Article ; Online: Virtual Tai Chi program for patients with irritable bowel syndrome with constipation: Proof-of-concept feasibility trial.
2022 Volume 34, Issue 11, Page(s) e14429
Abstract: ... with constipation (IBS-C) is low, with many patients turning to complementary treatments. Tai Chi is ... the feasibility and preliminary clinical outcomes associated with a Tai Chi program designed for IBS-C.: Methods ... A total of 27 IBS-C patients participated in a single-arm trial of 8 sessions of Tai Chi delivered weekly ...
Abstract | Background: Satisfaction with current treatment options for irritable bowel syndrome with constipation (IBS-C) is low, with many patients turning to complementary treatments. Tai Chi is a mind-body medicine practice with proven efficacy in other functional disorders. As a proof-of-concept, we tested the feasibility and preliminary clinical outcomes associated with a Tai Chi program designed for IBS-C. Methods: A total of 27 IBS-C patients participated in a single-arm trial of 8 sessions of Tai Chi delivered weekly over 7 weeks via live videoconferencing in group format. Clinical improvement was assessed via change in IBS Symptom Severity Score (IBS-SSS) from baseline to 4 weeks posttreatment (week 11) with secondary outcomes exploring symptom ratings, IBS-related quality of life (IBS-QOL), GI-specific anxiety, abdominal distention, and psychological factors. Key results: Despite substantial dropout (n = 7; 26%), the treatment protocol had moderate to excellent feasibility for other criteria. Treatment satisfaction was excellent. Exit interviews confirmed high satisfaction with the program among completers, but a high burden of data collection was noted. One participant experienced an adverse event (mild, exacerbation of sciatica). There was a significant improvement in intra-individual IBS-SSS between baseline and posttreatment (average change -66.5, 95% CI -118.6 to -14.3, p = 0.01). Secondary outcomes were notable for improvements in other IBS symptom scoring measures, IBS-QOL, measured abdominal diameter, and leg strength. Conclusions and inferences: Our data provide preliminary evidence of the feasibility of a Tai Chi intervention for IBS-C, show promise for improving outcomes, and identify more streamlined data collection as an area for further program improvement. |
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MeSH term(s) | Constipation/drug therapy ; Feasibility Studies ; Humans ; Irritable Bowel Syndrome/drug therapy ; Irritable Bowel Syndrome/therapy ; Proof of Concept Study ; Quality of Life ; Tai Ji ; Treatment Outcome |
Language | English |
Publishing date | 2022-07-14 |
Publishing country | England |
Document type | Journal Article ; Research Support, N.I.H., Extramural |
ZDB-ID | 1186328-6 |
ISSN | 1365-2982 ; 1350-1925 |
ISSN (online) | 1365-2982 |
ISSN | 1350-1925 |
DOI | 10.1111/nmo.14429 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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