Qigong and Exercise Therapy for Elderly Patients With Chronic Neck Pain (QIBANE): A Randomized Controlled Study
| Autor: | Rainer Lüdtke, Stefan N. Willich, A. Reißhauer, Anna Maria Wiedemann, Philipp von Trott, Claudia M. Witt |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Visual analogue scale Traditional Chinese medicine Breathing Exercises law.invention Chronic neck pain Quality of life Randomized controlled trial law medicine Humans Aged Pain Measurement Neck pain Neck Pain business.industry Chronic pain Exercise therapy Middle Aged medicine.disease Exercise Therapy Treatment Outcome Anesthesiology and Pain Medicine Neurology Data Interpretation Statistical Chronic Disease Quality of Life Physical therapy Female Neurology (clinical) medicine.symptom business |
| Zdroj: | The Journal of Pain. 10:501-508 |
| ISSN: | 1526-5900 |
| DOI: | 10.1016/j.jpain.2008.11.004 |
| Popis: | The aim of this study was to evaluate the effectiveness of qigong compared with exercise therapy and no treatment. Elderly patients with chronic neck pain (>6 months) were randomly assigned to qigong or exercise therapy (each 24 sessions over a period of 3 months) or to a waiting list control. Patients completed standardized questionnaires at baseline and after 3 and 6 months. The main outcome measure was average neck pain on the visual analogue scale after 3 months. Secondary outcomes were neck pain and disability (NPAD) and quality of life (SF-36). One hundred seventeen patients (age, 76 ± 8 years, 95% women) were included in the intention-to-treat analysis. The average duration of neck pain was 19.0 ± 14.9 years. After 3 months, no significant differences were observed between the qigong group and the waiting list control group (visual analogue scale mean difference, −11 mm [CI, −24.0; 2.1], P = .099) or between the qigong group and the exercise therapy group (−2.5 mm [ − 15.4; 10.3], P = .699). Results for the NPAD were similar (qigong vs waiting list −6.7 (−15.4; 2.1), P = .135; qigong vs exercise therapy 2.3 (−6.2; 10.8); P = .600). We found no significant effect after 3 months of qigong or exercise therapy compared with no treatment. Further studies should include outcomes more suitable to elderly patients, longer treatment, and patients with less chronic pain. Perspective In a randomized controlled study, we evaluated whether a treatment of 24 qigong sessions over a period of 3 months is (1) superior to no treatment and (2) superior to the same amount of exercise therapy in elderly patients (age, 76 ± 8 years, 95% women) with long-term chronic neck pain (19.0 ± 14.9 years). After 3 and 6 months, we found no significant differences for pain, neck pain, disability, and quality of life among the 3 groups. |
| Databáze: | OpenAIRE |
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