Intervention Effect of Yizhi Baduanjin on Patients With Mild Cognitive Impairment

Study Overview
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Brief Summary
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With mild cognitive impairment (MCI) as the research object, the intervention effect of Yizhi Baduanjin on mild cognitive impairment was evaluated by using the Montreal Cognitive Assessment (MoCA) scale, human-computer interactive electronic cognitive function score, multi-measure EEG data and other evaluation indicators, with the intervention measures of Yizhi Baduanjin created by the Tai Chi Health Center in the early stage. This project is based on the preliminary study, followed the principles and methods of clinical epidemiology and evidence-based medicine, and designed a prospective, randomized, single-blind, parallel controlled trial to make up for the deficiency of existing drugs in the intervention of mild cognitive impairment, and to provide evidence for the clinical and community promotion and application of effective and safe traditional Chinese medicine non-pharmaceuticals in the prevention and treatment of mild cognitive impairment.

Detailed Description
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Mild cognitive impairment（MCI） is a critical state between normal aging and dementia, with its core symptom being age-related cognitive decline. This critical state provides a window of opportunity for preventing Alzheimer's disease. At present, there is a lack of sufficient intervention methods to improve MCI. Yizhi Baduanjin is an adaptation of traditional Baduanjin, which is more suitable for middle-aged and elderly people to practice and optimize for improving cognitive function. Previous observations and studies have provided some evidence to prove the beneficial effect of Yizhi Baduanjin on MCI. This is a two-group prospective, randomized, assessor-blinded trial, planning to enroll 100 participants.They will randomly divided into two groups: the training group with 50 cases and the control group with 50 cases. The training group will receive intervention with the Yizhi Baduanjin, and various evaluation indicators will test before and 4、12、24 weeks after the intervention. The control group is a waiting control group, and after 24 weeks, they will continue to learn the Yizhi Baduanjin. The control group and the practice group will be tested simultaneously at four time points. Finally, the intervention effect will be evaluated through inter group and intra group comparisons of test data. The main research purpose is to evaluate the clinical effect of Yizhi Baduanjin on MCI.The secondary research objective is to explore the possible mechanism of Yizhi Baduanjin in improving MCI.

Official Title
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Research, Development and Promotion of the Service Package of Yizhi Baduanjin for Mild Cognitive Impairment

Conditions
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Mild Cognitive Impairment

Intervention / Treatment
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* Other: Yizhi Baduanjin


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Subjective symptoms include memory loss MoCA score is less than 26 points No disability, no communication barrier, and can complete the cognitive function test of human-computer interaction Agree to participate in the project and sign the informed consent form Exclusion Criteria: Alzheimer's patients Cognitive impairment caused by depression, cerebrovascular accident and other specific reasons Those who are unwilling or unable to take part in the Yizhi Baduanjin exercise

Ages Eligible for Study
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Minimum Age: 60 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Treatment group<br>After proficiently mastering the complete set of Yizhi Baduanjin, the practice group is required to practice sitting posture of YizhiBaduanjin twice a day and standing posture of YizhiBaduanjin once every two days. | Other: Yizhi Baduanjin<br>* Yizhi Baduanjin is a newly compiled routine developed on the foundation of the traditional Baduanjin, aiming at the mental and cerebral health of middle-aged and elderly population, which combining the preliminary research result and principles of the traditional routine. It could be practiced in long term to prevent MCI and AD, or simply as a general health exercise for elders.<br>|
| No Intervention: control group<br>The control group is a waiting control group, and after 24 weeks, they will continue to learn the Yizhi Baduanjin. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| MoCA | The MoCA (Montreal Cognitive Assessment) is a tool used to assess cognitive function, primarily for the early detection of mild cognitive impairment and dementia. The MoCA scale consists of 30 questions, including evaluations of memory, attention, language, abstraction, orientation, spatial ability, and executive function. The scale includes more specific testing items, such as clock-drawing, reaction time, and number string recall. Each question has a standard answer or scoring criteria, and scores are totaled to a maximum of 30 points.The cutoffs for MCI are <26. | Change from Baseline MOCA at 4 weeks | 
| MoCA | The MoCA (Montreal Cognitive Assessment) is a tool used to assess cognitive function, primarily for the early detection of mild cognitive impairment and dementia. The MoCA scale consists of 30 questions, including evaluations of memory, attention, language, abstraction, orientation, spatial ability, and executive function. The scale includes more specific testing items, such as clock-drawing, reaction time, and number string recall. Each question has a standard answer or scoring criteria, and scores are totaled to a maximum of 30 points.The cutoffs for MCI are <26. | Change from 4 weeks MOCA at 12 weeks | 
| MoCA | The MoCA (Montreal Cognitive Assessment) is a tool used to assess cognitive function, primarily for the early detection of mild cognitive impairment and dementia. The MoCA scale consists of 30 questions, including evaluations of memory, attention, language, abstraction, orientation, spatial ability, and executive function. The scale includes more specific testing items, such as clock-drawing, reaction time, and number string recall. Each question has a standard answer or scoring criteria, and scores are totaled to a maximum of 30 points.The cutoffs for MCI are <26. | Change from 12 weeks MOCA at 24 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cognitive Function Score | Objective scores for the four cognitive tasks of positional circle, numerical circle, numerical string, and operation in the MCI screening tool. | Change from Baseline cognitive function score at 4 weeks | 
| Cognitive Function Score | Objective scores for the four cognitive tasks of positional circle, numerical circle, numerical string, and operation in the MCI screening tool. | Change from 4 weeks cognitive function score at 12 weeks | 
| Cognitive Function Score | Objective scores for the four cognitive tasks of positional circle, numerical circle, numerical string, and operation in the MCI screening tool. | Change from 12 weeks cognitive function score at 24 weeks | 
| EEG data | EEG power spectrum, ApEn approximate entropy, LZ complexity, RE, NR correlation | Change from Baseline EEG data at 4 weeks | 
| EEG data | EEG power spectrum, ApEn approximate entropy, LZ complexity, RE, NR correlation | Change from 4 weeks EEG data at 12 weeks | 
| EEG data | EEG power spectrum, ApEn approximate entropy, LZ complexity, RE, NR correlation | Change from 12 weeks EEG data at 24 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Mild Cognitive Impairment, Baduanjin