Integrative Oncology Care of Symptoms of Anxiety and Depression in Adults With Cancer: Society for Integrative Oncology–ASCO Guideline

Journal of Clinical Oncology, Год журнала: 2023, Номер 41(28), С. 4562 - 4591

Опубликована: Авг. 15, 2023

To provide evidence-based recommendations to health care providers on integrative approaches managing anxiety and depression symptoms in adults living with cancer.The Society for Integrative Oncology ASCO convened an expert panel of oncology, medical radiation surgical palliative social sciences, mind-body medicine, nursing, methodology, patient advocacy representatives. The literature search included systematic reviews, meta-analyses, randomized controlled trials published from 1990 through 2023. Outcomes interest or as measured by validated psychometric tools, adverse events. Expert members used this evidence informal consensus the Guidelines into Decision Support methodology develop guideline recommendations.The identified 110 relevant studies (30 reviews 80 trials) inform base guideline.Recommendations were made mindfulness-based interventions (MBIs), yoga, relaxation, music therapy, reflexology, aromatherapy (using inhalation) treating during active treatment; MBIs, acupuncture, tai chi and/or qigong, reflexology after cancer treatment. For symptoms, recommended treatment, qigong post-treatment.Issues patient-health provider communication, disparities, comorbid conditions, cost implications, implementation, training credentialing, quality assurance natural products are discussed. While several such MBIs yoga appear effective, limitations including assessment risk bias, nonstandardization therapies, lack diversity study samples, control conditions well future research directions discussed.Additional information is available at www.asco.org/survivorship-guidelines.

Язык: Английский

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Physical exercise for brain plasticity promotion an overview of the underlying oscillatory mechanism

Frontiers in Neuroscience, Год журнала: 2024, Номер 18

Опубликована: Авг. 8, 2024

The global recognition of the importance physical exercise (PE) for human health has resulted in increased research on its effects cortical activity. Neural oscillations, which are prominent features brain activity, serve as crucial indicators studying PE function. Existing studies support idea that modifies various types neural oscillations. While EEG-related literature science exists, a comprehensive review specifically healthy populations not yet been conducted. Given demonstrated influence plasticity, particularly oscillatory it is imperative to consolidate this phenomenon. Therefore, aims summarize numerous neuromodulatory mechanisms over past decade, covering (1) resistance and aerobic training via oscillations; (2) how mind-body affects activity cognitive functioning; (3) age-Related neurodegenerative disease rehabilitation oscillation mechanisms; (4) conclusion future direction. In conclusion, effect multifaceted process, seeks comprehensively examine existing studies' understanding regulates brain, providing more scientific theoretical foundation development personalized programs further research.

Язык: Английский

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The effect of the Tai Chi intervention on self-esteem and self-confidence perception in adult populations: a systematic review and meta-analysis

BMC Nursing, Год журнала: 2025, Номер 24(1)

Опубликована: Фев. 14, 2025

Abstract Background Self-esteem is a psychological outcome that positively related to mental and health, one of the most important elements in nursing. Developing strategies for self-esteem promotion therefore great importance nursing practice. Previous reviews suggested exercise interventions such as Tai Chi practice may confer both physical benefits humans, but on effect adults are lacking. Thus, this systematic review meta-analysis was conducted evaluate effectiveness promoting among adults. Methods We included randomized controlled trials investigated adults, where and/or self-confidence were reported outcomes. The literature search ten electronic databases. Two independent reviewers performed abstract full-text screening using Covidence. These also independently extracted data from studies, critical appraisal their methodological quality, revised Cochrane risk-of-bias tool (RoB2). Results Eleven studies review, which all rated having high risk bias or some concerns quality. Our demonstrated intervention can significantly improve post-intervention score higher participants compared controls (standardized mean difference: 0.46; 95% CI: 0.18–0.74; p = 0.001). Sensitivity analyses by excluding not reporting means standard deviations revealed similar findings. One study showed positive perception. Conclusions have moderately classes could be potential strategy implement within communities, especially individuals need older patients chronic illnesses detrimental effects well-being. However, given caution advised before recommending widespread implementation. Further high-quality research, including qualitative exploring how self-esteem, needed strengthen evidence base.

Язык: Английский

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Effects and mechanisms of Tai Chi on mild cognitive impairment and early-stage dementia: a scoping review

Systematic Reviews, Год журнала: 2023, Номер 12(1)

Опубликована: Окт. 28, 2023

Abstract Background Dementia is associated with cognitive and functional decline that significantly impacts quality of life. There currently no cure for dementia, thus, it important to manage dementia in the early stages delay deterioration. Previous studies have documented a range health benefits Tai Chi people early-stage however, none systematically integrated these effects their underlying mechanisms. The aims this study were (1) identify neurocognitive, psychological, physical oi (2) explore mechanisms effects. Methods We searched systematic reviews (SRs) randomised control trials (RCTs) on adults aged 50 years older mild impairment (MCI) or MEDLINE, PubMed, Cochrane Library, EMBASE, major Chinese databases. No language publication restrictions applied. Risk bias was assessed. Results Eight SRs meta-analyses 6 additional published RCTs revealed inconsistent findings improving global function, attention executive memory language, perceptual-motor function. significant between-group difference depressive symptoms. results from showed can reduce arthritis pain slow progress dementia. MCI investigating identified. Instead, nine mechanistic healthy included. These suggested may improve cognition via increased regional brain activity, large-scale network connectivity, grey matter volume. Conclusion neurocognitive outcomes are still inconclusive. Further high-quality clinical needed understand if how be applied as successful intervention deterioration life an risk decline.

Язык: Английский

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Are Tai Chi and Qigong effective in the treatment of traumatic brain injury? A systematic review

BMC Complementary Medicine and Therapies, Год журнала: 2024, Номер 24(1)

Опубликована: Фев. 6, 2024

Traumatic brain injury (TBI) adversely affects both young and old is a growing public health concern. The common functional, psychological, cognitive changes associated with TBI recent trends in its management, such as recommending sub-threshold aerobic activity, multi-modal treatment strategies including vestibular rehabilitation, suggest that Tai Chi/Qigong could be beneficial for TBI. Chi Qigong are mind-body practices known benefits maintaining mitigating chronic disease. To date, no systematic review has been published assessing the safety effectiveness of traumatic injury.

Язык: Английский

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The Science of Tai Chi and Qigong and Whole Person Health Part I: Rationale and State of the Science

Journal of Integrative and Complementary Medicine, Год журнала: 2025, Номер unknown

Опубликована: Март 17, 2025

The emerging paradigm of whole person health shares many core principles with traditional complementary and integrative frameworks, including Tai Chi qigong (TCQ). In the Fall 2023, Harvard Medical School Osher Center for Integrative Health hosted inaugural international conference on Science Whole Person Health: Advancing Integration Mind-Body Practices into Contemporary Care held at School. A two-part white paper was written to summarize key topics, findings, issues. Part I presented here summarizes rationale synthesizes state evidence TCQ as rehabilitative preventive tools a range clinical conditions, falls balance, cognition, mental health, sleep, cardiorespiratory musculoskeletal cancer, well translational related neurophysiology, brain immune function, biomarkers inflammation. science TCQ, viewed through lens East Asian constructs, is also discussed. II this outlines gaps opportunities discusses strategies address challenges in research, dissemination, implementation.

Язык: Английский

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Combined Chiropractic Care and Tai Chi for Chronic Neck Pain: A Protocol for a Pilot Randomized Trial

Contemporary Clinical Trials Communications, Год журнала: 2025, Номер unknown, С. 101482 - 101482

Опубликована: Апрель 1, 2025

Язык: Английский

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The Science of Tai Chi and Qigong as Whole Person Health- Part II: Evidence Gaps and Opportunities for Future Research and Implementation

Journal of Integrative and Complementary Medicine, Год журнала: 2025, Номер unknown

Опубликована: Апрель 14, 2025

Background: The emerging paradigm of whole person health shares many core principles with traditional complementary and integrative frameworks, including Tai Chi Qigong (TCQ). Methods: In the fall 2023, Harvard Medical School Osher Center for Integrative Health hosted inaugural international conference on Science & Whole Person Health: Advancing Integration Mind-Body Practices into Contemporary Healthcare at School. A two-part white paper was written to summarize key topics, findings, issues. Results Discussion: Part II presented here summarizes evidence gaps future research opportunities, including: understudied clinical conditions populations, impact long-term TCQ training, understanding specific styles, training regimens, dosage, contextual effects; implementation, cost-effectiveness, medical utilization research; individual data meta-analysis, teaching competencies, credentialing, licensure. I this discusses rationale conference, synthesizes state as rehabilitative preventive tools a range conditions, translational informing therapeutic mechanisms associated training.

Язык: Английский

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Analysis of technical characteristics of typical lower limb balance movements in Tai Chi: a cross-sectional study based on AnyBody bone muscle modeling

PeerJ, Год журнала: 2023, Номер 11, С. e15817 - e15817

Опубликована: Авг. 3, 2023

Tai Chi is an excellent traditional Chinese physical fitness exercise, and its unique balancing movements are very important for improving human balance. In this study, the two most representative balance movements, "knee lift balance" "leg stirrup balance", were selected to establish lower limb bone muscle model of by using computer simulation modeling technology, aiming analyze characteristics movement mechanisms typical provide a quantitative theoretical basis scientific level Chi.A total 16 subjects recruited study. BTS three-dimensional motion capture system force platform used data acquisition, physiological electromyographic signals collected surface electromyography, was established AnyBody simulation.In knee movement, leg hip abduction/adduction angle, flexion/extension moment, strength rectus femoris muscle, biceps short capitis, iliacus amateur group significantly smaller than that professional (P < 0.01). angle in greater 0.01), inversion/abduction iliacus, gluteus maximus, obturator internus those The integral EMG support lateral femoral 0.01).In we found has larger joint smaller, moments larger. This related activity activation, amateurs should pay attention increasing range decreasing when practicing better stimulate exercise joints. addition, practice strengthen which plays role maintaining stable limbs, flexor extensor muscles adductor/abductor leg, thus promoting stability movements.

Язык: Английский

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Professional Development Workshop for Physical Education Teachers in Southwest China: Benefiting Tai Chi Students with Pedagogical Content Knowledge

Sustainability, Год журнала: 2023, Номер 15(13), С. 10541 - 10541

Опубликована: Июль 4, 2023

Researchers have examined the common and specialized content knowledge (CCK/SCK) of physical education (PE) teachers compared their pedagogical (PCK) with student learning outcomes globally. However, little research has been reported in China on relationship between PCK PE settings. The aims study were (i) to investigate influence teacher development stages settings (ii) examine impact teachers’ students’ performance Tai Chi techniques (TCTs) after six days instruction. Two chosen from two urban, public, mid-sized middle schools located Chengdu, Sichuan Province, China. This involved 332 students 5th 6th grade classes. consisted 185 5th-grade (98 boys 87 girls) 147 6th-grade (70 77 girls). We how TCT changed a professional workshop (PDW). Each had classes randomly assigned control or experimental condition groups. three phases. Initially, was introduced; then, PDW provided for teachers; finally, implemented. Teaching behaviors described using mean values, t-tests based highest scores conducted effect learning. Furthermore, sizes calculated Cohen’s d. Significant relationships existed PCK, CK, knowledge, ranging 1.92 6.82. Additionally, improvements associated improved (p < 0.05). Increased skills can improve behavior, resulting TCTs. These findings may provide evidence future recommendations regarding skill training programs teachers.

Язык: Английский

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