CA07
Qigong for Multiple Sclerosis: A Pragmatic Randomized Feasibility Study
Traditional Chinese mind-body exercises, such as Tai Chi and Qigong, have been shown to improve balance, fatigue, and quality of life in a variety of chronic conditions. However, few trials have assessed the effects of Qigong specifically for people with multiple sclerosis (MS).
Objectives:
The primary objective of this study was to assess the feasibility of a pragmatic trial of community Qigong classes for people with MS. A secondary objective was to explore preliminary effects of Qigong on balance, gait, and quality of life for people with MS.
Methods:
In this randomized-controlled feasibility trial, twenty adults with any type of MS were assigned to a Qigong intervention (n=10) or wait-list control group (n=10). The intervention group participated in 60-to-90-minute community Qigong classes once a week for 10 weeks. Participants chose from four vetted Qigong instructors and selected a class that was geographically convenient and/or fit their schedule. Feasibility outcomes included recruitment, class attendance, frequency and duration of home practice, and ability to participate. Secondary outcome measures included the Timed 25-Foot Walk, Timed-up and Go, and Four Square Step tests, and validated surveys: MS Impact Scale, MS Walking Scale, Modified Fatigue Impact Scale, and PROMIS measures of quality of life, fatigue, anxiety and depression. This study is ongoing, analyses will compare between-group change from baseline to 10 weeks using independent t-tests. Paired t-tests will be used to compare within-group change for the intervention group.
Results:
This trial is ongoing. All participants have been enrolled and results will be presented in May 2018.
Conclusions:
This pragmatic study design maximizes external validity by reflecting how people encounter Qigong in the real world. Results may inform the design of a larger trial to assess the clinical impact of Qigong on balance, gait and quality of life for people with MS.