By: D2- Gil Legarda and Joanalyn Balino
The Effect of a Tai Chi Exercise Program on Quality of Life in Patients on
Peritoneal Dialysis: a Pilot Study
Stefan Mustata, Lorne Cooper, Nicholas Langrick, Noreen Simon, Vanita Jassal, and
Dimitrios G. Oreopoulos
Mustata, S., Cooper, L. et al. made a pilot study about the effects of Tai Chi Wu-style-based exercise training program (the sequence of its movements, performed slowly and rhythmically, is a form of exercise that promotes physical strength, relaxation, and balance) in the quality of life of patients undergoing peritoneal dialysis. They wanted to test that a Tai Chi Wu-style-based exercise training program may have a beneficial effect on the quality of life in patients on peritoneal dialysis by improving balance and strength, decreasing levels of depression and anxiety, and promoting concentration and relaxation. There were a total of 6 patients participated in the study. The inclusion criteria were: (1)18 to 80 years of age; (2) receiving peritoneal dialysis for at least 3 months; (3) with regular follow-up in outpatient clinic. The exclusion criteria: (1) with active symptomatic cardiovascular or respiratory disease; (2) Those who have uncontrolled diabetes; (3) with severe musculoskeletalabnormalities exacerbated by exercise; and (4) those with visual impairment. The intervention was facilitated by a certified instructor. Classes were done in weekly basis with 1 hour’sduration for 3 months in the physiotherapy room of the Peritoneal Dialysis Unit, Toronto Western Hospital. The physician and the nurse were the one providing the medical supervision. Also, patients were encouraged to practice at home at least twice per week without supervision.A well-documented self- administered questionnaire was used to assess patient’s Quality of life this is called Short Form with 36 questions (SF-36). This questionnaire includes physical health and mental health.
Results: From 48.9 at baseline the total Mental Health dimension score increased significantly to 58.4 at the end of the intervention (p = 0.047). The score for Social Functioning was p = 0.025 and the score of Role Emotional was p = 0.042. After 3 months, SF-36 score increased from 52.8 at baseline to 59.9, but did not reach statistical significance (p = 0.10). There was no effect on the laboratory values and ideal weights in the study group after the exercise program. During and after the Tai Chi classes, there was no complications or side-effects noted.
The Mental Health dimension score of the SF-36 questionnaire in 6 patients on PD was significantly improved even though it did not reach statistical significance after 3 months of Tai-Chi Wu-style based exercise. This result was considered as the major finding of the study. This pilot study plays a key role on the activity / exercise regimen for patients undergoing peritoneal dialysis because if patients have good mental health condition it is a contributory factor to improve patient’s quality of life.
Reference: you will see the study in page 7 of the PDF file
Mustata, S.,Cooper, L. et al. (2005). The Effect of a Tai Chi Exercise Program on Quality of Life in Patients on Peritoneal Dialysis: a Pilot Study. Peritoneal
Dialysis International 25: 291-294. Retrieved July 1, 2009 from http://www.pdiconnect.com/cgi/reprint/25/3/291?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=Tai-chi&andorexactfulltext=and&searchid=1&FIRSTINDEX=0&sortspec=relevance&resourcetype=HWCIT
Last edited by gillegarda/joanalynbalino on Tue 07 Jul 2009, 2:10 am; edited 3 times in total