1. The effect of Qigong on Fibromyalgia (FMS): A controlled
randomized study. Disability Rehabilitation, 2007 Jun
15:1-9. By Haak T, Scott B. (Department of Clinical Psychology,
University of Uppsala, Sweden.)
Purpose. To evaluate the effect of a 7-week Qigong intervention on
subjects with Fibromyalgia Syndrome (FMS). Methods. The study was
a controlled randomized study with repeated measures. Fifty-seven FMS
female subjects were randomly assigned to an intervention group (n = 29)
or a waiting-list control group (n = 28). After completion of the
experimental part, the control group received the same intervention.
Collection of data was made at pre- and post-treatment and at 4-month
follow-up for both groups. Results. During the experimental part
of the study, significant improvements were found for the intervention
group, at post-treatment, regarding different aspects of pain and
psychological health and distress. Almost identical results were found
for the combined group. At 4-month follow-up, the majority of these
results were either maintained or improved. Conclusion. The
overall results show that Qigong has positive and reliable effects
regarding FMS. A high degree of completion, 93%, and contentment with the
intervention further support the potential of the treatment. The results
of the study are encouraging and suggest that Qigong intervention could
be a useful complement to medical treatment for subjects with FMS.
2. Effects of a taiji and qigong intervention on the antibody
response to influenza vaccine in older adults. American Journal
of Chinese Medicine, 2007;35(4):597-607. by Yang Y, et al.
(Department of Kinesiology and Community Health, University of Illinois
at Urbana-Champaign, Urbana, IL 61801, USA.) .
studies have suggested that Taiji practice may improve immune function.
This study was intended to examine whether 5 months of moderate Taiji and
Qigong (TQ) practice could improve the immune response to influenza
vaccine in older adults. Fifty older adults (mean age 77.2 +/- 1.3 years)
participated in this study (TQ N = 27; wait-list control [CON] N = 23).
Baseline pre-vaccine blood samples were collected. All subjects then
received the 2003-2004 influenza vaccine during the first week of the
intervention. Post-vaccine blood samples were collected 3, 6 and 20 weeks
post-intervention for analysis of anti-influenza hemagglutination
inhibition (HI) titers. We found a significant (p < 0.05) increase in
the magnitude and duration of the antibody response to influenza vaccine
in TQ participants when compared to CON. The vaccination resulted in a
173, 130, and 109% increase in HI titer at 3, 6, and 20 weeks
post-vaccine, respectively, in the TQ group compared to 58, 54, and 10%
in CON. There was a significant between group difference at 3 and 20
weeks post-vaccine and at 20 weeks the TQ group had significantly higher
titers compared to the pre-vaccine time point, whereas the CON group did
not. A higher percentage of TQ subjects also responded to the influenza A
strains with a protective (> 40HI) antibody response (37% TQ vs. 20%
CON for the H1N1 strain and 56% TQ vs. 45% CON for the H3N2 strain), but
the differences between groups were not statistically significant.
Traditional TQ practice improves the antibody response to influenza
vaccine in older adults, but further study is needed to determine whether
the enhanced response is sufficient to provide definitive protection from
3. Breathing exercises with vagal biofeedback may benefit
patients with functional dyspepsia. Scand Journal of
2997; 42(9): 1054-62. By Hjelland IE et al. (Institute of Medicine,
University of Bergen, Division of Gastroenterology, Medical Department,
Haukeland University Hospital, Bergen, Norway.)
Objective. Many patients with functional dyspepsia (FD) have
postprandial symptoms, impaired gastric accommodation and low vagal tone.
The aim of this study was to improve vagal tone, and thereby also
drinking capacity, intragastric volume and quality of life, using
breathing exercises with vagal biofeedback. Material and methods.
Forty FD patients were randomized to either a biofeedback group or a
control group. The patients received similar information and care.
Patients in the biofeedback group were trained in breathing exercises, 6
breaths/min, 5 min each day for 4 weeks, using specially designed
software for vagal biofeedback. Effect variables included maximal
drinking capacity using a drink test (Toro(R) clear meat soup 100
ml/min), intragastric volume at maximal drinking capacity, respiratory
sinus arrhythmia (RSA), skin conductance (SC) and dyspepsia-related
quality of life scores. Results. Drinking capacity and quality of
life improved significantly more in the biofeedback group than in the
control group (p=0.02 and p=0.01) without any significant change in
baseline autonomic activity (RSA and SC) or intragastric volume. After
the treatment period, RSA during breathing exercises was significantly
correlated to drinking capacity (r=0.6, p=0.008). Conclusions.
Breathing exercises with vagal biofeedback increased drinking capacity
and improved quality of life in FD patients, but did not improve baseline
4. External Qigong for Pain Conditions: A Systematic Review of
Randomized Clinical Trials. Journal of Pain, 2007 Aug 7 by
Lee MS, Pittler MH, Ernst E.. (Complementary Medicine, Peninsula
Medical School, Universities of Exeter and Plymouth, Exeter, United
Kingdom; Center for Integrative Medicine, Institute of Medical Science,
Wonkwang University, Iksan, South Korea.)
The aim of
this systematic review was to assess the clinical evidence of external
qigong as a treatment option for pain conditions. Databases were searched
up to January 2007. Randomized, clinical trials (RCTs) testing external
qigong in patients with pain of any origin assessing clinical outcomes
were considered. Trials using any type of control group were included.
The selection of studies, data extraction, and validation were performed
independently by at least 2 reviewers. One hundred forty-one potentially
relevant studies were identified and 5 RCTs could be included. All RCTs
of external qigong demonstrated greater pain reductions in the qigong
groups compared with control groups. Meta-analysis of 2 RCTs showed a
significant effect of external qigong compared with general care for
treating chronic pain (Pain 100 mm VAS; weighted main differences, 36.3
mm; 95% CI, 22.8 to 49.8; P < .001; heterogeneity: chi(2) = 1.79, P =
.18, I(2) = 44.0%, n = 80). The evidence from RCTs testing the
effectiveness of external qigong for treating pain is encouraging.
Further studies are warranted. PERSPECTIVE: This review of clinical
studies focused on the efficacy of qigong, an energy-healing intervention
used to prevent and cure ailments. A meta-analysis shows that evidence
for the effectiveness of external qigong is encouraging, though further
studies are warranted
5. Tai chi for osteoarthritis: a systematic review.
Clinical Rheumatology. 2007, Sept. 14. by Lee MS, Pittler MH,
Ernst E. (Complementary Medicine, Peninsula Medical School, Universities
of Exeter & Plymouth, 25 Victoria Park Road, Exeter, EX2 4NT,
The aim of this study was to evaluate data from controlled clinical
trials testing the effectiveness of tai chi for treating osteoarthritis.
Systematic searches were conducted on MEDLINE, AMED, British Nursing
Index, CINAHL, EMBASE, PsycInfo, The Cochrane Library 2007, Issue 2, the
UK National Research Register and ClinicalTrials.gov, Korean medical
databases, the Qigong and Energy database and Chinese medical databases
(until June 2007). Hand searches included conference proceedings and our
own files. There were no restrictions regarding the language of
publication. All controlled trials of tai chi for patients with
osteoarthritis were considered for inclusion. Methodological quality was
assessed using the Jadad score. Five randomised clinical trials (RCTs)
and seven non-randomised controlled clinical trials (CCTs) met all
inclusion criteria. Five RCTs assessed the effectiveness of tai chi on
pain of osteoarthritis (OA). Two RCTs suggested significant pain
reduction on visual analog scale or Western Ontario and McMaster
Universities Osteoarthritis Index (WOMAC) compared to routine treatment
and an attention control program in knee OA. Three RCTs did not report
significant pain reduction on multiple sites pain. Four RCTs tested tai
chi for physical functions. Two of these RCTs suggested improvement of
physical function on activity of daily living or WOMAC compared to
routine treatment or wait-list control, whilst two other RCTs failed to
do so. In conclusion, there is some encouraging evidence suggesting that
tai chi may be effective for pain control in patients with knee OA.
However, the evidence is not convincing for pain reduction or improvement
of physical function. Future RCTs should assess larger patient samples
for longer treatment periods and use appropriate controls.