Effects of Different Health Qigong Routines on CS Among Chinese College Students

NCT06130982 | Unknown

• 1 other identifier: Liu Cong
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

Health Qigong, originated from Chinese traditional guidance techniques, is known as China's "six major medical techniques" together with "stone breaking", "acupuncture and moxibustion", "massage", "medicine" and "walking on stilts" of traditional Chinese medicine, and has dual functions of sports and medicine. It mainly takes its own physical activities, breathing, and psychological regulation as its main form, improving the overall functional state of the human body through both internal and external cultivation, and improving the training practice method system of its own life movement. At present, it has 9 popular routines around the world, such as the famous Yi Jin Jing, Wu Qin Xi, Ba Duan Jin, and Liu Zi Jue. In the exercise therapy of cervical spondylosis, the exercise form of Health Qigong is similar to Tai Chi, and has greater advantages compared to other sports(Tai Chi, McKinsey, Cervical Spine Exercise, Resistance Exercise, etc). Previous studies have confirmed that Health Qigong·Yijinjing combined with acupuncture and moxibustion, massage and other intervention therapies can repair cervical muscle fibers, relieve pain and improve cervical function. Health Qigong·Wuqinxi combined with other intervention therapies can positively promote the pain index, cervical mobility, and other factors in middle-aged and elderly patients with cervical spondylosis.Health Qigong·Baduanjin combined with other intervention therapies can enhance the stability of the cervical spine and not only help alleviate anxiety, depression, and other adverse psychological states in patients with cervical spondylosis, It can also reduce the degree of cervical mobility limitation, thereby reducing patient pain, alleviating clinical symptoms, improving clinical intervention effectiveness, and reducing recurrence rate. However, most studies have combined exercise therapy with physical therapy, medication therapy, and other interventions therapies, especially the study of using Health Qigong as an independent exercise therapy to intervene in cervical spondylosis is even rarer. Therefore, this study selected Health Qigong·Yijinjing, Health Qigong·Wuqinxi, and Health Qigong·Baduanjin as independent exercise intervention projects to conduct intervention research on cervical spondylosis among college students, exploring the effects of these three Health Qigong routines on pain, cervical curvature, and cervical joint disorders of Chinese college students with cervical spondylosis.

Conditions

Neck Pain; Neck Disorder; Cervical Spondylosis

Keywords

Health Qigong; Cervical Syndrome; Curative Effect

Outcome Measures

Primary Outcomes (4)

• Effect of neck dysfunction among college students

  Test by neck disability index (NDI) questionnaire , a total of 10 items were tested, including two parts: neck pain and related symptoms (intensity of pain, headache, concentration and sleep), and daily life activity ability (personal care, lifting heavy objects, reading, work, driving, and entertainment). The minimum score for each item is 0, and the maximum score is 5. The higher the score, the greater the degree of dysfunction. It can evaluate the cervical spine function impairment index, and when the result shows 0-20%, it indicates mild dysfunction; 21%-40%: indicates moderate dysfunction; 41%-60%: indicates severe functional impairment; 61% -80%: indicates extremely severe functional impairment; 81%-100%: indicates complete functional impairment or detailed examination of the subject for exaggerated symptoms.

  Pretest: Before experiment; Mid-test: 8 weeks end; Post-test: 12 weeks end.

• Effect of neck pain among college students

  Test by short-form of McGill pain questionnaire(SF-MPQ) ,which is derived from the McGill pain questionnaire and is used to measure the intensity and nature of pain currently experienced by participants. The lower the final evaluation score, the lower the pain intensity, and the higher the score, the higher the degree of pain. The score of SF-MPQ mainly consists of the Pain Rating Index (PRI), Present Pain Intensity (PPI), and the total pain score of the Visual Analog Scale(VAS). Among them, the evaluation of PRI consists of 15 descriptors (11 sensory; 4 affective), which are rated on an intensity scale as 0=none, 1=mild, 2=moderate or 3=distressing. The intensity evaluation of PPI is represented by 0-5, where 0=no pain, 1=mild, 2=discomforting, 3=horrible, 4=severe, and 5=excruciating.The final evaluation method of VAS is to use a digital scale with a length of approximately 10cm and labeled 0-10, 0 represents painless and 10 represents the most severe pain.

  Pretest: Before experiment; Mid-test: 8 weeks end; Post-test: 12 weeks end.

• Effect of cervical curvature among college students

  X-ray medical imaging examination is performed on the cervical spine of the subjects using cervical anteroposterior and lateral positions to observe changes in the physiological curvature and intervertebral space of the subjects' cervical spine. After obtaining medical imaging results, the Borden method is used to measure the physiological curvature depth (arc chord distance) of the cervical spine and observe the changes in cervical curvature of college students with cervical spondylosis.

  Pretest: Before experiment; Mid-test: 8 weeks end; Post-test: 12 weeks end.

• Effect of cervical range of motion among college students

  Measure the range of motion of the cervical spine using a support arm protractor.Cervical Range of Motion (CROM) is an important indicator for quantifying cervical function and evaluating the degree of cervical diseases, injuries, and rehabilitation. It mainly includes the measurement of the six cervical motion directions:cervical extension(0°\~45°),cervical flexion(0°\~45°),left and right cervical lateral flexion(0°\~45°),left and right cervical rotation(0°\~60°).Through objective measurement methods, record and analyze the cervical spine mobility, and summarize the impact of Health Qigong before and after intervention on the cervical spine mobility of college students with cervical spondylosis.

  Pretest: Before experiment; Mid-test: 8 weeks end; Post-test: 12 weeks end.

Secondary Outcomes (1)

• Comprehensive efficacy evaluation after intervention

  First test: 8 weeks end, calculate effective rate; Second test: 12 weeks end, calculate the recurrence rate.

Study Arms (4)

EG1:Health Qigong·Yijinjing

EXPERIMENTAL

HQ·Yijinjing includes the following 10 movements:Wei Tuo Presenting the Stick1-3,Picking the star and Embracing the Moon,Hauling Nine Cattle's Tails Inversely,Pushing out the Palms Like Birds Extending the wings,Nine Ghosts Pulling Horse Blade Technique,Three Trays Falling Down,Black Dragon Streching out the Claws,Crouched Tiger,Pouncing on Its Prey,Bowing Posture,Hips Hanging.

Behavioral: Health Qigong·Yijinjing

EG2:Health Qigong·Wuqinxi

EXPERIMENTAL

HQ·Wuqinxi includes the following 10 movements:Tiger Lifting,Tiger Pouncing,Deer Wrestling,Deer Dashing,Bear Lumbering,Bear Swaying,Monkey Hooking,Monkey Picking,Crane Stretching,Crane Flying.

Behavioral: Health Qigong·Wuqinxi

EG3:Health Qigong·Baduanjin

EXPERIMENTAL

HQ·Baduanjin includes the following 8 movements:Supperting the Palms to the Sky to Regulate Qi of Sanjiao,Forward Lunge on the Right and Left Like Shooting an Eagle,Lifting One Arm to Regulate the Functions of Spleen and Stomach,Looking Backward to Treat Strain and Impairments,Swaying the Head and the Bottoms to Clear the Heat of Heart,Hands Grabbing Toes to Strengthen the Kidney and the Waist,Clenching Fists with Wild Eyes Glowering to Increase Strength,Raising and Lowering the Heels 7times to Alleviate Diseases.

Behavioral: Health Qigong·Baduanjin

CG:Walking

OTHER

The control group underwent walking exercise, with a walking speed of 1.0 ± 0.2m/s based on age characteristics and human dynamic stability.

Behavioral: Walking

Interventions

Health Qigong·Yijinjing BEHAVIORAL

1-2weeks:learning stage, the frequency is 1 time/day, 5times/week,30 min /time,the total duration controlled within 50 minutes,and includes 4 intervention contents.Warm up activity:take a slow walk around the track and field to activate body and activate small joints (5min).Basic Skills learning of HQ·Yijinjing:breathing exercises,hand exercises,trunk exercises,step exercises,stake exercises(10min).Learning a single action of a routine (30min).Cool down (5min).3-8weeks:practice stage,the frequency and duration of intervention remain unchanged, and the intervention components still include 4 parts.Based on the first two weeks,the intervention content emphasizes more on the practice of complete routine movements, as well as learning and experience the theories and functions of movements.8-12weeks:stop intervention phase,the subjects resume their daily activities and stop intervention. After this, the final data measurement and collection are conducted again.

EG1:Health Qigong·Yijinjing

Health Qigong·Wuqinxi BEHAVIORAL

1-2weeks:learning stage, the frequency is 1 time/day, 5times/week,30 min /time,the total duration controlled within 50 minutes,and includes 4 intervention contents.Warm up activity:take a slow walk around the track and field to activate body and activate small joints (5min).Basic Skills learning of HQ·Wuqinxi:breathing exercises,hand exercises,trunk exercises,step exercises,stake exercises(10min).Learning a single action of a routine (30min).Cool down (5min).3-8weeks:practice stage,the frequency and duration of intervention remain unchanged, and the intervention components still include 4 parts.Based on the first two weeks,the intervention content emphasizes more on the practice of complete routine movements, as well as learning and experience the theories and functions of movements.8-12weeks:stop intervention phase,the subjects resume their daily activities and stop intervention. After this, the final data measurement and collection are conducted again.

EG2:Health Qigong·Wuqinxi

Health Qigong·Baduanjin BEHAVIORAL

1-2weeks:learning stage, the frequency is 1 time/day, 5times/week,30 min /time,the total duration controlled within 50 minutes,and includes 4 intervention contents.Warm up activity:take a slow walk around the track and field to activate body and activate small joints (5min).Basic Skills learning of HQ·Baduanjin:breathing exercises,hand exercises,trunk exercises,step exercises,stake exercises(10min).Learning a single action of a routine (30min).Cool down (5min).3-8weeks:practice stage,the frequency and duration of intervention remain unchanged, and the intervention components still include 4 parts.Based on the first two weeks,the intervention content emphasizes more on the practice of complete routine movements, as well as learning and experience the theories and functions of movements.8-12weeks:stop intervention phase,the subjects resume their daily activities and stop intervention. After this, the final data measurement and collection are conducted again.

EG3:Health Qigong·Baduanjin

Walking BEHAVIORAL

1-8weeks:While the experimental group received intervention, the control group underwent walking exercise. The intervention frequency is the same as the experimental group: 1 time/day, 5times/week,30 minutes/time, the total duration controlled within 50 minutes, and includes 3 contents.Warm up activity:head movements,neck movements,shoulder movements, chest expansion exercise,waist rotation,body rotation, lunge movements,leg movements,knee joint movements,ankle movements(15 min).Walk around the track and field (30 min).Cool down (5min) 8-12weeks:stop intervention phase,the subjects resume their daily activities and stop intervention. After this, the final data measurement and collection are conducted again.

CG:Walking

Eligibility Criteria

• Age: 18 Years - 24 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• College students aged 18-24 who experience discomfort symptoms such as neck pain and limited neck mobility;
• The X-ray shows changes in cervical curvature and is diagnosed as neck type of cervical spondylosis;
• The subjects have never sought medical attention or taken relevant medication due to cervical spondylosis;
• The subjects do not have a personal exercise plan or professional exercise background;
• The subjects are in good physical condition and possess basic athletic abilities.

You may not qualify if:

• If the subjects have experienced neck sprains in the past month or has experienced acute neck trauma during the experiment, which limits neck movement, it will be excluded;
• Subjects with shoulder periarthritis, rheumatic myofibrositis, neurasthenia, and other neck and shoulder pain not caused by cervical disc degeneration were excluded;
• If the subjects suffer from various congenital deformities, inflammation, tuberculosis, tumors, and other diseases of the bone itself that can cause discomfort in the neck, they are excluded;
• If the subjects are absent for more than 5 times, it will be considered as sample shedding and will be excluded.
• If the subjects fail to participate in any data collection on time, they will be excluded.

Sponsors & Collaborators

• Universiti Putra Malaysia: lead

Study Sites (1)

Sichuan Nursing Vocational College

Chengdu, Sichuan, 610000, China

RECRUITING

Related Publications (8)

• Zhang YP, Hu RX, Han M, Lai BY, Liang SB, Chen BJ, Robinson N, Chen K, Liu JP. Evidence Base of Clinical Studies on Qi Gong: A Bibliometric Analysis. Complement Ther Med. 2020 May;50:102392. doi: 10.1016/j.ctim.2020.102392. Epub 2020 Apr 6.

  PMID: 32444061 BACKGROUND

• Chen X, Cui J, Li R, Norton R, Park J, Kong J, Yeung A. Dao Yin (a.k.a. Qigong): Origin, Development, Potential Mechanisms, and Clinical Applications. Evid Based Complement Alternat Med. 2019 Oct 21;2019:3705120. doi: 10.1155/2019/3705120. eCollection 2019.

  PMID: 31772593 BACKGROUND

• Zou L, Zhong C, Xu X, Liu F, Wang C, Shi B. Effect of Baduanjin exercise on cervical spondylosis: A protocol for the systematic review of randomized controlled trials. Medicine (Baltimore). 2021 Mar 26;100(12):e24813. doi: 10.1097/MD.0000000000024813.

  PMID: 33761641 BACKGROUND

• Dai W, Wang X, Xie R, Zhuang M, Chang X, Yang G, Yu J, Zhu L. Baduanjin exercise for cervical spondylotic radiculopathy: A protocol for systematic review and meta-analysis. Medicine (Baltimore). 2020 May;99(18):e0037s. doi: 10.1097/MD.0000000000020037.

  PMID: 32358384 BACKGROUND

• Liu Z, Hu H, Wen X, Liu X, Xu X, Wang Z, Li L, Liu H. Baduanjin improves neck pain and functional movement in middle-aged and elderly people: A systematic review and meta-analysis of randomized controlled trials. Front Med (Lausanne). 2023 Jan 10;9:920102. doi: 10.3389/fmed.2022.920102. eCollection 2022.

  PMID: 36703891 BACKGROUND

• Xu Z, Chen Y, Feng L, Lu Q. A Natural-Position X-Ray for Evaluating Cervical Vertebra Physiology Curvature Before and After Conservative Treatment. Med Sci Monit. 2023 May 18;29:e939480. doi: 10.12659/MSM.939480.

  PMID: 37246624 BACKGROUND

• Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991 Sep;14(7):409-15.

  PMID: 1834753 BACKGROUND

• Melzack R. The short-form McGill Pain Questionnaire. Pain. 1987 Aug;30(2):191-197. doi: 10.1016/0304-3959(87)91074-8.

  PMID: 3670870 BACKGROUND

Related Links

• This article is from National Library of Medicine.
• This article is from National Library of Medicine.
• This article is from National Library of Medicine.
• This article is from National Library of Medicine.
• This article is from National Library of Medicine.
• This article is from National Library of Medicine.
• This article is from National Library of Medicine.
• This article is from National Library of Medicine.

MeSH Terms

Conditions

Neck Pain; Spondylosis

Interventions

Walking

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Spinal Diseases; Bone Diseases; Musculoskeletal Diseases

Intervention Hierarchy (Ancestors)

Locomotion; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Exercise; Motor Activity

Study Officials

• Cong Liu, Phd

  University Putra Malaysia

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Cong Liu, Phd

CONTACT

+8618030431596; 405096762@qq.com

Kim Geok Soh, Professor

CONTACT

03-97698153; kims@upm.edu.my

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: BASIC SCIENCE
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: In this experiment, the experimental group intervened in the content of different Health Qigong routines designed in this study. In contrast, the control group intentionally intervened in walking exercise.

Study Record Dates

• First Submitted: November 8, 2023
• First Posted: November 14, 2023
• Study Start: November 7, 2023
• Primary Completion: February 7, 2024
• Study Completion: March 7, 2024
• Last Updated: November 14, 2023

Record last verified: 2023-11

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)