Baduanjin Qigong Exercise Plus Selected Exercise Program on Chronic Fatigue Syndrome and Postural Imbalance Following Lower Limb Burn Injury
Condition: Lower Limb Burn Injury
MeSH terms: Fatigue Syndrome, Chronic; Wounds and Injuries; Burns
Study type: Interventional

Summary: 
      90 patients who suffer from chronic fatigue syndrome and postural imbalance following Lower
      Limb Burn Injury. will be selected from outpatient clinic, faculty of physical therapy, Cairo
      university. Patients will be assigned randomly into 3 groups of equal numbers, group A:
      (Study group A) will receive Baduanjin Qigong exercise plus selected exercise program. group
      B:(Study group B) will receive Baduanjin Qigong exercise, Group C (control group C) will
      receive selected exercise program .
    

Detailed description: 
      Patients at group A: patients will receive Baduanjin Qigong exercise plus selected exercise.
      the subjects practiced Baduanjin exercise 3 times or above each week, 30- 60 minutes each
      time for 8 weeks. The subjects were required to complete the program in the fixed site and in
      a collective manner, with special personnel recording the attendance and providing guidance.
      The whole set of Baduanjin exercise consists of 9 postures: (1) ready position, (2) holding
      the hands high with palms up to regulate the internal organs, (3) posing like an archer
      shooting on left and right sides, (4) holding one arm aloft to regulate the functions of the
      spleen and stomach, (5) looking backwards to prevent sickness and strain, (6) swinging the
      head and lowering the body to relieve stress, (7) moving the hands down the back and legs and
      touching the feet to strengthen the kidneys, (8) thrusting the fists and making the eyes
      glare to enhance strength, and (9) raising and lowering the heels to cure diseases .

      Selected Exercise Program: Patients will receive

        -  balance exercises 3 sessions a week for 8 weeks in the form of balance exercises and
           resisted exercises. Balance Exercises Each session of balance exercises is composed of
           three phases, including warm-up, balance training and cool down. The warm-up phase
           involved gentle stretching for calf, hamstring, quadriceps, iliopsoas muscles, as well
           as anterior, posterior and lateral step-ups for 5-10 minutes. The active phase was
           performed on a balance training mat of high-elasticity for 20 minutes. It included heel
           and toe raises, one-legged stance for each extremity, shifting weight anteriorly,
           posteriorly, laterally and diagonally. turning head to the right and then to the left
           with maintaining the feet together, walking in slow motion, step-ups, narrow walking,
           backward walking, sideward walking, stepping over obstacles, passing balls arranged on
           the training mat in a circle, and throwing and catching a ball on the training mat. The
           program ended with 5-10 minutes of cool down. During the cool-down phase, patients
           performed deep breathing exercises and static exercises for back extensor in a recumbent
           position.

        -  Resisted Exercises were given according to the standardized Oxford technique of
           progressive resistance exercises for hip flexors and extensor, knee extensors and
           flexors, and ankle dorsiflexors. The exercises' intensity was progressed as the
           following; week one: 50-60% of three repetition maximum (3RM), from 2nd -6th weeks: 70-
           75% of 3RM and for 7th -8th weeks: 80-85% 3RM for 4- 10 repetitions ,3 sessions a week
           for 8 weeks.
    

Intervention name(s): exercise therapy program
Intervention type(s): Other
Intervention description(s): patients will receive Baduanjin Qigong exercise plus selected exercise. the subjects will recive Baduanjin exercise 3 times each week, 30- 60 minutes each time for 12 weeks.
The whole set of Baduanjin exercise consists of 9 postures: (1) ready position, (2) holding the hands high with palms up. (3) posing like an archer shooting on left and right sides, (4) holding one arm aloft . (5) looking backwards to prevent sickness and strain, (6) swinging the head and lowering the body t. (7) moving the hands down the back and legs and touching the feet . (8) thrusting the fists and making the eyes glare . and (9) raising and lowering the heels .
Selected Exercise Program: Patients will receive
balance exercises is composed of three phases, including warm-up, balance training and cool down.
Resisted Exercises were given according to the standardized Oxford technique of progressive resistance exercises
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary purpose: Treatment