The Effects of a 6-Month Tai Chi Qigong Training Program on Temporomandibular, Cervical, and Shoulder Joint Mobility and Sleep Problems in Nasopharyngeal Cancer Survivors
The Effects of a 6-Month Tai Chi Qigong Training Program on Temporomandibular, Cervical, and Shoulder Joint Mobility and Sleep Problems in Nasopharyngeal Cancer Survivors
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DOI：
10.1177/1534735414556508
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发表时间：
2015-01-01
影响因子：
2.9
通讯作者：
Masters, Rich S. W.
中科院分区：
文献类型：
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作者：
Fong, Shirley S. M.;Ng, Shamay S. M.;Masters, Rich S. W.
导论.鼻咽癌（NPC）幸存者通常会因常规治疗而遭受头颈肩损伤，这可能会干扰睡眠。这项新的研究旨在研究太极（TC）气功在优化颞下颌关节（TMJ）的功效，颈部，和肩关节的流动性和减少NPC幸存者的睡眠问题.方法. 52名NPC幸存者参加了这项研究。实验组（n = 25）接受为期6个月的TC气功训练（1.5 h/次，4次/周，包括自我练习），对照组（n = 27）不接受训练。在基线、中期干预（3个月）、TC气功训练后立即和6个月随访时评估颈侧屈曲和旋转、肩屈曲和水平屈曲运动范围（ROM）、张口能力（切牙间距离）和睡眠问题（医学结局研究睡眠量表）。结果意向治疗分析显示，TC气功训练后，仅颈侧屈曲ROM改善（P <0.008），肩关节和TMJ活动度无变化（P > 0.008）。随着时间的推移，观察到无训练对照组的肩关节屈曲ROM和张口能力恶化（P <0.008）。TC气功组的睡眠问题也减少了（P < .008），这种影响在随访期间最为深远。此外，TC气功训练后，实验组的颈侧屈ROM改善与睡眠问题减少有关（P <0.05）。结论. 6个月的TC气功干预改善了颈部活动度，保持了TMJ和肩关节的活动度，并减少了NPC幸存者的睡眠问题。TC气功可能是一种有效的非药物干预管理进行性牙关紧闭症，慢性颈部和肩部运动能力低下，并减少NPC幸存者的睡眠问题.
Introduction. Nasopharyngeal cancer (NPC) survivors often sustain head-neck-shoulder impairments from conventional treatments, which could disturb sleep. This novel study aimed to examine the efficacy of Tai Chi (TC) Qigong in optimizing temporomandibular joint (TMJ), cervical, and shoulder joint mobility and reducing sleep problems in NPC survivors. Methods. Fifty-two NPC survivors participated in the study. The experimental group (n = 25) received 6 months of TC Qigong training (1.5 h/session; 4 sessions/wk including self-practice) while the control group (n = 27) received no training. Cervical side flexion and rotation, shoulder flexion and horizontal flexion range of motion (ROM), mouth opening capacity (interincisor distance), and sleep problems (Medical Outcomes Study Sleep Scale) were assessed at baseline, mid-intervention (3 months), immediately after TC Qigong training, and at 6-month follow-up. Results. Intention-to-treat analysis revealed improvement in cervical side flexion ROM only (P < .008) and unchanged shoulder and TMJ mobility (P > .008) after the TC Qigong training. Deterioration was observed in shoulder flexion ROM and mouth opening capacity in the no-training controls over time (P < .008). Sleep problems also decreased in the TC Qigong group (P < .008), and this effect was most profound during the follow-up period. In addition, improvement in cervical side flexion ROM was associated with a reduction in sleep problems in the experimental group after TC Qigong training (P < .05). Conclusions. The 6-month TC Qigong intervention improved neck mobility, maintained TMJ and shoulder joint mobility, and reduced sleep problems for NPC survivors. TC Qigong could be an effective nonpharmacological intervention for managing progressive trismus, chronic neck and shoulder hypomobility, and reducing sleep problems among NPC survivors.