Effect of Tai Ji Quan training on self-reported sleep quality in elderly Chinese women with knee osteoarthritis: a randomized controlled trail.

Author: Lü J1, Huang L1, Wu X1, Fu W1, Liu Y2
Affiliation:
1Key Laboratory of Exercise and Health Sciences of Ministry of Education, Shanghai University of Sport, Shanghai, 200438, China.
2Key Laboratory of Exercise and Health Sciences of Ministry of Education, Shanghai University of Sport, Shanghai, 200438, China. Electronic address: yuliu@sus.edu.cn.
Conference/Journal: Sleep Med.
Date published: 2017 May
Other: Volume ID: 33 , Pages: 70-75 , Special Notes: doi: 10.1016/j.sleep.2016.12.024. Epub 2017 Feb 6. , Word Count: 280


OBJECTIVE: The purpose of this study was to explore the effects of a 24-week Tai Ji Quan training program on sleep quality, quality of life, and physical performance among elderly Chinese women with knee osteoarthritis (OA).

METHODS: A 24-week randomized, controlled trial of 46 elderly women with knee OA. Participants were randomly assigned to either a Tai Ji Quan group (n = 23) or a control group (n = 23). Participants in the Tai Ji Quan group completed training sessions three times per week, while those in the control group had bi-weekly educational classes. The primary outcome was total score of the Pittsburgh Sleep Quality of Index (PSQI). Secondary outcomes were: seven subscales of the PSQI; sleep latency; total sleep time; sleep efficiency; physical component summary (PCS) and mental component summary (MCS) of the 36-item Short Form Health Survey (SF-36); Berg Balance Scale (BBS); and Timed Up and Go (TUG).

RESULTS: Compared with the control group, participants in the Tai Ji Quan group had significantly improved primary outcome (global PSQI score, p = 0.006) and secondary outcomes, including three PSQI sub-scores (sleep latency, p = 0.031; sleep duration, p = 0.043; daytime dysfunction, p = 0.007), total sleep time (p = 0.033), and SF-36 PCS (p = 0.006). The Tai Ji Quan group also had significant improvements compared with baseline in three PSQI sub-scores (sleep latency, p = 0.031; habitual sleep efficiency, p = 0.049; sleep disturbance, p = 0.016), sleep latency (p = 0.003), BBS (p = 0.001), and TUG (p = 0.006).

CONCLUSION: Tai Ji Quan training is an effective treatment approach to improve sleep quality and quality of life in elderly Chinese women with knee OA.

TRIAL REGISTRATION: Chinese Clinical Trial Registry (June 16, 2013): ChiCTR-TRC-13003264.

Copyright © 2017 Elsevier B.V. All rights reserved.

KEYWORDS: Aging; Quality of life; Rheumatic diseases; Sleep quality; Tai Chi

PMID: 28449910 DOI: 10.1016/j.sleep.2016.12.024

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