The sustaining effects of Tai chi Qigong on physiological health for COPD patients: a randomized controlled trial
Open accessAbstract
OBJECTIVES: To evaluate the sustaining effects of Tai chi Qigong in improving the physiological health for COPD patients at sixth month. DESIGN: A randomized controlled trial. Subjects were in three randomly assigned groups: Tai chi Qigong group, exercise group, and control group. SETTING: The 206 subjects were recruited from five general outpatient clinics. INTERVENTIONS: Tai chi Qigong group completed a 3-month Tai chi Qigong program. Exercise group practiced breathing and walking as an exercise. Control group received usual care. MAIN OUTCOME MEASURES: Primary outcomes included six-minute walking distance and lung functions. Secondary outcomes were dyspnea and fatigue levels, number of exacerbations and hospital admissions. RESULTS: Tai chi Qigong group showed a steady improvement in exercise capacity (P<.001) from baseline to the sixth month. The mean walking distance increased from 298 to 349 meters (+17%). No significant changes were noted in the other two groups. Tai chi Qigong group also showed improvement in lung functions (P<.001). Mean forced expiratory volume in 1s increased from .89 to .99l (+11%). No significant change was noted in the exercise group. Deterioration was found in the control group, with mean volume decreased from .89 to .84l (-5.67%). Significant decreased in the number of exacerbations was observed in the Tai chi Qigong group. No changes in dyspnea and fatigue levels were noted among the three groups. CONCLUSIONS: Tai chi Qigong has sustaining effects in improving the physiological health and is a useful and appropriate exercise for COPD patients.
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Specific meditative movement practices have been shown to be an effective intervention for COPD and equivalent or superior to conventional pulmonary rehabilitation in benefiting several symptoms.
“Specific MM practices have been shown to be an effective intervention for COPD (Ng et al., 2011; Liu et al., 2012; Chan et al., 2013) and to be equivalent or superior to conventional pulmonary rehabilitation in benefiting several of its symptoms (Xu et al., 2010; Ng et al., 2014).”
From Effectiveness of a Novel Qigong Meditative Movement Practice for Impaired Health in Flight Attendants Exposed to Second-Hand Cigarette Smoke (2017) · cites this paper as Chan et al., 2013
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Perera, D. M., & Moe, J. L. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.005 · Cited by 2 · see citing works
Wellness Interventions in the Workplace
Chernoff, R. A. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.020 · Cited by 2 · see citing works
Sharma‐Brymer, V., Dashper, K. L., & Brymer, E. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.034 · Cited by 2 · see citing works
Well-Being and Work–Life Balance
Bolton, M. A., Lobben, I., Pruzinsky, T., & Stern, T. A. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.046 · Cited by 1 · see citing works
Forgiveness, Gratitude, and Spirituality
Idicula, S. A., Thrower, N., & Lomax, J. W. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.029 · Cited by 1 · see citing works
Bokarius, V., & Bokarius, A. V. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.037 · Cited by 2 · see citing works
Wellness Interventions in Patients Living with Chronic Medical Conditions
Steiner, A. J., Aguilar-Hernandez, L., Pizano, D. R., Dascal, J., & IsHak, W. W. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.014 · Cited by 1 · see citing works
Qigong and Tai Chi for ME/CFS: A Systematic Review of Randomized Controlled Trials
Markwart, M., Felsenstein, D., Mehta, D. H., Sethi, S., Tsuchiyose, E. A., Lydston, M., Yeh, G. Y., & Hall, D. L. (2024) · Global Advances in Integrative Medicine and Health · doi:10.1177/27536130241275607 · Cited by 1 · see citing works
Roh, J.-A., Leem, J., Lee, B., Kim, K., & Jung, H.-J. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1410342 · Cited by 1 · see citing works
Tai Chi Qigong is Good for People with Chronic Obstructive Pulmonary Disease
Aileen Chan, W. K. (2016) · International Journal of Complementary & Alternative Medicine · doi:10.15406/ijcam.2016.03.00064 · Cited by 1 · see citing works
Ooi, S. L., & Pak, S. C. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.033 · Cited by 1 · see citing works
Dieppe, P. A., Goldingay, S., & Warber, S. L. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.042 · Cited by 1 · see citing works
Emotional Intelligence and Its Role in Sustaining Fulfillment in Life
Sax, H. C., & Gewertz, B. L. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.038 · Cited by 1 · see citing works
Family Relations, Friendships, and Love
Alsup, S., Weisbaum, E., Vogel, T., & Siegel, D. J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.047 · Cited by 1 · see citing works
Integrative Medicine in Rehabilitation
Pai, A. B., Shuart, L. V., & Drake, D. F. (2020) · Elsevier eBooks · doi:10.1016/b978-0-323-62539-5.00018-7 · Cited by 1 · see citing works
Preventive and Early Treatment of Depression in Older Adults
Saldivia, S., Félix Cova, S., Inostroza, C., Aslan, J., & Farhang, M. (2022) · Depression and personality · doi:10.1007/978-3-031-13029-8_9 · Cited by 1 · see citing works
The Role of Aesthetics in Wellness
Mikhail, A. A., & Ngor, A. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.032 · Cited by 1 · see citing works
Ogunyemi, D. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.011 · Cited by 1 · see citing works
Volle, D. C., & DeBonis, K. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.023 · Cited by 1 · see citing works
Allergic, Infectious, and Immunological Processes
Riaz, O., Orimaye, S. O., Al-Khateeb, T., Sodeke, P. O., Awujoola, A. O., & Goodkin, K. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.012 · Cited by 1 · see citing works
Li, B. (2021) · Iranian Journal of Public Health · doi:10.18502/ijph.v50i6.6421 · Cited by 1 · see citing works
Melchert, T. P. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.004 · Cited by 1 · see citing works
IsHak, W. W. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.052 · Cited by 2 · see citing works
Yu, W., Su, P., Wang, J., Zhou, P., Chen, K., Liu, L., Xia, Q., & Chen, Y. (2020) · Medicine · doi:10.1097/md.0000000000020625
Mindfulness, Meditation, and Yoga
Budd, K. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.028
Work, Love, Play, and Joie de Vivre
Groningen, N. V., IsHak, W. W., Ganjian, S., Ong, M. K., & Slusser, W. M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.045
Acupuncture, Herbs, and Ayurvedic Medicine
Postolov, L., & Gilberg-Lenz, S. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.031
Circadian Rhythm in the Digital Age
Ezzat-Velinov, M., & Guarneri, M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.035
Chaudhry, M., Gordon, A., Tadros, E., Sun, C., Tobia, G., & IsHak, W. W. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.019
The Personalized Wellness Life Plan
IsHak, W. W., Bart, R., Gohar, Y., Lorea, N., Eskander, L., Chang, T., Cohen, S., Furman, K., Nayyar, P. P., & DeBonis, K. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.050
Exercise, Dance, Tai Chi, Pilates, and Alexander Technique
Altug, Z. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.025
Louy, C., Sweet, C., Pollock, G. A., de Zagon, C., Louy, Z., Weiss, J. M., & Maher, D. P. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.017
Pharmaceuticals and Alternatives for Wellness
Parisi, T., Heath, B., Wen, R. Y., & IsHak, W. W. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.024
Bucciarelli, A., Ellison, G. K., Sommer, E. K., & Spooner, H. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.036
Screening and Assessment Methods for Wellness
Greenberg, J. M., Castillo, E. G., IsHak, W. W., & Wells, K. B. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.002
The Role of Leisure, Recreation, and Play in Health and Well-Being
Payne, L. L., & An, J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.048
Positive Neuropsychology, Cognitive Rehabilitation, and Neuroenhancement
Pimental, P. A., O'Hara, J. B., Christopher, J., & Ciampanelli, A. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108650182.030
- Authors
- Chan, A. W. K., Lee, A., Lee, D. T. F., Suen, L. K. P., Tam, W. W. S., Chair, S. Y., & Griffiths, P.
- Affiliations
- Chinese University of Hong Kong (HK)
- Hong Kong Polytechnic University (HK)
- University of Southampton (GB)
- Corresponding author
- Chan, Aileen W.K.
- ORCID
- Venue
- Complementary Therapies in Medicine
- Publisher
- Elsevier BV
- Published
- 2013-12
- Volume
- 21
- Issue
- 6
- Pages
- 585-594
- ISSN
- 0965-2299 (ISSN-L)
- OpenAlex
- W1981490487
- Cited by
- 129
- References
- 45
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 5 · 2023: 7 · 2022: 6 · 2021: 4 · 2020: 62 · 2019: 6 · 2018: 8 · 2017: 4 · 2016: 8 · 2015: 7 · 2013: 2
- FWCI
- 4.61
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Complementary Therapies in Medicine (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- PolyU Institutional Research Archive (Hong Kong Polytechnic University) (submittedVersion)
- Funders
- Research Office, Food and Health Bureau, 18/F, Murray Building, Garden Road, Central, Hong Kong (06070201)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Complementary and alternative medicine › Medical Research and Treatments
- Keywords
- Tai Chi Qigong, chronic obstructive pulmonary disease, exercise capacity, 6-minute walk distance, lung function, FEV1, COPD exacerbations, hospitalization, dyspnea, fatigue, breathing exercises, walking exercise
- MeSH terms
- Aged, Aged, 80 and over, Female, Forced Expiratory Volume, Humans, Male, Middle Aged, Exercise, Tai Ji, Pulmonary Disease, Chronic Obstructive, Qigong
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