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Objective To evaluate the feasibility and safety of Liuzijue exercise (LE) for the clinical effect in patients after cardiac surgery. Methods Totally 120 patients who underwent cardiac surgery and were admitted to the Cardiothoracic Intensive Care Unit of Nanjing Drum Tower Hospital between July and Oclober, 2022 were allocated to the LE group, the conventional respiratory training (CRT) group, and the control group by a random number table at a ratio of 1:1:1; 40 patients in each group. All patients received routine treatment and cardiac rehabilitation. LE group and CRT group respectively performed LE and CRT once a day for 30 min for 7 days. Control group did not receive specialized respiratory training. The forced vital capacity, forced expiratory volume in 1 s, peak inspiratory flow rate, peak expiratory flow rate, maximum inspiratory pressure, maximum expiratory pressure, modified Barthel index (MBI), and Hamilton Rating Scale for Anxiety (HAM-A) were evaluated before, after 3 and 7 days of intervention. In addition, the postoperative length of hospital stay (LOS) and the adverse events that occurred during the intervention period were compared. Results A total of 107 patients completed the study, 120 patients were included in the analysis. After 3 days of intervention, the pulmonary function, respiratory muscle strength, MBI and HAM-A of all 3 groups improved compared with that before the intervention ( P <0.05 or P <0.01). Compared with the control group, pulmonary function and respiratory muscle strength were significantly improved in the CRT and LE groups ( P <0.05 or P <0.01). MBI and HAM-A were significantly improved in the LE group compared with the control and CRT groups ( P <0.05 or P <0.01). On the 7th day after intervention, the difference was still statistically significant ( P <0.01), and was significantly different from that on the 3rd day ( P <0.05 or P <0.01). In addition, on the 7th day of intervention, the pulmonary function and respiratory muscle strength in the LE group were significantly improved compared with those in the CRT group ( P <0.01). MBI and HAM-A were significantly improved in the CRT group compared with the control group ( P <0.01). There were no significant differences in postoperative LOS among the 3 groups ( P >0.05). No training-related adverse events occurred during the intervention period. Conclusions LE is safe and feasible for improving pulmonary function, respiratory muscle strength, the ability to complete activities of daily living and for relieving anxiety of patients after cardiac surgery (Registration No. ChiCTR2200062964).
Objective To evaluate the feasibility and safety of Liuzijue exercise (LE) for the clinical effect in patients after cardiac surgery. Methods Totally 120 patients who underwent cardiac surgery and were admitted to the Cardiothoracic Intensive Care Unit of Nanjing Drum Tower Hospital between July and Oclober, 2022 were allocated to the LE group, the conventional respiratory training (CRT) group, and the control group by a random number table at a ratio of 1:1:1; 40 patients in each group. All patients received routine treatment and cardiac rehabilitation. LE group and CRT group respectively performed LE and CRT once a day for 30 min for 7 days. Control group did not receive specialized respiratory training. The forced vital capacity, forced expiratory volume in 1 s, peak inspiratory flow rate, peak expiratory flow rate, maximum inspiratory pressure, maximum expiratory pressure, modified Barthel index (MBI), and Hamilton Rating Scale for Anxiety (HAM-A) were evaluated before, after 3 and 7 days of intervention. In addition, the postoperative length of hospital stay (LOS) and the adverse events that occurred during the intervention period were compared. Results A total of 107 patients completed the study, 120 patients were included in the analysis. After 3 days of intervention, the pulmonary function, respiratory muscle strength, MBI and HAM-A of all 3 groups improved compared with that before the intervention ( P <0.05 or P <0.01). Compared with the control group, pulmonary function and respiratory muscle strength were significantly improved in the CRT and LE groups ( P <0.05 or P <0.01). MBI and HAM-A were significantly improved in the LE group compared with the control and CRT groups ( P <0.05 or P <0.01). On the 7th day after intervention, the difference was still statistically significant ( P <0.01), and was significantly different from that on the 3rd day ( P <0.05 or P <0.01). In addition, on the 7th day of intervention, the pulmonary function and respiratory muscle strength in the LE group were significantly improved compared with those in the CRT group ( P <0.01). MBI and HAM-A were significantly improved in the CRT group compared with the control group ( P <0.01). There were no significant differences in postoperative LOS among the 3 groups ( P >0.05). No training-related adverse events occurred during the intervention period. Conclusions LE is safe and feasible for improving pulmonary function, respiratory muscle strength, the ability to complete activities of daily living and for relieving anxiety of patients after cardiac surgery (Registration No. ChiCTR2200062964).
Background This study aims to assess the impact of two kinds of Liuzijue Qigong on respiratory and motor functions of hemiplegic stroke patients with impaired balance and respiratory function in early-phase recovery rehabilitation. Methods 66 Stroke patients were randomly divided into three groups: Liuzijue Qigong group (LG), ancient Liuzijue Qigong group (AG), and the control group (CG). The primary outcomes Trunk Impairment Scale (TIS) and secondary outcomes Maximal Inspiratory Pressure (MIP), Maximal Expiratory Pressure (MEP), Forced Expiratory Volume in one second (FEV1), Forced Vital Capacity (FVC), Fugl-Meyer Assessment Upper Extremity (FMA-UE) Scale and Berg Balance Scale (BBS) will be measured at baseline (T0), after 2 weeks of treatment (T1), and after 4 weeks follow-up (T2). Results The within-group comparison results showed that compared to T0, all three groups of stroke patients had significant increases (P < 0.05) in TIS, MIP, MEP, FEV1, FVC and BBS at T1 and T2. CG and LG had significant increases (P < 0.05) in FMA-UE at T1 and T2, but AG had no statistically significant differences at T1 (P > 0.05). The intergroup comparison results showed that at T1-T0 and T2-T0, LQG had significantly higher TIS, MIP, MEP, FEV1, FVC and FMA-UE scores than AG and CG (P < 0.017). There were no statistically significant differences in the intergroup comparison of BBS at T1-T0 and T2-T0 (P > 0.017). Conclusions Both forms of Liuzijue Qigong resulted in notable enhancements in the respiratory and motor functions of hemiplegic stroke patients with respiratory and balance dysfunction. Trial registration: ChiCTR2100051325, Registered on September 20, 2021
ObjectiveThis study aimed to assess and visually depict the clinical evidence landscape of traditional Chinese exercises and identify any research gaps and future research needs.MethodsWe comprehensively searched seven Chinese and English databases to identify randomized controlled trials (RCTs) and systematic reviews (SRs) evaluating the effects of traditional Chinese exercises from their inception until May 2023. The quality of evidence was assessed via the GRADE approach, and the research topics, intervention effects, and strength of evidence were graphically displayed.ResultsThis evidence map includes 2,017 studies, comprising 1,822 RCTs and 195 SRs. These studies were conducted globally in various countries. Among the traditional Chinese exercises, Tai Chi and Baduanjin have received the most research attention, with a growing number of publications. When traditional Chinese exercises were compared with the control groups, 88.2% of the included SRs reported significantly positive effects, 4.1% reported unclear effects, and 7.7% reported no significant differences. The findings suggested that traditional Chinese exercises could benefit patients with osteoarthritis, osteoporosis, hypertension, coronary heart disease, diabetes, chronic obstructive pulmonary disease, stroke, Parkinson’s disease, anxiety, and depression. However, the overall quality of the evidence was suboptimal, with 11.3% rated as moderate, 45.6% as low, and 43.1% as critically low.ConclusionThis evidence map visually represents valuable information on traditional Chinese exercises. While most studies have reported significant benefits, the overall quality of evidence is low.
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