Tai Chi Movements for Wellbeing – evaluation of a British Lung Foundation pilot

• Published in: Perspectives in Public Health 2020-05, Vol.140 (3), p.172-180
• Main Authors: Lewis, A, Hopkinson, NS
• Format: Article
• Language: English
• Subjects: Aged; Aged, 80 and over; Breathlessness; Chronic obstructive pulmonary disease; Confidence intervals; Dyspnea; Dyspnea - therapy; Evaluation; Exercise; Female; Humans; Lung diseases; Lung Diseases - therapy; Lungs; Male; Martial arts; Medical research; Middle Aged; Obstructive lung disease; Pilot Projects; Pulmonary Disease, Chronic Obstructive - therapy; Quality of Life; Questionnaires; Rehabilitation; Relaxation; Respiration; Respiratory diseases; Signs and symptoms; Tai Chi; Tai Ji - methods; Well being; Women
• ISSN: 1757-9139; 1757-9147
• DOI: 10.1177/1757913919872515

Aims: In breathless individuals with respiratory disease, pulmonary rehabilitation (PR) can improve exercise capacity, symptoms and ability to cope with their condition. However, access is often limited, and adherence can be poor. Thus, there is interest in developing alternative and complementary forms of exercise intervention and tai chi may be effective in this context. Method: The British Lung Foundation worked in collaboration with ‘Tai Chi Movements for Wellbeing’ Training to train leaders to run community-based tai chi groups in the UK. Leaders received funding to run 3 months of once-a-week classes consisting of a 12 movement sequence of tai chi. Participants completed a questionnaire survey to evaluate the service at the start of their first session and again after 3 months. Results: Ten tai chi groups recruited 128 participants, 65% women, mean (standard deviation (SD)) age 70.1 (7.4) years at baseline. Seventy individuals completed the follow-up questionnaire at 3 months. Participants demonstrated an improvement in Medical Research Council (MRC) Dyspnoea Score pre 3 (interquartile range (IQR) = 1.8), post 2 (IQR = 1), p = .013 and disease burden; chronic obstructive pulmonary disease (COPD) assessment test score pre 19.4 (8.7), post 17.9 (9.4), mean change –1.5 (confidence interval (CI): –2.89 to –0.127), p = .033. Those who completed the programme had a worse baseline COPD assessment test (CAT) score and were more likely to have participated in maintenance exercise previously. Qualitative feedback suggested that participants felt the classes had helped with breathlessness and relaxation. Conclusion: Establishing a tai chi for wellbeing programme for people with respiratory disease is feasible, with a reasonable level of compliance, and is perceived to be helpful by participants.