Tai Chi – Qigong

Improve Health and Treat Illness with Qigong

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Improve Health and Treat Illness with Qigong

 

By John M. de Castro, Ph.D.

 

“in order to do qigong … we have to be pretend to be empty, so the first thing to empty is the mind, so we try not to think of anything and only listen to our breathing, relax all the strength and relax the mind, so it’s some kind of meditation.” – Joe Lok

 

Tai Chi and Qigong are ancient mindfulness practices involving slow prescribed movements. They are gentle and completely safe, can be used with the elderly and sickly, are inexpensive to administer, can be performed in groups or alone, at home or in a facility or even public park, and can be quickly learned. In addition, they can also be practiced in social groups without professional supervision. This can make it fun, improving the likelihood of long-term engagement in the practice.

 

Tai Chi and Qigong are both mindfulness practices and exercises. They have been shown to be beneficial to the health and well-being of individuals of a variety of ages, but particularly the elderly. They also improve the symptoms of a variety of diseases. The studies of the benefits for health of Tai Chi and Qigong are accumulating and so it makes sense to take a moment to summarize what has been learned.

 

In today’s Research News article “Benefits of Qigong as an integrative and complementary practice for health: a systematic review.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7365612/) Toneti and colleagues review and summarize the published research studies of the benefits for health of Qigong practice. They identified 28 published clinical trials.

 

They report that the published research studies found that Qigong practice significantly promotes health and is effective in the prevention and rehabilitation of diseases in adults and the elderly. The evidence supports the effectiveness of Qigong practice in treating the symptoms of cancer, fibromyalgia, Parkinson’s disease, cardiovascular disease, and COPD. It has also been shown to be effective in reducing chronic pain including low back pain, cervical pain, and osteoarthritis pain. In addition, it has been shown to be effective in reducing perceived stress, burnout, fatigue, social isolation, and depression.

 

Hence, the available published research suggests that Qigong practice is effective in promoting physical and psychological health in healthy people and people with diseases at a variety of ages including the elderly. These are impressive benefits for a gentle and safe practice that can be rolled out to a wide audience at low cost. This suggests that people should be encouraged to participate in Qigong practice to promote their health and well-being.

 

So, improve health and treat illness with Qigong.

 

“Qi gong and tai chi are relaxing ways to improve your flexibility and balance. Both are great ways to stay active and vital. The gentle, flowing movements are easy on the joints.” – Jodi Helmer

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Toneti, B. F., Barbosa, R., Mano, L. Y., Sawada, L. O., Oliveira, I. G., & Sawada, N. O. (2020). Benefits of Qigong as an integrative and complementary practice for health: a systematic review. Revista latino-americana de enfermagem, 28, e3317. https://doi.org/10.1590/1518-8345.3718.3317

 

Abstract

Objective:

to analyze, in the literature, evidence about the benefits of the integrative and complementary practice of Qigong with regard to the health of adults and the elderly.

Method:

a systematic review by searching for studies in the PubMed, CINAHL, LILACS, EMBASE and Cochrane Library databases. Randomized and non-randomized clinical trials were included; in Portuguese, English and Spanish; from 2008 to 2018. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses strategy was adopted, as well as the recommendation of the Cochrane Collaboration for assessing the risk of bias in the clinical trials analyzed.

Results:

28 studies were selected that indicated the benefit of the practice to the target audience, which can be used for numerous health conditions, such as: cancer; fibromyalgia; Parkinson’s disease; Chronic Obstructive Pulmonary Disease; Burnout; stress; social isolation; chronic low back pain; cervical pain; buzz; osteoarthritis; fatigue; depression; and cardiovascular diseases. However, there was a great risk of bias in terms of the blinding of the research studies.

Conclusion:

the practice of Qigong produces positive results on health, mainly in the medium and long term. This study contributes to the advancement in the use of integrative and complementary practices in nursing, since it brings together the scientific production in the area from the best research results available.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7365612/

 

Decrease Hypertension with Tai Chi

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Decrease Hypertension with Tai Chi

 

By John M. de Castro, Ph.D.

 

“Tai chi may be just as effective as popular methods for lowering blood pressure, such as weight loss and lowered sodium intake. . . tai chi may positively affect blood cholesterol, related lipids and inflammation. This means that enjoying tai chi regularly may lower your chance of heart disease.” – Abbot

 

High Blood Pressure (Hypertension) is an insidious disease because there are no overt symptoms. The individual feels fine. But it can be deadly as more than 360,000 American deaths, roughly 1,000 deaths each day, had high blood pressure as a primary or contributing cause. In addition, hypertension markedly increases the risk heart attack, stroke, heart failure, and kidney disease.  It is also a very common disorder with about 70 million American adults (29%) having high blood pressure and only about half (52%) of people with high blood pressure have their condition under control. Treatment frequently includes antihypertensive drugs. But these medications often have adverse side effects. So, patients feel lousy when taking the drugs, but fine when they’re not. So, compliance is a major issue with many patients not taking the drugs regularly or stopping entirely.

 

Obviously, there is a need for alternative to drug treatments for hypertension. Mindfulness practices have been shown to aid in controlling hypertension. Mindful movement practices such Tai Chi and Qigong are ancient Chinese practices involving mindfulness and gentle movements. They are easy to learn, safe, and gentle. So, it may be appropriate for patients with hypertension who lack the ability to engage in strenuous exercises. Indeed, Qigong practice has been shown to reduce blood pressure. There have been a number of studies performed and it is useful to summarize what has been learned.

 

In today’s Research News article “The Efficacy of Tai Chi and Qigong Exercises on Blood Pressure and Blood Levels of Nitric Oxide and Endothelin-1 in Patients with Essential Hypertension: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7414352/) Liu and colleagues review, summarize, and perform a meta-analysis of the effectiveness of Tai Chi practice in treating hypertension. They found 9 published randomized controlled trials including a total of 516 patients.

 

They report that the published research found that Tai Chi practice produced a significant reduction in both systolic and diastolic blood pressure and blood endothelin-1 levels and significant increases in blood nitrous oxide levels. Endothelin-1 is a powerful vasoconstrictor and Nitrous Oxide is a powerful vasodilator. So, the reduced levels of Endothelin-1 and increased levels of Nitrous Oxide in patients performing Tai Chi may be a physiological mechanism by which the practice lowers blood pressure.

 

These findings suggest that Tai Chi practice is a safe and effective treatment to lower blood pressure in patients with hypertension. Some advantages of Tai Chi include the facts that it is not strenuous, involves slow gentle movements, and is safe, having no appreciable side effects, it is appropriate for all ages including the elderly and for individuals with illnesses that limit their activities or range of motion. It can also be practiced without professional supervision and in groups making it inexpensive to deliver and fun to engage in. This makes Tai Chi practice an excellent treatment for hypertension.

 

So, decrease hypertension with Tai Chi.

 

“High blood pressure can precede cardiovascular complications, such as a heart attack, so it is important to keep it in check. If your blood pressure is too high, there is a simple exercise you can do at home. . . Evidence suggests tai chi, a mind-body practice that has its origin Chinese martial arts, can lower high blood pressure.” – Adam Chapman

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Liu, D., Yi, L., Sheng, M., Wang, G., & Zou, Y. (2020). The Efficacy of Tai Chi and Qigong Exercises on Blood Pressure and Blood Levels of Nitric Oxide and Endothelin-1 in Patients with Essential Hypertension: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evidence-based complementary and alternative medicine : eCAM, 2020, 3267971. https://doi.org/10.1155/2020/3267971

 

Abstract

Objective

Tai Chi and Qigong are the two similar traditional Chinese wellness exercises. A strong body of published clinical randomized controlled trials (RCTs) has investigated the health benefits of Tai Chi and Qigong exercises (TCQE) in patients with essential hypertension (EH). This is the first meta-analysis to evaluate the efficacy of TCQE on blood pressure (BP) and blood levels of nitric oxide (NO) and endothelin-1 (ET-1) in EH patients and explore the potential antihypertensive mechanism of TCQE.

Methods

We conducted a literature retrieval for Chinese and English studies in seven databases from their respective inceptions until January 14, 2020. All RCTs examining clinical efficacy of TCQE for EH patients were considered. The major therapeutic outcomes of TCQE were changes in the blood levels of NO, ET-1, and BP in EH patients. Methodological quality of the included RCTs was detected via The Cochrane Risk of Bias tool. We evaluated the data reported and performed the meta-analysis by Review Manager 5.3 software.

Results

9 RCTs involving 516 EH patients were included. The intervention duration lasted from 1.5 months to 6 months. The results of comprehensive analysis showed that compared with control interventions, experimental interventions were more effective in reducing the systolic blood pressure and the diastolic blood pressure and contributed higher blood levels of NO and lower blood levels of ET-1.

Conclusions

TCQE could be an effective complementary and alternative therapy for EH. The lower BP in EH patients who practice TCQE may have some connection with exercise-related increased blood NO levels and decreased blood ET-1 levels. However, further research is needed to make clear the efficacy of TCQE in management of EH and the mechanism of lowering BP in TCQE.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7414352/

 

Increase White Matter in the Brains of Aging Women with Tai Chi

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Increase White Matter in the Brains of Aging Women with Tai Chi

 

By John M. de Castro, Ph.D.

 

“studies have shown tai chi’s association with improved cognition and neuroplasticity. This has led the scientific community to suggest tai chi may be of useful treating physical and psychological disorders, including stroke, Parkinson’s disease, traumatic brain injury, and depression.” – Sara Alvarado

 

The aging process involves a systematic progressive decline in every system in the body, the brain included. The elderly frequently have problems with attention, thinking, and memory abilities, known as mild cognitive impairment. An encouraging new development is that mindfulness practices such as meditation training and mindful movement practices can significantly reduce these declines in cognitive ability. In addition, it has been found that mindfulness practices reduce the deterioration of the brain that occurs with aging restraining the loss of neural tissue. Indeed, the brains of practitioners of meditation,  yoga, and Tai Chi have been found to degenerate less with aging than non-practitioners.

 

Tai Chi has been practiced for thousands of years with benefits for health and longevity. Tai Chi training is designed to enhance function and regulate the activities of the body through regulated breathing, mindful concentration, and gentle movements. Tai Chi practice has been found to be effective for an array of physical and psychological issues. Tai Chi has been shown to help the elderly improve attention, balance, reducing falls, arthritis, cognitive function, memory, and reduce age related deterioration of the brain. So, it makes sense to further study the effects of Tai Chi training on the brains of older adults.

 

In today’s Research News article “Tai Chi Training Evokes Significant Changes in Brain White Matter Network in Older Women.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151065/) Yue and colleagues recruited elderly women (average age of 63 years) and who had been routinely performing (90 minutes at least 5 times per week for at least 6 years in groups) either Tai Chi or daily walking. They were measured for mental ability, working memory, and cognitive ability. In addition, their brains were scanned with Diffusion Tensor Imaging (DTI).

 

They found that in comparison to the walking group, the brains of the Tai Chi group had a greater volume of white matter indicating that their brains could transfer information effectively both locally and globally. They also found that the Tai Chi group had significantly better working memory performance than the walking group and that greater the volume of white matter in their brains the better their working memories. This was true for both working memory speed and accuracy.

 

A strength of the present study is that there was an active control group, walking, that was, like Tai Chi, performed in a group and was a moderate exercise. So, the results can be interpreted as due to the performance of Tai Chi itself and not to nonspecific factors such as socialization and exercise. The weaknesses in the study included the fact that only women were studied, there was no random assignment to groups, and that there was no manipulation of Tai Chi or walking practice. The participants self-selected which exercise to participate in. This opens up the possibility that there may have been systematic differences between the groups.

 

The results suggest that routine Tai Chi practice improves the brain’s ability to transfer information around the nervous system in elderly women. This may protect that individuals from the inevitable deterioration of the brain with aging and its associated decline in cognitive ability. The relationship between white matter and working memory is evidence for that protection against cognitive decline. These results support previous findings that mindfulness practices can protect the individual from age related brain deterioration and cognitive decline.

 

So, increase white matter in the brains of aging women with Tai Chi.

 

“A comparison of the effects of regular sessions of tai chi, walking, and social discussion, has found tai chi was associated with the biggest gains in brain volume and improved cognition.” – About Memory

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Yue, C., Zou, L., Mei, J., Moore, D., Herold, F., Müller, P., Yu, Q., Liu, Y., Lin, J., Tao, Y., Loprinzi, P., & Zhang, Z. (2020). Tai Chi Training Evokes Significant Changes in Brain White Matter Network in Older Women. Healthcare (Basel, Switzerland), 8(1), 57. https://doi.org/10.3390/healthcare8010057

 

Abstract

Background: Cognitive decline is age relevant and it can start as early as middle age. The decline becomes more obvious among older adults, which is highly associated with increased risk of developing dementia (e.g., Alzheimer’s disease). White matter damage was found to be related to cognitive decline through aging. The purpose of the current study was to compare the effects of Tai Chi (TC) versus walking on the brain white matter network among Chinese elderly women. Methods: A cross-sectional study was conducted where 42 healthy elderly women were included. Tai Chi practitioners (20 females, average age: 62.9 ± 2.38 years, education level 9.05 ± 1.8 years) and the matched walking participants (22 females, average age: 63.27 ± 3.58 years, educational level: 8.86 ± 2.74 years) underwent resting-state functional magnetic resonance imaging (rsfMRI) scans. Diffusion tensor imaging (DTI) and graph theory were employed to study the data, construct the white matter matrix, and compare the brain network attributes between the two groups. Results: Results from graph-based analyses showed that the small-world attributes were higher for the TC group than for the walking group (p < 0.05, Cohen’s d = 1.534). Some effects were significant (p < 0.001) with very large effect sizes. Meanwhile, the aggregation coefficient and local efficiency attributes were also higher for the TC group than for the walking group (p > 0.05). However, no significant difference was found between the two groups in node attributes and edge analysis. Conclusion: Regular TC training is more conducive to optimize the brain functioning and networking of the elderly. The results of the current study help to identify the mechanisms underlying the cognitive protective effects of TC.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151065/

 

Reduce Coronary Heart Disease Risk with Tai Chi

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Reduce Coronary Heart Disease Risk with Tai Chi

 

By John M. de Castro, Ph.D.

 

“tai chi is a promising and safe exercise alternative for patients with coronary heart disease who are unable or unwilling to attend traditional CR, in particular for older people, women, and deconditioned individuals.” – Elena Salmoirago‐Blotcher

 

Cardiovascular disease is the number one killer, claiming more lives than all forms of cancer combined. Lifestyle changes have proved to be quite effective in reducing the risk of cardiovascular disease. These include quitting smoking, weight reduction, improved diet, physical activity, and reducing stresses. Contemplative practices, such as meditation, tai chi, and yoga, have also been shown to be helpful for heart health. These practices have also been shown to be helpful for producing the kinds of other lifestyle changes needed such as smoking cessation, weight reduction and stress reduction.

 

Tai Chi and Qigong are ancient mindfulness practices involving slow prescribed movements. They are gentle and completely safe, can be used with the elderly and sickly, are inexpensive to administer, can be performed in groups or alone, at home or in a facility or even public park, and can be quickly learned. In addition, they can also be practiced in social groups without professional supervision. This can make it fun, improving the likelihood of long-term engagement in the practice. Since Tai Chi and Qigong are both mindfulness practices and exercises, they are particularly acceptable and effective methods to reduce the risk of cardiovascular disease.

 

In today’s Research News article “Tai Chi Improves Coronary Heart Disease Risk by Inactivating MAPK/ERK Pathway through Serum miR-126.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199556/) Zhang and colleagues recruited coronary heart disease patients after release from the hospital following percutaneous coronary intervention (PCI). They were randomly assigned to either receive 90-minute daily Tai Chi training for 3 months or to receive exercise training of varied exercises calibrated to be equivalent to the Tai Chi practice. They were measured before and after training for body fat, epicardial adipose tissue volume, heart rate, blood pressure, quality of life, and balance performance. In addition, they were also measured for miR-126 and Mitogen-activated protein kinase (MAPK)-associated molecules in peripheral blood leukocytes.

 

They found that in comparison to baseline and the exercise control group, the group that received Tai Chi train had significantly lower body weight and body fat, epicardial adipose tissue volume, heart rate, systolic blood pressure, Serum miR-126, and MAPK signaling, and significantly greater balance stability and quality of life.

 

These results are particularly strong because the comparison condition was equivalent non-Tai Chi exercises. So, the results were not due simply to exercise but specifically to the practice of Tai Chi. The results suggest that Tai Chi practice greatly reduces risk factor for Coronary Heart Disease in patients recovering from percutaneous coronary intervention (PCI). In addition, since the miR-126 modulates the Mitogen-activated protein kinase (MAPK)-pathway that is associated with cardiovascular risk, Tai Chi practice also reduces a molecular pathway suggestive of cardiovascular risk.

 

These are impressive results that suggest that Tai Chi practice has substantial benefits for patients at-risk for cardiovascular disease. It improves the patients body composition, cardiovascular function, well-being, and even biochemical pathways associate with risk for coronary heart disease. This combined with the safety, convenience, low expense, and attractiveness of Tai Chi practice, makes it an ideal practice for the reduction of risk for coronary heart disease.

 

So, reduce coronary heart disease risk with Tai Chi.

 

“Tai chi offers other benefits as well for heart patients. The deep breathing enhances oxygen uptake, reducing the shortness of breath that’s also common with heart failure.” – Harvard Health Letter

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Zhang, G., Wang, S., Gu, Y., Song, L., Yu, S., & Feng, X. (2020). Tai Chi Improves Coronary Heart Disease Risk by Inactivating MAPK/ERK Pathway through Serum miR-126. Evidence-based complementary and alternative medicine : eCAM, 2020, 4565438. https://doi.org/10.1155/2020/4565438

 

Abstract

Background

Tai Chi is effective in preventing heart disease (CHD) risk, but the molecular mechanism remains unclear. Mitogen-activated protein kinase (MAPK) signaling plays a critical role in the pathogenesis of CHD and can be activated by miR-126. Tai Chi may exert its protective function through the miR-126-modulated MAPK pathway.

Methods

The CHD patients after PCI were randomized into the CG group (CG) (n = 19, normal care) and Tai Chi group (TG) (Tai Chi intervention, n = 17). Epicardial adipose tissue volume (EATV) (one main adverse cardiovascular event of CHD), HR (heart rate), QoL (quality of life) scores, and balance performance were measured in the two groups. The body fat content, abdominal subcutaneous fat, and visceral fat were measured to reflect the improvement of adipose tissue dysfunction. The levels of miR-126 and MAPK-associated molecules were measured in peripheral blood leukocytes. Meanwhile, the effects of miR-126 silence and mimic on MAPK-associated molecules were also explored in cardiac cell H9C2.

Results

After the 3-month intervention, Tai Chi reduced EATV and HR and increased QoL scores and balance performance, respectively (P < 0.05). The fat percentage, body fat mass, and BMI were also significantly reduced after Tai Chi intervention (P < 0.05). The levels of miR-126, MAPK, JNK, and ERK in the TG group were lower than those in the CG group (P < 0.05). The miR-126 levels had a strong relationship with the values of EATV, HR, and QoL scores (P < 0.05). miR-126 silence or mimic inactivated or activated MAPK-associated molecules in the cardiac cell lines.

Conclusions

Tai Chi improved CHD risk by inactivating the MAPK/ERK pathway via serum miR-126

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199556/

 

Improve Balance in the Elderly with Traditional Tai Chi or Augmented Reality-Assisted Tai-Chi

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Improve Balance in the Elderly with Traditional Tai Chi or Augmented Reality-Assisted Tai-Chi

 

By John M. de Castro, Ph.D.

 

‘Tai chi is an ancient Chinese exercise that can help older adults improve their balance and lower their fall risk.” – Harvard Health

 

The process of aging affects every aspect of the physical and cognitive domains. Every system in the body deteriorates including motor function with a decline in strength, flexibility, and balance. Impaired balance is a particular problem as it can lead to falls. In the U.S. one third of people over 65 fall each year and 2.5 million are treated in emergency rooms for injuries produced by falls. About 1% of falls result in deaths making it the leading cause of death due to injury among the elderly.

 

Falls, with or without injury, also carry a heavy quality of life impact. A growing number of older adults, fear falling and, as a result, limit their activities and social engagements. This can result in further physical decline, depression, social isolation, and feelings of helplessness. It is obviously important to discover methods to improve balance and decrease the number of falls in the elderly.

 

Tai Chi training is designed to enhance and regulate the functional activities of the body through regulated breathing, mindful concentration, and gentle movements. It includes balance training and has been shown to improve balance and coordination. Indeed, Tai Chi training has been shown to reduce the frequency of falls in the elderly. It is not known, however, whether augmented reality can improve the effectiveness of Tai Chi training in improving balance.

 

In today’s Research News article “Augmented reality-assisted training with selected Tai-Chi movements improves balance control and increases lower limb muscle strength in older adults: A prospective randomized trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265060/) Chen and colleagues recruited healthy elderly over 65 years of age and randomly assigned them to an 8-week training in either traditional 24 movement Yang Tai Chi or to an Augmented form of Tai Chi. Augmented Tai Chi involved a computerized monitoring of movements and video feedback on the movements and only 8 of the 24 Yang style movements were included. They were measured before and after training for balance, functional reach, timed up-and-go, and lower extremity muscle strength.

 

They found that both Tai Chi groups had significant improvements in dynamic balance and lower extremity muscle strength. While only static balance was significantly improved in the traditional Tai Chi group, both static and dynamic balance and mobility (timed up-and-go) were significantly improved in the simplified augmented Tai Chi group. The augmented Tai Chi group improved more in all measures that the traditional Tai Chi group, but the differences were not statistically significant.

 

The results demonstrate that Tai Chi training is effective in improving balance and leg muscle strength in the elderly. This is important to prevent falls. There was evidence that practicing a simplified program with computerized augmentation may produce superior results, but a larger study is needed to have the statistical power to determine if this is in fact a reliable difference. It will also be important to determine if the simplification of the movements (8 rather than 24) or the augmentation, or both are responsible for better performance.

 

One drawback of the augmented program is that it requires practice in the lab. A strength of traditional Tai Chi practice is that it can be practiced without professional supervision and in groups making it inexpensive to deliver and fun to engage in. So, although the augmented program may produce superior results, there are still considerable advantages to traditional Tai Chi for improving the health and well-being of the elderly..

 

So, improve balance in the elderly with traditional Tai Chi or augmented reality-assisted Tai-Chi.

 

“When you’re practicing the movements, you’re shifting your weight from one foot to the other to maintain balance. By doing (tai chi), you become more aware of the position of your body in space — which is something we become less aware of as we age.” – Michael Irwin

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Chen, P. J., Penn, I. W., Wei, S. H., Chuang, L. R., & Sung, W. H. (2020). Augmented reality-assisted training with selected Tai-Chi movements improves balance control and increases lower limb muscle strength in older adults: A prospective randomized trial. Journal of exercise science and fitness, 18(3), 142–147. https://doi.org/10.1016/j.jesf.2020.05.003

 

Abstract

Background

Tai-Chi benefits older adults by enhancing balance control and increasing the muscle strength of the lower limbs. However, a complete set of traditional Tai-Chi exercises is sometimes too difficult for beginners. We investigated whether practicing augmented reality-assisted training with selected Tai-Chi movements tailored to the practitioner’s ability (selected Tai-Chi, or sTC) is as effective as performing a complete set of Tai-Chi sequences (complete traditional Tai-Chi, or tTC).

Methods

In this prospective randomized trial carried out in the Beitou District of Taipei City, Taiwan, community-dwelling adults aged ≥65 and without any debilitating diseases (n = 28) were included. Participants were randomly assigned to the sTC group (n = 14) or the tTC group (n = 14). Participants in the sTC group practiced selected Tai-Chi movements using the augmented reality Tai-Chi training system. Participants of the tTC group were asked to complete the 24-form Yang-style Tai-Chi following the instructions of Tai-Chi masters. Each training session lasted 30 min, with 3 sessions per week for 8 weeks. Pre- and post-intervention evaluations included functional balance tests, comprising the Berg Balance Scale (BBS), Timed Up and Go test (TUG), and Functional Reach Test (FRT), as well as muscle strength measurements of the lower extremities.

Results

Pre-intervention evaluations showed significant differences in FRT (p = 0.034) and left hip abductor muscle strength (p = 0.046) between the sTC and tTC groups. After 8 weeks of training, the BBS, TUG, and FRT scores in the sTC group showed significant improvement overall. Although all three functional balance test scores improved in the tTC group, only the improvement in BBS was statistically significant (p = 0.001). After 8 weeks, all muscle strength measurements increased by an average of 3.1 ± 1.0 kgw in the sTC group and 1.6 ± 0.8 kgw in the tTC group.

Conclusions

The augmented reality-assisted training with selected Tai-Chi movements, designed based on objective measurements of the practitioner’s capability, improved balance control and muscle strength of lower limbs at least as effectively as the complete sequence of traditional Tai-Chi exercises.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265060/

 

Improve Knee Osteoarthritis with Mind-Body Exercises

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Improve Knee Osteoarthritis with Mind-Body Exercises

 

By John M. de Castro, Ph.D.

 

“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.” – Bingchen An

 

Osteoarthritis is a chronic degenerative joint disease that is the most common form of arthritis. It produces pain, swelling, and stiffness of the joints. It is the leading cause of disability in the U.S., with about 43% of arthritis sufferers limited in mobility and about a third having limitations that affect their ability to perform their work. Knee osteoarthritis effects 5% of adults over 25 years of age and 12% of those over 65. It is painful and disabling. Its causes are varied including, hereditary, injury including sports injuries, repetitive stress injuries, infection, or from being overweight.

 

There are no cures for knee osteoarthritis. Treatments are primarily symptomatic, including weight loss, exercise, braces, pain relievers and anti-inflammatory drugs, corticosteroids, arthroscopic knee surgery, or even knee or hip replacement. Gentle movements of the joints with exercise and physical therapy appear to be helpful in the treatment of knee osteoarthritis. This suggests that alternative and mind-body practices that involve gentle knee movements may be useful in for treatment. Indeed, yoga practice has been shown to be effective in treating arthritis and Tai Chi and Qigong have also been shown to reduce the physical symptoms of knee osteoarthritis. Baduanjin is a mind-body training that is very similar to Tai Chi and consists of 8 movements for limbs, body-trunk, and eye movements.  So, it would seem reasonable to explore the effectiveness of Baduanjin practice in treating knee osteoarthritis.

 

In today’s Research News article “Mindful Exercise (Baduanjin) as an Adjuvant Treatment for Older Adults (60 Years Old and Over) of Knee Osteoarthritis: A Randomized Controlled Trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7312696/) Ye and colleagues recruited adults over the age of 60 years who were diagnosed with knee osteoarthritis and had no experience with mind-body practices. All participants were provided with standard therapy consisting of acupuncture, massage, and moxibustion. They were randomly assigned to either no further treatment or to practice Baduanjin for 40 minutes, 3 times per week for 12 weeks. They were measured before during and after treatment for knee function, and postural control, including the length and perimeter area of center of pressure.

 

They found that in comparison to baseline and the control group, the group that practiced Baduanjin had significantly improved physical knee function and postural control and lower knee stiffness and pain. No adverse events occurred with Baduanjin practice. So, Baduanjin is a safe and effective treatment for knee osteoarthritis in older adults.

 

Some advantages of Baduanjin practice include the facts that it is not strenuous, involves slow gentle movements, and is safe, having no appreciable side effects, it is appropriate for all ages including the elderly and for individuals with illnesses that limit their activities or range of motion. It can also be practiced without professional supervision and in groups making it inexpensive to deliver and fun to engage in. This makes Baduanjin practice an excellent means to improve the symptoms of knee osteoarthritis in elderly individuals.

 

“Baduanjin exercise, a common form of Chinese Qigong exercise that consists of eight movements of low intensity, may have favourable effects for people with knee arthritis.” – Arthritis Digest

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Ye, J., Zheng, Q., Zou, L., Yu, Q., Veronese, N., Grabovac, I., Stefanac, S., Tzeng, H. M., & Yu, J. J. (2020). Mindful Exercise (Baduanjin) as an Adjuvant Treatment for Older Adults (60 Years Old and Over) of Knee Osteoarthritis: A Randomized Controlled Trial. Evidence-based complementary and alternative medicine : eCAM, 2020, 9869161. https://doi.org/10.1155/2020/9869161

 

Abstract

Background

The postural stability is a major factor that helps prevent developing knee osteoarthritis with aging. The aim of this study was to investigate the effects of Baduanjin qigong on postural control and physical function in older adults with knee osteoarthritis.

Methods

Fifty-six individuals over 60 years of age with knee osteoarthritis were randomly assigned to either an experimental group (n = 28) or a control group (n = 28). Participants in the experimental group received a 12-week Baduanjin training, while those in the control group did not receive any additional physical exercise during the study period. The postural control was quantified by perimeter and ellipse area of center of pressure movement trajectory. The assessments were conducted three times (baseline, week 8, and week 12).

Results

The perimeter and ellipse area with both open- and closed-eyes conditions and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) function were significantly improved at week eight in the experimental group (p < 0.005). The ellipse area with open-eyes condition, WOMAC index, and stiffness and physical function domains were significantly decreased after the 12 weeks of Baduanjin training compared to the control group (p < 0.005). Only the perimeter area with both open- and closed-eyes conditions was not statistically significant at week 12 in the intervention group (p > 0.005).

Conclusions

Baduanjin is an effective and adjuvant therapy for older adults with knee osteoarthritis. Regular Baduanjin training can improve postural control and WOMAC function of old individuals with knee osteoarthritis. More advanced techniques and biopsychological measurements are required for further understanding of Baduanjin exercise in this population.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7312696/

 

Improve Cognitive Function in the Elderly with Tai Chi

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Improve Cognitive Function in the Elderly with Tai Chi

 

By John M. de Castro, Ph.D.

 

“tai chi appears to improve executive function—the ability to multitask, manage time, and make decisions—in people without any cognitive decline. In those with mild cognitive impairment, tai chi slowed the progression to dementia more than other types of exercise and improved their cognitive function in a comparable fashion to other types of exercise or cognitive training.” – Harvard Health

 

The aging process involves a systematic progressive decline in every system in the body, the brain included. This includes our cognitive (mental) abilities which decline with age including impairments in memory, attention, and problem-solving ability. It is inevitable and cannot be avoided. Research has found that mindfulness practices reduce the deterioration of the brain that occurs with aging restraining the loss of neural tissue. Indeed, the brains of practitioners of meditation and yoga have been found to degenerate less with aging than non-practitioners. Tai Chi and Qigong have also been shown to be beneficial in slowing or delaying physical and mental decline with aging. The research findings have been accumulating. So, it makes sense to step back and summarize what has been learned about the effectiveness of Tai Chi for reducing cognitive decline during aging.

 

In today’s Research News article “Tai Chi is Effective in Delaying Cognitive Decline in Older Adults with Mild Cognitive Impairment: Evidence from a Systematic Review and Meta-Analysis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7132349/), Yang and colleagues review, summarize, and perform a meta-analysis of the effects of Tai Chi practice on mental decline in the elderly. They identified 11 published research studies with a total of 1061 participants over the age of 60 with mild cognitive impairment.

 

They report that the published research found that Tai Chi practice produced a significant increase in global cognitive function including improved memory, learning ability, mental speed, attention, ideas, abstraction, creativity, mental flexibility, and visuospatial perception. In general, the effect sizes were modest, but they tended to signal a reversal of the decline. Hence, Tai Chi practice appears to improve the mental capabilities of the elderly with mild cognitive impairment. The studies included in the analysis did not have a comparison of Tai Chi practice to another form of exercise. So, it is possible that the benefits were produced, not by Tai Chi per se but by moderate exercise.

 

Tai Chi is an ancient mindfulness practice that involves slow prescribed movements. It is gentle and completely safe, can be used with the elderly and sickly, are inexpensive to administer, can be performed in groups or alone, at home or in a facility or even public park, and can be quickly learned. In addition, it can be practiced in social groups without professional supervision. This can make it fun, improving the likelihood of long-term engagement in the practice. This suggests that Tai Chi practice should be recommended for inclusion in the lifestyle of aging individuals.

 

So, improve cognitive function in the elderly with Tai Chi.

 

“Tai Chi has consistent, small effects on improving cognitive performance in both healthy older adults and older adults with some cognitive impairment.” – P. M. Wayne

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Yang, J., Zhang, L., Tang, Q., Wang, F., Li, Y., Peng, H., & Wang, S. (2020). Tai Chi is Effective in Delaying Cognitive Decline in Older Adults with Mild Cognitive Impairment: Evidence from a Systematic Review and Meta-Analysis. Evidence-based complementary and alternative medicine : eCAM, 2020, 3620534. https://doi.org/10.1155/2020/3620534

 

Abstract

To determine whether Tai Chi (TC) is effective in slowing cognitive decline in older populations with mild cognitive impairment (MCI), we performed a systematic review and meta-analysis of randomized controlled trials (RCTs) on Tai Chi and MCI. We searched eight electronic databases (PubMed, PsycINFO, Wanfang, Web of Science, MEDLINE, CNKI, EBSCO, and the Cochrane Central Register of Controlled Trials) for appropriate RCTs published up to August 2019. For those studies included, the data were extracted, methodological quality was evaluated, and then meta-analysis was performed using Review Manager software (version 5.3). A total of 11 of the studies were available for systematic review, which together included 1061 participants, met the inclusion criteria, and ten of these were included in the meta-analysis. For most RCTs, the methodological quality was moderate. The meta-analysis revealed that Tai Chi could significantly improve global cognitive function; memory and learning; mental speed and attention; ideas, abstraction, figural creations, and mental flexibility; and visuospatial perception. The present review adds to the evidence showing that Tai Chi is potentially beneficial in improving cognitive functions among elderly people with MCI. However, strictly designed and well-reported RCTs are required.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7132349/

 

Improve Fibromyalgia Symptoms with Qigong

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Improve Fibromyalgia Symptoms with Qigong

 

By John M. de Castro, Ph.D.

 

“Evidence is growing for the Traditional Chinese practice of qigong as a treatment for fibromyalgia..” – Adrienne Dellwo

 

Fibromyalgia is a mysterious disorder whose causes are unknown. It is very common affecting over 5 million people in the U.S., about 2% of the population with about 7 times more women affected than men. It is characterized by widespread pain, abnormal pain processing, sleep disturbance, and fatigue that lead to psychological distress. Fibromyalgia may also have morning stiffness, tingling or numbness in hands and feet, headaches, including migraines, irritable bowel syndrome, sleep disturbances, thinking and memory problems, and painful menstrual periods. The symptoms are so severe and debilitating that about half the patients are unable to perform routine daily functions and about a third have to stop work. Although it is not itself fatal, suicide rates are higher in fibromyalgia sufferers. Clearly, fibromyalgia greatly reduces the quality of life of its’ sufferers.

 

There are no completely effective treatments for fibromyalgia. Symptoms are generally treated with pain relievers, antidepressant drugs and exercise. But these only reduce the severity of the symptoms and do not treat the disease directly. Mindfulness practices have also been shown to be effective in reducing pain from fibromyalgia. Qigong is an ancient Chinese practice involving mindfulness and gentle movements. They are easy to learn, safe, and gentle. So, it may be appropriate for patients with fibromyalgia where exercise can produce painful flares. This suggests that Qigong might also be effective. Qigong practice involves body movements and also breathing exercises and meditation. It is not known which of these components are essential to produce benefits,

 

In today’s Research News article “The therapeutic efficacy of Qigong exercise on the main symptoms of fibromyalgia: A pilot randomized clinical trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235941/), Sarmento and colleagues recruited adult non-obese female patients with fibromyalgia and randomly assigned them to receive either Qigong practice or a sham Qigong control condition. They received 2 weekly 45-minute training sessions followed by 10 weeks of daily practice at home. Qigong practice consisted of “deep diaphragmatic breathing, mild body movements, and meditation, along with uttering six healing sounds.”  The sham Qigong practice consisted of the body movements only. They were measured before and after training for self-reported pain levels, pressure pain thresholds, fibromyalgia impact, sleep quality, fatigue, quality of life, depression, and anxiety.

 

They found that in comparison to baseline and the sham Qigong group the participants that practiced Qigong had significantly lower levels of self-reported pain, fibromyalgia impact, fatigue, depression, and anxiety and significantly higher pressure pain thresholds and levels of sleep quality. These results are very interesting in that they demonstrate that Qigong practice markedly improves the symptoms of fibromyalgia in women.

 

The results are also interesting in that they demonstrate that the body movements component of Qigong practice is not essential for the benefits. The fact that the exercise is not effective alone is not surprising as it’s been reported that exercise can actually increase the likelihood of a fibromyalgia flare. The results suggest that breath control and meditation are essential for Qigong practice to improve the symptoms of fibromyalgia. It would appear that the mindfulness components of Qigong practice are essential. Previous research has shown that mindfulness training can improve the symptoms of fibromyalgia. The present results further confirm the effectiveness of mindfulness in reducing the women’s suffering.

 

Fibromyalgia patients suffer greatly and to bring relief with a simple, gentle, safe practice is very important. Qigong is inexpensive to administer, can be performed in groups or alone, at home or in a facility or even public park, and can be quickly learned. In addition, it can be practiced in social groups without professional supervision. This can make it fun, improving the likelihood of long-term engagement in the practice. Hence, Qigong practice would appear to be a wonderful effective treatment for the relief of the suffering of fibromyalgia patients.

 

So, improve fibromyalgia symptoms with qigong.

 

“qigong in fibromyalgia. . . . there are consistent benefits in pain, sleep, impact, and physical and mental function following the regimen, with benefits maintained at 4-6 months.” – Jane Sawynok

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Sarmento, C., Moon, S., Pfeifer, T., Smirnova, I. V., Colgrove, Y., Lai, S. M., & Liu, W. (2020). The therapeutic efficacy of Qigong exercise on the main symptoms of fibromyalgia: A pilot randomized clinical trial. Integrative medicine research, 9(4), 100416. https://doi.org/10.1016/j.imr.2020.100416

 

Abstract

Background

Some of the most debilitating symptoms of fibromyalgia (FM) include widespread chronic pain, sleep disturbances, chronic fatigue, anxiety, and depression. Yet, there is a lack of effective self-management exercise interventions capable of alleviating FM symptoms. The objective of this study is to examine the efficacy of a 10-week daily Qigong, a mind–body intervention program, on FM symptoms.

Methods

20 participants with FM were randomly assigned to Qigong (experimental) or sham-Qigong (control) groups, with participants blinded to the intervention allocation. The Qigong group practiced mild body movements synchronized with deep diaphragmatic breathing and meditation. The sham-Qigong group practiced only mild body movements. Both groups practiced the interventions two times per day at home, plus one weekly group practice session with a Qigong instructor. Primary outcomes were: pain changes measured by the Short-Form McGill Pain Questionnaire, a visual analog scale for pain, pressure pain threshold measured by a dolorimeter. Secondary outcomes were: the Revised Fibromyalgia Impact Questionnaire the Pittsburgh Sleep Quality Index, the Hospital Anxiety and Depression Scale and the Quality of Life Scale.

Results

The experimental group experienced greater clinical improvements when compared to the control group on the mean score differences of pain, sleep quality, chronic fatigue, anxiety, depression, and fibromyalgia impact, all being statistically significant at p < 0.05.

Conclusion

Daily practice of Qigong appears to have a positive impact on the main fibromyalgia symptoms that is beyond group interaction.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235941/

 

Improve Balance in Parkinson’s Disease with Tai Chi and Yoga

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Improve Balance in Parkinson’s Disease with Tai Chi and Yoga

 

By John M. de Castro, Ph.D.

 

“In addition to easing balance problems, and possibly other symptoms, tai chi can help ease stress and anxiety and strengthen all parts of the body, with few if any harmful side effects. . . with Parkinson’s disease.” – Peter Wayne

 

Parkinson’s Disease (PD) is an incurable progressive degenerative disease of the central nervous system. The condition is caused by the death of nerve cells in the brain that produce the neurotransmitter dopamine. There are around seven million people worldwide and one million people in the U.S. living with PD and about 60,000 people are diagnosed with PD every year. PD is associated with aging as the vast majority of patients are diagnosed after age 50. In fact, it has been speculated that everyone would eventually develop PD if they lived long enough.

 

Its physical symptoms include resting tremor, slow movements, muscle rigidity, problems with posture and balance, loss of automatic movements, and slurring of speech. PD itself is not fatal but is often associated with related complications which can reduce life expectancy, such as falls, choking, and cardiovascular problems. PD also has psychological effects, especially cognitive decline, anxiety, and depression. Balance is a particular problem as it effects mobility and increases the likelihood of falls, restricting activity and reducing quality of life.

 

There are no cures for Parkinson’s Disease (PD) or even treatments to slow its progression. There are only treatments that can produce symptomatic relief. So, there is a need to discover new and different treatments. Mindfulness training has been found to improve the psychological symptoms and the quality of life with PD patients.  In addition, Tai Chi and yoga practices have been shown to improve the symptoms of Parkinson’s Disease. Hence, mind-body practices may be excellent treatments for the symptoms of PD. It is important to discover which of various exercises works best to improve balance and mobility in patients with PD.

 

In today’s Research News article “Effect of home-based Tai Chi, Yoga or conventional balance exercise on functional balance and mobility among persons with idiopathic Parkinson’s disease: An experimental study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136531/), Khuzema and colleagues recruited adult patients with Parkinson’s Disease and randomly assigned them to receive 5 days per week for 8 weeks for 30-40 minutes of either home based Tai Chi exercise, yoga exercise, or balance exercise training. They were measured before and after training for balance and mobility with a timed up and go test and a 10-minute walking test.

 

They found that all three exercise programs produced significant improvements in all measures. Balance increased significantly by 26.414%, 8.193% and 14.339%, Timed up and go time decreased by 22.695%, 7.187% and 8.902%, and 10-m Walk Time decreased by 24.469%, 5.914% and 8.986% in Tai Chi, yoga and balance exercise groups, respectively. Although, on average, Tai Chi exercise produced superior results on all measures, the study was too small (9 patients per group) to determine significant group differences. These results, however, support conducting a large randomized controlled trial in the future.

 

Tai Chi is an ancient mindfulness practice that involves slow prescribed movements. It is gentle and completely safe, can be used with the elderly and sickly, are inexpensive to administer, can be performed in groups or alone, at home or in a facility or even public park, and can be quickly learned. In addition, it can be practiced in social groups without professional supervision. This can make it fun, improving the likelihood of long-term engagement in the practice. Hence Tai Chi training should be recommended to improve balance and mobility in patients with Parkinson’s Disease.

 

So, improve balance in Parkinson’s Disease with Tai Chi and Yoga.

 

“Benefits of Tai Chi and Yoga for those with Parkinson’s Disease:

  1. Promotes conscious awareness of movement and actions.
  2. Increases awareness of proper body alignment/posture
  3. Improves balance with reduced fall risk
  4. Enhances flexibility
  5. Affords a greater sense of well-being
  6. Offers relaxation which can help to lessen Parkinson’s symptoms (tremor, rigidity) or manage medication side effects such as dyskinesia
  7. Improves breath support and control
  8. Helps to build healthy bones through weight-bearing activities
  9. Increases strength, especially in core muscles” – National Parkinson’s Foundation

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Khuzema, A., Brammatha, A., & Arul Selvan, V. (2020). Effect of home-based Tai Chi, Yoga or conventional balance exercise on functional balance and mobility among persons with idiopathic Parkinson’s disease: An experimental study. Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao, 40(1), 39–49. https://doi.org/10.1142/S1013702520500055

 

Abstract

Background:

Individuals with Parkinson’s disease (PD) invariably experience functional decline in a number of motor and non-motor domains affecting posture, balance and gait. Numerous clinical studies have examined effects of various types of exercise on motor and non-motor problems. But still much gap remains in our understanding of various therapies and their effect on delaying or slowing the dopamine neuron degeneration. Recently, Tai Chi and Yoga both have gained popularity as complementary therapies, since both have components for mind and body control.

Objective:

The aim of this study was to determine whether eight weeks of home-based Tai Chi or Yoga was more effective than regular balance exercises on functional balance and mobility.

Methods:

Twenty-seven individuals with Idiopathic PD (Modified Hoehn and Yahr stages 2.5–3) were randomly assigned to either Tai Chi, Yoga or Conventional exercise group. All the participants were evaluated for Functional Balance and Mobility using Berg Balance Scale, Timed 10 m Walk test and Timed Up and Go test before and after eight weeks of training.

Results:

The results were analyzed using two-way mixed ANOVA which showed that there was a significant main effect for time as F (1, 24) =74.18, p=0.000, ηp2=0.76 for overall balance in Berg Balance Scale. There was also significant main effect of time on mobility overall as F(1, 24) =77.78, p=0.000, ηp2=0.76 in Timed up and Go test and F(1, 24) =48.24, p=0.000, ηp2=0.67 for 10 m Walk test. There was a significant interaction effect for time×group with F(2, 24) =8.67, p=0.001, ηp2=0.420 for balance. With respect to mobility, the values F(2, 24) =5.92, p=0.008, ηp2=0.330 in Timed Up and Go test and F(2, 24) =10.40, p=0.001, ηp2=0.464 in 10 m Walk test showed a significant interaction. But there was no significant main effect between the groups for both balance and mobility.

Conclusion:

The findings of this study suggest that Tai Chi as well as Yoga are well adhered and are attractive options for a home-based setting. As any form of physical activity is considered beneficial for individuals with PD either Tai Chi, Yoga or conventional balance exercises could be used as therapeutic intervention to optimize balance and mobility. Further studies are necessary to understand the mind–body benefits of Tai Chi and Yoga either as multicomponent physical activities or as individual therapies in various stages of PD.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7136531/

 

Tai Chi Improves the Quality of Life and Relieves Physical and Psychological Symptoms of Breast Cancer Survivors.

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Tai Chi Improves the Quality of Life and Relieves Physical and Psychological Symptoms of Breast Cancer Survivors.

 

By John M. de Castro, Ph.D.

 

“For patients with cancer, Tai Chi and Qigong provide benefit to many of the side effects associated with cancer and cancer treatment.” – Susan Yaguda

 

Receiving a diagnosis of cancer has a huge impact on most people. Feelings of depression, anxiety, and fear are very common and are normal responses to this life-changing and potentially life-ending experience. But cancer diagnosis is not necessarily a death sentence. Over half of the people diagnosed with cancer are still alive 10 years later and this number is rapidly increasing. But, surviving cancer carries with it a number of problems. Anxiety, depression, fatigue and insomnia are common symptoms in the aftermath of surviving breast cancer. These symptoms markedly reduce the quality of life of the patients.

 

Mindfulness training has been shown to help with cancer recovery and help to alleviate many of the residual physical and psychological symptoms, including stress,  sleep disturbance, and anxiety and depression. Tai Chi or Qigong practice has been shown to improve quality of life, reduce fatigue, and lower blood pressure and cortisol levels. They are very gentle and safe practices. The research on the effectiveness of Tai Chi training for breast cancer patients is accumulating. So, it makes sense to take a step back and summarize what has been learned.

 

In today’s Research News article “Effect of Tai Chi Chuan in Breast Cancer Patients: A Systematic Review and Meta-Analysis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7191057/), Luo and colleagues review, summarize, and perform a meta-analysis of the published randomized controlled clinical trials of the effectiveness of Tai Chi training for breast cancer patients. They found 15 published research controlled clinical trials.

 

They report that the published research found that Tai Chi training practice produced significant improvements in the quality of life of the patients that persisted for 6 months after the cessation of training. They also report that Tai Chi training improved shoulder function including arm function and reduced shoulder pain. They also found significant reductions in anxiety and fatigue with Tai Chi training in breast cancer patients.

 

These results demonstrate that Tai Chi training produces substantial and lasting improvements in the physical and psychological well-being of breast cancer patients, relieving suffering and improving quality of life. Tai Chi is an ancient mindfulness practice that involves slow prescribed movements. It is gentle and completely safe, can be used with the elderly and sickly, are inexpensive to administer, can be performed in groups or alone, at home or in a facility or even public park, and can be quickly learned. In addition, it can be practiced in social groups without professional supervision. This can make it fun, improving the likelihood of long-term engagement in the practice. Hence Tai Chi training should be recommended for breast cancer patients.

 

So, Tai Chi improves the quality of life and relieves physical and psychological symptoms of breast cancer survivors.

 

“tai chi helps counteract the body’s natural inflammatory response when it’s subjected to harsh cancer treatments like radiation and chemotherapy.” – Karen Mustian

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Luo, X. C., Liu, J., Fu, J., Yin, H. Y., Shen, L., Liu, M. L., Lan, L., Ying, J., Qiao, X. L., Tang, C. Z., & Tang, Y. (2020). Effect of Tai Chi Chuan in Breast Cancer Patients: A Systematic Review and Meta-Analysis. Frontiers in oncology, 10, 607. https://doi.org/10.3389/fonc.2020.00607

 

Abstract

Background: Tai Chi Chuan(TCC), as a mind-body exercise, may have a positive impact on physical function and psychological well-being in breast cancer patients. The latest systematic review and meta-analysis of TCC for breast cancer was made 4 years ago and some new clinical trials about it were published. We remade a systematic review and meta-analysis to evaluate the effect of TCC in breast cancer patients.

Methods: In this systematic review and meta-analysis, we searched MEDLINE (via PubMed), EMBASE (via embase.com), CENTRAL, CNKI, COVIP, Wanfang, Chaoxing, CiNii, J-SSTAGE, DBpia, and ThaiJO with no language restrictions from inception to December 31, 2018 (updated on February 16, 2020), for randomized clinical trials comparing TCC with non-exercised therapy in breast cancer patients. The primary outcome was quality of life in patients with breast cancer and data pooled by a random-effects model. Subgroup analyses were conducted to estimate the effect of different durations of TCC for breast cancer patients. This study was registered in PROSPERO, number CRD 4201810326.

Results: Fifteen articles involving a total of 885 breast cancer participants were included in this review. Compared with non-exercised therapy, TCC had a significant effect on quality of life in breast cancer patients (SMD = 0.37, 95% CI 0.15–0.59, p = 0.001), and subgroup analysis found that TCC showed beneficial effect in 12 weeks and 25 weeks (12 weeks: SMD = 0.40, 95% CI 0.19–0.62, p = 0.0003; 25 weeks: SMD = 0.38, 95% CI 0.15–0.62, p = 0.002). Meta-analyses of secondary outcomes showed that 3 weeks TCC increased shoulder function (SMD = 1.08, 95% CI 0.28–1.87, p = 0.008), 12 weeks TCC improved pain (SMD = 0.30, 95% CI 0.08–0.51, p = 0.007), shoulder function (SMD = 1.34, 95% CI 0.43–2.25, p = 0.004), strength of arm (SMD = 0.44, 95% CI 0.20–0.68, p = 0.0004), and anxiety (MD = −4.90, 95% CI −7.83 to −1.98, p = 0.001) in breast cancer patients compared with the control group.

Conclusions: TCC appears to be effective on some physical and psychological symptoms and improves the quality of life in patients with breast cancer. Additional randomized controlled trials with a rigorous methodology and low risk of bias are needed to provide more reliable evidence.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7191057/