Tai chi mind-body exercise in patients with COPD: study protocol for a randomized controlled trial.
Tai chi mind-body exercise in patients with COPD: study protocol for a randomized controlled trial.
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DOI：
10.1186/1745-6215-15-337
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发表时间：
2014-08-28
期刊：
影响因子：
2.5
通讯作者：
Moy ML
中科院分区：
文献类型：
--
作者：
Yeh GY;Wayne PM;Litrownik D;Roberts DH;Davis RB;Moy ML
慢性阻塞性肺疾病（COPD）是一种慢性、进行性衰弱疾病，在美国和世界范围内普遍存在。患者患有进行性呼吸困难和运动不耐受。体育锻炼是有益的，但传统的肺康复计划没有得到充分利用。仍然需要新的干预措施来改善症状，生活质量和功能能力。太极拳是一种越来越受欢迎的身心运动，包括体育锻炼，呼吸训练，正念意识和压力管理-这些对COPD的自我管理至关重要。然而，关于太极拳作为治疗干预措施对该人群的有效性的数据有限。主要目的是评估COPD患者12周太极拳计划的有效性、安全性和可行性。我们采用随机对照试验设计，将参与者以2：1的比例分配到团体太极拳计划（N = 63）或时间/注意力匹配的教育对照（N = 31）。我们的主要结果是COPD特定的生活质量和运动能力。次要结局包括呼吸困难、情绪、功能状态、自我效能和肺功能。在一个患者子集（N = 50）中进行心脏运动试验。为了探索最佳的训练持续时间，太极拳患者的一个亚组被随机分配完成额外的12周训练（总共24周）（探索性目标1）。为了探索简化的坐姿干预的影响，其中仅包括太极拳训练成分的一个子集，第三个随机分配的组（N = 31）接受了为期12周的身心呼吸计划（N = 31）（探索性目标2）。BEAM研究（呼吸、教育、意识、运动）的结果将提供有关太极拳对于改善COPD患者生活质量和运动能力的价值的初步证据，包括有关最佳持续时间的信息。他们还将告知替代身心呼吸干预的可行性和潜在益处，并提供有关孤立身心锻炼成分如何有助于太极拳整体效果的见解。如果结果是积极的，太极拳和相关的身心练习可能会提供一种新的运动选择，可能会对大部分COPD患者开放。本试验在Clinical Trials.gov上注册，ID编号NCT 01551953。注册日期2012年3月1日。本文的在线版本（doi：10.1186/1745-6215-15-337）包含补充材料，可供授权用户使用。
Chronic obstructive pulmonary disease (COPD) is a chronic, progressively debilitating condition that is prevalent in the US and worldwide. Patients suffer from progressive dyspnea and exercise intolerance. Physical exercise is beneficial, but conventional pulmonary rehabilitation programs are underutilized. There remains a need for novel interventions that improve symptoms, quality-of-life, and functional capacity. Tai chi is an increasingly popular mind-body exercise that includes physical exercise, breathing training, mindful awareness, and stress management--components that are essential to the self-management of COPD. There are, however, limited data on the effectiveness of tai chi as a therapeutic intervention in this population. The Primary Aims are to evaluate the efficacy, safety, and feasibility of a 12-week tai chi program for patients with COPD. We utilize a randomized controlled trial design, with participants assigned in a 2:1 ratio to either a group tai chi program (N = 63) or a time/attention-matched education control (N = 31). Our primary outcomes are COPD-specific quality-of-life and exercise capacity. Secondary outcomes include dyspnea, mood, functional status, self-efficacy, and lung function. Cardiopulmonary exercise testing is done in a subset of patients (N = 50). To explore optimal training duration, a subgroup of patients in tai chi are randomly assigned to complete an additional 12 weeks training (total 24 weeks) (Exploratory Aim 1). To explore the impact of a simplified seated intervention including only a subset of tai chi’s training components, a third randomly assigned group (N = 31) receives a 12- week mind-body breathing program (N = 31) (Exploratory Aim 2). Results of the BEAM study (Breathing, Education, Awareness, Movement) will provide preliminary evidence regarding the value of tai chi for improving quality of life and exercise capacity in patients with COPD, including information regarding optimal duration. They will also inform the feasibility and potential benefit of an alternative mind-body breathing intervention, and provide insight regarding how isolated mind-body exercise components contribute to the overall effects of tai chi. Should the results be positive, tai chi and related mind-body practices may offer a novel exercise option that is potentially accessible to a large proportion of patients with COPD. This trial is registered in Clinical Trials.gov, ID number NCT01551953. Date of Registration March 1 2012. The online version of this article (doi:10.1186/1745-6215-15-337) contains supplementary material, which is available to authorized users.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
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通讯作者：
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DOI：
10.1097/00008483-200201000-00002
发表时间：
2002-01-01
期刊：
Journal of cardiopulmonary rehabilitation
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作者：
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影响因子：
3.7
作者：
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