Objective
Research examining psychological and physiological benefits of Qigong and Tai Chi is growing rapidly. The many practices described as Qigong or Tai Chi have similar theoretical roots, proposed mechanisms of action and expected benefits. Research trials and reviews, however, treat them as separate targets of examination. This review examines the evidence for achieving outcomes from randomized controlled trials (RCTs) of both.
Data Sources
The key words tai chi, taiji, and qigong were entered into electronic search engines for the Cumulative Index for Allied Health and Nursing (CINAHL), Psychological Literature (PsychInfo), PubMed, Cochrane database, and Google Scholar.
Study Inclusion Criteria
RCTs reporting on the results of Qigong or Tai Chi interventions and published in peer reviewed journals published from 1993–2007
Data Extraction
Country, type and duration of activity, number/type of subjects, control conditions, and reported outcomes were recorded for each study.
Synthesis
Outcomes related to Qigong and Tai Chi practice were identified and evaluated.
Results
Seventy-seven articles met the inclusion criteria. The 9 outcome category groupings that emerged were: bone density (n=4), cardiopulmonary effects (n=19), physical function (n=16), falls and related risk factors (n=23), Quality of Life (n=17), self-efficacy (n=8), patient reported outcomes (n=13), psychological symptoms (n=27), and immune function (n=6).
Conclusions
Research has demonstrated consistent, significant results for a number of health benefits in RCTs, evidencing progress toward recognizing the similarity and equivalence of Qigong and Tai Chi.
Background
Many breast cancer survivors experience fatigue, mood, and sleep disturbances.
Purpose
To compare a Meditative Movement practice, Qigong/Tai Chi Easy (QG/TCE), with sham Qigong (SQG), testing effects of meditation/breath aspects of QG/TCE on breast cancer survivors' persistent fatigue and other symptoms.
Methods
A double-blind, randomized controlled trial tested 12-weeks of QG/TCE versus SQG on fatigue, depression and sleep among 87 post-menopausal, fatigued breast cancer survivors, Stage 0-III, age 40–75.
Results
Fatigue decreased significantly in the QG/TCE group compared to control at post-intervention (p = 0.005) and 3 month follow-up (p = 0.024), but not depression and sleep quality. Improvement occurred over time for both interventions in depression and sleep quality (all p < 0.05).
Conclusions
QG/TCE showed significant improvement over time compared to SQG for fatigue, but not depression or sleep. Both QG/TCE and SQG showed improvement for two prevalent symptoms among breast cancer survivors, depression and sleep dysfunction.
If these suggested standards are used, we will gain a better understanding of which elements are necessary for achieving targeted outcomes. Over time, as MM is studied as a category of exercise, research may progress more efficiently to define the domains of physiological and psychological benefit.
The BF and MC subscales demonstrated initial strong properties for assessing the presence and strength of these factors in meditative movement intervention studies, whereas additional work is needed to further develop the FM subscale.
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