{"id":166,"date":"2011-02-09T03:17:15","date_gmt":"2011-02-09T08:17:15","guid":{"rendered":"http:\/\/yang-sheng.com\/?p=166"},"modified":"2011-03-27T07:30:01","modified_gmt":"2011-03-27T12:30:01","slug":"tai-chi-exercise-for-patients-with-chronic-obstructive-pulmonary-disease","status":"publish","type":"post","link":"https:\/\/yang-sheng.com\/?p=166","title":{"rendered":"Tai chi exercise for patients with chronic obstructive pulmonary disease"},"content":{"rendered":"

Tai chi exercise for patients with chronic obstructive pulmonary disease: a pilot study.<\/strong> Respir Care.<\/a> 2010 Nov;55(11):1475-82.\u00a0 by Yeh GY<\/a>, Roberts DH<\/a>, Wayne PM<\/a>, Davis RB<\/a>, Quilty MT<\/a>, Phillips RS<\/a>. From Division for Research and Education in Complementary and Integrative Medical Therapies, Osher Research Center, Harvard Medical School, Boston, MA 02215, USA. gyeh@hms.harvard.edu<\/a><\/p>\n

\"\"<\/a><\/span>OBJECTIVE: To determine the feasibility of a randomized controlled trial of the effect of a tai chi program on quality of life and exercise capacity in patients with COPD.\u00a0 METHODS: We randomized 10 patients with moderate to severe COPD to 12 weeks of tai chi plus usual care (n = 5) or usual care alone (n = 5). The tai chi training consisted of a 1-hour class, twice weekly, that emphasized gentle movement, relaxation, meditation, and breathing techniques. Exploratory outcomes included disease-specific symptoms and quality-of-life, exercise capacity, pulmonary function tests, mood, and self-efficacy. We also conducted qualitative interviews to capture patient narratives regarding their experience with tai chi. RESULTS: The patients were willing to be randomized. Among 4 of the 5 patients in the intervention group, adherence to the study protocol was excellent. The cohort’s baseline mean \u00b1 SD age, percent-of-predicted FEV\u2081, and ratio of FEV\u2081 to forced vital capacity were 66 \u00b1 6 y, 50 \u00b1 12%, and 0.63 \u00b1 0.14, respectively. At 12 weeks there was significant improvement in Chronic Respiratory Questionnaire score among the tai chi participants (1.4 \u00b1 1.1), compared to the usual-care group (-0.1 \u00b1 0.4) (P = .03). There were nonsignificant trends toward improvement in 6-min walk distance (55 \u00b1 47 vs -13 \u00b1 64 m, P = .09), Center for Epidemiologic Studies Depression Scale (-9.0 \u00b1 9.1 vs -2.8 \u00b1 4.3, P = .20), and University of California, San Diego Shortness of Breath score (-7.8 \u00b1 3.5 vs -1.2 \u00b1 11, P = .40). There were no significant changes in either group’s peak oxygen uptake.\u00a0 CONCLUSIONS: A randomized controlled trial of tai chi is feasible in patients with moderate to severe COPD. Tai chi exercise as an adjunct to standard care warrants further investigation.<\/p>\n

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