Tai Chi and Pulmonary Rehabilitation Compared for Treatment-Naive Patients With COPD: A Randomized Controlled Trial

Autor: Michael I, Polkey, Zhi-Hui, Qiu, Lian, Zhou, Meng-Duo, Zhu, Ying-Xin, Wu, Yong-Yi, Chen, Sheng-Peng, Ye, Yu-Shan, He, Mei, Jiang, Bai-Ting, He, Bhavin, Mehta, Nan-Shan, Zhong, Yuan-Ming, Luo
Rok vydání: 2017
Předmět:
Zdroj: Chest. 153(5)
ISSN: 1931-3543
Popis: In COPD, functional status is improved by pulmonary rehabilitation (PR) but requires specific facilities. Tai Chi, which combines psychological treatment and physical exercise and requires no special equipment, is widely practiced in China and is becoming increasingly popular in the rest of the world. We hypothesized that Tai Chi is equivalent (ie, difference less than ±4 St. George's Respiratory Questionnaire [SGRQ] points) to PR.A total of 120 patients (mean FEVThe between-group difference for SGRQ at the end of the exercise interventions was -0.48 (95% CI PR vs Tai Chi, -3.6 to 2.6; P = .76), excluding a difference exceeding the minimal clinically important difference. Twelve weeks later, the between-group difference for SGRQ was 4.5 (95% CI, 1.9 to 7.0; P .001), favoring Tai Chi. Similar trends were observed for 6-min walk distance; no change in FEVTai Chi is equivalent to PR for improving SGRQ in COPD. Twelve weeks after exercise cessation, a clinically significant difference in SGRQ emerged favoring Tai Chi. Tai Chi is an appropriate substitute for PR.ClinicalTrials.gov; No.: NCT02665130; URL: www.clinicaltrials.gov.
Databáze: OpenAIRE