Source: Annual Congress 2006 - Training strategies and education in rehabilitation
Disease area: Airway diseases

Abstract

Tai Chi Qigong is a Chinese traditional exercise which integrates graceful body movement with mind concentration and breathing control. Significantly lower respiratory rates and ventilatory equivalents among practitioners have been reported. We evaluate the effect of Tai Chi Qigong training in stable COPD.
Method: 18 patients with stable moderate to severe COPD were recruited.
Series of 8 Tai Chi Qigong maneuvers integrated with pursed-lip breathing (30 minute session) were chosen as endurance exercise training. In addition to the once weekly supervised exercise, patients were instructed to perform exercise at home daily using the provided audio-visual guide for 4 weeks. Six-minute walk distance(6MWD), dyspnea scale(Borg), quality of life(St.George‘s respiratory questionnaire, SGRQ), arterial blood gases, and pulmonary function tests(PFTs, %predicted) were assessed before and after exercise training program. Changes in PFTs and Borg during 6MW test were also compared between pre and post Tai Chi Qigong training.
Results: After Tai Chi Qigong training, FEV₁, FEV₁/FVC(%) and IC(%TLC) showed no changes (45.9+14 vs 47+17.9, 45.8+8.2 vs 43.6+8.2 and 32.2+6.7 vs 34.1+8.7). However, there were significant improvements in FVC and SGRQ (71.3+16.5 vs 77.6+20.9, p=0.015 and 34.1+11.2 vs 27.+12.9, p=0.031).
FVC and IC performed at the end of 6MW were also increased, as compared to the pre-exercise training values (74.1+19.5 vs 68.7+19.1, p=0.002 and 30.9+7.9 vs 28.6+7.4, p=0.003).
Conclusion: Tai Chi Qigong training improved QoL in COPD. The increased FVC post exercise program suggests a decrease in lung hyperinflation. Dynamic lung hyperinflation was also decreased, as shown by the improvements of FVC and IC at the end of 6MW challenge.

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Citations should be made in the following way:
S. Kiatboonsri, K. Vorakitvat, K. Vongvivat, V. Boonsarngsuk (Bangkok, Thailand). Effect of Tai Chi Qigong exercise training in stable COPD. Eur Respir J 2006; 28: Suppl. 50, 3186

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