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Complement Ther Med. 2013 Dec;21(6):585-94. doi: 10.1016/j.ctim.2013.09.008. Epub 2013 Oct 8.

The sustaining effects of Tai chi Qigong on physiological health for COPD patients: a randomized controlled trial.

Author information

1
The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong Special Administrative Region. Electronic address: aileenchan@cuhk.edu.hk.

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.

KEYWORDS:

COPD; Exercise tolerance; Lung functions; Six-minute walk test; Tai chi Qigong

PMID:
24280465
DOI:
10.1016/j.ctim.2013.09.008
[Indexed for MEDLINE]
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