Medical Qigong for Mobility and Balance Self-Confidence in Older Adults.

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  • Additional Information
    • Source:
      Publisher: Frontiers Media S.A Country of Publication: Switzerland NLM ID: 101648047 Publication Model: eCollection Cited Medium: Print ISSN: 2296-858X (Print) Linking ISSN: 2296858X NLM ISO Abbreviation: Front Med (Lausanne) Subsets: PubMed not MEDLINE
    • Publication Information:
      Original Publication: Lausanne, Switzerland : Frontiers Media S.A., [2014]-
    • Abstract:
      Background/Objectives: Physical inactivity, sedentary lifestyle, and impaired neuromuscular function increases fall risk and fractures in our aging population. Mind-body modalities, improve strength, balance and coordination, mitigating these risks. This study examined whether a manualized Medical Qigong protocol measurably improves balance, gait, and health self-confidence among older adults. Design: Randomized prospective cohort pre-post study with wait time control. Setting: Two martial arts centers in Massachusetts and Arizona. Participants: Ninety-five adults age ≥ 50 (mean age 68.6 y.o., range 51-96) were randomly assigned to an immediate start group (N = 53) or 4-week delayed start group ( N = 43). Intervention: A 10 form qigong protocol taught over 12 weekly classes. Measurments: Primary outcome measures were the Community Balance and Mobility Scale (CBMS) and Activities-Specific Balance Confidence (ABC) Scale. Data was collected at baseline, 1-month and 4-months. Results: Both groups at both sites demonstrated improved balance and gait (CBMS + 11.9 points, p < 0.001). This effect was strongest in patients in their 60 s (CBMS +12.9 p < 0.01) and 70 s (CBMS + 14.3, p < 0.001), was equal across genders and socioeconomic status. Balance self-confidence did not significantly change (ABC + 0.9, p = 0.48), though several elements within ABC trended toward improvement [e.g., walk up/down ramp ( p = 0.07), bend over/pick up ( p = 0.09)]. Falls in the past year was inversely correlated with balance self-confidence ( p = 0.01). Conclusion: A 12-week manualized Medical Qigong protocol significantly improved balance and gait and modestly improved balance self-confidence among older adults. Medical Qigong may be a useful clinical intervention for older adults at heightened risk for falls and related injuries. Clinical Trial Registration: www.ClinicalTrials.gov, identifier: NCT04430751.
      (Copyright © 2020 Stahl, Belisle and Zhao.)
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    • Contributed Indexing:
      Keywords: balance; falls; health confidence; mind-body medicine; qigong; stability
    • Molecular Sequence:
      ClinicalTrials.gov NCT04430751
    • Publication Date:
      Date Created: 20200914 Latest Revision: 20240801
    • Publication Date:
      20240801
    • Accession Number:
      PMC7456993
    • Accession Number:
      10.3389/fmed.2020.00422
    • Accession Number:
      32923446