Qui Gong Programme vs Short Form Sun Style Tai Chi in COPD Patients

Not Applicable

Completed

• Conditions: COPD
• Interventions: Other: Short Form Sun Style Tai Chi; Other: Qi Gong Programme

• Registration Number: NCT04357678
• Lead Sponsor: Riphah International University

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.

Study Timeline

• Study Start: 2019-08-01
• Primary Completion: 2019-12-30
• Study Completion: 2020-01-10
• Status Verified: 2020-04
• Study First Submitted: 2020-04-20
• Study First Submitted QC: 2020-04-20
• Last Update Submitted: 2020-04-20
• Study First Posted: 2020-04-22
• Last Update Posted: 2020-04-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 78

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.

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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)

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Short Form Sun Style Tai Chi	Short Form Sun Style Tai Chi	Short Form Sun Style Tai Chi
Qi Gong Programme	Qi Gong Programme	Qi Gong Programme

Primary Outcome Measures

Name	Time	Method
Forced Expiratory Volume in 1 second (FEV1)	6th week	Changes from the Baseline, the digital spirometer is used in clinical setting to analyze Forced Expiratory Volume in 1 second FEV1 in Liters
Peak Expiratory Flow (PEF)	6th week	Changes from the Baseline, the digital spirometer is used in clinical setting to analyze peak expiratory flow PEF in Liter/second.
Forced vital Capacity (FVC)	6th week	Changes From the Baseline, the digital spirometer is used in clinical setting to analyze Forced vital Capacity in Liters.
6 min walk test: Distance (meters)	6th week	Changes from the baseline, 6 min walk test was used to measure Functional capacity. It is a sub maximal exercise test which can aid in assessing functional capacity of patients with cardiopulmonary diseases, in this test we find out the maximum distance in meters which an individual covers in 6 min without any support.

Secondary Outcome Measures

Name	Time	Method
Modified Medical Research Council Dyspnea Scale (mMRC)	6 week	Changes from the Baseline, It was used to measure Dyspnea score. This scale ranges from 0 to 4 in which 0 indicates that strenuous exercise leads to breathlessness" and 4 means "too breathless"
Quality of life: St. George's Respiratory Questionnaire (SGRQ)	6 week	was used to access the quality of life; SGRQ is used for determining quality of life in COPD patients. This questionnaire is designed in 50 items to check the impact of COPD. 0 to 100 is the range of this score. Scores having higher values means more limitations.

Trial Locations

Locations (1)

HBS General Hospital; 🇵🇰 Islamabad, Federal, Pakistan