PURPOSE: This study was done to investigate the effect of Tai Chi Qigong exercise program on insulin resistance and blood glucose in patients with type 2 diabetes. METHOD: This was a quasi-experimental study used a non-equivalent control group pretest-posttest design. Participants included 39 patients with type 2 diabetes mellitus patients (ages between 40-70)(experimental group, 19, control group, 20). The Tai Chi Qigong exercise program consisted of 5 minute warming up, 30-minute main exercise, and 5 minute cooling down, and was conducted twice a week for 10 weeks. The outcome variables were insulin resistance (proinsulin, C-peptide, insulin, insulin sensitivity index) and blood glucose (fasting, post prandial 2hr, HbA1c). Data was analyzed using ANCOVA, with pre-test values as covariates, to examine difference between pre and post measures between the two groups. RESULTS: The Tai Chi Qigong was effective in lowering postprandial 2hr blood glucose. CONCLUSION: Twice a week 10 week-Tai Chi Qigong exercise seems to be too short to improve insulin excretion or resistance, and fasting blood sugar and HbA1C in patients with type 2 DM. A Tai Chi Qigong program at least 3 times per week or longer is recommended.
Blood Glucose* ; C-Peptide ; Diabetes Mellitus* ; Diabetes Mellitus, Type 2 ; Fasting ; Humans ; Insulin Resistance* ; Insulin* ; Qigong ; Tai Ji

Mind-body medicine (MBM) is a field of medicine concerned with the ways that the mind and emotions influence the body and physical health. It may be more accurate to think of mind/body as a single entity, with the health of one part necessarily influencing that of the other. The National Institutes of Health (NIH) defines MBM techniques (MBT) as interventions that use a variety of techniques designed to facilitate the mind's capacity to affect bodily functions and symptoms. MBT offers patients with greater control in their treatment, cheaper alternatives, effective options for managing chronic conditions, and methods for maintaining wellness. Mind-body approaches include guided imagery, meditation, hypnosis, and movement therapies such as dance, tai chi, chi gong, and yoga as well as music and chanting. Such approaches are as old as traditional oriental healing systems and as widespread as seen in Chinese, Indian, and East Asians. Modern Western medicine is now beginning to give MBTs recognition in its importance as well as efficacy. This article reviews the medical literatures on the techniques that have been studied the most: relaxation therapy, meditation, hypnosis, cognitive-behavioral therapy guided imagery, and biofeedback.
Asian Continental Ancestry Group ; Biofeedback, Psychology ; Humans ; Hypnosis ; Imagery (Psychotherapy) ; Integrative Medicine ; Meditation ; Mind-Body Therapies ; Music ; National Institutes of Health (U.S.) ; Relaxation Therapy ; Singing ; Tai Ji ; Yoga

Environment Design ; Exercise Movement Techniques ; Humans ; Motor Activity ; Surveys and Questionnaires

Biomedical Research ; Humans ; Tai Ji

Traditionally, practitioners of stroke rehabilitation are taught that benefits of rehabilitation are achieved primarily through training patients in new techniques to compensate for impairments, and that neurological recovery is predominantly spontaneous in nature. Recent animal and human experiments have, however, indicated that the adult brain is capable of reorganisation and the term plasticity has been coined to describe this ability. Furthermore, it has been shown that cerebral reorganisation is use-dependent and can be manipulated via appropriate stimuli. This has resulted in a paradigm shift in the way stroke survivors should be rehabilitated and also given rise to several novel rehabilitation techniques.
Animals ; Exercise Movement Techniques ; Humans ; Neuronal Plasticity ; Robotics ; Stroke ; physiopathology ; Stroke Rehabilitation ; Transcranial Magnetic Stimulation

OBJECTIVETo evaluate the efficacy of the modified Epley maneuver Versus modified Semont maneuver for posterior canal benign paroxysmal positional vertigo.

METHODSThe randomized controlled trials (RCT) about modified Epley maneuver Versus modified Semont maneuver for posterior canal benign paroxysmal positional vertigo from January 1985 to July 2013 were searched in CNKI,OVID, PubMed, CBM, EMBASE, WanFang Data, and Cochrane Library. Two reviewers independently screened the literatures, extracted the data, and evaluated the methodological quality. Then meta-analyses were conducted by using RevMan 5.1 software.

RESULTSA total of six RCTs were included. Among the 453 patients involved, 232 patients were in the modified Epley maneuver group, while the other 221 patients were in the modified Semont maneuver group. The results of meta-analyses showed that the efficacy of the modified Epley maneuve group was superior to that of the modified Semont maneuver group in one-week cure rate[OR = 3.25, 95%CI (2.08, 5.10) , P < 0.01], one-week efficient [OR = 4.72, 95%CI (1.16, 19.15) , P = 0.03], with significant differences. There was no significant difference between the two groups in three-months cure rate [OR = 2.10, 95%CI (0.57, 7.75) , P = 0.27], incidence of adverse reactions [OR = 0.82, 95%CI(0.44, 1.52), P = 0.53] and relapse rate [OR = 0.56, 95%CI (0.20, 1.57) , P = 0.27].

CONCLUSIONSBased on the current studies, modified Epley maneuver is superior to modified Semont maneuver in quicking relief posterior canal benign paroxysmal positional vertigo symptoms, but the long-term efficacy, recurrence rate and incidence of adverse reactions had no significant difference. For the quality restrictions and possible publication bias of the included studies, more double blind RCTs with high quality are required to further assess the effects.

PURPOSE: The aim of this study was to evaluate the effects of active mandibular exercise (AME) in patients with limited mouth opening after maxillomandibular fixation (MMF) release. METHODS: The study used a quasi-experimental, nonequivalent control group and a pre test-post test design. Sixty-two patients with Maxillomandibular Fixation Release were assigned to the experimental (n=31) or control group (n=31). The AME was performed in the experimental group for 4 weeks. The exercise AME consisted of maximal mouth opening, lateral excursion and protrusive movement. These movements were repeated ten times a day. After the final exercise of the day, the number of tongue blades used for mouth opening was noted. The effect of AME was evaluated after MMF release at different time intervals: a) immediately, b) after 1 week, c) after 2 weeks, d) after 4 weeks, and e) after 12 weeks. The exercise was assessed using the following criteria: a) mandibular movements, b) pain scores associated with maximal mouth opening, c) discomfort scores associated with range of movement, and d) daily life activities that involve opening the mouth. RESULTS: The experimental group showed significant improvement regarding the range of mandibular movements (maximal mouth opening (F=23.60, p < .001), lateral excursion to the right side (F=5.25, p=.002), lateral excursion to the left side (F=5.97, p=.001), protrusive movement (F=5.51, p=.001)), pain score (F=39.59, p < .001), discomfort score (F=9.38, p < .001). Daily life activities that involve opening the mouth were more favorable compared to those in the control group. CONCLUSION: The AME in patients after MMF release is helpful for increasing mandibular movement range, decreasing pain and discomfort, and improving day life activities that involve opening the mouth. Therefore, AME is highly recommended as an effective nursing intervention.
Exercise Movement Techniques ; Humans ; Jaw Fixation Techniques ; Mouth Rehabilitation ; Mouth ; Muscle Stretching Exercises ; Nursing ; Quality of Life ; Tongue ; Trismus

BACKGROUND AND PURPOSE: Exercise is recommended for every patient with Parkinson's disease (PD). The effectiveness of two different forms of exercise for PD, Tai Chi and combined stretching-strengthening exercise, was compared. METHODS: Patients with mild-to-moderate PD were recruited to join either the combined stretching-strengthening exercise group (n=7), the Tai Chi group (n=9), or the control (nonintervention) group (n=7). Exercise was performed three times a week over a period of 8 weeks. The Tai Chi exercise was led by certified instructors based on a Tai-Chi-for-arthritis program. The combined stretching-strengthening exercise comprised folk dancing, stepping, and elastic-band exercises. The subjects' functional fitness, parkinsonian symptoms, quality of life (QoL), and depression were evaluated. RESULTS: Both exercise groups yielded better results in their overall functional fitness after the intervention. However, no improvement with exercise was found for parkinsonian symptoms, as evaluated using the Unified Parkinson's Disease Rating Scale. With respect to the domains of QoL, the combined stretching-strengthening exercise group fared better in the social domain of QoL, and the Tai Chi group fared better in the emotional domain, while QoL and depression worsened in the control group. The postintervention QoL was improved relative to the control condition only for the Tai Chi group. Although the exercise interventions did not have any effect on depression, the control group was associated with a significant deterioration. CONCLUSIONS: Exercise improved the functional fitness and QoL of PD patients, with Tai Chi yielding better results in QoL and favorable results in functional fitness. These findings suggest that Tai Chi could be a good exercise strategy for patients with PD.
Dancing ; Depression ; Exercise ; Humans ; Parkinson Disease* ; Quality of Life ; Tai Ji*

PURPOSE: To examine the effects of Tai Chi exercise (TCE) on depression, quality of life and self-efficacy in patients with Parkinson's disease (PD). METHOD: A nonequivalent control-group pre and posttest design was used. Of the 30 participants 15 were assigned to the experimental group and 15 to the control group. The experimental group participated in 8 weeks of TCE which included one day of exercise with instructor on site and 3 days of self-exercise at home guided by a videotape. RESULTS: The 8 weeks of TCE were found to be significantly effective in enhancing quality of life and self-efficacy. However there was no significant difference in the level of depression. CONCLUSION: These results suggest that TCE has positive effect on quality of life and self-efficacy in patients with PD. Research over an extended period with the TCE intervention is recommended to identify further effects.
Depression ; Humans ; Parkinson Disease ; Quality of Life ; Tai Ji ; Videotape Recording

PURPOSE: This study was done to examine the effects of Tai Chi exercise program on BMI, positive and negative psychiatric symptoms in patient with schizophrenia. METHODS: The participants were patient with schizophrenia in S psychiatric hospital in D city. Twenty five patients were assigned to experimental group, and 26 patients were assigned to control group. Data were collected from May 9, to July 8, 2011. The Tai Chi exercise program was conducted with a duration of 60 minutes, 2 times a week for 8 weeks (a total 8 times). Measures were BMI, positive and negative psychiatric symptoms. Data were analyzed using descriptive statistics, chi-square test and t-test with SPSS/WIN 19.0 version. RESULTS: The experimental group received Tai Chi exercise program had a significant changes in BMI, positive and negative psychiatric symptoms. CONCLUSION: The results of this study indicate that Tai Chi exercise program is an effective intervention program to improve the BMI, positive and negative psychiatric symptoms of patients with schizophrenia.
Body Mass Index ; Hospitals, Psychiatric ; Humans ; Schizophrenia ; Tai Ji