The Effects of Traditional Chinese Exercise in Patients with Chronic Obstructive Pulmonary Disease: A Meta-Analysis

Luo, Xueting; Zhang, Jifeng; Castelberg, Rachel; Wu, Tao; Yu, Pengming; He, Chengqi; Wang, Pu

doi:10.1371/journal.pone.0161564

Cited by 27 publications

(41 citation statements)

References 45 publications

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“…In previous systematic reviews of traditional Chinese exercise, including tai chi and qigong, for patients with COPD, improvements were found in FEV 1 and FEV 1 % predicted. [52][53][54] Tai chi exercise requires coordination of breathing and movement, strengthens respiratory muscles, and reduces pulmonary residual volume. 55 In our program, traditional 24-form tai chi was modified to a simple sixform version, keeping the essence of breathing control, taking patient exercise capacity into consideration, and maintaing training in balance and flexibility.…”

Section: Discussionmentioning

confidence: 99%

<p>Effectiveness and Economic Evaluation of Hospital-Outreach Pulmonary Rehabilitation for Patients with Chronic Obstructive Pulmonary Disease</p>

Zhang¹,

Wang²,

Long³

et al. 2020

COPD

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Objective: Hospital-outreach pulmonary rehabilitation (PR) can improve health status and reduce health-care utilization by patients with chronic obstructive pulmonary disease (COPD). However, its long-term effects and costs versus benefits are still not clear. This study was conducted to develop, deliver, and evaluate the effects and monetary savings of a hospital-outreach PR program for patients with COPD. Methods: A randomized controlled trial was conducted. Patients with COPD (n=208) were randomly assigned to the hospital-outreach PR program (treatment) or treatment as usual (control). The treatment group received a 3-month intensive intervention, including supervised physical exercise, smoking cessation, self-management education, and psychosocial support, followed by long-term access to a nurse through telephone follow-up and home visits up to 24 months. The control group received routine care, including discharge education and a self-management education brochure. Main outcomes were collected at 3, 6, 12, and 24-months postrandomization. Primary outcomes included health-care utilization (ie, readmission rates, times, and days, and emergency department visits) and medical costs. Secondary outcomes included lung function (ie, FEV 1 , FEV 1 % predicted, FVC), dyspnea (mMCR), exercise capacity (6MWD), impact on quality of life (CAT), and self-management (CSMS). Results: At the end of 24 months, 85 (81.7%) in the treatment group and 89 (85.6%) in the control group had completed the whole program. Compared with the control group, patients in the treatment group had lower readmission rates, times, and days at 6 and 12 months and during 12-24 months. Regarding costs during the 2 years, the program achieved CN¥3,655.94 medical savings per patient per year, and every ¥1 spent on the program led to ¥3.29 insavings. Patients in the treatment group achieved improvements in FEV 1 , FEV 1 % predicted, exercise capacity, and self-management. It also achieved relief of dyspnea symptoms and improvement in COPD's impact on quality of life. Conclusion: The hospital-outreach PR program for patients with COPD achieved reductions in health-care utilization, monetary savings, and improvements in patient health outcomes. The effects of the program were sustained for at least 2 years. Trial Registration: This trial was registered at the Chinese Clinical Trial Registry (ChiCTR-TRC-14005108).

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Section: Discussionmentioning

confidence: 99%

<p>Effectiveness and Economic Evaluation of Hospital-Outreach Pulmonary Rehabilitation for Patients with Chronic Obstructive Pulmonary Disease</p>

Zhang¹,

Wang²,

Long³

et al. 2020

COPD

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“… 30 The discrepancy between these results and ours may be attributed to different disease conditions of the patients and extent of clinical supervision in the rehabilitation program. However, traditional Chinese fitness exercises can significantly improve the pulmonary function of patients with stable COPD, 16 such as an intervention program that included 4 days of exercise at home and 3 days of exercise at the hospital. 17 The results suggested that long-term home-based traditional Chinese fitness exercises combined with clinical guidance can potentially improve lung function in patients with COPD.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies found that exercise interventions for pulmonary function had different results (improved or not), 16 – 19 and the inconsistent results may be attributed to a range of factors, including the variations in patients’ health conditions, the extent of provided clinical supervision, and the amount of time dedicated to the intervention. However, different exercise programs for functional exercise capacity and quality of life of patients with COPD have consistent improvement results.…”

Section: Introductionmentioning

confidence: 99%

Effects of long-term home-based Liuzijue exercise combined with clinical guidance in elderly patients with chronic obstructive pulmonary disease

Li¹,

Liu²,

Lu³

et al. 2018

CIA

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PurposeThis study was designed to investigate the effects of long-term home-based Liuzijue exercise combined with clinical guidance in elderly patients with chronic obstructive pulmonary disease (COPD).MethodsForty patients with COPD at stages II–III of the Global Initiative for Chronic Obstructive Lung Disease were enrolled. The subjects were randomly allocated to the Liuzijue exercise group (LG) or control group (CG) in a 1:1 ratio. Participants in the LG performed six Liuzijue training sessions, including 4 days at home and 2 days in the hospital with clinical guidance for 60 minutes/day for 6 months. Participants in the CG conducted no exercise intervention. In addition, lung function test, 6-minute walking test (6MWT), 30-second sit-to-stand test (30 s SST), and the St George’s Respiratory Questionnaire (SGRQ) were conducted at the baseline and at the end of the intervention.ResultsThirty-six patients completed the study. The patients’ lung function improved significantly (p < 0.05) in the LG as well as the 6MWT, 30 s SST, and SGRQ score (p < 0.01). While the SGRQ total score, activity, and impact scores increased significantly (p < 0.05) in the CG. In addition, there were significant differences between the groups (p < 0.01) in regard to the values of forced expiratory volume in 1 second as a percentage of the predicted volume, 6MWT, 30 s SST, and SGRQ.ConclusionsLong-term home-based Liuzijue exercise combined with clinical guidance can effectively improve the pulmonary function, exercise capacity, and quality of life of elderly patients with moderate to severe COPD.

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“…Previous studies demonstrated that pulmonary function improved after traditional Chinese health exercise, whereas pursed lip breathing, abdominal breathing, and walking did not improve significantly [ 38 ]. A recent meta-analysis further confirmed the effects of traditional Chinese health exercise in COPD patients [ 40 ]. This may be explained by the fact that traditional Chinese exercise not only includes respiratory exercise, but also operates in tandem with upper and lower limb exercise to further strengthen the role of auxiliary respiratory muscles.…”

Section: Discussionmentioning

confidence: 90%

Effect of Liuzijue Exercise Combined with Elastic Band Resistance Exercise on Patients with COPD: A Randomized Controlled Trial

Liu

et al. 2018

Evidence-Based Complementary and Alternative Medicine

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Objectives This study aimed to investigate the effect of Liuzijue exercise combined with elastic band resistance exercise on patients with chronic obstructive pulmonary disease (COPD) to provide a convenient, safe, and cost-effective exercise. Methods Subjects were randomly divided into the control group (CG), the Liuzijue exercise group (LG), and the Liuzijue exercise combined with elastic band resistance exercise group (LEG), with 20 patients in each group. The LG performed Liuzijue exercise six times a week (two exercise sessions in the hospital and four exercise sessions at home). The LEG includes Liuzijue exercise similar to the LG and elastic band resistance exercise three times a week, with elastic band exercise implemented after Liuzijue exercise. Spirometry, 6-minute walking test (6MWT), 30-second sit-to-stand test (30 s SST), handgrip strength test, and St. George's Respiratory Questionnaire (SGRQ) were performed at baseline and at the end of intervention. Results After six-month intervention, the forced expiratory volume in 1 second (% predicted), 6-minute walking distance (6MWD), 6MWD%pred, 30 s SST, and SGRQ were significantly improved in the intervention groups (p < 0.01) and handgrip strength was increased significantly in the LG and LEG (p = 0.03 and p = 0.001, respectively). Furthermore, improvements in 6MWD and SGRQ were distinguished in the intervention groups compared with the CG (p < 0.01). No difference was significant in all of the outcomes between the LG and the LEG. Conclusions The intervention program of Liuzijue exercise combined with elastic band resistance exercise and Liuzijue exercise only has beneficial effects on COPD patients especially in the aspect of exercise capacity and quality of life.

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The Effects of Traditional Chinese Exercise in Patients with Chronic Obstructive Pulmonary Disease: A Meta-Analysis

Cited by 27 publications

References 45 publications

<p>Effectiveness and Economic Evaluation of Hospital-Outreach Pulmonary Rehabilitation for Patients with Chronic Obstructive Pulmonary Disease</p>

<p>Effectiveness and Economic Evaluation of Hospital-Outreach Pulmonary Rehabilitation for Patients with Chronic Obstructive Pulmonary Disease</p>

Effects of long-term home-based Liuzijue exercise combined with clinical guidance in elderly patients with chronic obstructive pulmonary disease

Effect of Liuzijue Exercise Combined with Elastic Band Resistance Exercise on Patients with COPD: A Randomized Controlled Trial

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