A study design to investigate the effect of short-form Sun-style Tai Chi in improving functional exercise capacity, physical performance, balance and health related quality of life in people with Chronic Obstructive Pulmonary Disease (COPD)

Leung, Regina; Alison, Jennifer A.; McKeough, Zoe J.; Peters, Matthew J.

doi:10.1016/j.cct.2010.11.006

Cited by 17 publications

(18 citation statements)

References 34 publications

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“…Tai Chi produced a statistically and clinically significant improvement in HRQoL in COPD patients. Previous studies clarified that Tai Chi is a moderate-intensity aerobic exercise and emphasizes the overall adjustment in patients with physical, mental, and psychological status, thereby contributing to further improvement in quality of life for patients 27,30,47. This meta-analysis shows that patients practicing Tai Chi had improved HRQoL compared with those who did not exercise, but some studies dispute the idea that Tai Chi improves HRQoL when compared with other physical exercise measures.…”

Section: Discussionmentioning

confidence: 95%

Effects of Tai Chi on exercise capacity and health-related quality of life in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis

Wu¹,

Liu²,

Wang³

et al. 2014

COPD

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BackgroundTai Chi is a traditional Chinese mind-body exercise that has been widely practiced in the People’s Republic of China for many centuries. This exercise has also been applied as a training modality in pulmonary rehabilitation programs for stable chronic obstructive pulmonary disease (COPD). This systematic review and meta-analysis aimed to assess the effects of Tai Chi on exercise capacity and health-related quality of life (HRQoL) in COPD patients.MethodsElectronic databases (PubMed, Embase, Web of Science, The Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, ClinicalTrials.gov, China National Knowledge Infrastructure, and China Biology Medicine disc) were searched. Entries published from January 1980 to March 2014 were included in the search. Eligible studies included those that involved randomized controlled trials and those that lasted for at least 12 weeks. The primary outcome measures were six-minute walking distance (6MWD), St George’s Respiratory Questionnaire (SGRQ), and Chronic Respiratory Disease Questionnaire (CRQ). Effect estimates were pooled with random-effects meta-analysis.ResultsEleven articles involving 824 patients met the inclusion criteria. All included articles compared COPD patients in a Tai Chi group versus COPD patients in nonexercise and/or physical exercise groups. The meta-analysis showed that compared with the nonexercise group, the COPD patients practicing Tai Chi demonstrated significantly enhanced 6MWD (mean difference 35.99, 95% confidence interval [CI] 15.63–56.35, P=0.0005), decreased SGRQ total score (mean difference −10.02, 95% CI −17.59, −2.45, P=0.009), and increased CRQ total score (mean difference 0.95, 95% CI 0.22–1.67, P=0.01). Compared with the physical exercise group, the Tai Chi group showed significantly reduced SGRQ total score (mean difference −3.52, 95% CI −6.07, −0.97, P=0.007), but no statistical significance was found for 6MWD between the two groups (mean difference 13.65, 95% CI −1.06, 28.37, P=0.07) in COPD patients.ConclusionPreliminary evidence suggests that Tai Chi has beneficial effects on exercise capacity and HRQoL in COPD patients. This exercise can be recommended as an effective alternative training modality in pulmonary rehabilitation programs. Further studies are required to support the preliminary evidence and to observe the long-term effects of Tai Chi.

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Section: Discussionmentioning

confidence: 95%

Effects of Tai Chi on exercise capacity and health-related quality of life in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis

Wu¹,

Liu²,

Wang³

et al. 2014

COPD

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“…The primary outcome measure was the endurance shuttle walk time. More detailed description of all outcome measures have been published previously [8].…”

Section: Outcome Measuresmentioning

confidence: 99%

“…Each participant maintained his/her medication regimen during the intervention period. The methodology of part A has been published previously [8]. An assessor, blinded to group allocation, performed the outcome measures at the beginning and end of the study.…”

Section: Part a Study Designmentioning

confidence: 99%

Short-form Sun-style t’ai chi as an exercise training modality in people with COPD

et al. 2012

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The aims of the study were to determine the effect of short-form Sun-style t'ai chi (SSTC) (part A) and investigate exercise intensity of SSTC (part B) in people with chronic obstructive pulmonary disease (COPD).Part A: after confirmation of eligibility, participants were randomly allocated to either the t'ai chi group or control group (usual medical care). Participants in the t'ai chi group trained twice weekly for 12 weeks. Part B: participants who had completed training in the t'ai chi group performed a peak exercise test (incremental shuttle walk test) and SSTC while oxygen consumption (VO 2 ) was measured. Exercise intensity of SSTC was determined by the per cent of VO 2 reserve.Of 42 participants (mean¡SD forced expiratory volume in 1 s 59¡16% predicted), 38 completed part A and 15 completed part B. Compared to control, SSTC significantly increased endurance shuttle walk time (mean difference 384 s, 95% CI 186-510); reduced medial-lateral body sway in semi-tandem stand (mean difference -12.4 mm, 95% CI -21--3); and increased total score on the chronic respiratory disease questionnaire (mean difference 11 points, 95% CI 4-18). The exercise intensity of SSTC was 53¡18% of VO 2 reserve.SSTC was an effective training modality in people with COPD achieving a moderate exercise intensity which meets the training recommendations.KEYWORDS: Anxiety and depression, chronic obstructive pulmonary disease, exercise capacity, exercise physiology, health-related quality of life, rehabilitation T 'ai chi, an exercise involving both upper and lower extremities, originated from China. T'ai chi is characterised by posture alignment, weight shifting and circular movements that incorporate elements of muscle endurance and strengthening, balance, relaxation and breathing control. The movements of t'ai chi are unique and are often described as slow, smooth flowing and graceful.T'ai chi has become a popular training mode in western countries and requires no exercise equipment or specific training venue and thus is easily implemented in the community. Currently, a number of t'ai chi styles are utilised, including Yang, Chen and Sun styles. Each of these styles is characterised by emphasis on slightly different forms (movements). The benefits of t'ai chi on balance, exercise capacity and muscle strength have been demonstrated in the healthy population [1,2] and people with chronic conditions, such as chronic heart disease [3] and osteoarthritis [4].In comparison with other styles of t'ai chi, shortform Sun-style t'ai chi (SSTC), also known as t'ai chi for arthritis, is a modified t'ai chi programme with 21 forms. This is one of the most common styles of t'ai chi and training courses for instructors are available worldwide. Each form can be broken down into several movements which are easy to teach and learn. 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.Recent studies examining t'ai ...

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“…Doze semanas de Tai Chi Chuan, 30 minutos por sessão (mais 10 minutos de aquecimento e 10 minutos de volta calma), demonstrou impacto importante na qualidade de vida relacionada à saúde (LEUNG et al, 2011). Probst et al (2011) também verificaram efeitos significativos sobre a qualidade de vida de indivíduos com DPOC.…”

Section: Resultsunclassified

“…A doença pulmonar obstrutiva crônica (DPOC) é uma das principais causas de morte e de incapacidade físi-ca em todo o mundo (MANNINO, 2005;HALBERT et al, 2006;LOPEZ et al, 2006;RABE et al, 2007;LEUNG et al, 2011). Esta é caracterizada pela limitação ao fluxo aéreo, sendo geralmente progressiva e só parcialmente reversível por meio da utilização de broncodilatadores (Sociedade Brasileira de Pneumologia e Tisiologia [SBPT], 2000; CAME-LIER; JARDIM, 2004;IKE et al, 2010).…”

Section: Introductionunclassified

Programas De Exercício Físico Para Pessoas Com Dpoc: Uma Revisão Sistemática

Lottermann

Sousa

Liz

2017

Arq. Ciênc. Saúde Unipar

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LOTTERMANN, P. C.; SOUSA, C. A. de; LIZ, C. M. de. Programas de exercício físico para pessoas com dpoc: uma revisão sistemática. Arq. Cienc. Saúde UNIPAR, Umuarama, v. 21, n. 1, p, 65-75, jan./abr. 2017. RESUMO:Este estudo tem por objetivo verificar os efeitos de diferentes programas de exercício físico sobre a saúde física, mental e qualidade de vida de indivíduos com DPOC por meio de uma revisão sistemática da literatura. As bases de dados utilizadas para a seleção dos artigos foram Scielo, Medline e Lilacs, e os termos utilizados para busca foram: exercício físico (physical exercise) e DPOC (COPD). Dois examinadores analisaram a qualidade e evidência dos artigos por meio da escala PEDro. Após triagem inicial, sessenta e dois artigos foram selecionados, sendo que destes, treze preencheram os critérios de inclusão no estudo. Os efeitos benéficos de diferentes programas de exercícios físicos sobre a saúde de pessoas com DPOC foram verificados no presente estudo. Estes incluem a redução dos sintomas e do risco de mortalidade, melhora na qualidade de vida relacionada à saúde e na saúde mental e aumento da capacidade funcional e da força muscular. Ressalta-se a importância de associar ao tratamento convencional do DPOC, um programa regular de exercício físico que desenvolva os componentes da aptidão física relacionada à saúde, tais como: capacidade aeróbia, força e resistência muscular, flexibilidade e composição corporal. PALAVRAS-CHAVE: Atividade física. Doença pulmonar obstrutiva crônica. Exercício físico. Reabilitação. Revisão sistemática. EXERCISE PROGRAMS FOR PEOPLE WITH COPD: A SYSTEMATIC REVIEWABSTRACT: This study aims at determining the effects of different exercise programs on the physical, mental health and quality of life in individuals with COPD through a systematic literature review. Scielo, Medline and Lilacs were the databases used for the selection of articles, searching for terms such as: exercise (physical exercise) and DPOC (COPD). Two examiners analyzed the quality and evidence of articles using the PEDro scale. After the initial screening, sixty-two articles were selected, and of these, thirteen met the inclusion criteria for this study. The beneficial effects of different physical exercise programs on the health of people with COPD were observed in this study. They include the reduction of symptoms and mortality risk, improved quality of life related to health and mental health, as well as increased functional capacity and muscle strength. It emphasizes the importance of linking the conventional COPD treatment to a regular exercise program aiming to develop physical fitness and health, such as aerobic capacity, muscular strength and endurance, flexibility and body composition.

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A study design to investigate the effect of short-form Sun-style Tai Chi in improving functional exercise capacity, physical performance, balance and health related quality of life in people with Chronic Obstructive Pulmonary Disease (COPD)

Cited by 17 publications

References 34 publications

Effects of Tai Chi on exercise capacity and health-related quality of life in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis

Effects of Tai Chi on exercise capacity and health-related quality of life in patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis

Short-form Sun-style t’ai chi as an exercise training modality in people with COPD

Programas De Exercício Físico Para Pessoas Com Dpoc: Uma Revisão Sistemática

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