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基于多样式的八段锦锻炼防治特发性肺纤维化:一项随机对照试验的研究方案。

Multiform-based Baduanjin exercise prevention and treatment for idiopathic pulmonary fibrosis: study protocol for a randomized controlled trial.

机构信息

The Clinical Medical School Jiangxi University of Traditional Chinese Medicine, Nanchang, China.

The Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanchang, China.

出版信息

BMC Complement Med Ther. 2023 May 12;23(1):155. doi: 10.1186/s12906-023-03974-1.

Abstract

INTRODUCTION

In this study, we will combine the traditional Baduanjin with Yijin Jing and Wuqinxi to create an optimized Baduanjin exercise program with three different forms (vertical, sitting, and horizontal) to adapt to idiopathic pulmonary fibrosis (IPF) patients in vairous stages of the disease. The purpose of this study is to explore and compare the therapeutic effects of this multi-form Baduanjin, traditional Baduanjin, and resistance training on lung function and limb motor function in IPF patients. The goal of this study is to prove a novel optimal exercise prescription strategy of Baduanjin exercise for improving and protecting lung function in IPF patients.

METHODS/DESIGN: A single-blind and randomized controlled trial is used to conduct this study, while the randomization list will be generated using a computerized random number generator and opaque sealed envelopes with group allocation will be prepared. It will be strictly followed to blind the outcome assessors. and until the experiment's conclusion, participants won't know which group they are enrolled in. Patients between the ages of 35 and 80 who have stable diseases and have not regularly practiced Baduanjin exercise in the past will be included. They are divvied up into the following five groups at random: (1) The conventional care group (control group, CG), (2) The traditional Baduanjin exercise group (TG), (3) The modified Baduanjin exercise group (IG), (4) The resistance exercise group (RG) (5) The modified Baduanjin exercise combined with resistance exercise group (IRG). Those CG participants only received the usual treatment, while TC, IG, and RG participants exercised 1 h twice a day for 3 months. MRG participants will have a 3-month intervention with 1 h of Modified Baduanjin Exercise and 1 H of Resistance Training for each day. Every week, all groups underwent will supervis one-day training, with the exception of the control group. The Pulmonary Function Testing (PFT), HRCT, and 6MWT are the main outcome variables. The St. George Respiratory Questionnaire and mMRC are used as secondary outcome measures.

DISCUSSION

This study may produce a new Baduanjin exercise prescription that is user-friendly, simple to execute, more targeted, and adaptable. Because it consists of three forms, including vertical, sitting, and horizontal, it is more adaptable to the various disease stages and actual situations of IPF patients and may compensate for the shortcomings of conventional pulmonary rehabilitation and traditional Baduanjin.

TRIAL REGISTRATION

Chinese Clinical Trial Registry, ChiCTR2200055559 . Registered on 12 January 2022.

摘要

简介

本研究将传统八段锦与易筋经和五禽戏相结合,为不同疾病阶段的特发性肺纤维化(IPF)患者创造三种不同形式(垂直、坐姿和水平)的优化八段锦锻炼方案。本研究的目的是探讨和比较多形式八段锦、传统八段锦和抗阻训练对 IPF 患者肺功能和肢体运动功能的治疗效果。本研究的目标是证明一种新的优化八段锦运动处方策略,用于改善和保护 IPF 患者的肺功能。

方法/设计:采用单盲随机对照试验进行本研究,随机分组列表将使用计算机生成的随机数发生器和装有分组分配的不透明密封信封生成,并严格按照设置对结果评估者进行盲法。直到实验结束,参与者都不知道他们属于哪个组。将纳入年龄在 35 至 80 岁之间、疾病稳定且过去未定期练习八段锦的患者。他们随机分为以下五组:(1)常规护理组(对照组,CG),(2)传统八段锦锻炼组(TG),(3)改良八段锦锻炼组(IG),(4)抗阻运动组(RG),(5)改良八段锦结合抗阻运动组(IRG)。CG 组仅接受常规治疗,而 TC、IG 和 RG 组每天进行 2 次、每次 1 小时的锻炼,共 3 个月。MRG 组将进行为期 3 个月的改良八段锦锻炼和 1 小时抗阻训练的干预,每天各 1 次。每周,除对照组外,所有组都将进行 1 天的监督训练。主要结局变量是肺功能测试(PFT)、HRCT 和 6MWT。圣乔治呼吸问卷和 mMRC 被用作次要结局指标。

讨论

本研究可能会产生一种新的八段锦运动处方,该处方既用户友好又简单易行,针对性更强,适应性更强。由于它包括垂直、坐姿和水平三种形式,因此更适应 IPF 患者的各种疾病阶段和实际情况,可能弥补常规肺康复和传统八段锦的不足。

试验注册

中国临床试验注册中心,ChiCTR2200055559。于 2022 年 1 月 12 日注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd86/10182697/e2523f936272/12906_2023_3974_Fig1_HTML.jpg

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