Clinical trial NCT04357678: Qui Gong Programme vs Short Form Sun Style Tai Chi in COPD Patients
Official title: Comparison of Qui Gong Programme With Short Form Sun Style Tai Chi in COPD Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: COPD
Keywords: Pulmonary Disease
Qigong
Tai chi
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2020-04-22
Enrollment: 78
Sex: ALL
Minimum age (years): 40
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This was a Randomized control Trial. Purposive sampling was done to obtained Sample (n=78) which were randomly allocated to Group A (n=39) and Group B (n=39). Study was conducted from August 2019 to December 2019 in HBS Hospital Islamabad.To determine the effects of Qigong vs. Shot form Sun Style Tai Chi (SSTC) on Lung function, six min walk distance, dyspnea and quality of life in COPD patients.

Detailed description: Chronic obstructive pulmonary disease (COPD) is characterized by persistent respiratory symptoms and air-ﬂow limitation. Dyspnea is related with daily life activity. COPD patients often suffer from dyspnea and exacerbation, which leads to inactivity, deconditioning, and poor functional capacity and quality of life. Several interventions have been investigated with the aim of improving lung function, decreasing dyspnea symptoms and improving quality of life in this patient.

Tai Chi, an exercise involving both upper and lower extremities, originated from China. Tai chi is characterized by posture alignment, weight shifting and circular movements that incorporate elements of muscle endurance and strengthening, balance, relaxation and breathing control. Among previous studies Tai Chi in pulmonary rehabilitation showed a modest complementary benefit in exercise capacity.

The Tai Chi program is a safe, effective and feasible method to improve exercise capacity and health-related quality of life in people with COPD. Short form sun style Tai chi is one of the most common styles of t'ai chi. each form can be broken down into several movements which make it easy to learn and teach. Compared to some other styles of t'ai chi, SSTC involves less difficult movements, such as less deep-knee bending and single leg standing, which may make it more suitable for older people.

Qi Gong is defined as a mind-body exercise that involves whole body movements, breathing techniques, postural control, and internal awareness.

effects of Qi Gong on functional capacity and lung functions in COPD patients , and concluded that functional capacity, dyspnea scores and quality of life was significantly improved in mild to moderate COPD patients.

Eligibility criteria: Inclusion Criteria:

* Clinically Diagnosed patient: Mild to moderate stage COPD according to GOLD criteria {i-e Global Initiative for Chronic Obstructive Lung Disease (GOLD) }
* Patients who can walk without any dependency were included in study.

Exclusion Criteria:

* Patients with acute exacerbation within 4 weeks before starting the study
* Patient having significant, cognitive impairment
* Patient having Tuberculosis, asthma
* Patient having musculoskeletal
* Patient having psychological, cardiovascular and benign conditions (that prohibit exercise were excluded from the study)

Primary outcomes:
measure: Forced Expiratory Volume in 1 second (FEV1)
timeFrame: 6th week
measure: Forced vital Capacity (FVC)
timeFrame: 6th week
measure: Peak Expiratory Flow (PEF)
timeFrame: 6th week
measure: 6 min walk test: Distance (meters)
timeFrame: 6th week
Secondary outcomes:
measure: Modified Medical Research Council Dyspnea Scale (mMRC)
timeFrame: 6 week
measure: Quality of life: St. George's Respiratory Questionnaire (SGRQ)
timeFrame: 6 week
Other outcomes:
Locations:
city: Islamabad
country: Pakistan
facility: HBS General Hospital
state: Federal
Study officials:
affiliation: Riphah International University
name: Iqbal Tariq, MsCPPT
role: PRINCIPAL_INVESTIGATOR
References:
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citation: Leung RW, McKeough ZJ, Peters MJ, Alison JA. Short-form Sun-style t'ai chi as an exercise training modality in people with COPD. Eur Respir J. 2013 May;41(5):1051-7. doi: 10.1183/09031936.00036912. Epub 2012 Aug 9.
citation: Regina Wai Man Leung*, Zoe J. McKeough, Matthew J. Peters
citation: Kantatong T, Panpanich R, Deesomchok A, Sungkarat S, Siviroj P. Effects of the tai chi qigong programme on functional capacity, and lung function in chronic obstructive pulmonary disease patients: A ramdomised controlled trial. J Tradit Complement Med. 2019 Apr 1;10(4):354-359. doi: 10.1016/j.jtcme.2019.03.008. eCollection 2020 Jul.
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