Medical Qigong for Mobility and Balance Self-Confidence in Older Adults

Autor: James E. Stahl, Shoshana S. Belisle, Wenyan Zhao
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Frontiers in Medicine, Vol 7 (2020)
Druh dokumentu: article
ISSN: 2296-858X
45878897
DOI: 10.3389/fmed.2020.00422
Popis: Background/Objectives: Physical inactivity, sedentary lifestyle, and impaired neuromuscular function increases fall risk and fractures in our aging population. Mind-body modalities, improve strength, balance and coordination, mitigating these risks. This study examined whether a manualized Medical Qigong protocol measurably improves balance, gait, and health self-confidence among older adults.Design: Randomized prospective cohort pre-post study with wait time control.Setting: Two martial arts centers in Massachusetts and Arizona.Participants: Ninety-five adults age ≥ 50 (mean age 68.6 y.o., range 51–96) were randomly assigned to an immediate start group (N = 53) or 4-week delayed start group (N = 43).Intervention: A 10 form qigong protocol taught over 12 weekly classes.Measurments: Primary outcome measures were the Community Balance and Mobility Scale (CBMS) and Activities-Specific Balance Confidence (ABC) Scale. Data was collected at baseline, 1-month and 4-months.Results: Both groups at both sites demonstrated improved balance and gait (CBMS + 11.9 points, p < 0.001). This effect was strongest in patients in their 60 s (CBMS +12.9 p < 0.01) and 70 s (CBMS + 14.3, p < 0.001), was equal across genders and socioeconomic status. Balance self-confidence did not significantly change (ABC + 0.9, p = 0.48), though several elements within ABC trended toward improvement [e.g., walk up/down ramp (p = 0.07), bend over/pick up (p = 0.09)]. Falls in the past year was inversely correlated with balance self-confidence (p = 0.01).Conclusion: A 12-week manualized Medical Qigong protocol significantly improved balance and gait and modestly improved balance self-confidence among older adults. Medical Qigong may be a useful clinical intervention for older adults at heightened risk for falls and related injuries.Clinical Trial Registration:www.ClinicalTrials.gov, identifier: NCT04430751.
Databáze: Directory of Open Access Journals
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