Baduanjin Alleviates the Symptoms of Knee Osteoarthritis

Department of Orthopedics, Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, People's Republic of China.
The Journal of Alternative and Complementary Medicine (Impact Factor: 1.59). 04/2008; 14(2):167-74. DOI: 10.1089/acm.2007.0600
Source: PubMed


To assess the feasibility and safety of using the health-promoting traditional Chinese exercise, known as Baduanjin, in treating knee osteoarthritis (OA).
Twenty-eight (28) female patients who met the American College of Rheumatology criteria for osteoarthritis of the knee signed the informed consent and were randomized into the Baduanjin group (n=14) and the control group (n=14). Eleven (11) patients in the Baduanjin group and 10 patients in the control group completed the trial.
The Baduanjin group patients exercised following taped commands in the community entertainment room during 30-minute classes five times a week for 8 weeks, whereas the control group received no treatment.
Indicators that include knee pain, stiffness, physical disability, general health, quadriceps strength, and aerobic ability were measured using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Medical Outcomes Study Short Form-36 (SF-36), the 6-Minute Walk Test (6-MWT), and the Isokinetic Strength of the Knee Extensors (ISKE).
Compared with the control group, the participants in the Baduanjin group had statistically significant improvements in percentage changes of the WOMAC pain subscale (-61.8+/-35.7% versus 44.6+/-102.8%; p=0.006), the WOMAC stiffness subscale (-53.4+/-46.1% versus 135.8+/-386.7%; p=0.029), the WOMAC physical function subscale (-7.4+/-81.9% versus 140.5+/-151.9%; p=0.024), 6-MWT (11.9+/-7.5% versus 1.6+/-13.0%; p=0.036), and Peak Torque of the ISKE (15.1+/-33.7% versus -16.1+/-16.6%; p=0.016). The SF-36's General Health, Social Function, and Mental Health subscales had no significant changes between those in the Baduanjin and control groups. As such, no adverse events from treatment were reported.
This study suggested that the Baduanjin exercise provided a safe and feasible treatment option for patients with knee OA, as well as offered reductions in pain, stiffness, and disability, which helped improve the patients' quadriceps strength and aerobic ability.

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    • "A number of studies have described the Ba Duan Jin as a promising intervention for alleviating depressive symptomatology (Tsang, Fung, Chan, Lee, & Chan, 2006). This form also has an impact on physical health, with osteoarthritis patients having reported reduced knee pain and stiffness and improved physical function (An et al., 2008). During the practice of the Ba Duan Jin, the instructor of the group walks among the patients and comments about their posture, movements and breathing. "
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    ABSTRACT: Objectives Knee osteoarthritis (OA) is a major cause of pain and functional limitation. Short-term Baduanjin (八段锦) exercise had been testified to be beneficial to the disease. This study conducted an initial assessment of the one-year Baduanjin exercise on knee OA. Methods The recruited patients practiced Baduanjin at the community recreational center. Sessions were held for 30 min five times a week for one year. Knee pain, stiffness, physical disability, general health, knee extensors and flexors strength, and aerobic ability were measured using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Medical Outcomes Study Short Form-36 (SF-36), the 6-Minute Walk Test (6-MWT), and the Isokinetic Strength of the Knee Extensors and Flexors (ISKEF). Body mass index (BMI) was also calculated before and after the study period for comparison. Results Twenty-eight patients signed the informed consent. Six patients withdrew from the trial. Twenty-two patients (29 knees) completed the one-year study. After one-year Baduanjin exercise, WOMAC pain (132.0±69.6 vs. 56.2±67.6, P=0.000), stiffness (64.7±54.8 vs. 22.3±34.6, P=0.000), and physical function subscales (386.1±275.8 vs. 182.0±235.7, P=0.003); SF-36 body pain (45.7±20.0 vs. 57.4±17.9, P=0.005), general health (50.5±20.0 vs. 62.1±16.1, P=0.004), role emotional (64.4±26.1 vs. 73.5±21.3, P=0.047), and health transition (3.3±1.0 vs. 2.6±1.0, P=0.008); BMI (25.0±2.9 vs. 24.4±2.9, P=0.032); 6-MWT (565.7±94.6 vs. 610.5±66.7, P=0.036); and ISKEF Peak Torque (the Knee Extensors: 60.5±25.5 vs. 76.8±31, P=0.000; the Knee Flexors: 29.3±15.9 vs. 37.1±15.8, P=0.001) were significantly improved. No adverse effects resulted from the exercise. Conclusions It suggested that the long-term Baduanjin could be a feasible and safe exercise option for knee OA.
    Chinese Journal of Integrative Medicine 09/2012; 19(2). DOI:10.1007/s11655-012-1211-y · 1.22 Impact Factor
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