Mawangdui-Guidance Qigong Exercise for patients with chronic non-specific low back pain: Study protocol of a randomized controlled trial

Author: Guilong Zhang1, Liang Gao2, Di Zhang3, Hongjian Li1,4, Yuquan Shen5, Zhengsong Zhang6, Yong Huang1
Affiliation: <sup>1</sup> Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China. <sup>2</sup> Beijing Bo&#x27;ai Hospital China Rehabilitation Research Center, School of Rehabilitation, Capital Medical University, Beijing, China. <sup>3</sup> Department of Rehabilitation, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China. <sup>4</sup> Department of Orthopedics, Yibin Hospital of Traditional Chinese Medicine, Yibin, Sichuan, China. <sup>5</sup> Department of Rehabilitation, The First People&#x27;s Hospital of Longquanyi District, Chengdu, China. <sup>6</sup> Traditional Chinese Medicine (TCM) Preventive Medical Center, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Conference/Journal: Front Neurosci
Date published: 2023 Mar 13
Other: Volume ID: 17 , Pages: 1090138 , Special Notes: doi: 10.3389/fnins.2023.1090138. , Word Count: 298

Worldwide, there is a high frequency of chronic non-specific low back pain (CNLBP), which is a significant public health concern. The etiology is complicated and diverse, and it includes a number of risk factors such as diminished stability and weak core muscles. Mawangdui-Guidance Qigong has been employed extensively to bolster the body in China for countless years. However, the effectiveness of treating CNLBP has not been assessed by a randomized controlled trial (RCT). In order to verify the results of the Mawangdui-Guidance Qigong Exercise and examine its biomechanical mechanism, we intend to perform a randomized controlled trial.

Methods and analysis:
Over the course of 4 weeks, 84 individuals with CNLBP will be randomly assigned to receive either Mawangdui-Guidance Qigong Exercise, motor control exercise, or medication (celecoxib). Electromyographic data, including muscle activation time, iEMGs, root mean square value (RMS) and median frequency (MF), will be the main outcomes. The Japanese Orthopedic Association (JOA) Score, the Mcgill Pain Questionnaire (MPQ), beta-endorphin, and substance P are examples of secondary outcomes. At the start of treatment and 4 weeks later, all outcomes will be evaluated. SPSS version 20.0 (SPSS Inc., Chicago, IL, USA) will be used for all of the analysis.

The prospective findings are anticipated to offer an alternative treatment for CNLBP and provide a possible explanation of the mechanism of Mawangdui-Guidance Qigong Exercise on CNLBP.

Ethics and dissemination:
The Sichuan Regional Ethics Review Committee on Traditional Chinese Medicine has given the study approval (Approval No. 2020KL-067). It has also registered at the website of China Clinical Trial Center Registration. The application adheres to the Declaration of Helsinki's tenets (Version Edinburgh 2000). Peer-reviewed papers will be used to publicize the trial's findings.

Trial registration number:, identifier ChiCTR2000041080.

Keywords: Qigong; RCT; low back pain; paraspinal muscles; postural balance.

PMID: 36992848 PMCID: PMC10040536 DOI: 10.3389/fnins.2023.1090138