Comparative Effect of Liuzijue Qigong and Conventional Respiratory Training on Trunk Control Ability and Respiratory Muscle Function in Patients at an Early Recovery Stage From Stroke: A Randomized Controlled Trial

Zheng, Yanan; Zhang, Ying; Liu, Hongli; Qiao, Lei; Fu, Weijie; Long, Yu; Li, Gaiyan; Yang, Jianzhong; Ni, Weidong; Yong, Zhijie; Wang, Yanmin; Fan, Hang

doi:10.1016/j.apmr.2020.07.007

Cited by 27 publications

(31 citation statements)

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“…LQG is a special breathing training method, and its soft, even, slow and long breathing pronunciation is conducive to the activation of deep core muscle. A previous study by our research team showed that LQG had a better effect on trunk control in stroke patients in comparison with conventional breathing training ( 42 ). Meanwhile, in the training process of LQG, the body should be completely relaxed with movements being extended, slow, gentle and as graceful as “flowing water and clouds,” which avoids the exacerbation of spasticity.…”

Section: Discussionmentioning

confidence: 90%

“…Liuzijue is a set of Qigong exercises for health and fitness, with breathing as the main body and simple guiding movements accompanying the breathing program. Our previous study showed that after 3-week intervention, LQG could effectively improve patients maximum inspiratory and maximum expiratory pressures, compared to conventional respiratory training ( 42 ). In our study, MPT was used as a general estimate to evaluate respiratory ability, which was originally considered to be an objective indicator of the efficiency of the respiratory mechanism during phonation.…”

Section: Discussionmentioning

confidence: 99%

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Comparing the Effects of Short-Term Liuzijue Exercise and Core Stability Training on Balance Function in Patients Recovering From Stroke: A Pilot Randomized Controlled Trial

et al. 2022

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AimsLiuzijue Qigong (LQG) exercise is a traditional Chinese exercise method in which breathing and pronunciation are combined with movement guidance. Breathing is closely related to balance, and LQG, as a special breathing exercise, can be applied to balance dysfunction after stroke. The purpose of this study was to observe the clinical effects of short-term LQG exercise on balance function in patients recovering from stroke.MethodsStroke patients were randomly divided into an Intervention Group (IG) (n = 80) and a Control Group (CG) (n = 80). The IG received conventional rehabilitation training plus LQG and the CG received conventional rehabilitation training plus Core Stability Training (CST). All patients received treatment once a day, 5 times a week for 2 weeks. The primary outcome was Berg Balance Scale (BBS). Secondary outcome measures were static standing and sitting balance with eyes open and closed, Fugl-Meyer Assessment (FMA), Maximum Phonation Time (MPT), Modified Barthel Index (MBI) and diaphragm thickness and mobility during quiet breath (QB) and deep breath (DB).ResultsCompared with the CG, the IG showed significant improvement in the BBS (10.55 ± 3.78 vs. 9.06 ± 4.50, P = 0.039), MPT (5.41 ± 4.70 vs. 5.89 ± 5.24, P = 0.001), MBI (12.88 ± 6.45 vs. 10.00 ± 4.84, P = 0.003), diaphragmatic mobility during QB (0.54 ± 0.73 vs. 0.33 ± 0.40, P = 0.01) and diaphragmatic mobility during DB (0.99 ± 1.32 vs. 0.52 ± 0.77, P = 0.003), Cop trajectory in the standing position with eyes open (−108.34 ± 108.60 vs. −89.00 ± 140.11, P = 0.034) and Cop area in the standing positions with eyes open (−143.79 ± 431.55 vs. −93.29 ± 223.15, P = 0.015), Cop trajectory in the seating position with eyes open (−19.95 ± 23.35 vs. −12.83 ± 26.64, P = 0.001) and Cop area in the seating position with eyes open (−15.83 ± 9.61 vs. −11.29 ± 9.17, P = 0.002).ConclusionsThe short-term LQG combined with conventional rehabilitation training significantly improved the balance functions of stroke patients. It also improved static standing and sitting balance with the eyes open, diaphragm functions, maximum phonation time and the quality of daily life for stroke patients.Clinical Trial Registrationhttp://www.chictr.org.cn/edit.aspx?pid=25313&htm=4, Identifier: ChiCTR1800014864.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Comparing the Effects of Short-Term Liuzijue Exercise and Core Stability Training on Balance Function in Patients Recovering From Stroke: A Pilot Randomized Controlled Trial

et al. 2022

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“…Our previous study found that liuzijue qigong improved the maximum inspiratory and expiratory pressures in stroke patients, indicating that it could provide and maintain continuous and stable respiratory airflow and appropriate lung capacity compared with traditional breathing exercises. 31 The reason may also be that liuzijue qigong, as low-load and slow-speed breathing training, more easily activated the main respiratory muscle groups composed of slow-twitch fibers, which were less likely to cause fatigue compared with only breathing muscle strengthening training. 32 Our study has confirmed that liuzijue qigong had a better effect on breathing support during speech, which was indicated by changes in the maximum phonation time and /s/.…”

Section: Discussionmentioning

confidence: 99%

“…Zheng’s study also reported an improvement in diaphragmatic activity after liuzijue qigong. 31 Therefore, the gentle upper limb movement of this technique was conducive to guiding prolonged breathing, increasing lung capacity and diaphragmatic activity, improving the coordination of respiratory muscles, and ultimately benefiting improvement of respiratory control during speech.…”

Section: Discussionmentioning

confidence: 99%

Liuzijue qigong versus traditional breathing training for patients with post-stroke dysarthria complicated by abnormal respiratory control: Results of a single-center randomized controlled trial

Wang

Ding

et al. 2021

Clin Rehabil

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Objective: The aim of the study was to investigate whether liuzijue qigong could improve the ability of respiratory control and comprehensive speech in patients with stroke dysarthria. Design: A randomized controlled trial. Setting: The research was carried out in the department of rehabilitation. Participants: Altogether, a total of 98 stroke patients with dysarthria participated in the study. Interventions: Patients were randomly divided into two groups (the experimental group: basic articulation + liuzijue qigong, 48 patients or the control group: basic articulation + traditional breathing training, 50 patients). All therapies were conducted once a day, five times a week for three weeks. Main measures: Primary outcome measure: Speech breathing level of the modified Frenchay Dysarthria Assessment. Secondary outcome measures: the modified Frenchay Dysarthria Assessment, maximum phonation time, maximal counting ability, /s/, /z/, s/z ratio, and the loudness level. All outcome measures were assessed twice (at baseline and after three weeks). Results: At three weeks, There were significant difference between the two groups in the change of speech breathing level (81% vs 66%, P = 0.011), the modified Frenchay Dysarthria Assessment (5.54 (4.68–6.40) vs 3.66 (2.92–4.40), P = 0.001), maximum phonation time (5.55 (4.92–6.18) vs 3.01(2.31–3.71), P < 0.01), maximal counting ability (3.08(2.45–3.71) vs 2.10 (1.53–2.67), P = 0.018), and /s/ (3.08 (2.39–3.78) vs 1.87 (1.23–2.51), P = 0.004), while no significant differences were found in the change of /z/ (3.08 (2.31–3.86) vs 2.10 (1.5–2.64), P = 0.08), s/ z ratio (1.26 (0.96–1.55) vs 1.03 (0.97–1.09), P = 0.714), and the change of loudness level (69% vs 60%, P = 0.562). Conclusions: Liuzijue qigong, combined with basic articulation training, could improve the respiratory control ability, as well as the comprehensive speech ability of stroke patients with dysarthria. Trial registration: ChiCTR-INR-16010215.

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“…Some studies have found that qigong exercises can improve the physical and mental state of patients who have had a stroke, could reduce the effects of sleep and mental disorders and improve muscle function [138][139][140][141].…”

Section: Strokementioning

confidence: 99%

Tai Chi, Qigong and the Treatment of Disease

McGee

2021

BJSTR

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Qigong has been around for more than 4,000 years. It contains aspects of martial arts, philosophy, theology, mindfulness, meditation, exercise, and Traditional Chinese Medicine (TCM). It is a subfield of both tai chi and health economics. Practicing qigong exercises on a regular basis can improve health and cause the body to function more efficiently. Thus, it is also a subfield of applied microeconomics in the sense that it increases efficiency. Numerous medical studies have been done on the effect of qigong and tai chi on various health conditions. The present paper presents a brief overview of some recent applications of qigong to the treatment of various diseases.

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Comparative Effect of Liuzijue Qigong and Conventional Respiratory Training on Trunk Control Ability and Respiratory Muscle Function in Patients at an Early Recovery Stage From Stroke: A Randomized Controlled Trial

Cited by 27 publications

References 33 publications

Comparing the Effects of Short-Term Liuzijue Exercise and Core Stability Training on Balance Function in Patients Recovering From Stroke: A Pilot Randomized Controlled Trial

Comparing the Effects of Short-Term Liuzijue Exercise and Core Stability Training on Balance Function in Patients Recovering From Stroke: A Pilot Randomized Controlled Trial

Liuzijue qigong versus traditional breathing training for patients with post-stroke dysarthria complicated by abnormal respiratory control: Results of a single-center randomized controlled trial

Tai Chi, Qigong and the Treatment of Disease

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