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.
"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. "
[Show abstract][Hide abstract] ABSTRACT: Qigong is an ancient Chinese art of movement, breathing and energy cultivation,
which became a focus for medical research in the western world in the last
decades. This article presents a module of qigong group in a psychiatric day-care
department as the rationale of the group relies on the evidence-based multiple
physical and mental benefits of qigong practice. The interface between different
qigong elements and psychotherapy is discussed in order to emphasise the
beneficial effect of implementation of qigong practice in mental health settings,
and the authors suggest that qigong practice should receive more attention from
clinicians and body and movement therapists.
Body Movement and Dance in Psychotherapy 03/2013; 8(2):108-120. DOI:10.1080/17432979.2013.772074
[Show abstract][Hide abstract] ABSTRACT: Myofascial pain syndrome (MPS) is characterized by myofascial trigger points in a palpable taut band of skeletal muscle.
We aimed to investigate serum trace elements, vitamin B12, folic acid levels and their correlations with clinical findings and functional status in patients with MPS.
Thirty eight patients with at least one trigger point located on shoulder muscles, and at least 6 months duration, were included in this study. The demographic data, disease duration of patients were noted. Serum copper, zinc, magnesium and iron levels, vitamin B12 and folic acid levels were measured. Visual analogue scale (VAS) was implemented to estimate daily severity of pain. Pain pressure threshold of subjects and control groups were assessed by using Fischer's tissue compliancemeter. The Turkish version of the Beck Depression Inventory (BDI) was administered for the presence of any depressive disorder.
The mean age of patients in MPS group and control group were 33.1 and 37.8 years respectively. Serum levels of zinc (p< 0.006) were significantly decreased in patients with MPS. VAS, total myalgic and BDI scores of patients were significantly higher than the control group (Respectively p< 0.000, p< 0.012, p< 0.000). Association between TMS and magnesium, vitamin B12 levels was found statistically significant. BDI score correlated significantly with the serum zinc level (r:-0.548, p< 0.001) and VAS in patients with MPS (r:0.641, p< 0.000).
According to the results of this study, it was asserted that trace elements, vitamins may play an important role in the pathophysiology of MPS and psychological factors may also have additional effect.
Journal of Back and Musculoskeletal Rehabilitation 01/2010; 23(4):187-91. DOI:10.3233/BMR-2010-0264 · 0.71 Impact Factor
[Show abstract][Hide abstract] 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.
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.
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.
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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