Long-term Exercise After Pulmonary Rehabilitation (LEAP): a pilot randomised controlled trial of Tai Chi in COPD
Mind–body modalities are promising strategies to maintain the benefits gained after completion of conventional pulmonary rehabilitation in persons with COPD. In this pilot randomised controlled study we examined Tai Chi in persons with COPD after completing pulmonary rehabilitation. Participants wer...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Respiratory Society
2021-07-01
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| Series: | ERJ Open Research |
| Online Access: | http://openres.ersjournals.com/content/7/3/00025-2021.full |
| _version_ | 1819114505721872384 |
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| author | Marilyn L. Moy Peter M. Wayne Daniel Litrownik Douglas Beach Elizabeth S. Klings Roger B. Davis Adlin Pinheiro Gloria Y. Yeh |
| author_facet | Marilyn L. Moy Peter M. Wayne Daniel Litrownik Douglas Beach Elizabeth S. Klings Roger B. Davis Adlin Pinheiro Gloria Y. Yeh |
| author_sort | Marilyn L. Moy |
| collection | DOAJ |
| description | Mind–body modalities are promising strategies to maintain the benefits gained after completion of conventional pulmonary rehabilitation in persons with COPD. In this pilot randomised controlled study we examined Tai Chi in persons with COPD after completing pulmonary rehabilitation. Participants were randomised 2:2:1 to Tai Chi (TC), usual care (UC) or group walking (GW) for 24 weeks. We assessed feasibility; primary outcome was exercise capacity measured by 6-min walk test (6MWT) distance at 24 weeks. Secondary outcomes included health-related quality of life measured by Chronic Respiratory Questionnaire (CRQ), dyspnoea, mood, stress, social support, self-efficacy, physical activity and exercise engagement. Effect size estimates and estimates from generalised estimating equations were calculated. Ninety-one persons (36 TC, 37 UC, 18 GW) were enrolled, with mean age 69±6 years, 59% male, and forced expiratory volume in 1 s % predicted (FEV1 % pred) 48±19%. There was no difference in adherence and adverse events between groups. There was a small between-group effect size (ES=0.25) in change in 6MWT distance favouring TC compared to UC; 24-week comparison was nonsignificant (p=0.10). There were no differences in secondary outcomes. In exploratory analyses, there was a greater percentage of participants in TC who improved 6MWT distance at 24 weeks, compared to UC, 64% versus 39%, p=0.05. There were higher percentages of participants in TC who improved CRQ Fatigue (59% versus 31%, p=0.02) and CRQ Mastery (47% versus 20%, p=0.01) domain scores, compared to UC. For GW, there were no differences compared with TC. Tai Chi may be a feasible option to maintain the benefits gained after completing conventional pulmonary rehabilitation. |
| first_indexed | 2024-12-22T04:46:22Z |
| format | Article |
| id | doaj.art-f794dcce91eb408bb063356fa62bc389 |
| institution | Directory Open Access Journal |
| issn | 2312-0541 |
| language | English |
| last_indexed | 2024-12-22T04:46:22Z |
| publishDate | 2021-07-01 |
| publisher | European Respiratory Society |
| record_format | Article |
| series | ERJ Open Research |
| spelling | doaj.art-f794dcce91eb408bb063356fa62bc3892022-12-21T18:38:37ZengEuropean Respiratory SocietyERJ Open Research2312-05412021-07-017310.1183/23120541.00025-202100025-2021Long-term Exercise After Pulmonary Rehabilitation (LEAP): a pilot randomised controlled trial of Tai Chi in COPDMarilyn L. Moy0Peter M. Wayne1Daniel Litrownik2Douglas Beach3Elizabeth S. Klings4Roger B. Davis5Adlin Pinheiro6Gloria Y. Yeh7 Pulmonary, Sleep, and Critical Care Medicine Section, Dept of Medicine, Veterans Administration Boston Healthcare System, Boston, MA, USA Osher Center for Integrative Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA Division of General Medicine, Dept of Medicine, Beth Israel Deaconess Medical Center, Brookline, MA, USA Division of Pulmonary, Sleep and Critical Care Medicine, Dept of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA The Pulmonary Center, Boston University School of Medicine, Boston, MA, USA Division of General Medicine, Dept of Medicine, Beth Israel Deaconess Medical Center, Brookline, MA, USA Division of General Medicine, Dept of Medicine, Beth Israel Deaconess Medical Center, Brookline, MA, USA Osher Center for Integrative Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA Mind–body modalities are promising strategies to maintain the benefits gained after completion of conventional pulmonary rehabilitation in persons with COPD. In this pilot randomised controlled study we examined Tai Chi in persons with COPD after completing pulmonary rehabilitation. Participants were randomised 2:2:1 to Tai Chi (TC), usual care (UC) or group walking (GW) for 24 weeks. We assessed feasibility; primary outcome was exercise capacity measured by 6-min walk test (6MWT) distance at 24 weeks. Secondary outcomes included health-related quality of life measured by Chronic Respiratory Questionnaire (CRQ), dyspnoea, mood, stress, social support, self-efficacy, physical activity and exercise engagement. Effect size estimates and estimates from generalised estimating equations were calculated. Ninety-one persons (36 TC, 37 UC, 18 GW) were enrolled, with mean age 69±6 years, 59% male, and forced expiratory volume in 1 s % predicted (FEV1 % pred) 48±19%. There was no difference in adherence and adverse events between groups. There was a small between-group effect size (ES=0.25) in change in 6MWT distance favouring TC compared to UC; 24-week comparison was nonsignificant (p=0.10). There were no differences in secondary outcomes. In exploratory analyses, there was a greater percentage of participants in TC who improved 6MWT distance at 24 weeks, compared to UC, 64% versus 39%, p=0.05. There were higher percentages of participants in TC who improved CRQ Fatigue (59% versus 31%, p=0.02) and CRQ Mastery (47% versus 20%, p=0.01) domain scores, compared to UC. For GW, there were no differences compared with TC. Tai Chi may be a feasible option to maintain the benefits gained after completing conventional pulmonary rehabilitation.http://openres.ersjournals.com/content/7/3/00025-2021.full |
| spellingShingle | Marilyn L. Moy Peter M. Wayne Daniel Litrownik Douglas Beach Elizabeth S. Klings Roger B. Davis Adlin Pinheiro Gloria Y. Yeh Long-term Exercise After Pulmonary Rehabilitation (LEAP): a pilot randomised controlled trial of Tai Chi in COPD ERJ Open Research |
| title | Long-term Exercise After Pulmonary Rehabilitation (LEAP): a pilot randomised controlled trial of Tai Chi in COPD |
| title_full | Long-term Exercise After Pulmonary Rehabilitation (LEAP): a pilot randomised controlled trial of Tai Chi in COPD |
| title_fullStr | Long-term Exercise After Pulmonary Rehabilitation (LEAP): a pilot randomised controlled trial of Tai Chi in COPD |
| title_full_unstemmed | Long-term Exercise After Pulmonary Rehabilitation (LEAP): a pilot randomised controlled trial of Tai Chi in COPD |
| title_short | Long-term Exercise After Pulmonary Rehabilitation (LEAP): a pilot randomised controlled trial of Tai Chi in COPD |
| title_sort | long term exercise after pulmonary rehabilitation leap a pilot randomised controlled trial of tai chi in copd |
| url | http://openres.ersjournals.com/content/7/3/00025-2021.full |
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