Active mind-body movement therapies as an adjunct to or in comparison with pulmonary rehabilitation for people with chronic obstructive pulmonary disease

Gendron, Louis; Nyberg, André; Saey, Didier; Maltais, François; Lacasse, Yves

doi:10.1002/14651858.cd012290.pub2

Cited by 41 publications

(35 citation statements)

References 58 publications

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“… 10 11 In AE, mind–body exercises such as traditional Chinese exercises (TCEs) can significantly improve the QoL of patients with COPD compared with walking training. 12 Our previous studies also found that TCEs significantly improved lung function, exercise capacity and QoL in patients with COPD. 13 14 Moreover, a study that applied 6-month Baduanjin for patients with COPD found significant improvements in global cognitive function (GCF; measured by Mini-Mental State Examination (MMSE), as well as by P300), psychological functions (measured by the Hamilton Anxiety Scale (HAMA), and the Hamilton Depression Scale (HAMD)), and QoL.…”

Section: Introductionmentioning

confidence: 77%

Effect of 12-week pulmonary rehabilitation on cognitive function in patients with stable chronic obstructive pulmonary disease: study protocol for a single-center randomised controlled trial

Duan

Wang

et al. 2020

BMJ Open

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IntroductionCognitive impairment, an important complication in patients with chronic obstructive pulmonary disease (COPD), seriously affects self-management of the disease and quality of life (QoL). As an exercise-based intervention programme, pulmonary rehabilitation (PR)—especially aerobic exercise (mainly mind–body exercise) and resistance exercise (RE)—has been proposed for its potential effectiveness in improving cognitive function. However, there is still a lack of strong evidence for PR’s effectiveness. In this study, we expect to clarify the effects of pulmonary-based Qigong exercise and elastic band-based RE on cognitive function in patients with COPD and to fill in the relevant evidence blanks.Methods and analysisThis study is a single-centre randomised controlled trial with assessor and data analyst blinding. We will recruit 108 participants with stable COPD starting on 23 December 2019, and randomly allocate them into the pulmonary-based Qigong exercise group, elastic band-based RE group, pulmonary-based Qigong exercise and elastic band-based RE combined group, or control group at a 1:1:1:1 ratio. Participants in intervention groups will perform 30 min of exercise two times per day, 5 days a week, for 12 weeks. The primary outcome will be the global cognitive function as assessed by the Montreal Cognitive Assessment and auditory event-related potential P300. Secondary outcomes will include the specific cognitive domains—attention, memory, executive function, verbal fluency and mental-processing speed; psychological functions and QoL. Exploratory outcomes will include grey matter volume and levels of inflammatory mediators. Outcomes will be measured before and after the interventions.Ethics and disseminationEthics approval has been granted by the Ethics Committee of Yue-Yang Integrative Medicine Hospital, an affiliate of Shanghai University of Traditional Chinese Medicine, Shanghai, China (Grant No. 2019-141). Written informed consent will be obtained from each participant before any procedures are performed. The findings will be published in peer-reviewed journals and presented at academic conferences.Trial registration numberChiCTR1900026869; pre-results.

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Section: Introductionmentioning

confidence: 77%

Effect of 12-week pulmonary rehabilitation on cognitive function in patients with stable chronic obstructive pulmonary disease: study protocol for a single-center randomised controlled trial

Duan

Wang

et al. 2020

BMJ Open

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“…Mind–body movement therapies (eg, yoga, tai chi and qigong) may be preferred by some patients, and when compared with conventional training modalities, outcomes related to breathlessness are similar. 51 Low-intensity resistance training using novel approaches, for example, neuromuscular muscle stimulation 52 or partitioned training, may be suited to patients where exertional breathlessness is severely limiting. 53 The low ventilatory demand of these modalities allows the severely breathless patient to exercise to help counteract the deconditioning associated with physical inactivity.…”

Section: Managementmentioning

confidence: 99%

Management of breathlessness in patients with cancer: ESMO Clinical Practice Guidelines

et al. 2020

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“…Cochrane reviews have examined the role of waterbased exercise, 34 active mind-body movement therapies (e.g. yoga, tai chi) 35,36 and neuromuscular electrical stimulation (NMES) 37 in COPD.…”

Section: Exercise In Water Active Mind-body Movement Therapies and Neuromuscular Electrical Stimulationmentioning

confidence: 99%

“…38 However, adding Tai Chi to a traditional exercise program does not appear to provide any additional benefit. 35 Adding NMES of the peripheral muscles has also been trialled as a strategy to improve exercise capacity. This intervention involves placing conductive pads over the muscle (usually the quadriceps) that are then attached to a stimulation unit.…”

Section: Exercise In Water Active Mind-body Movement Therapies and Neuromuscular Electrical Stimulationmentioning

confidence: 99%

Exercise & Sports Science Australia (ESSA) position statement on exercise and chronic obstructive pulmonary disease

Morris

Hill

Walsh

et al. 2021

Journal of Science and Medicine in Sport

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Objectives: Chronic obstructive pulmonary disease (COPD) results in airflow obstruction and a marked reduction in exercise capacity and health-related quality of life (HRQoL). Affecting over 1 in four Australians aged over 75 years, COPD remains one of the major causes of disability and death in the world. To date there have been over 80 randomised controlled trials examining the role of exercise training in a range of settings for individuals with COPD. This review will synthesise existing literature and provide health practitioners with broad evidence-based guidelines for exercise-training in this growing population. Design: Position stand. Methods: Synthesis of randomised controlled trials of exercise training and of existing guidelines for exercise in COPD. Systematic reviews of alternative modes of exercise training will also be reviewed. Results: There is convincing evidence that in adults with COPD, exercise-training improves exercise capacity, decreases symptoms such as dyspnoea and fatigue, and improves HRQoL. There is emerging evidence in this population that alternative modes of exercise training such as high intensity interval training (HIIT), aquatic based therapy, tai chi and neuromuscular electrical stimulation improve exercise outcomes when compared to no exercise. Conclusions: For individuals with COPD, an exercise program of aerobic and strength exercises delivered over at least an 8-week period, that engages lower and upper body skeletal muscles, will deliver significant health improvements. Programs should be individualised, take into consideration relevant co-morbid conditions and be delivered appropriately qualified health practitioners experienced in clinical exercise prescription.

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Active mind-body movement therapies as an adjunct to or in comparison with pulmonary rehabilitation for people with chronic obstructive pulmonary disease

Abstract: Active mind-body movement therapies as an adjunct to or in comparison with pulmonary rehabilitation for people with chronic obstructive pulmonary disease.

Cited by 41 publications

References 58 publications

Effect of 12-week pulmonary rehabilitation on cognitive function in patients with stable chronic obstructive pulmonary disease: study protocol for a single-center randomised controlled trial

Effect of 12-week pulmonary rehabilitation on cognitive function in patients with stable chronic obstructive pulmonary disease: study protocol for a single-center randomised controlled trial

Management of breathlessness in patients with cancer: ESMO Clinical Practice Guidelines

Exercise & Sports Science Australia (ESSA) position statement on exercise and chronic obstructive pulmonary disease

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