Qigong Training Positively Impacts Both Posture and Mood in Breast Cancer Survivors With Persistent Post-surgical Pain: Support for an Embodied Cognition Paradigm

Author: Ana Paula Quixad√°1, Jose G V Miranda1, Kamila Osypiuk2, Paolo Bonato3, Gloria Vergara-Diaz3, Jennifer A Ligibel4, Wolf Mehling5, Evan T Thompson6, Peter M Wayne2
1 Laboratory of Biosystems, Institute of Physics, Universidade Federal da Bahia, Salvador, Brazil.
2 Osher Center for Integrative Medicine, Harvard Medical School and Brigham and Women's Hospital, Boston, MA, United States.
3 Department of Physical Medicine and Rehabilitation, Harvard Medical School, Spaulding Rehabilitation Hospital, Boston, MA, United States.
4 Zakim Center for Integrative Therapies and Healthy Living, Harvard Medical School, Dana Farber Cancer Institute, Boston, MA, United States.
5 Department of Family and Community Medicine, Osher Center for Integrative Medicine, University of California, San Francisco, San Francisco, CA, United States.
6 Department of Philosophy, University of British Columbia, Vancouver, BC, Canada.
Conference/Journal: Front Psychol
Date published: 2022 Feb 21
Other: Volume ID: 13 , Pages: 800727 , Special Notes: doi: 10.3389/fpsyg.2022.800727. , Word Count: 251

Theories of embodied cognition hypothesize interdependencies between psychological well-being and physical posture. The purpose of this study was to assess the feasibility of objectively measuring posture, and to explore the relationship between posture and affect and other patient centered outcomes in breast cancer survivors (BCS) with persistent postsurgical pain (PPSP) over a 12-week course of therapeutic Qigong mind-body training. Twenty-one BCS with PPSP attended group Qigong training. Clinical outcomes were pain, fatigue, self-esteem, anxiety, depression, stress and exercise self-efficacy. Posture outcomes were vertical spine and vertical head angles in the sagittal plane, measured with a 3D motion capture system in three conditions: eyes open (EO), eyes open relaxed (EOR) and eyes closed (EC). Assessments were made before and after the Qigong training. The association between categorical variables (angle and mood) was measured by Cramer's V. In the EO condition, most participants who improved in fatigue and anxiety scales also had better vertical head values. For the EOR condition, a moderate correlation was observed between changes in vertical head angle and changes in fatigue scale. In the EC condition, most of the participants who improved in measures of fatigue also improved vertical head angle. Additionally, pain severity decreased while vertical spine angle improved. These preliminary findings support that emotion and other patient centered outcomes should be considered within an embodied framework, and that Qigong may be a promising intervention for addressing biopsychosocially complex interventions such as PPSP in BCSs.

Keywords: Qigong; breast cancer; embodied cognition; mood; posture.

PMID: 35265005 PMCID: PMC8900705 DOI: 10.3389/fpsyg.2022.800727