: 10.1016/j.ctim.2023.102971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2023] [Revised: 08/09/2023] [Accepted: 08/12/2023] [Indexed: 08/18/2023] Open
Abstract
PURPOSE Taichi Chuan was previously shown to benefit physical health, but the results were inconsistent. The main reason is that the mechanism is not clear and may be interpreted differently. In this systematic review, we analyzed the data obtained from various randomized controlled trials to identify the effectiveness of Taichi Chuan and the mechanism by which it improves the physical health of adults. METHODS We systematically searched various databases, including PubMed, Web of Science, Scopus, Embase, EBSCO Host, Science Direct, CNKI, Wan-Fang, and VPCS, and obtained 1448 articles for review. The articles were selected following the PICO eligibility criteria. We performed a systematic review and meta-analysis to interpret the results of the different studies. RESULTS We included 16 studies in the systematic review. Six of them were of very high quality, ten were of acceptable quality. Overall, the results showed that Taichi Chuan is beneficial to physical fitness, but not all indices supported this statement. Specifically, the effects were significant on Balance (ES = - 0.33; P = 0.02), BMI (ES = - 0.83; P < 0.00001), body fat (ES = - 0.45; P < 0.00001), and vital capacity (ES = 23.39; P = 0.01). However, there were no significant effects on systolic blood pressure (ES = 0.07; P = 0.94) and diastolic blood pressure (ES = 0.03; P = 0.97). CONCLUSION We found sufficient high-quality evidence to suggest that Taichi Chuan affects balance, BMI, body fat, vital capacity, and flexibility (sit-reach) in adults. The mechanism can be explained by low posture (balance) and moderate intensity of Taichi Chuan. However, no study has explained how to maintain concentration while keeping a dynamic low posture, which made it difficult to validate the finding that Taichi Chuan can reduce sympathetic tension under stress. In this study, we assumed that relaxation methods, which work on the central nervous system that links the body and the mind, might be the key explanation. However, further studies based on scientific, replicable methods need to be performed to confirm our findings.
Collapse
Affiliation(s)
- Fengmeng Qi
- Department of Sports Studies, Faculty of Educational Studies, Universiti Putra Malaysia, Seri Kembangan, Malaysia; Department of Wushu, Faculty of Sports, Henan Polytechnic University, Jiaozuo City, China
| | - Kim Geok Soh
- Department of Sports Studies, Faculty of Educational Studies, Universiti Putra Malaysia, Seri Kembangan, Malaysia.
| | | | - Ong Swee Leong
- Faculty of Medicine, Universiti Sultan Zainal Abidin, Terengganu, Malaysia
| | - Sun He
- School of Physical Education Institute (Main Campus), Zhengzhou University, Zhengzhou, China
| | - Huange Liu
- Department of Sports Studies, Faculty of Educational Studies, Universiti Putra Malaysia, Seri Kembangan, Malaysia
| |
Collapse
|
4
|
Zhao J, Ketlhoafetse A, Liu X, Cao Y. Comparative effectiveness of aerobic exercise versus Yi Jin Jing on ovarian function in young overweight/obese women with polycystic ovary syndrome: study protocol for a randomized controlled trial. Trials 2022; 23:459. [PMID: 35658926 PMCID: PMC9164314 DOI: 10.1186/s13063-022-06377-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Accepted: 05/02/2022] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND Polycystic ovary syndrome (PCOS) is the most common heterogeneous endocrine disease among women of childbearing age, characterized by androgen excess and ovarian dysfunction. Aerobic exercise is an important solution used to manage PCOS, due to its multiple benefits. Yi Jin Jing is an important component of traditional Chinese exercise (TCE), based on the root of traditional Chinese medicine theory (TCM), which focuses on keeping the body as a whole in a harmonious state. However, to date there is no literature on the benign effects of Yi Jin Jing on PCOS. The primary purpose of this protocol is to assess the effectiveness of aerobic exercise versus Yi Jin Jing, on the management of ovarian function in young overweight/obese women with PCOS. METHODS The study will conduct a controlled randomized, superiority trial with three-arm parallel groups, recruiting 90 women diagnosed with PCOS, ages between 18 and 35 years, with a body mass index (BMI) ≥ 23 kg/m2. Women will be randomly assigned to either control group (combined oral contraceptives) or one of the intervention groups (Yi Jin Jing group or aerobic exercise group) with an allocation rate of 1:1:1. After randomization, the intervention will be conducted within a 12-week period. The primary outcome would be anti-Mullerian hormone (AMH) level; the secondary outcomes would be biochemical profiles, ovarian volume, antral follicle count, BMI, menstrual frequency, and homeostasis model assessment of insulin resistance (HOMA-IR). Outcome measures would be collected during baseline and end of treatment. Reporting of the study will follow the Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) statement. DISCUSSION This proposed study will be the first randomized clinical trial to evaluate the comparative effectiveness of aerobic exercise versus Yi Jin Jing on the management of ovarian function in young overweight/obese women with PCOS. The results may provide a new evidence-based management strategy for young women with PCOS. TRIAL REGISTRATION Chinese Clinical Trial Registry ChiCTR1900022385 . Registered on 9 April 2019.
Collapse
Affiliation(s)
- Jing Zhao
- Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, 110 Ganhe Road, Shanghai, 200437, China
| | - Antonnette Ketlhoafetse
- Key Laboratory of Exercise and Health Sciences of Ministry of Education, Shanghai University of Sport, 188 Hengren Road, Shanghai, 200438, China
| | - Xiangyun Liu
- Key Laboratory of Exercise and Health Sciences of Ministry of Education, Shanghai University of Sport, 188 Hengren Road, Shanghai, 200438, China.
| | - Yang Cao
- Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, 110 Ganhe Road, Shanghai, 200437, China.
| |
Collapse
|
5
|
Gauthier R, Vassail J, Croutaz JP, Raspaud C. Thérapies actives du mouvement corps-esprit et réadaptation respiratoire dans la BPCO. Rev Mal Respir 2022; 39:258-269. [DOI: 10.1016/j.rmr.2021.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Accepted: 11/10/2021] [Indexed: 10/19/2022]
|
6
|
Lin B, Jin Q, Liu C, Zhao W, Ji R. Effect and mechanism of Tai Chi on blood pressure of patients with essential hypertension: a randomised controlled study. J Sports Med Phys Fitness 2021; 62:1272-1277. [PMID: 34881557 DOI: 10.23736/s0022-4707.21.13394-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Tai Chi is a traditional Chinese martial art that is increasingly popular in the world for positive health benefits. The influence and mechanism of Tai Chi on blood pressure in patients with essential hypertension still have high value for research. METHODS A total of 99 patients with hypertension were randomly divided into control group and Tai Chi group. Tai Chi intervention lasted for 12 weeks, and the control group maintained normal dietary and exercise habits. The changes of systolic and diastolic blood pressures in patients before and after the intervention were monitored. The serum concentrations of angiotensin II (Ang II) and nitric oxide (NO) were detected. RESULTS There was no significant difference in baseline parameters between the two groups (P>0.05). Compared with the control group, the decreased systolic and diastolic blood pressure in Tai Chi group was higher after 12 weeks (P<0.001). At the 12th week, the decreased level of Ang II and the increased level of NO in Tai Chi group were higher than those in the control group (P<0.001). CONCLUSIONS Tai Chi can improve the blood pressure of patients with hypertension by decreasing the serum Ang II level and increasing the serum NO level.
Collapse
Affiliation(s)
- Bo Lin
- Department of Basic Medicine, Jiangsu College of Nursing, Huaian, China
| | - Qiu Jin
- Department of Basic Medicine, Jiangsu College of Nursing, Huaian, China
| | - Chunhua Liu
- Jiangxi University of Traditional Chinese Medicine, Nanchang, China
| | - Wenhui Zhao
- Department of Basic Medicine, Jiangsu College of Nursing, Huaian, China
| | - Runyuan Ji
- Department of Basic Medicine, Jiangsu College of Nursing, Huaian, China -
| |
Collapse
|
7
|
Meta-Analysis of Randomized Controlled Trials of the Effects of Tai Chi on Blood Pressure. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2020; 2020:8503047. [PMID: 33082831 PMCID: PMC7563036 DOI: 10.1155/2020/8503047] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 09/11/2020] [Accepted: 09/17/2020] [Indexed: 12/14/2022]
Abstract
Objectives The purpose of this study was to investigate the influences of Tai Chi on blood pressure (BP) using the meta-analysis. Methods This paper used 6 e-resource databases, and randomized controlled trials on the role of Tai Chi on blood pressure were retrieved. Besides, the meta-analysis was conducted according to the guidelines of the Moose-recommendations and applied with Review Manager 5.3, and the risk of bias assessment was performed with the Cochrane Collaboration's tool. The inclusion, data extraction, and risk of bias assessment were independently finished by two researchers. Results There are 24 trials meeting the criteria of inclusion and the results were reviewed. The meta-analysis indicates that, compared with no exercise, Tai Chi had the influence of lowering systolic blood pressure (mean difference = −6.07, 95%CI (−8.75, −3.39), P < 0.00001) and diastolic blood pressure (mean difference MD = −3.83, 95%CI (−4.97, −2.69), P < 0.00001). No significant discrepancies in all outcomes between Tai Chi and other aerobic exercises were discovered. Conclusion Tai Chi can significantly reduce systolic and diastolic pressure than inactivity. However, Tai Chi does not show advantages in reducing blood pressure compared to other aerobic exercises. The trial is registered with CRD42020175306.
Collapse
|
8
|
Tai Chi Chuan for Subjective Sleep Quality: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2020; 2020:4710527. [PMID: 32849900 PMCID: PMC7439202 DOI: 10.1155/2020/4710527] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/17/2020] [Revised: 05/10/2020] [Accepted: 06/09/2020] [Indexed: 01/09/2023]
Abstract
Background This review aims to investigate the efficacy of Tai Chi Chuan on subjective sleep quality among adults. Methods We systematically searched PubMed, Embase, Cochrane Library, Scopus, CNKI (China National Knowledge Infrastructure), and the Wanfang Database from their inception to August 2019 and identified 25 eligible studies that were published in both English and Chinese. Results 24 out of 25 studies were identified to be high-quality studies according to the PEDro scale. The pooled results confirmed that Tai Chi Chuan elicited moderate improvements in subjective sleep quality (SMD = −0.512, 95% CI [−0.767, −0.257], P < 0.001). Notably, Tai Chi Chuan yielded more significant effects on sleep quality among the healthy population (SMD = −0.684, 95% CI [−1.056, −0.311], P < 0.001) than the clinical population (SMD = −0.395, 95% CI [−0.742, −0.047], P=0.026) and more benefits among the Asian population (SMD = −0.977, 95% CI [−1.446, −0.508], P < 0.001) than the American population (SMD = −0.259, 95% CI [−0.624, 0.105], P=0.164). After controlling the methodological quality of studies, it has been noted that Asians could achieve the most significant sleep-promoting benefit when Tai Chi Chuan was practiced between 60 and 90 min per session. Conclusions Available data implied that subjective sleep quality was improved via Tai Chi training, but more thorough studies must be executed to ascertain our findings and optimize Tai Chi practices accordingly toward various populations.
Collapse
|
9
|
Lyu S, Zhang J, Nie J, Li C, Gao T, Yuan W, Chen Z, Ma J. Comparative study of physiologic characteristics between the newly compiled Bafa Wubu of tai chi and 24 form simplified tai chi. BMC Sports Sci Med Rehabil 2020; 12:43. [PMID: 32760589 PMCID: PMC7391605 DOI: 10.1186/s13102-020-00192-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2019] [Accepted: 07/21/2020] [Indexed: 11/10/2022]
Abstract
Background The newly compiled Bafa Wubu of Tai Chi (Eight Methods and Five Footworks) is a fitness routine that has been developed in accordance with the appeal of the General Administration of Sport of China and promoted both in China and abroad. This paper aims to compare the differences in energy consumption and related parameters between the two types of Tai Chi. Methods A total of 60 healthy participants were recruited; 37 males (aged 37.4 ± 10.4 years) and 23 females (aged 31.9 ± 12.8 years). The maximal exercise capacity of participants was measured at baseline. Then, they received Tai Chi training for 12-week and their energy metabolism was measured dynamically. Results A set of the Bafa Wubu of Tai Chi requires approximately 3 min, while a set of 24 form simplified Tai Chi approximately 5 min and 40 s. The average oxygen uptake/kg (VO2/kg, 10.8 ± 2.52 ml/kg/min vs. 12.9 ± 2.59 ml/kg/min, P = 0.000), the highest VO2/kg (19.3 ± 6.03 ml/kg/min vs. 24.1 ± 7.50 ml/kg/min, p = 0.000, the average metabolic equivalent (METs,2.3 ± 0.16 METs vs. 3.2 ± 0.14 METs, p = 0.000), the highest oxygen pulse (VO2/HR, 11.1 ± 0.99 ml vs. 13.9 ± 0.93 ml, p = 0.000) and rate of perceived exertion (RPE, 10.7 ± 0.70 vs. 1.3 ± 0.62, p = 0.000) gained immediately after Bafa Wubu of Tai Chi exercise were significantly lower than those in 24 form simplified Tai Chi; heart rate recovery (HRR,1.5 ± 0.41 vs. 1.3 ± 0.45, p = 0.008) at 1 min after the practice was significantly higher than after the 24 form simplified Tai Chi. Meanwhile, the average heart rate (HR, 104.1 ± 11.41 bpm vs. 105.7 ± 9.68 bpm, p = 0.696) and the highest respiratory quotient (RQ, 1.0 ± 0.06 vs. 0.9 ± 0.09, p = 0.643) were not significantly different. The intensity of Tai Chi was described as the highest oxygen uptake of the participants when they performed the Tai Chi divided by their individual maximal oxygen uptake. Tai Chi intensity during Bafa Wubu of Tai Chi (50% ± 11.7% vs. 64% ± 12.5%) was significantly lower than during 24 form simplified Tai Chi. Conclusion The newly compiled Bafa Wubu of Tai Chi is characterized by lower energy consumption than 24 form simplified Tai Chi. Trial registration Ethics Committee of Sports Science Experiment, Beijing Sport University- 2018010H. Registered 19 June 2018.
Collapse
Affiliation(s)
- Shaojun Lyu
- College of Physical Education and Sports, Beijing Normal University, Beijing, 100875 China
| | - Jianwei Zhang
- College of Physical Education and Sports, Beijing Normal University, Beijing, 100875 China
| | - Jianquan Nie
- Party Office, The Central Institute of Ethnic Administrators, Beijing, 100094 China
| | - Cuihan Li
- College of Wushu, Beijing Sport University, Beijing, 100084 China
| | - Tianming Gao
- College of Physical Education and Sports, Beijing Normal University, Beijing, 100875 China
| | - Wen Yuan
- College of Wushu, Beijing Sport University, Beijing, 100084 China
| | - Zaihao Chen
- College of Wushu, Beijing Sport University, Beijing, 100084 China
| | - Jing Ma
- Department of Cardiology, First Medical Center of Chinese People's Libration Army General Hospital, Beijing, 100853 China
| |
Collapse
|
10
|
Cheng D, Wang B, Li Q, Guo Y, Wang L. Research on Function and Mechanism of Tai Chi on Cardiac Rehabilitation. Chin J Integr Med 2020; 26:393-400. [PMID: 32350802 DOI: 10.1007/s11655-020-3262-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/25/2020] [Indexed: 12/15/2022]
Abstract
With the increasing number of cardiovascular patients, more and more people are living with diseases. Cardiac rehabilitation (CR) is an effective treatment and prevention measure for cardiovascular disease (CVD), which aims to relieve both psychological and physiological stress of CVD, reduce risk of death from CVD, improve cardiovascular function and patients' quality of life. Tai Chi is popular in China and mainly used as a daily leisure activity for the elderly to strengthen their bodies. This review discusses whether Tai Chi could be taken as a positive intervention in CR and what is the exact role and its mechanisms as exercise therapy for CVD. The authors detail the role of Tai Chi on CR from the aspects of exercise capacity, risk factors of CVD and psychological factors, etc., as well as highlight the limitation of Tai Chi research at present.
Collapse
Affiliation(s)
- Duan Cheng
- Department of Rehabilitation, Acupuncture and Moxibustion and Massage College • Health Preservation and Rehabilitation College, Nanjing University of Chinese Medicine, Nanjing, 210023, China
| | - Bo Wang
- Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, 100102, China
| | - Qian Li
- Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China
| | - Yan Guo
- Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing, 100091, China.
| | - Lei Wang
- Department of Rehabilitation, Acupuncture and Moxibustion and Massage College • Health Preservation and Rehabilitation College, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
| |
Collapse
|
11
|
Gao L, Si D, Bao H, Yu M, Sun H, Damchaaperenlei D, Yan Y, Shi Q, Li Y. Tai Chi for the treatment of chronic obstructive pulmonary disease: A systematic review protocol. Medicine (Baltimore) 2019; 98:e16097. [PMID: 31261524 PMCID: PMC6617485 DOI: 10.1097/md.0000000000016097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Chronic obstructive pulmonary disease (COPD) is a common chronic respiratory disease with increasing morbidity and mortality that cause huge social and economic loss. Although recommended by guidelines, pulmonary rehabilitation has not been widely applied in clinics because of its inherent limitations. Free from restrictions of specific training venues and equipment, Tai Chi, as a kind of pulmonary rehabilitation, has been used to cure the COPD, yet the efficacy and safety of Tai Chi remains to be assessed. In this study, we aim to draw up a protocol for systematic review to evaluate the efficacy and safety of Tai Chi for COPD. METHODS We will search the following electronic databases from inception to December 31, 2018: PubMed, Web of Science, Medline, Cochrane Central Register of Controlled Trials, Springer, EMBASE, the China National Knowledge Infrastructure Database, Wan Fang Database, the Chinese Scientific Journal Database, and Chinese Biomedical Literature Database. Clinical trial registrations, potential gray literatures, relevant conference abstracts and reference list of identified studies will also be searched. The literature selection, data extraction, and quality assessment will be completed by 2 independent authors. Either the fixed-effects or random-effects model will be used for data synthesis based on the heterogeneity test. Changes in lung function will be evaluated as the primary outcome. Symptom assessment, quality of life (SGRQ), medication usage, exacerbations, and adverse events will be assessed as the secondary outcomes. The RevMan V.5.3.5 will be used for Meta-analysis. RESULTS This study will provide a synthesis of current evidence of Tai Chi for COPD from several aspects, such as lung function, SGRQ, medication usage, exacerbations, and adverse events. CONCLUSION The conclusion of our study will provide updated evidence to judge whether Tai Chi is an effective solution to COPD patients. PROSPERO REGISTRATION NUMBER PROSPERO CRD42019122791.
Collapse
Affiliation(s)
- Longxia Gao
- Beijing University of Chinese Medicine, Beijing
| | - Dongxu Si
- Beijing University of Chinese Medicine, Beijing
| | - Haipeng Bao
- Inner Mongolia Autonomous Region Hospital of Traditional Chinese Medicine, Hohhot
| | - MingXia Yu
- Beijing University of Chinese Medicine, Beijing
| | - Huizhuo Sun
- Beijing University of Chinese Medicine, Beijing
| | | | - Yue Yan
- The 2nd Department of Pulmonary Disease in TCM, The Key Unit of SATCM Pneumonopathy Chronic Cough and Dyspnea, Beijing Key Laboratory of Prevention and Treatment of Allergic Diseases with TCM (No. BZ0321), Center of Respiratory Medicine, China-Japan Friendship Hospital, National Clinical Research Center for Respiratory Diseases, Beijing, China
| | - Qi Shi
- The 2nd Department of Pulmonary Disease in TCM, The Key Unit of SATCM Pneumonopathy Chronic Cough and Dyspnea, Beijing Key Laboratory of Prevention and Treatment of Allergic Diseases with TCM (No. BZ0321), Center of Respiratory Medicine, China-Japan Friendship Hospital, National Clinical Research Center for Respiratory Diseases, Beijing, China
| | - Youlin Li
- The 2nd Department of Pulmonary Disease in TCM, The Key Unit of SATCM Pneumonopathy Chronic Cough and Dyspnea, Beijing Key Laboratory of Prevention and Treatment of Allergic Diseases with TCM (No. BZ0321), Center of Respiratory Medicine, China-Japan Friendship Hospital, National Clinical Research Center for Respiratory Diseases, Beijing, China
| |
Collapse
|
12
|
Reychler G, Poncin W, Montigny S, Luts A, Caty G, Pieters T. Efficacy of yoga, tai chi and qi gong on the main symptoms of chronic obstructive pulmonary disease: A systematic review. Respir Med Res 2019; 75:13-25. [PMID: 31235453 DOI: 10.1016/j.resmer.2019.04.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2019] [Revised: 03/19/2019] [Accepted: 04/08/2019] [Indexed: 11/19/2022]
Abstract
INTRODUCTION The aim of this systematic review was to summarize the effects of yoga, qi gong or tai chi in COPD patients. METHODS Studies evaluating effects of the selected complementary therapies on lung function, dyspnea, quality of life or functional exercise capacity in COPD patients were identified and reviewed from three databases. RESULTS Eighteen studies were included. Six studies evaluated the effects of yoga and the others focused on tai chi or qi gong separately or combined. The duration of the programs ranged from 6 weeks to 6 months and the frequency from 2 to 7 times a week. Each session reached 30 to 90 minutes. Benefits were observed on lung function and functional exercise capacity but benefit was clearly stated neither on quality of life nor on dyspnea. CONCLUSION This systematic review highlights the potential of these therapies as complementary therapeutic approach in COPD patients.
Collapse
Affiliation(s)
- G Reychler
- Institut de recherche expérimentale et clinique (irec), pôle de pneumologie, ORL & dermatologie, université Catholique de Louvain, Brussels, Belgium; Service de pneumologie, cliniques universitaires Saint-Luc, Brussels, Belgium; Haute école Leonard de Vinci-institut d'enseignement supérieur Parnasse-Deux Alice, Brussels, Belgium.
| | - W Poncin
- Institut de recherche expérimentale et clinique (irec), pôle de pneumologie, ORL & dermatologie, université Catholique de Louvain, Brussels, Belgium; Service de pneumologie, cliniques universitaires Saint-Luc, Brussels, Belgium.
| | - S Montigny
- Haute école Leonard de Vinci-institut d'enseignement supérieur Parnasse-Deux Alice, Brussels, Belgium.
| | - A Luts
- Département de psychiatrie adulte, cliniques universitaires Saint Luc, Brussels, Belgium.
| | - G Caty
- Service de médecine physique et réadaptation, cliniques universitaires Saint-Luc, Brussels, Belgium.
| | - T Pieters
- Institut de recherche expérimentale et clinique (irec), pôle de pneumologie, ORL & dermatologie, université Catholique de Louvain, Brussels, Belgium; Service de pneumologie, cliniques universitaires Saint-Luc, Brussels, Belgium.
| |
Collapse
|
13
|
Liu X, Li P, Xiao L, Lu Y, Li N, Wang Z, Duan H, Li J, Wu W. Effects of home-based prescribed pulmonary exercise by patients with chronic obstructive pulmonary disease: study protocol for a randomized controlled trial. Trials 2019; 20:41. [PMID: 30635038 PMCID: PMC6330445 DOI: 10.1186/s13063-018-3149-7] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2018] [Accepted: 12/18/2018] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Chronic obstructive pulmonary disease (COPD) not only affects pulmonary function but also leads to skeletal muscle dysfunction. The various characteristics of different forms of traditional Chinese exercise lead to inconsistent clinical effects in COPD patients. Hence, the present study carefully combined and rearranged liuzijue, wuqinxi, baduanjin, and yijinjing into a pulmonary exercise program targeting COPD patients. METHODS/DESIGN This study is a single-blind, randomized controlled trial. A random number table will be generated by an independent person. Each number will be placed in a sealed opaque envelop to blind assignment. All outcome assessors will be blinded to group assignment. COPD patients between 40 and 80 years of age, with stable medical treatment and no regular participation in regular exercise in the last 6 months will be included. All participants will be recruited from the Respiratory Medicine Department of Yue-Yang Integrative Medicine Hospital Affiliated to Shanghai University of Traditional Chinese Medicine. All participants will continue to follow their medical treatment. They will be randomly assigned to one of four groups in a 1:1:1:1 ratio: (1) usual care (control group, CG), (2) pulmonary exercise group (PG), (3) resistance exercise group (RG), or (4) combined pulmonary exercise and resistance exercise group (PRG). CG participants will receive medical treatment only. PG participants will perform 60 min of exercise twice a day 7 days a week for 3 months, with 1 day's exercise per week at hospital under guidance and supervision. RG participants will perform 60 min of resistance exercise once a day, three times a week for 3 months, with 1 day's exercise per week at hospital under guidance and supervision. PRG participants will perform 60 min of prescribed pulmonary exercise combined with resistance exercise for 3 months. The outcomes include the isokinetic strength of peripheral skeletal muscle, surface electromyography, 6-min walking distance, 30-s arm curl test, pulmonary function, respiratory muscle strength, dyspnea, body composition, physical activity, quality of life, and Chronic Disease Self-Efficacy Scale. DISCUSSION The results of this study will compensate for the current inadequate understanding of prescribed pulmonary exercise and may provide a new, simple, convenient, and effective home-based exercise intervention for COPD patients. TRIAL REGISTRATION Chinese Clinical Trial Registry, ChiCTR-1800017405 . Registered on 28 July 2018.
Collapse
Affiliation(s)
- Xiaodan Liu
- School of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, China
- Institute of Rehabilitation Medicine, Shanghai Academy of Traditional Chinese Medicine, Shanghai, China
| | - Peijun Li
- Department of Sports Medicine, Shanghai University of Sport, Heng Ren Road No 188, Yang Pu District, Shanghai, 200438 China
| | - Lu Xiao
- School of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, China
| | - Yufan Lu
- Department of Sports Medicine, Shanghai University of Sport, Heng Ren Road No 188, Yang Pu District, Shanghai, 200438 China
| | - Ning Li
- Department of Sports Medicine, Shanghai University of Sport, Heng Ren Road No 188, Yang Pu District, Shanghai, 200438 China
| | - Zhengrong Wang
- Department of Sports Medicine, Shanghai University of Sport, Heng Ren Road No 188, Yang Pu District, Shanghai, 200438 China
| | - Hongxia Duan
- School of Rehabilitation Science, Shanghai University of Traditional Chinese Medicine, Shanghai, China
| | - Jian Li
- Department of Sports Medicine, Shanghai University of Sport, Heng Ren Road No 188, Yang Pu District, Shanghai, 200438 China
| | - Weibing Wu
- Department of Sports Medicine, Shanghai University of Sport, Heng Ren Road No 188, Yang Pu District, Shanghai, 200438 China
| |
Collapse
|
14
|
A Systematic Review of Exercise Systematic Reviews in the Cancer Literature (2005-2017). PM R 2018; 9:S347-S384. [PMID: 28942909 DOI: 10.1016/j.pmrj.2017.07.074] [Citation(s) in RCA: 215] [Impact Index Per Article: 35.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2017] [Revised: 07/27/2017] [Accepted: 07/29/2017] [Indexed: 11/22/2022]
Abstract
BACKGROUND Evidence supports the benefits of exercise for patients with cancer; however, specific guidance for clinical decision making regarding exercise timing, frequency, duration, and intensity is lacking. Efforts are needed to optimize clinical recommendations for exercise in the cancer population. OBJECTIVES To aggregate information regarding the benefit of exercise through a systematic review of existing systematic reviews in the cancer exercise literature. DATA SOURCES PubMed, CINAHL Plus, Scopus, Web of Science, and EMBASE. STUDY ELIGIBILITY CRITERIA Systematic reviews and meta-analyses of the impact of movement-based exercise on the adult cancer population. METHODS Two author teams reviewed 302 abstracts for inclusion with 93 selected for full-text review. A total of 53 studies were analyzed. A Measurement Tool to Assess Systematic Reviews (AMSTAR) was used as a quality measure of the reviews. Information was extracted using the PICO format (ie, participants, intervention, comparison, outcomes). Descriptive findings are reported. RESULTS Mean AMSTAR score = 7.66/11 (±2.04) suggests moderate quality of the systematic reviews. Exercise is beneficial before, during, and after cancer treatment, across all cancer types, and for a variety of cancer-related impairments. Moderate-to-vigorous exercise is the best level of exercise intensity to improve physical function and mitigate cancer-related impairments. Therapeutic exercises are beneficial to manage treatment side effects, may enhance tolerance to cancer treatments, and improve functional outcomes. Supervised exercise yielded superior benefits versus unsupervised. Serious adverse events were not common. LIMITATIONS Movement-based exercise intervention outcomes are reported. No analysis of pooled effects was calculated across reviews due to significant heterogeneity within the systematic reviews. Findings do not consider exercise in advanced cancers or pediatric populations. CONCLUSIONS Exercise promotes significant improvements in clinical, functional, and in some populations, survival outcomes and can be recommended regardless of the type of cancer. Although generally safe, patients should be screened and appropriate precautions taken. Efforts to strengthen uniformity in clinical trial reporting, develop clinical practice guidelines, and integrate exercise and rehabilitation services into the cancer delivery system are needed.
Collapse
|
15
|
Zou L, Pan Z, Yeung A, Talwar S, Wang C, Liu Y, Shu Y, Chen X, Thomas GA. A Review Study on the Beneficial Effects of Baduanjin. J Altern Complement Med 2017; 24:324-335. [PMID: 29227709 DOI: 10.1089/acm.2017.0241] [Citation(s) in RCA: 108] [Impact Index Per Article: 15.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
AIM Baduanjin, a Chinese traditional Qigong exercise that focuses on a mind-body integration, is considered to be an effective exercise in promoting health. Thus, we systematically and critically evaluated the emerging literature relating to the effects of Baduanjin on health outcomes. METHODS We used seven English-language electronic databases for the literature search. At least one health-related parameter was reported in retrievable full-text Baduanjin intervention studies. RESULTS A total of 22 eligible studies were included. The inter-rater reliability between two review authors was 94.4% for selecting eligible studies. The results of individual studies support the notion that Baduanjin may be effective as an adjunctive rehabilitation method for improving cognitive functions in addition to psychological and physiological parameters among different age groups and various clinical populations (e.g., Parkinson's disease, chronic neck pain, chronic fatigue syndrome-like illness, psychological illness). CONCLUSION Before we draw a definitive conclusion relating to Baduanjin for health benefits, more methodologically rigorous studies with a long-term follow-up assessment should be further conducted to examine the effects of Baduanjin on health-related parameters and disease-specific measures in different health conditions. This review lends insight for future studies on Baduanjin and its potential application in preventive medicine and rehabilitation science.
Collapse
Affiliation(s)
- Liye Zou
- 1 Department of Sports Science and Physical Education, The Chinese University of Hong Kong , Hong Kong Special Administration Region, China .,2 College of Sports Science, Jishou University , Jishou, China .,3 School of Martial Arts, Shanghai University of Sport , Shanghai, China
| | - Zhujun Pan
- 4 Department of Kinesiology, Mississippi State University , Starkville, MS
| | - Albert Yeung
- 5 Massachusetts General Hospital , Harvard Medical School, Boston, MA
| | - Saira Talwar
- 4 Department of Kinesiology, Mississippi State University , Starkville, MS
| | - Chaoyi Wang
- 6 Department of Sports Science, Jilin University , Changchun, China
| | - Yang Liu
- 7 Sensorimotor Neurophysiology Laboratory, Indiana University , Bloomington, IN
| | - Yankai Shu
- 2 College of Sports Science, Jishou University , Jishou, China
| | - Xiaoan Chen
- 2 College of Sports Science, Jishou University , Jishou, China
| | | |
Collapse
|
16
|
Effect of Yang-Style Tai Chi on Gait Parameters and Musculoskeletal Flexibility in Healthy Chinese Older Women. Sports (Basel) 2017; 5:sports5030052. [PMID: 29910412 PMCID: PMC5968961 DOI: 10.3390/sports5030052] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2017] [Revised: 07/11/2017] [Accepted: 07/11/2017] [Indexed: 12/03/2022] Open
Abstract
The purpose of the present study was to examine the effect of Yang-style Tai chi (TC) on gait parameters and musculoskeletal flexibility in healthy Chinese female adults. Sixty-six female adults aged >65 years were randomly assigned to either an experimental group (67.9 ± 3.2 years of age) receiving three 90-min simplified 24-form TC sessions for eight weeks, or a control group (67.4 ± 2.9 years of age) who maintained their daily lifestyles. All study participants were instructed to perform a selected pace walking for recording gait parameters (stride length, gait speed, swing cycle time, stance phase, and double support times) at both baseline and after the experiment. Low-limb flexibility and range of motion at specific musculoskeletal regions (hip flexion, hip extension, and plantar flexion, as well as anterior and lateral pelvic tilts, pelvic rotation, and joint range of motion (hip, knee, and ankle)) were also assessed in the present study. Multiple separate 2 × 2 Factorial Analysis of Variance (ANOVA) with repeated measures were used to examine the effects of TC on the abovementioned outcomes between baseline and posttest in the two groups. When compared to those in the control group, older female adults who experienced the 8-week Tai chi intervention demonstrated significant improvements in most of the outcome measures. More specifically, positive changes in the TC group were found, including gait parameter (p < 0.001 for all; stride length (1.12 to 1.24, +8.6%), gait speed (1.06 to 1.21, +13.9%), stance phase (66.3 to 61.8, −5.5%), swing phase (33.7 to 38.4, +10.1%), double support time (0.33 to 0.26, −21.1%)), flexibility-related outcomes (hip flexion (90.0 to 91.9, 22.6%, p < 0.0001), single hip flexor (6.0 to 2.0, −61.5%, p = 0.0386), and plantar flexion (41.6 to 49.7, +17.5%, p < 0.0001)), and range of motion (anterior pelvic tilt (9.5 to 6.2, −34.7%, p < 0.0001), lateral pelvic tilt (6.6 to 8.3, +23.8%, p = 0.0102), pelvic rotation (10.3 to 14.7, 28.2%, p < 0.0001), hip range of motion (29.8 to 32.9, +13.5%, p = 0.001), and ankle range of motion (28.0 to 32.6, +11.1%, p < 0.0001)). The present study supports the notion that the practice of TC has a positive effect on healthy older female adults in improving gait parameters and flexibility, counteracting the normal functional degeneration due to age.
Collapse
|
17
|
Kesavadev J, Saboo B, Sadikot S, Das AK, Joshi S, Chawla R, Thacker H, Shankar A, Ramachandran L, Kalra S. Unproven Therapies for Diabetes and Their Implications. Adv Ther 2017; 34:60-77. [PMID: 27864668 PMCID: PMC5216071 DOI: 10.1007/s12325-016-0439-x] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2016] [Indexed: 12/11/2022]
Abstract
Diabetes is a chronic disease and is one of the leading causes of morbidity and mortality worldwide. Being an ancient disease, many individuals follow complementary and alternative medicinal (CAM) therapies for either the cure or prevention of the disease. The popularity of these practices among the general public is in no way a testimony to their safety and efficacy. Due to the possibility of undesirable interactions with conventional medicines, it is imperative that patients are asked about CAM use during patient assessment. Patient- and physician-targeted awareness programs on various aspects of CAM use must be initiated to create a better understanding of evidence-based use of these practices. In addition, there should be guidelines in place based on clinical trial outcomes, and stricter regulations need to be enforced on CAM practices to ensure their safety and effectiveness.
Collapse
Affiliation(s)
| | - Banshi Saboo
- Dia Care and Hormone Clinic, Ahmedabad, Gujarat, India
| | - Shaukat Sadikot
- Department of Endocrinology/Diabetology, Jaslok Hospital and Research Centre, Mumbai, India
| | - Ashok Kumar Das
- Department of Endocrinology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
| | - Shashank Joshi
- Department of Diabetology, Lilavati Hospital and Research Centre, Mumbai, India
| | | | - Hemant Thacker
- Department of Endocrinology, Bhatia Hospital, Mumbai, India
| | - Arun Shankar
- Jothydev's Diabetes Research Centre, Trivandrum, Kerala, India
| | | | - Sanjay Kalra
- Department of Endocrinology, Bharati Hospital, Karnal, Haryana, India
| |
Collapse
|
18
|
Chan AW, Yu DS, Choi KC, Lee DT, Sit JW, Chan HY. Tai chi qigong as a means to improve night-time sleep quality among older adults with cognitive impairment: a pilot randomized controlled trial. Clin Interv Aging 2016; 11:1277-1286. [PMID: 27698557 PMCID: PMC5034925 DOI: 10.2147/cia.s111927] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
Purpose Age-related cognitivee decline is a growing public health concern worldwide. More than a quarter of adults with cognitive impairment experience sleep disturbance. The objective of this pilot study was to evaluate the preliminary effects of tai chi qigong (TCQ) on improving the night-time sleep quality of older adults with cognitive impairment. Participants Older adults with cognitive impairment who complain of sleep disturbance. Methods A randomized controlled trial with two groups. Fifty-two subjects were recruited from two district elderly community centers and randomly assigned to either the TCQ group (n=27) or the control group (n=25). The intervention group received TCQ training consisting of two 60-minute sessions each week for 2 months. The control group was advised to maintain their usual activities. Sleep quality was measured by the Chinese Pittsburgh Sleep Quality Index. Quality of life was measured by Short-form 12, cognitive functions measured by mini-mental state examination, and subjective memory deficits measured by the memory inventory for Chinese. Results Data were collected at baseline, 2 months, and 6 months. Significant results were noted at 6 months in the Chinese Pittsburgh Sleep Quality Index global score (P=0.004), sleep duration (P=0.003), habitual sleep efficiency (P=0.002), and the Short-form 12 mental health component (P<0.001). The TCQ participants reported better sleep quality and a better (quality of life) mental health component than the control group. Conclusion TCQ can be considered a useful nonpharmacological approach for improving sleep quality in older adults with cognitive impairment. Clinical trial registration CUHK_CCT00448 (https://www2.ccrb.cuhk.edu.hk/registry/public/287).
Collapse
Affiliation(s)
- Aileen Wk Chan
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China
| | - Doris Sf Yu
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China
| | - K C Choi
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China
| | - Diana Tf Lee
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China
| | - Janet Wh Sit
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China
| | - Helen Yl Chan
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China
| |
Collapse
|
19
|
Guo JB, Chen BL, Lu YM, Zhang WY, Zhu ZJ, Yang YJ, Zhu Y. Tai Chi for improving cardiopulmonary function and quality of life in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis. Clin Rehabil 2015; 30:750-64. [PMID: 26396162 DOI: 10.1177/0269215515604903] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2015] [Accepted: 08/08/2015] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To examine the effect of Tai Chi on cardiopulmonary function and quality of life in chronic obstructive pulmonary disease. DATA SOURCES Cochrane Library, PUBMED, EMBASE, China Biology Medicine disc, China National Knowledge Infrastructure, and Wanfang database. METHODS Articles on randomized controlled trials comparing Tai Chi with other treatments or no treatment were identified. A random-effects model was used to calculate the pooled mean difference (MD) with 95% confidence interval (CI). RESULTS Fifteen articles involving 1354 participants were included. Compared with the control group, Tai Chi was more effective in improving exercise capacity on 6-minute walking distance (short term: MD = 16.02, 95% CI 2.86 to 29.17; mid term: MD = 30.90, 95% CI 6.88 to 54.93; long term: MD = 24.63, 95% CI 2.30 to 46.95), as well as pulmonary functions on forced expiratory volume in the first second (mid term: MD = 0.10; 95% CI 0.01 to 0.19), and forced vital capacity (mid term: MD = 0.20; 95% CI 0.04 to 0.36). Concerning quality of life, we found Tai Chi was better than the control group for the Chronic Respiratory Disease Questionnaire dyspnoea score (short term: MD = 0.90; 95% CI 0.51 to 1.29), fatigue score (short term: MD = 0.75; 95% CI 0.42 to 1.09), and total score (short term: MD = 1.92; 95% CI 0.54 to 3.31). CONCLUSIONS Tai Chi may improve exercise capacity in the short, mid, and long terms. However, no significant long term differences in pulmonary function and quality of life were observed for patients with chronic obstructive pulmonary disease.
Collapse
Affiliation(s)
- Jia-Bao Guo
- Second School of Clinical Medical, Nanjing University of Chinese Medicine, Jiangsu, China
| | - Bing-Lin Chen
- Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China
| | - Yue-Mei Lu
- Second School of Clinical Medical, Nanjing University of Chinese Medicine, Jiangsu, China
| | - Wen-Yi Zhang
- Second School of Clinical Medical, Nanjing University of Chinese Medicine, Jiangsu, China
| | - Zhao-Jin Zhu
- Second School of Clinical Medical, Nanjing University of Chinese Medicine, Jiangsu, China
| | - Yu-Jie Yang
- Second School of Clinical Medical, Nanjing University of Chinese Medicine, Jiangsu, China
| | - Yi Zhu
- Second School of Clinical Medical, Nanjing University of Chinese Medicine, Jiangsu, China
| |
Collapse
|
20
|
Smith LL, Wherry SJ, Larkey LK, Ainsworth BE, Swan PD. Energy expenditure and cardiovascular responses to Tai Chi Easy. Complement Ther Med 2015; 23:802-5. [PMID: 26645519 DOI: 10.1016/j.ctim.2015.09.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2014] [Revised: 08/02/2015] [Accepted: 09/07/2015] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVES The purpose of this study was to evaluate the cardiorespiratory response and energy expenditure during the practice of Tai Chi Easy (TCE). TCE has been proposed as a low-intensity alternative to traditional physical activity. DESIGN Oxygen cost data were collected from 10 healthy adult women (mean age of 47.9 ± 12.8 years) at rest and during a 30-min session of TCE using an automated metabolic cart and heart rate (HR) telemetry. The Borg rating of perceived exertion (RPE) scale was utilized to measure subjective intensity of the TCE movements. RESULTS The mean oxygen consumption (VO(2)) for the movements ranged from 4.3 ml kg(-1)min(-1) to 5.5 ml kg(-1)min(-1) with an overall mean of 5.0 ml kg(-1)min(-1). The mean HR for all activity was 67.0 beats per minute and the mean energy expenditure (EE) was 1.6 Kcal min(-1). CONCLUSIONS Cardiorespiratory and EE responses to TCE indicate that this a low intensity exercise appropriate for individuals requiring activity prescriptions of approximately 2 metabolic equivalents (METs).
Collapse
Affiliation(s)
- Lisa L Smith
- Arizona State University, Healthy Lifestyles Research Center, School of Nutrition and Health Promotion, Phoenix, AZ, United States.
| | - Sarah J Wherry
- Arizona State University, Healthy Lifestyles Research Center, School of Nutrition and Health Promotion, Phoenix, AZ, United States
| | - Linda K Larkey
- Arizona State University, College of Nursing and Health Innovation, Phoenix, AZ, United States
| | - Barbara E Ainsworth
- Arizona State University, Healthy Lifestyles Research Center, School of Nutrition and Health Promotion, Phoenix, AZ, United States
| | - Pamela D Swan
- Arizona State University, Healthy Lifestyles Research Center, School of Nutrition and Health Promotion, Phoenix, AZ, United States
| |
Collapse
|
21
|
Xiao CM, Zhuang YC. Efficacy of Liuzijue Qigong in Individuals with Chronic Obstructive Pulmonary Disease in Remission. J Am Geriatr Soc 2015; 63:1420-5. [PMID: 26131612 DOI: 10.1111/jgs.13478] [Citation(s) in RCA: 53] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To investigate the effectiveness of a 6-month Liuzijue qigong (LQG) program in promoting physical and psychosocial function in individuals with chronic obstructive pulmonary disease (COPD). DESIGN Single-blind, randomized controlled trial. SETTING Seven hospital respiratory care centers in Beijing. PARTICIPANTS Individuals with COPD (N = 126; mean age 71.1 ± 2.7, range 65-85). METHODS Participants were randomly assigned to one of two groups: LQG (n = 63) and control (n = 63). Subjects in the LQG group received a LQG program consisting of four 45-minute sessions each week and daily walking for 30 minutes for 6 months. Control subjects walked daily for 30 minutes. Data collection was performed at baseline, at 6 weeks, and at 6 months. Primary outcomes involved functional capacity, and secondary outcomes involved quality of life. RESULTS The LQG group had greater improvements in the 6-minute walk test (P = .02); specific airway conductance (P = .02); monitored functional task evaluation (P = .04); Medical Outcomes Study 36-item Short-Form Health Survey (SF-36; general health (P < .001), mental health (P = .03)); Chronic Respiratory Questionnaire (dyspnea (P = .05), emotion (P = .05), and mastery (P = .04) at 6-month follow-up. After 6 months, the control group had significant improvement only on the SF-36 mental health (P = .02). CONCLUSION LQG promoted functional capacity and quality of life in older adults with COPD at 6 months and is a good alternative home exercise program for older adults in the rehabilitation of COPD.
Collapse
Affiliation(s)
- Chun-Mei Xiao
- Department of Health Promotion and Physical Education, Beijing Institute of Graphic Communication, Beijing, China
| | | |
Collapse
|
22
|
|
23
|
Chao CHN, Costa EC, Okano AH, Farias TDB, Farias LF, Elsangedy HM, Krinski K. Rating of Perceived Exertion and Affective Responses during Tai Chi Chuan. Percept Mot Skills 2014; 118:926-39. [DOI: 10.2466/10.06.pms.118k27w5] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Ratings of perceived exertion (RPE) and affective responses were assessed during Tai Chi Chuan. A total of 16 women ( M age = 61.2 yr., SD = 8.8) participated in this study. Individuals practiced Tai Chi Chuan three times / week during seven weeks, and were assessed session-by-session (21 Wu Tai Chi Chuan sessions) in three moments (15, 30, and 45 min.) using Borg's scale (CR 0–10) and the Feeling Scale (+5/–5). With regard to RPE, there was a difference between 15 and 30 min. and between 15 and 45 min. The same pattern of differences was observed for the affective response. The RPE during the seven weeks ranged from “fairly light” to “moderate” and the affective response from “good” to “very good.” Thus, Tai Chi Chuan was perceived as a low-moderate intensity and pleasurable (positive affect) exercise by middle-aged and elderly women.
Collapse
Affiliation(s)
- Cheng H. N. Chao
- Department of Physical Education, Federal University of Rio Grande do Norte
| | - Eduardo C. Costa
- Department of Physical Education, Federal University of Rio Grande do Norte
| | - Alexandre H. Okano
- Department of Physical Education, Federal University of Rio Grande do Norte
| | | | | | | | - Kleverton Krinski
- Department of Physical Education, Federal University of Vale do Sao Francisco
| |
Collapse
|
24
|
Chan AWK, Lee A, Lee DTF, Sit JWH, Chair SY. 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. [PMID: 24282383 PMCID: PMC3824309 DOI: 10.1155/2013/425082] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2013] [Accepted: 09/08/2013] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVES To evaluate the sustaining effects of Tai Chi Qigong (TCQ) in improving the psychosocial health in chronic obstructive pulmonary disease (COPD) patients in the sixth month. BACKGROUND COPD affects both physical and emotional aspects of life. Measures to minimize patients' suffering need to be implemented. METHODS 206 COPD patients were randomly assigned into three groups: TCQ group, exercise group, and control group. The TCQ group completed a three-month TCQ program, the exercise group practiced breathing and walking exercise, and the control group received usual care. RESULTS Significant group-by-time interactions in quality of life (QOL) using St. George's respiratory questionnaire (P = 0.002) and the perceived social support from friends using multidimensional scale of perceived social support (P = 0.04) were noted. Improvements were observed in the TCQ group only. CONCLUSIONS TCQ has sustaining effects in improving psychosocial health; it is also a useful and appropriate exercise for COPD patients.
Collapse
Affiliation(s)
- Aileen W. K. Chan
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong
| | - Albert Lee
- The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong
| | - Diana T. F. Lee
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong
| | - Janet W. H. Sit
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong
| | - S. Y. Chair
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong
| |
Collapse
|
25
|
Chan AWK, Lee A, Lee DTF, Suen LKP, Tam WWS, Chair SY, Griffiths P. The sustaining effects of Tai chi Qigong on physiological health for COPD patients: a randomized controlled trial. Complement Ther Med 2013; 21:585-94. [PMID: 24280465 DOI: 10.1016/j.ctim.2013.09.008] [Citation(s) in RCA: 51] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2013] [Revised: 08/28/2013] [Accepted: 09/27/2013] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVES To evaluate the sustaining effects of Tai chi Qigong in improving the physiological health for COPD patients at sixth month. DESIGN A randomized controlled trial. Subjects were in three randomly assigned groups: Tai chi Qigong group, exercise group, and control group. SETTING The 206 subjects were recruited from five general outpatient clinics. INTERVENTIONS Tai chi Qigong group completed a 3-month Tai chi Qigong program. Exercise group practiced breathing and walking as an exercise. Control group received usual care. MAIN OUTCOME MEASURES Primary outcomes included six-minute walking distance and lung functions. Secondary outcomes were dyspnea and fatigue levels, number of exacerbations and hospital admissions. RESULTS Tai chi Qigong group showed a steady improvement in exercise capacity (P<.001) from baseline to the sixth month. The mean walking distance increased from 298 to 349 meters (+17%). No significant changes were noted in the other two groups. Tai chi Qigong group also showed improvement in lung functions (P<.001). Mean forced expiratory volume in 1s increased from .89 to .99l (+11%). No significant change was noted in the exercise group. Deterioration was found in the control group, with mean volume decreased from .89 to .84l (-5.67%). Significant decreased in the number of exacerbations was observed in the Tai chi Qigong group. No changes in dyspnea and fatigue levels were noted among the three groups. CONCLUSIONS Tai chi Qigong has sustaining effects in improving the physiological health and is a useful and appropriate exercise for COPD patients.
Collapse
Affiliation(s)
- Aileen W K Chan
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong Special Administrative Region.
| | | | | | | | | | | | | |
Collapse
|
26
|
Payne P, Crane-Godreau MA. Meditative movement for depression and anxiety. Front Psychiatry 2013; 4:71. [PMID: 23898306 PMCID: PMC3721087 DOI: 10.3389/fpsyt.2013.00071] [Citation(s) in RCA: 73] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/06/2013] [Accepted: 07/05/2013] [Indexed: 01/29/2023] Open
Abstract
This review focuses on Meditative Movement (MM) and its effects on anxiety, depression, and other affective states. MM is a term identifying forms of exercise that use movement in conjunction with meditative attention to body sensations, including proprioception, interoception, and kinesthesis. MM includes the traditional Chinese methods of Qigong (Chi Kung) and Taijiquan (Tai Chi), some forms of Yoga, and other Asian practices, as well as Western Somatic practices; however this review focuses primarily on Qigong and Taijiquan. We clarify the differences between MM and conventional exercise, present descriptions of several of the key methodologies of MM, and suggest how research into these practices may be approached in a systematic way. We also present evidence for possible mechanisms of the effects of MM on affective states, including the roles of posture, rhythm, coherent breathing, and the involvement of specific cortical and subcortical structures. We survey research outcomes summarized in reviews published since 2007. Results suggest that MM may be at least as effective as conventional exercise or other interventions in ameliorating anxiety and depression; however, study quality is generally poor and there are many confounding factors. This makes it difficult to draw definitive conclusions at this time. We suggest, however, that more research is warranted, and we offer specific suggestions for ensuring high-quality and productive future studies.
Collapse
Affiliation(s)
- Peter Payne
- Microbiology and Immunology, Geisel School of Medicine at Dartmouth , Lebanon, NH , USA
| | | |
Collapse
|
27
|
|
28
|
Liu XD, Jin HZ, Ng BHP, Gu YH, Wu YC, Lu G. Therapeutic Effects of Qigong in Patients with COPD: A Randomized Controlled Trial. Hong Kong J Occup Ther 2012. [DOI: 10.1016/j.hkjot.2012.06.002] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Objective This study was conducted to compare the therapeutic effects of health qigong (HQG) with conventional pulmonary rehabilitation (PR) exercise among patients with chronic obstructive pulmonary disease (COPD). Methods A total of 132 patients with confirmed diagnosis of COPD but no serious comorbidities were randomly allocated to the HQG group (n = 51), PR group (n = 32), or medical treatment group (n = 35). The HQG group received 1 week of HQG training under the supervision of professional coaches, and were then encouraged to participate in a peer-led weekly practice group thrice a week, lasting 1 hour each time, for 6 months. The conventional PR group received the same amount of professional coaching on breathing and aerobic exercises, and peer-led walking or ball game groups. The medical treatment group only received health education on self-exercise. Baseline data were taken before randomization, and outcomes were ascertained at the 6-month follow-up by blinded assessors. Results Overall, 118 patients with complete data were recruited into the final analysis. Irrespective of disease stages, both HQG and PR groups showed improving trends across 6-minute walk test and quality of life scores, while the medical treatment group demonstrated either no improvements or some deteriorations. When comparing HQG with PR, HQG appeared to have better effects on decreasing the frequency of exacerbation for patients with GOLD (Global Initiative for Chronic Obstructive Lung Disease) stage I and maintaining a stable tumor necrosis factor-alpha level for patients of GOLD stage II. Conclusion This study solidifies the concept that both HQG and PR produce positive effects on subjective symptoms and functions among COPD patients, and also provided evidence that HQG can induce additional effects compared to conventional PR.
Collapse
Affiliation(s)
- Xiao-Dan Liu
- Shanghai University of Traditional Chinese Medicine, Shanghai, China
| | - Hong-Zhu Jin
- Nanjing University of Traditional Chinese Medicine, Nanjing, China
| | - Bobby Hin-Po Ng
- Occupational Therapy Department, Kowloon Hospital, Hong Kong
| | - Yi-Huang Gu
- Nanjing University of Traditional Chinese Medicine, Nanjing, China
| | - Yun-Chuan Wu
- Nanjing University of Traditional Chinese Medicine, Nanjing, China
| | - Gan Lu
- Jiangsu Province Hospitals, Nanjing, Jiangsu, China
| |
Collapse
|
29
|
Palasuwan A, Suksom D, Margaritis I, Soogarun S, Rousseau AS. Effects of tai chi training on antioxidant capacity in pre- and postmenopausal women. J Aging Res 2011; 2011:234696. [PMID: 21584229 PMCID: PMC3092538 DOI: 10.4061/2011/234696] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2010] [Revised: 01/03/2011] [Accepted: 01/25/2011] [Indexed: 11/20/2022] Open
Abstract
The risk of oxidative stress-related metabolic diseases increases with menopause and physical inactivity. We hypothesized that an 8-week Tai Chi (TC) training program (2 sessions in class; 2 sessions at home; 1-1:15/session) would improve antioxidant capacity and reduce cardiovascular risks in both pre- (n = 8) and postmenopausal (n = 7) sedentary women. Selected measures of physical fitness and blood parameters were analyzed before and after the program. Besides the well-known effects of TC on balance, flexibility, and maximum leg extensor strength, TC (1) increased erythrocyte glutathione peroxidase activity—an aerobic training-responsive antioxidant enzyme—and plasma total antioxidant status and (2) decreased plasma total homocysteine, a cardiovascular risk marker. In addition to being a low-velocity, low-impact, and relatively safe, TC is a suitable physical activity design for pre- and postmenopausal women to increase antioxidant defenses. Investigating breathing effects during TC movements would be an interesting area for further research in diseases prevention.
Collapse
Affiliation(s)
- Attakorn Palasuwan
- Faculté des Sciences du Sport, Université de Nice Sophia-Antipolis, 261 Route de Grenoble, 06205 Nice, France
| | | | | | | | | |
Collapse
|
30
|
Ng BH, Tsang HW, Jones AY, So C, Mok TY. Functional and Psychosocial Effects of Health Qigong in Patients with COPD: A Randomized Controlled Trial. J Altern Complement Med 2011; 17:243-51. [PMID: 21417809 DOI: 10.1089/acm.2010.0215] [Citation(s) in RCA: 48] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Affiliation(s)
- Bobby H.P. Ng
- Centre for East-Meets-West, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong
| | - Hector W.H. Tsang
- Centre for East-Meets-West, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong
| | - Alice Y.M. Jones
- Centre for East-Meets-West, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong
| | - C.T. So
- Occupational Therapy Department, Kowloon Hospital, Kowloon, Hong Kong
| | - Thomas Y.W. Mok
- Respiratory Medical Department, Kowloon Hospital, Kowloon, Hong Kong
| |
Collapse
|
31
|
Chan AWK, Lee A, Suen LKP, Tam WWS. Tai chi Qigong improves lung functions and activity tolerance in COPD clients: a single blind, randomized controlled trial. Complement Ther Med 2011; 19:3-11. [PMID: 21296261 DOI: 10.1016/j.ctim.2010.12.007] [Citation(s) in RCA: 74] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2009] [Revised: 08/10/2010] [Accepted: 12/24/2010] [Indexed: 10/18/2022] Open
Abstract
OBJECTIVE To evaluate the effectiveness of a Tai chi Qigong (TCQ) program in enhancing respiratory functions and activity tolerance in clients with chronic obstructive pulmonary disease (COPD). DESIGN A single-blind, randomized controlled trial. SETTING Five general outpatient clinics in Hong Kong. INTERVENTION In total, 206 COPD clients were randomly assigned into one of the three groups, namely, TCQ, exercise, and control group. Subjects in the TCQ group received a TCQ program consisting of two 60-min sessions each week for three months. Subjects in the exercise group were taught to practice breathing techniques combined with walking as an exercise. Subjects in the control group were instructed to maintain their usual activities. Data collection was performed at baseline and at the 6-week and 3-month marks. OUTCOMES Lung functions, 6-min walk test, and COPD exacerbation rate. RESULTS Results of repeated measures of analysis of covariance demonstrated that there were significant interaction effects between time and group in forced vital capacity (p=.002, η(2)=.06), forced expiratory volume in 1s (p<.001, η(2)=.02), walking distance (p<.001), and exacerbation rate (p=.006, η(2)=.06) at 3 months. Improvements were noted in the TCQ group. No changes were observed in the exercise group, while a decline in lung functions was noticed in the control group. CONCLUSION Tai chi Qigong was able to improve respiratory functions and activity tolerance level in COPD clients. The breathing and walking exercise helped maintain lung functions and slow down disease progression.
Collapse
Affiliation(s)
- Aileen W K Chan
- The Nethersole School of Nursing, Faculty of Medicine, Esther Lee Building, The Chinese University of Hong Kong, Shatin, NT, Hong Kong.
| | | | | | | |
Collapse
|
32
|
Chan AWK, Lee A, Suen LKP, Tam WWS. 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; 19:653-64. [PMID: 20229333 DOI: 10.1007/s11136-010-9632-6] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/02/2010] [Indexed: 10/19/2022]
Abstract
PURPOSE This paper evaluates the effectiveness of a 3-month Tai chi Qigong (TCQ) program in promoting the psychosocial functional health of clients with chronic obstructive pulmonary disease (COPD) in Hong Kong. METHODS This study employed a single-blind, randomized controlled trial. Two hundred and six COPD clients were randomly assigned into three groups, namely, TCQ group, exercise group, and control group. Subjects in the TCQ group received a TCQ program, consisting of two 60-min sessions each week for 3 months. Subjects in the exercise group were taught to practice breathing techniques combined with walking as an exercise. Subjects in the control group received their usual care. Data collections were performed at baseline, on the sixth week and on the third month. The primary outcomes were health-related quality of life using St. George Respiratory Questionnaire-Hong Kong Chinese version and perceived social support using the Multidimensional Scale of Perceived Social Support-Chinese version. RESULTS The TCQ group showed greater improvements in the symptom (F4, 404=3.351, P=0.010) and activity domains (F4, 404=2.611, P=0.035). No differences were detected in perceived social support among the three groups. CONCLUSIONS Tai chi Qigong promoted health outcomes with respect to clients' perception of their respiratory symptoms. Moreover, TCQ decreased disturbances to their physical activities.
Collapse
Affiliation(s)
- Aileen W K Chan
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Esther Lee Building, Shatin, New Territories, Hong Kong.
| | | | | | | |
Collapse
|
33
|
Subramanya P, Telles S. Effect of two yoga-based relaxation techniques on memory scores and state anxiety. Biopsychosoc Med 2009; 3:8. [PMID: 19674483 PMCID: PMC2734564 DOI: 10.1186/1751-0759-3-8] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2009] [Accepted: 08/13/2009] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND A yoga practice involving cycles of yoga postures and supine rest (called cyclic meditation) was previously shown to improve performance in attention tasks more than relaxation in the corpse posture (shavasana). This was ascribed to reduced anxiety, though this was not assessed. METHODS In fifty-seven male volunteers (group average age +/- S.D., 26.6 +/- 4.5 years) the immediate effect of two yoga relaxation techniques was studied on memory and state anxiety. All participants were assessed before and after (i) Cyclic meditation (CM) practiced for 22:30 minutes on one day and (ii) an equal duration of Supine rest (SR) or the corpse posture (shavasana), on another day. Sections of the Wechsler memory scale (WMS) were used to assess; (i) attention and concentration (digit span forward and backward), and (ii) associate learning. State anxiety was assessed using Spielberger's State-Trait Anxiety Inventory (STAI). RESULTS There was a significant improvement in the scores of all sections of the WMS studied after both CM and SR, but, the magnitude of change was more after CM compared to after SR. The state anxiety scores decreased after both CM and SR, with a greater magnitude of decrease after CM. There was no correlation between percentage change in memory scores and state anxiety for either session. CONCLUSION A cyclical combination of yoga postures and supine rest in CM improved memory scores immediately after the practice and decreased state anxiety more than rest in a classical yoga relaxation posture (shavasana).
Collapse
Affiliation(s)
- Pailoor Subramanya
- Indian Council of Medical Research Center for Advanced Research in Yoga and Neurophysiology, SVYASA, Bangalore, India
| | - Shirley Telles
- Indian Council of Medical Research Center for Advanced Research in Yoga and Neurophysiology, SVYASA, Bangalore, India
| |
Collapse
|
34
|
Speed effect of selected Tai Chi Chuan movement on leg muscle activity in young and old practitioners. Clin Biomech (Bristol, Avon) 2009; 24:415-21. [PMID: 19356830 DOI: 10.1016/j.clinbiomech.2009.03.001] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2008] [Revised: 02/27/2009] [Accepted: 03/02/2009] [Indexed: 02/07/2023]
Abstract
BACKGROUND Tai Chi Chuan is becoming a popular exercise for improving balance and preventing falls in the elderly. To date, there is no quantitative study investigating the effect of Tai Chi Chuan movement speed on leg muscle function. This study investigated the effect of Tai Chi Chuan exercise performed at different speed on leg muscle activity characteristics in both young and old Tai Chi Chuan practitioners. METHODS Surface electromyography of six leg muscles and kinematics of lower extremity joints were measured in young and old subjects during Tai Chi Chuan practice at fast, normal, and slow speed, respectively. The magnitude and duration of activation, and durations of isometric, concentric and eccentric actions of each muscle were compared among three speeds and between two groups. FINDINGS The activation duration of all six leg muscles was significantly longer at slower speed than at faster speed (P<0.039). The durations of isometric, concentric and eccentric actions were either longer at the slower speed or did not change with speed for all six leg muscles. The action of knee extensor was primarily isometric at slower speed (P=0.004), and increased significantly to concentric and eccentric at faster speed (P<0.031). The activation magnitude of posterior leg muscles increased with speed (P<0.009). The old subjects had significantly shorter activation duration and lower activation magnitude in several leg muscles than the young, but similar speed effect as the young. INTERPRETATION The activation duration and function of leg muscles, especially the knee extensor muscle, are significantly affected by the speed of the selected Tai Chi Chuan movement. Practicing Tai Chi Chuan at different speed may alter the role of muscular function in movement control.
Collapse
|
35
|
Yeh GY, Wang C, Wayne PM, Phillips R. Tai chi exercise for patients with cardiovascular conditions and risk factors: A SYSTEMATIC REVIEW. J Cardiopulm Rehabil Prev 2009; 29:152-60. [PMID: 19471133 PMCID: PMC2755083 DOI: 10.1097/hcr.0b013e3181a33379] [Citation(s) in RCA: 98] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
PURPOSE To conduct a systematic review of the literature evaluating tai chi exercise as an intervention for patients with cardiovascular disease (CVD) or with CVD risk factors (CVDRF). METHODS We searched (1) MEDLINE, CAB Alt HealthWatch, BIOSIS previews, Science Citation Index, EMBASE, and Social Science Citation Index from inception through October 2007; (2) Chinese Medical Database, China Hospital Knowledge, China National Knowledge Infrastructure, and China Traditional Chinese Medicine Database from inception through June 2005; and (3) the medical libraries of Beijing and Nanjing Universities. Clinical studies published in English and Chinese including participants with established CVD or CVDRF were included. Data were extracted in a standardized manner; 2 independent investigators assessed methodological quality, including the Jadad score for randomized controlled trials (RCTs). RESULTS Twenty-nine studies met inclusion criteria: 9 RCTs, 14 nonrandomized studies, and 6 observational trials. Three studies examined subjects with coronary heart disease, 5 in subjects with heart failure, and 10 in heterogeneous populations that included those with CVD. Eleven studies examined subjects with CVDRF (hypertension, dyslipidemia, impaired glucose metabolism). Study duration ranged from 8 weeks to 3 years. Most studies included fewer than 100 subjects (range, 5-207). Six of 9 RCTs were of adequate quality (Jadad >or= 3). Most studies reported improvements with tai chi, including blood pressure reductions and increases in exercise capacity. No adverse effects were reported. CONCLUSION Preliminary evidence suggests that tai chi exercise may be a beneficial adjunctive therapy for some patients with CVD and CVDRF. Further research is needed.
Collapse
Affiliation(s)
- Gloria Y Yeh
- Division for Research and Education in Complementary and Integrative Medical Therapies, Harvard Medical School, Boston, Massachusetts 02215, USA.
| | | | | | | |
Collapse
|
36
|
Yeh GY, Wang C, Wayne PM, Phillips RS. The effect of tai chi exercise on blood pressure: a systematic review. PREVENTIVE CARDIOLOGY 2008; 11:82-9. [PMID: 18401235 DOI: 10.1111/j.1751-7141.2008.07565.x] [Citation(s) in RCA: 129] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
A systematic review of the literature on the effect of tai chi exercise on blood pressure (BP) was performed. The authors searched Medline, CAB, Alt HealthWatch, BIOSIS previews, Science Citation Index, and EMBASE systems (inception through January 2007); researched Chinese Medical, China Hospital Knowledge, China National Knowledge Infrastructure, and China Traditional Chinese Medicine databases (inception to June 2005); and performed hand searches at the medical libraries of Beijing and Nanjing Universities. Clinical studies of tai chi examining BP as an outcome published in English or Chinese were included. Studies reporting only acute exercise effects were excluded. Data were extracted in a standardized manner and 2 independent investigators assessed methodologic quality. Twenty-six studies examining patients with and without cardiovascular conditions met inclusion criteria: 9 randomized controlled trials, 13 nonrandomized studies, and 4 observational studies. Study heterogeneity precluded formal meta-analyses. Twenty-two studies (85%) reported reductions in BP with tai chi (3-32 mm Hg systolic and 2-18 mm Hg diastolic BP reductions). Five randomized controlled trials were of adequate quality (Jadad score > or = 3). No adverse effects were reported. Tai chi exercise may reduce BP and serve as a practical, nonpharmacologic adjunct to conventional hypertension management.
Collapse
Affiliation(s)
- Gloria Y Yeh
- Division of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School Osher Institute, Boston, MA 02215, USA.
| | | | | | | |
Collapse
|
37
|
Sarang PS, Telles S. Oxygen consumption and respiration during and after two yoga relaxation techniques. Appl Psychophysiol Biofeedback 2006; 31:143-53. [PMID: 16838123 DOI: 10.1007/s10484-006-9012-8] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Cyclic meditation (CM) is a technique which combines "stimulating" and "calming" practices, based on a statement in ancient yoga texts suggesting that such a combination may be especially helpful to reach a state of mental equilibrium. The oxygen consumption, breath rate and breath volume of 50 male volunteers (group mean age+/-SD, 27+/-6.3 years) were assessed before, during, and after sessions of CM and sessions of supine rest in the corpse posture (shavasana, SH). The sessions were one day apart and the order was alternated. The oxygen consumption, breath rate and breath volume increased during the "stimulating" practices of CM, returned to the baseline during the "calming" practices, and the oxygen consumption decreased by 19.3 percent below baseline values after CM. During the SH session the oxygen consumption, breath rate and breath volume reduced; however the decrease in oxygen consumption after SH was less than after CM (i.e., 4.8 percent). The results support the idea that a combination of yoga postures with supine rest (in CM) reduces the oxygen consumption more than resting supine alone does.
Collapse
Affiliation(s)
- Patil S Sarang
- Swami Vivekananda Yoga Research Foundation, #19, Eknath Bhavan, Gavipuram Circle, K. G. Nagar, Bangalore 560 019, India.
| | | |
Collapse
|