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太极拳对慢性非特异性下腰痛老年人失眠的影响:一项随机对照试验的研究方案

Effects of Tai Chi on insomnia in elderly people with chronic non-specific low back pain: A study protocol for a randomized controlled trial.

作者信息

Zhang Feng, Zhang Boran, Wang Xiaotong, Huang Chang, Hu Boyi

机构信息

School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China.

Department of Physical Education, Beijing University of Chinese Medicine, Beijing, China.

出版信息

Front Psychol. 2023 Feb 24;14:1105359. doi: 10.3389/fpsyg.2023.1105359. eCollection 2023.

Abstract

INTRODUCTION

Chronic non-specific low back pain (CNLBP) is a complex condition characterized by pain, dysfunction, disturbed sleep, anxiety, and depression, all of which impair the quality of life. Previous studies showed that practicing Tai Chi had effects on chronic low back pain. However, there is a lack of evidence on its impact on sleep. The trial will evaluate the use of Tai Chi as a treatment for insomnia in elderly people with CNLBP.

METHODS

The study design will be a randomized, controlled, open-label trial. Participants ( = 106) will be recruited from the Hospital of Chengdu University of Traditional Chinese Medicine, Qing Yang District University for the Elderly, and Ci Tang Street Community. Participants will be randomly assigned to the Tai Chi group ( = 53) and the control group ( = 53). The Tai Chi group will undergo a Yang-style 24-form Tai Chi program for 8 weeks. The control group will have a waiting period of 8 weeks, followed by 8 weeks of Tai Chi practice. The primary outcomes of this study will be changes in sleep quality and pain intensity. Secondary outcomes of interest will include changes in the quality of pain, range of motion, physical performance, social support, and overall quality of life. Any adverse events and attendance rates will also be reported in this study.

CLINICAL TRIAL REGISTRATION

ChiCTR2200064977.

摘要

引言

慢性非特异性下腰痛(CNLBP)是一种复杂的病症,其特征为疼痛、功能障碍、睡眠紊乱、焦虑和抑郁,所有这些都会损害生活质量。先前的研究表明,练习太极拳对慢性下腰痛有效果。然而,缺乏关于其对睡眠影响的证据。该试验将评估太极拳作为治疗患有CNLBP的老年人失眠症的方法。

方法

研究设计将是一项随机、对照、开放标签试验。参与者(n = 106)将从成都中医药大学附属医院、青羊区老年大学和祠堂街社区招募。参与者将被随机分配到太极拳组(n = 53)和对照组(n = 53)。太极拳组将进行为期8周的杨式24式太极拳课程。对照组将有8周的等待期,随后进行8周的太极拳练习。本研究的主要结局将是睡眠质量和疼痛强度的变化。感兴趣的次要结局将包括疼痛质量、运动范围、身体表现、社会支持和总体生活质量的变化。本研究还将报告任何不良事件和出勤率。

临床试验注册

ChiCTR2200064977。

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