Qui Gong Programme vs Short Form Sun Style Tai Chi in COPD Patients

NCT ID: NCT04357678

Last Updated: 2020-04-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

78 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-01

Study Completion Date

2020-01-10

Brief Summary

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This was a Randomized control Trial. Purposive sampling was done to obtained Sample (n=78) which were randomly allocated to Group A (n=39) and Group B (n=39). Study was conducted from August 2019 to December 2019 in HBS Hospital Islamabad.To determine the effects of Qigong vs. Shot form Sun Style Tai Chi (SSTC) on Lung function, six min walk distance, dyspnea and quality of life in COPD patients.

Detailed Description

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Chronic obstructive pulmonary disease (COPD) is characterized by persistent respiratory symptoms and air-flow limitation. Dyspnea is related with daily life activity. COPD patients often suffer from dyspnea and exacerbation, which leads to inactivity, deconditioning, and poor functional capacity and quality of life. Several interventions have been investigated with the aim of improving lung function, decreasing dyspnea symptoms and improving quality of life in this patient.

Tai Chi, an exercise involving both upper and lower extremities, originated from China. Tai chi is characterized by posture alignment, weight shifting and circular movements that incorporate elements of muscle endurance and strengthening, balance, relaxation and breathing control. Among previous studies Tai Chi in pulmonary rehabilitation showed a modest complementary benefit in exercise capacity.

The Tai Chi program is a safe, effective and feasible method to improve exercise capacity and health-related quality of life in people with COPD. Short form sun style Tai chi is one of the most common styles of t'ai chi. each form can be broken down into several movements which make it easy to learn and teach. Compared to some other styles of t'ai chi, SSTC involves less difficult movements, such as less deep-knee bending and single leg standing, which may make it more suitable for older people.

Qi Gong is defined as a mind-body exercise that involves whole body movements, breathing techniques, postural control, and internal awareness.

effects of Qi Gong on functional capacity and lung functions in COPD patients , and concluded that functional capacity, dyspnea scores and quality of life was significantly improved in mild to moderate COPD patients.

Conditions

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COPD

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Qi Gong Programme

Qi Gong Programme

Group Type EXPERIMENTAL

Qi Gong Programme

Intervention Type OTHER

Warm-up: In warm up session joint activities were performed along with light stretching. Patients performed these activities with instructor's commands for 5 minutes.

Liu Zi Jue exercise: patients performed intact Liu Zi Jue exercise (form of Qigong).

This includes six healing sounds, Xu, He, Hu, Si, Chui, Xi and the Harmonized actions along with the instructor for 20 minutes. Cooling-down: After completion of Qigong, patient done gentle stretching to adjust back their breathing and this cool down session lasted for 5 minutes. Subjects received supervised training session for 30 min twice a week.

Short Form Sun Style Tai Chi

Short Form Sun Style Tai Chi

Group Type EXPERIMENTAL

Short Form Sun Style Tai Chi

Intervention Type OTHER

Commencing Movement, Opening and closing hand, Single whip, Waving hands in the cloud, Opening and closing hands, Brush knee, Playing lute, Perry and Punch, Block and close, Pushing the mountain, Closing movement.

Participants attended two supervised 30min sessions twice a week. Participants learnt 3 to 4 forms per week and at the completion of study (which is the six week of training), they completed all 21 forms. In each training session, participants revised previous SSTC forms that they learnt earlier up to that session.

Interventions

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Qi Gong Programme

Warm-up: In warm up session joint activities were performed along with light stretching. Patients performed these activities with instructor's commands for 5 minutes.

Liu Zi Jue exercise: patients performed intact Liu Zi Jue exercise (form of Qigong).

This includes six healing sounds, Xu, He, Hu, Si, Chui, Xi and the Harmonized actions along with the instructor for 20 minutes. Cooling-down: After completion of Qigong, patient done gentle stretching to adjust back their breathing and this cool down session lasted for 5 minutes. Subjects received supervised training session for 30 min twice a week.

Intervention Type OTHER

Short Form Sun Style Tai Chi

Commencing Movement, Opening and closing hand, Single whip, Waving hands in the cloud, Opening and closing hands, Brush knee, Playing lute, Perry and Punch, Block and close, Pushing the mountain, Closing movement.

Participants attended two supervised 30min sessions twice a week. Participants learnt 3 to 4 forms per week and at the completion of study (which is the six week of training), they completed all 21 forms. In each training session, participants revised previous SSTC forms that they learnt earlier up to that session.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Clinically Diagnosed patient: Mild to moderate stage COPD according to GOLD criteria {i-e Global Initiative for Chronic Obstructive Lung Disease (GOLD) }
* Patients who can walk without any dependency were included in study.

Exclusion Criteria

* Patients with acute exacerbation within 4 weeks before starting the study
* Patient having significant, cognitive impairment
* Patient having Tuberculosis, asthma
* Patient having musculoskeletal
* Patient having psychological, cardiovascular and benign conditions (that prohibit exercise were excluded from the study)
Minimum Eligible Age

40 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Iqbal Tariq, MsCPPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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HBS General Hospital

Islamabad, Federal, Pakistan

Site Status

Countries

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Pakistan

References

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Chan AW, Lee A, Lee DT, Suen LK, Tam WW, 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 Dec;21(6):585-94. doi: 10.1016/j.ctim.2013.09.008. Epub 2013 Oct 8.

Reference Type BACKGROUND
PMID: 24280465 (View on PubMed)

Chan AW, Lee A, Suen LK, Tam WW. 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 Jun;19(5):653-64. doi: 10.1007/s11136-010-9632-6. Epub 2010 Mar 15.

Reference Type BACKGROUND
PMID: 20229333 (View on PubMed)

Wu LL, Lin ZK, Weng HD, Qi QF, Lu J, Liu KX. Effectiveness of meditative movement on COPD: a systematic review and meta-analysis. Int J Chron Obstruct Pulmon Dis. 2018 Apr 17;13:1239-1250. doi: 10.2147/COPD.S159042. eCollection 2018.

Reference Type BACKGROUND
PMID: 29713157 (View on PubMed)

Zhu S, Shi K, Yan J, He Z, Wang Y, Yi Q, Huang H. A modified 6-form Tai Chi for patients with COPD. Complement Ther Med. 2018 Aug;39:36-42. doi: 10.1016/j.ctim.2018.05.007. Epub 2018 May 17.

Reference Type BACKGROUND
PMID: 30012390 (View on PubMed)

Lorna Ng LK, Raymond Tang ,Cheetham Siu, Lawrence Fung, Albert Lee, Wilson Tamd. Effectiveness of incorporating Tai Chi in a pulmonary rehabilitation program for Chronic Obstructive Pulmonary Disease (COPD) in primary care-A pilot randomized controlled trial. European Journal of Integrative Medicine2015;6(3): 248-58.

Reference Type BACKGROUND

Nagaratnam N. NK, Cheuk G. Chronic Obstructive Pulmonary Disease (COPD). Geriatric Diseases 2018

Reference Type BACKGROUND

Leung RW, McKeough ZJ, Peters MJ, Alison JA. Short-form Sun-style t'ai chi as an exercise training modality in people with COPD. Eur Respir J. 2013 May;41(5):1051-7. doi: 10.1183/09031936.00036912. Epub 2012 Aug 9.

Reference Type BACKGROUND
PMID: 22878879 (View on PubMed)

Regina Wai Man Leung*, Zoe J. McKeough, Matthew J. Peters

Reference Type BACKGROUND

Kantatong T, Panpanich R, Deesomchok A, Sungkarat S, Siviroj P. Effects of the tai chi qigong programme on functional capacity, and lung function in chronic obstructive pulmonary disease patients: A ramdomised controlled trial. J Tradit Complement Med. 2019 Apr 1;10(4):354-359. doi: 10.1016/j.jtcme.2019.03.008. eCollection 2020 Jul.

Reference Type BACKGROUND
PMID: 32695652 (View on PubMed)

Vestbo J, Hurd SS, Agusti AG, Jones PW, Vogelmeier C, Anzueto A, Barnes PJ, Fabbri LM, Martinez FJ, Nishimura M, Stockley RA, Sin DD, Rodriguez-Roisin R. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: GOLD executive summary. Am J Respir Crit Care Med. 2013 Feb 15;187(4):347-65. doi: 10.1164/rccm.201204-0596PP. Epub 2012 Aug 9.

Reference Type BACKGROUND
PMID: 22878278 (View on PubMed)

Other Identifiers

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REC/00590 Qurrat ul Ain

Identifier Type: -

Identifier Source: org_study_id

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