Buttolph Lita, Corn Joshua, Hanes Douglas, Bradley Ryan, Senders Angela
Helfgott Research Institute, National University of Natural Medicine, Portland, OR, USA.
Oregon College of Oriental Medicine, Portland, OR, USA.
J Altern Complement Med. 2021 Jun;27(6):506-514. doi: 10.1089/acm.2020.0481. Epub 2021 Mar 26.
, a traditional Chinese mind-body exercise, has been shown to improve balance and gait in several neurological conditions; however, community-delivered has never been assessed for people with multiple sclerosis (MS). The authors assessed the feasibility of community classes for people with MS and explored outcomes of balance, gait, and quality of life (QOL). Twenty adults with MS were randomly assigned to 10 weeks of community classes or wait-list control. Portland, Oregon. People with MS. Community qigong classes. Feasibility criteria included recruitment, retention, adherence, and ability to participate in movements. Secondary outcome measures included physical tests of mobility, gait, and balance and participant-reported mobility, depression, anxiety, fatigue, and QOL. Recruitment of eligible and interested people with MS was feasible. Retention in the trial was 60%. Completers attended a mean of 7 of 10 classes. All completers participated with no or minor modifications to movements. Exploratory within-group analyses showed trends toward improved mental health, QOL, and reduced fatigue and depression. Several participants spontaneously reported improved energy, flexibility, sleep, and mobility. Community may be a feasible form of exercise for people with MS. To improve retention and capture potential effects of on physical function and quality of life, future studies might consider pragmatic trials with tiered level classes, simpler forms of , and/or refined inclusion criteria (CTR#: NCT04585659).
太极拳,一种中国传统的身心锻炼方式,已被证明能改善多种神经系统疾病患者的平衡能力和步态;然而,针对社区提供的太极拳课程对多发性硬化症(MS)患者的效果从未进行过评估。作者评估了为MS患者开设社区太极拳课程的可行性,并探讨了平衡能力、步态和生活质量(QOL)方面的结果。20名成年MS患者被随机分配到为期10周的社区太极拳课程组或等待名单对照组。俄勒冈州波特兰市。MS患者。社区气功课程。可行性标准包括招募、留存率、依从性以及参与太极拳动作的能力。次要结局指标包括身体活动能力、步态和平衡能力的物理测试,以及参与者报告的活动能力、抑郁、焦虑、疲劳和生活质量。招募符合条件且感兴趣的MS患者是可行的。试验中的留存率为60%。完成课程者平均参加了10节课中的7节。所有完成课程者在参与太极拳动作时无需或只需进行少量调整。探索性的组内分析显示出心理健康、生活质量改善以及疲劳和抑郁减轻的趋势。几名参与者自发报告精力、灵活性、睡眠和活动能力有所改善。社区太极拳可能是MS患者可行的锻炼形式。为了提高留存率并捕捉太极拳对身体功能和生活质量的潜在影响,未来的研究可能会考虑采用分层课程的实用试验、更简单的太极拳形式和/或细化的纳入标准(临床试验注册号:NCT04585659)。