12 周太极拳训练预防香港华裔女性发作性偏头痛的疗效和可行性：一项随机对照试验。
Efficacy and feasibility of a 12-week Tai Chi training for the prophylaxis of episodic migraine in Hong Kong Chinese women: A randomized controlled trial.
机构信息
School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China.
Research Center for Chinese Medicine Innovation, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China.
出版信息
Front Public Health. 2022 Dec 13;10:1000594. doi: 10.3389/fpubh.2022.1000594. eCollection 2022.
BACKGROUND
Tai Chi has been broadly applied as alternative treatment for many neurological and psychological disorders. Whereas no study using Tai Chi as prophylactic treatment for migraine. The purpose of this study was to preliminarily examine the efficacy and feasibility of a 12-week Tai Chi training on migraine attack prevention in a sample of Chinese women.
METHODS
A two-arm randomized controlled trial was designed. Women aged 18 to 65 years and diagnosed with episodic migraine were randomized to either Tai Chi group (TC group) or the waiting list control group. A modified 33-short form Yang-style Tai Chi training with 1 h per day, 5 days per week for 12 weeks was implemented in the TC group, with a 12-week follow up period. The control group received a "delayed" Tai Chi training at the end of the trial. The primary outcome was the differences in attack frequency between 4 weeks before baseline and at the 9-12 weeks after randomization. The intensity and duration of headache were also measured. The feasibility was evaluated by the maintenance of Tai Chi practice and satisfactory level of the participants toward training.
RESULTS
Eighty-two women were randomized, finally 40 in TC group and 33 in control group were involved in the analysis. On average, women in TC group had 3.0 times (95% CI: -4.0 to -2.0, < 0.01) and 3.6 days (95% CI: -4.7 to -2.5, < 0.01) reduction of migraine attack per month. Compared with the control group, the differences were statistically significant (-3.7 attacks/month, 95% CI: -5.4 to -1.9; and -3.0 migraine days/month, 95% CI: -4.5 to -1.5; both < 0.001). The intensity and duration of headache had 0.6 (95% CI: -1.2 to -0.0, < 0.05) units and 1.2 (IQR: -5.0 to 1.1, < 0.05) hours reduction in TC group, respectively. Most of the participants (69.2%-97.4%) were satisfied with the training. At the end of 24 weeks, on average, the participants maintained 1.5 times of practice per week and 20 min for each practice.
CONCLUSION
The 12-week Tai Chi training significantly decreased the frequency of migraine attack. It was acceptable and practicable among female migraineurs.
CLINICAL TRIAL REGISTRATION
www.ClinicalTrials.gov, identifier: NCT03015753.
背景
太极已广泛应用于许多神经和心理障碍的替代治疗。尽管没有研究使用太极作为偏头痛的预防治疗。本研究的目的是初步探讨 12 周的太极训练对中国女性偏头痛发作预防的疗效和可行性。
方法
设计了一项双臂随机对照试验。18 至 65 岁、被诊断为阵发性偏头痛的女性被随机分为太极组（TC 组）或候补名单对照组。TC 组实施了 1 小时/天、每周 5 天、为期 12 周的改良 33 式短式杨式太极拳训练，随后进行了 12 周的随访。对照组在试验结束时接受“延迟”太极训练。主要结局为基线前 4 周和随机分组后 9-12 周之间的发作频率差异。还测量了头痛的强度和持续时间。通过维持太极练习和参与者对训练的满意程度来评估可行性。
结果
共有 82 名女性被随机分配，最终 40 名女性被分配到 TC 组，33 名女性被分配到对照组。平均而言，TC 组女性每月偏头痛发作次数减少 3.0 次（95%CI：-4.0 至-2.0，<0.01）和 3.6 天（95%CI：-4.7 至-2.5，<0.01）。与对照组相比，差异具有统计学意义（每月减少 3.7 次偏头痛发作，95%CI：-5.4 至-1.9；每月减少 3.0 次偏头痛发作，95%CI：-4.5 至-1.5；均<0.001）。TC 组头痛强度和持续时间分别降低了 0.6 个单位（95%CI：-1.2 至-0.0，<0.05）和 1.2 小时（IQR：-5.0 至 1.1，<0.05）。大多数参与者（69.2%-97.4%）对培训表示满意。24 周结束时，平均每周练习 1.5 次，每次练习 20 分钟。
结论
12 周的太极训练可显著减少偏头痛发作频率。在女性偏头痛患者中是可以接受且可行的。
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