太极拳的特异性和非特异性效应及其可能的中枢反应:一项神经影像学研究方案。
The Specific and Nonspecific Effects of Tai Chi and Its Possible Central Responses: A Protocol of Neuroimaging Study.
作者信息
Liu Tianyu, Teng Yuke, Yang Sha, Guo Yuyi, Yin Tao, Chen Jingwen, Ying Rongtao, He Zhaoxuan, Yu Shuguang, Wu Jianwei, Zeng Fang
机构信息
School of Sport, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
Acupuncture and Brain Science Research Center, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
出版信息
Evid Based Complement Alternat Med. 2021 Feb 19;2021:8883460. doi: 10.1155/2021/8883460. eCollection 2021.
Tai Chi has been proven to be a safe and effective assistant therapy for healthcare and disease treatment. However, whether the adjuvant therapeutic effect of Tai Chi is general or disease-oriented remains uncertain. This trial focuses on exploring the specific and nonspecific effects of Tai Chi and its potential central responses. The results will deepen our understanding of the characteristics of Tai Chi exercise for adjuvant therapeutic effects and promote its application in the clinic. In this neuroimaging trial, 40 functional constipation (FC) patients and 40 healthy subjects (HS) will be recruited and will receive 10 weeks of Tai Chi exercise. The motor function, respiratory function, stool-related symptoms, quality of life, and emotional state of the participants will be evaluated at the baseline, the 5-week Tai Chi practice, and the end of practice. The potential changes in the heart rate variability and the cerebral function will be recorded by the 24 h dynamic electrocardiogram at the baseline and the functional magnetic resonance imaging at the end of practice. The possible correlations among the clinical variables, the heart rate variability, and the cerebral activity alterations in FC patients and HS will be analyzed. The healthcare and therapeutic effects of Tai Chi exercise might consist of the specific and nonspecific effects. This study provides not only a new perspective for understanding Tai Chi but also a new approach for investigating the mind-body exercise. This trial was registered in the Chinese Clinical Trial Registry (http://www.chictr.org.cn/showproj.aspx?proj=33243) on 28 November 2018 (registration number: ChiCTR1800019781; protocol version number: V1.0). This trial is currently in the stage of recruiting patients. The first patient was included on 1 December 2018. To date, 18 FC patients and 20 HS have been included. Recruitment will be completed in December 2020.
太极拳已被证明是一种安全有效的辅助治疗手段,可用于保健和疾病治疗。然而,太极拳的辅助治疗效果是普遍的还是针对特定疾病的,仍不明确。本试验旨在探索太极拳的特异性和非特异性效应及其潜在的中枢反应。研究结果将加深我们对太极拳辅助治疗效果的运动特征的理解,并促进其在临床中的应用。在这项神经影像学试验中,将招募40名功能性便秘(FC)患者和40名健康受试者(HS),并让他们接受为期10周的太极拳锻炼。将在基线、太极拳练习5周时和练习结束时评估参与者的运动功能、呼吸功能、与大便相关的症状、生活质量和情绪状态。将通过基线时的24小时动态心电图和练习结束时的功能磁共振成像记录心率变异性和脑功能的潜在变化。将分析FC患者和HS的临床变量、心率变异性和脑活动改变之间可能的相关性。太极拳锻炼的保健和治疗效果可能包括特异性和非特异性效应。本研究不仅为理解太极拳提供了新的视角,也为研究身心运动提供了新的方法。本试验于2018年11月28日在中国临床试验注册中心(http://www.chictr.org.cn/showproj.aspx?proj=33243)注册(注册号:ChiCTR1800019781;方案版本号:V1.0)。本试验目前正处于招募患者阶段。第一名患者于2018年12月1日入组。截至目前,已纳入18名FC患者和20名HS。招募工作将于2020年12月完成。
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