Qigong Exercise

A special issue of Medicines (ISSN 2305-6320).

Deadline for manuscript submissions: closed (31 March 2017) | Viewed by 64820

Special Issue Editor

Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, 3901 Rainbow Blvd, Mail Stop 2002, Kansas City, KS 66160-7601, USA
Interests: complementary medicine in rehabilitation; application of augmented reality technology in rehabilitaton; sensorimotor training in patients with neurological disorders; and rehabilitation of joint injuries

Special Issue Information

Dear Colleagues,

Qigong exercise, rooted in traditional Chinese medicine, is a mind–body practice that integrates gentle exercise and relaxation. Recently, an increasing number of studies have documented the effectiveness or promising results of qigong exercise in the management of various medical conditions, including neck and back pain, symptoms of cancer and cancer treatment, chronic pain and fibromyalgia, sleep disturbance, cardiovascular disease, Parkinson’s disease, hypertension, chronic fatigue syndrome, etc. The list of beneficial health conditions with Qigong practice is still growing. In addition, past studies have attempted to explore possible underlying biological mechanisms of Qigong exercise through examinations of changes in various biomarkers. This Special Issue will compile original research articles and critical reviews on clinical outcomes of Qigong practice and its potential biological mechanism in the management of various health conditions. Topics related to advances in methods and technologies pertinent to improving current Qigong practice or training will also be covered.

Dr. Wen Liu
Guest Editor

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Keywords

  • qigong
  • biomarker
  • mechanism
  • pain
  • sleep
  • fatigue
  • stress
  • cancer
  • neurological disorder
  • heart disease

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Published Papers (7 papers)

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Research

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495 KiB  
Article
Qigong Exercise May Reduce Serum TNF-α Levels and Improve Sleep in People with Parkinson’s Disease: A Pilot Study
by Sanghee Moon, Marshall Schmidt, Irina V. Smirnova, Yvonne Colgrove and Wen Liu
Medicines 2017, 4(2), 23; https://doi.org/10.3390/medicines4020023 - 23 Apr 2017
Cited by 22 | Viewed by 8227
Abstract
Background: Inflammatory cytokine levels are often elevated in people with Parkinson’s disease (PD). People with PD often experience sleep disturbances that significantly impact quality of life. Past studies suggest inflammatory cytokines may be associated with various symptoms of PD. Benefits of Qigong, a [...] Read more.
Background: Inflammatory cytokine levels are often elevated in people with Parkinson’s disease (PD). People with PD often experience sleep disturbances that significantly impact quality of life. Past studies suggest inflammatory cytokines may be associated with various symptoms of PD. Benefits of Qigong, a mind–body exercise, have been shown in different neurological conditions, but there is still a lack of clinical evidence in the PD population. Methods: Ten people with PD were recruited and randomly assigned into two groups receiving six weeks of Qigong (experimental group) or sham Qigong (control group) intervention. The levels of TNF-α, IL-1β, and IL-6 in subjects’ serum and sleep quality were measured before and after the intervention. Results: After the intervention, the serum level of TNF-α in the experimental group was significantly decreased in all subjects, while the level in the control group showed a trend to increase. Qigong exercise significantly improved sleep quality at night. There was a strong correlation between changes in the level of TNF-α and sleep quality. Conclusion: Qigong exercise decreased TNF-α level in people with PD and helped improve sleep quality. TNF-α may have a potential to influence the sleep quality in people with PD. Full article
(This article belongs to the Special Issue Qigong Exercise)
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Review

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281 KiB  
Review
Qigong Exercise and Arthritis
by Ray Marks
Medicines 2017, 4(4), 71; https://doi.org/10.3390/medicines4040071 - 27 Sep 2017
Cited by 4 | Viewed by 7653
Abstract
Background: Arthritis is a chronic condition resulting in considerable disability, particularly in later life. Aims: The first aim of this review was to summarize and synthesize the research base concerning the use of Qigong exercises as a possible adjunctive strategy for promoting well-being [...] Read more.
Background: Arthritis is a chronic condition resulting in considerable disability, particularly in later life. Aims: The first aim of this review was to summarize and synthesize the research base concerning the use of Qigong exercises as a possible adjunctive strategy for promoting well-being among adults with arthritis. A second was to provide related intervention directives for health professionals working or who are likely to work with this population in the future. Methods: Material specifically focusing on examining the nature of Qigong for minimizing arthritis disability, pain and dependence and for improving life quality was sought. Results: Collectively, despite almost no attention to this topic, available data reveal that while more research is indicated, Qigong exercises—practiced widely in China for many centuries as an exercise form, mind-body and relaxation technique—may be very useful as an intervention strategy for adults with different forms of painful disabling arthritis. Conclusion: Health professionals working with people who have chronic arthritis can safely recommend these exercises to most adults with this condition with the expectation they will heighten the life quality of the individual, while reducing pain and depression in adults with this condition. Full article
(This article belongs to the Special Issue Qigong Exercise)
300 KiB  
Review
Qigong Exercises for the Management of Type 2 Diabetes Mellitus
by Amy L. Putiri, Jacqueline R. Close, Harold Ryan Lilly, Nathalie Guillaume and Guan-Cheng Sun
Medicines 2017, 4(3), 59; https://doi.org/10.3390/medicines4030059 - 9 Aug 2017
Cited by 10 | Viewed by 9389
Abstract
Background: The purpose of this article is to clarify and define medical qigong and to identify an appropriate study design and methodology for a large-scale study looking at the effects of qigong in patients with type 2 diabetes mellitus (T2DM), specifically subject enrollment [...] Read more.
Background: The purpose of this article is to clarify and define medical qigong and to identify an appropriate study design and methodology for a large-scale study looking at the effects of qigong in patients with type 2 diabetes mellitus (T2DM), specifically subject enrollment criteria, selection of the control group and study duration. Methods: A comprehensive literature review of English databases was used to locate articles from 1980–May 2017 involving qigong and T2DM. Control groups, subject criteria and the results of major diabetic markers were reviewed and compared within each study. Definitions of qigong and its differentiation from physical exercise were also considered. Results: After a thorough review, it was found that qigong shows positive effects on T2DM; however, there were inconsistencies in control groups, research subjects and diabetic markers analyzed. It was also discovered that there is a large variation in styles and definitions of qigong. Conclusions: Qigong exercise has shown promising results in clinical experience and in randomized, controlled pilot studies for affecting aspects of T2DM including blood glucose, triglycerides, total cholesterol, weight, BMI and insulin resistance. Due to the inconsistencies in study design and methods and the lack of large-scale studies, further well-designed randomized control trials (RCT) are needed to evaluate the ‘vital energy’ or qi aspect of internal medical qigong in people who have been diagnosed with T2DM. Full article
(This article belongs to the Special Issue Qigong Exercise)
268 KiB  
Review
Qigong and Fibromyalgia circa 2017
by Jana Sawynok and Mary E. Lynch
Medicines 2017, 4(2), 37; https://doi.org/10.3390/medicines4020037 - 6 Jun 2017
Cited by 10 | Viewed by 7496
Abstract
Qigong is an internal art practice with a long history in China. It is currently characterized as meditative movement (or as movement-based embodied contemplative practice), but is also considered as complementary and alternative exercise or mind–body therapy. There are now six controlled trials [...] Read more.
Qigong is an internal art practice with a long history in China. It is currently characterized as meditative movement (or as movement-based embodied contemplative practice), but is also considered as complementary and alternative exercise or mind–body therapy. There are now six controlled trials and nine other reports on the effects of qigong in fibromyalgia. Outcomes are related to amount of practice so it is important to consider this factor in overview analyses. If one considers the 4 trials (201 subjects) that involve diligent practice (30–45 min daily, 6–8 weeks), there are consistent benefits in pain, sleep, impact, and physical and mental function following the regimen, with benefits maintained at 4–6 months. Effect sizes are consistently in the large range. There are also reports of even more extensive practice of qigong for 1–3 years, even up to a decade, indicating marked benefits in other health areas beyond core domains for fibromyalgia. While the latter reports involve a limited number of subjects and represent a self-selected population, the marked health benefits that occur are noteworthy. Qigong merits further study as a complementary practice for those with fibromyalgia. Current treatment guidelines do not consider amount of practice, and usually make indeterminate recommendations. Full article
(This article belongs to the Special Issue Qigong Exercise)

Other

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2250 KiB  
Concept Paper
Meditative Movement, Energetic, and Physical Analyses of Three Qigong Exercises: Unification of Eastern and Western Mechanistic Exercise Theory
by Penelope Klein, George Picard, Joseph Baumgarden and Roger Schneider
Medicines 2017, 4(4), 69; https://doi.org/10.3390/medicines4040069 - 23 Sep 2017
Cited by 22 | Viewed by 14502
Abstract
Abstract: Qigong is the meditative movement and therapeutic exercise of Eastern medicine. A growing body of evidence is validating its health benefits leading to mechanistic questions of how it works. The purpose of this article is to explore mechanisms of action related [...] Read more.
Abstract: Qigong is the meditative movement and therapeutic exercise of Eastern medicine. A growing body of evidence is validating its health benefits leading to mechanistic questions of how it works. The purpose of this article is to explore mechanisms of action related to Qigong, with the intent of unifying Eastern and Western exercise theory and to present a model for Qigong exercise analysis. Three exercises from a standardized Qigong form: ‘Plucking the Stars’, ‘Lotus Leaves Rustle in the Wind’, and ‘Pacing Forwards and Backwards’ were selected for meditative, energetic, and physical analyses. Meditative aspects include relaxation response, interoception and exteroception. Energetic aspects include stimulation of meridians through mental intent, acupressure, and self-massage. Physical aspects include flexibility, strength, articular stimulation, neuro-integration, respiratory effect, fascial stretch, visceral massage, balance challenge CranioSacral pump, lymphatic and venous return and glandular stimulation, and physiologic response to relaxation. Knowledge of mechanisms of action for specific Qigong exercises can guide operational definition of Qigong, selection of outcomes assessment in future research, inform prescriptive practice addressing clinical health issues, and advance adoption of Qigong practice within integrative health care. The model of analysis demonstrated in this discussion may assist in these endeavors. Full article
(This article belongs to the Special Issue Qigong Exercise)
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261 KiB  
Perspective
International Expert Panel Consensus Guidelines for Structure and Delivery of Qigong Exercise for Cancer Care Programming
by Penelope Klein, George Picard, Roger Schneider and Byeongsang Oh
Medicines 2017, 4(3), 54; https://doi.org/10.3390/medicines4030054 - 14 Jul 2017
Cited by 2 | Viewed by 4020
Abstract
Integrative oncology, including Qigong, is a relatively new concept in modern healthcare. Evidence of benefits of Qigong in cancer survivors is emerging. As such, several cancer centers, world-wide, have introduced Qigong as part of integrative medicine within supportive cancer care programming. Qigong exercise [...] Read more.
Integrative oncology, including Qigong, is a relatively new concept in modern healthcare. Evidence of benefits of Qigong in cancer survivors is emerging. As such, several cancer centers, world-wide, have introduced Qigong as part of integrative medicine within supportive cancer care programming. Qigong exercise programming content and quality varies among institutions due to lack of standard guidelines and, at present, relies solely on the instructor’s skills, knowledge, personal preferences and clinical experience. Development of consensus guidelines recommending the basic structure and delivery of Qigong programming in cancer care can potentiate quality assurance and reduce risk of harm. This applied qualitative research utilized a modified Delphi approach to formulate consensus guidelines. Guidelines were developed through discussions among an international expert panel (N = 13) with representation from Australia, Canada, Ireland, and the United States. Panel communication was predominantly conducted by email and occurred from November 2016 through February 2017. Expert panel work resulted in the generation of a work product: Qigong in Cancer Care Guidelines: A Working Paper including: (a) Consensus Guidelines for structure and delivery of Qigong exercise for Cancer care programming; (b) Consensus guidelines for instructor competence for teaching Qigong exercise for cancer care classes; (c) Screening tool for safe participation in Qigong exercise; (d) Class participant instructions for maintaining safety during Qigong exercise; and (e) Advice from the field. Generation of these resources is the first step in establishing recommendations for ‘best practice’ in the area of Qigong for cancer care programming. Full article
(This article belongs to the Special Issue Qigong Exercise)
258 KiB  
Concept Paper
Qigong in Cancer Care: Theory, Evidence-Base, and Practice
by Penelope Klein
Medicines 2017, 4(1), 2; https://doi.org/10.3390/medicines4010002 - 12 Jan 2017
Cited by 22 | Viewed by 12514
Abstract
Background: The purpose of this discussion is to explore the theory, evidence base, and practice of Qigong for individuals with cancer. Questions addressed are: What is qigong? How does it work? What evidence exists supporting its practice in integrative oncology? What barriers to [...] Read more.
Background: The purpose of this discussion is to explore the theory, evidence base, and practice of Qigong for individuals with cancer. Questions addressed are: What is qigong? How does it work? What evidence exists supporting its practice in integrative oncology? What barriers to wide-spread programming access exist? Methods: Sources for this discussion include a review of scholarly texts, the Internet, PubMed, field observations, and expert opinion. Results: Qigong is a gentle, mind/body exercise integral within Chinese medicine. Theoretical foundations include Chinese medicine energy theory, psychoneuroimmunology, the relaxation response, the meditation effect, and epigenetics. Research supports positive effects on quality of life (QOL), fatigue, immune function and cortisol levels, and cognition for individuals with cancer. There is indirect, scientific evidence suggesting that qigong practice may positively influence cancer prevention and survival. No one Qigong exercise regimen has been established as superior. Effective protocols do have common elements: slow mindful exercise, easy to learn, breath regulation, meditation, emphasis on relaxation, and energy cultivation including mental intent and self-massage. Conclusions: Regular practice of Qigong exercise therapy has the potential to improve cancer-related QOL and is indirectly linked to cancer prevention and survival. Wide-spread access to quality Qigong in cancer care programming may be challenged by the availability of existing programming and work force capacity. Full article
(This article belongs to the Special Issue Qigong Exercise)
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