Preliminary Findings of a 4-Month Tai Chi Intervention on Tenderness, Functional Capacity, Symptomatology, and Quality of Life in Men With Fibromyalgia

Carbonell‐Baeza, Ana; Romero, A. Pernia; Ortega, Francisco B.; Tercedor, Pablo; Fernández, Manuel Delgado; Ruiz, Jonatan R.

doi:10.1177/1557988311400063

Cited by 16 publications

(9 citation statements)

References 39 publications

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“…Neither study enrolled children or an adequate number of men to meaningfully analyze their data to detect gender differences. One very small, uncontrolled study of Tai chi for men with FM reported improvements in strength and flexibility, but not FM symptoms, suggesting extra caution in interpreting our results relative to men [14]. The interpretation of this and many studies may not fully account for a Hawthone effect of “wishing to please” or other non-specific effects of observation, but this a major reason for carefully matched parallel control groups [64].…”

Section: Discussionmentioning

confidence: 88%

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A randomized controlled trial of 8-form Tai chi improves symptoms and functional mobility in fibromyalgia patients

et al. 2012

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Previous researchers have found that 10-form Tai chi yields symptomatic benefit in patients with fibromyalgia (FM). The purpose of this study was to further investigate earlier findings and add a focus on functional mobility. We conducted a parallel-group randomized controlled trial FMmodified 8-form Yang-style Tai chi program compared to an education control. Participants met in small groups twice weekly for 90 min over 12 weeks. The primary endpoint was symptom reduction and improvement in self-report physical function, as measured by the Fibromyalgia Impact Questionnaire (FIQ), from baseline to 12 weeks. Secondary endpoints included pain severity and interference (Brief Pain Inventory (BPI), sleep (Pittsburg sleep Inventory), selfefficacy, and functional mobility. Of the 101 randomly assigned subjects (mean age 54 years, 93 % female), those in the Tai chi condition compared with the education condition demonstrated clinically and statistically significant improvements in FIQ scores (16.5 vs. 3.1, p=0.0002), BPI pain severity (1.2 vs. 0.4, p=0.0008), BPI pain interference (2.1 vs. 0.6, p=0.0000), sleep (2.0 vs. −0.03, p=0.0003), and self-efficacy for pain control (9.2 vs. −1.5, p=0.0001). Functional mobility Correspondence to: Kim D. Jones. Disclosures: None.Electronic supplementary material The online version of this article (doi:10.1007/s10067-012-1996-2) contains supplementary material, which is available to authorized users. Existent FM literature indicates that higher intensity exercise programs, regardless of mode, result in improved physical fitness, but often worsen pain, induce a symptom flare, reduce self-efficacy, and have little or no effect on sleep [6,7]. Clinicians, therefore, may not wish to encourage FM patients to initiate a conventional exercise program. Recently, exercise that employs a mind/body component has been found to be effective for reducing FM symptoms [8]. Tai chi is a mind/body exercise that differs from conventional exercise programs that focus exclusively on physical fitness (e.g., aerobics training) in that the mind (psychological) and body (physical) are an integrated, unified whole. Tai chi combines slow, graceful, purposeful movements with controlled breathing and relaxation. As a form of ancient Chinese martial arts, Tai chi's mechanism of action is purported to appropriately distribute the body's vital energy, termed "qi." Tai chi can be easily modified to account for the central and peripheral dysfunctions associated with FM. The practice is progressive in intensity, timing, and type of physical and mental challenge [9]. Tai chi has gained popularity in the USA and has been demonstrated to be effective in elders or persons with painful musculoskeletal disorders including rheumatoid and osteoarthritis [10][11][12]. HHS Public AccessThree Tai chi studies in FM have resulted in symptom or fitness improvement. The first was a positive "proof of concept" study, but it was limited by lack of a control group [13].Another was limited by a sample size of six [14]. However...

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Section: Discussionmentioning

confidence: 88%

“…The first was a positive “proof of concept” study, but it was limited by lack of a control group [13]. Another was limited by a sample size of six [14]. However, in an NIH funded trial, Wang (2010) reported a parallel group Tai chi RCT with significant improvements in FM symptoms but reported little objective data on functional mobility [15].…”

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confidence: 99%

A randomized controlled trial of 8-form Tai chi improves symptoms and functional mobility in fibromyalgia patients

et al. 2012

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“…Of those not reporting positive outcomes, Mannerkorpi and Arndorw71 found no difference between 14 weeks of qigong versus a sedentary “usual care” control in 36 FM patients. Likewise, Carbonell-Baeza et al61 concluded that a 4-month male tai chi study (n = 6) was negative for symptom improvement.…”

Section: Resultsmentioning

confidence: 99%

Complementary and alternative exercise for fibromyalgia: a meta-analysis

Mist¹,

Firestone²,

Jones³

2013

JPR

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Complementary and alternative medicine includes a number of exercise modalities, such as tai chi, qigong, yoga, and a variety of lesser-known movement therapies. A meta-analysis of the current literature was conducted estimating the effect size of the different modalities, study quality and bias, and adverse events. The level of research has been moderately weak to date, but most studies report a medium-to-high effect size in pain reduction. Given the lack of adverse events, there is little risk in recommending these modalities as a critical component in a multimodal treatment plan, which is often required for fibromyalgia management.

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“…Three studies analyzed the benefits of Tai-Chi in women and men with FM [ 22 – 24 ], yet more studies are needed to confirm their results. Furthermore, to our knowledge, there are no studies investigating the effect of Tai-Chi long-term intervention in FM patients.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a Tai-Chi Training and Detraining on Functional Capacity, Symptomatology and Psychological Outcomes in Women with Fibromyalgia

Romero-Zurita

Carbonell‐Baeza

Aparicio

et al. 2012

Evidence-Based Complementary and Alternative Medicine

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Background. The purpose was to analyze the effects of Tai-Chi training in women with fibromyalgia (FM).Methods. Thirty-two women with FM (mean age, years) attended to Tai-Chi intervention 3 sessions weekly for 28 weeks. The outcome measures were: tenderness, body composition, functional capacity and psychological outcomes (Fibromyalgia impact questionnaire (FIQ), Short Form Health Survey 36 (SF-36)).Results. Patients showed improvements on pain threshold, total number of tender points and algometer score (all ). The intervention was effective on 6-min walk (), back scratch (), handgrip strength (), chair stand, chair sit & reach, 8 feet up & go and blind flamingo tests (all ). Tai-Chi group improved the FIQ total score () and six subscales: stiffness (), pain, fatigue, morning tiredness, anxiety, and depression (all ). The intervention was also effective in six SF-36 subscales: bodily pain (), vitality (), physical functioning, physical role, general health, and mental health (all ).Conclusions. A 28-week Tai-Chi intervention showed improvements on pain, functional capacity, symptomatology and psychological outcomes in female FM patients.

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Preliminary Findings of a 4-Month Tai Chi Intervention on Tenderness, Functional Capacity, Symptomatology, and Quality of Life in Men With Fibromyalgia

Cited by 16 publications

References 39 publications

A randomized controlled trial of 8-form Tai chi improves symptoms and functional mobility in fibromyalgia patients

A randomized controlled trial of 8-form Tai chi improves symptoms and functional mobility in fibromyalgia patients

Complementary and alternative exercise for fibromyalgia: a meta-analysis

Effectiveness of a Tai-Chi Training and Detraining on Functional Capacity, Symptomatology and Psychological Outcomes in Women with Fibromyalgia

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