Effect of Baduanjin qigong on postoperative pulmonary rehabilitation in patients with non-small cell lung cancer: a randomized controlled trial

Author: Jilai Xu#1, Xia Li#2, Jing Zeng2, Yanfen Zhou2, Qiyan Li2, Zhenmin Bai1, Yuxuan Zhang3, Jun Xiao4
1 School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, China.
2 Guangzhou Special Service Recuperation, Center PLA Rocket Force, Guangzhou, China.
3 Guangzhou Special Service Recuperation, Center PLA Rocket Force, Guangzhou, China. 604249546@qq.com.
4 Guangzhou Special Service Recuperation, Center PLA Rocket Force, Guangzhou, China. 1772084889@qq.com.
Conference/Journal: Support Care Cancer
Date published: 2023 Dec 30
Other: Volume ID: 32 , Issue ID: 1 , Pages: 73 , Special Notes: doi: 10.1007/s00520-023-08194-4. , Word Count: 289

The purpose of this study was to explore the effect of Baduanjin qigong on improving lung function and postoperative quality of life of patients with non-small cell lung cancer (NSCLC) and to find an effective home-based pulmonary rehabilitation method.

A randomised controlled trial was carried out from July 2019 to October 2021, which included 216 NSCLC postoperative participants from Beijing China-Japan Friendship Hospital and Cancer Hospital of Chinese Academy of Medical Science. Participants were randomly divided into two groups, including the observation (n = 108) group and the control group (n = 108). The control group was given routine lung rehabilitation training, while the observation group was given Baduanjin qigong. Both groups were trained for 12 weeks.The patient's age, sex, smoking history, lung cancer stage, pathological type were recorded. Related indicators of lung function, 6-min walk distance(6MWD), Piper fatigue Scale, and Borg dyspnea score before and after intervention were recorded.

Compared with these indicators before indicators, lung function, 6MWD, Piper fatigue Scale score and Borg score were significantly better in the two groups after intervention (P < 0.05). There were no significant differences in FVC%, 6MWD and Borg score between the two groups (P > 0.05), whereas FEV1% and Piper fatigue Scale scores in the observation group were better than that in the control group (P < 0.05).

Both Baduanjin qigong and traditional pulmonary rehabilitation methods can improve the postoperative lung function and quality of life of patients with NSCLC; and compared with traditional pulmonary rehabilitation training, Baduanjin Qigong may have certain advantages in relieving cancer-related fatigue and FEV1%, and may be another new method of home-based pulmonary rehabilitation for patients with NSCLC.

Trial registration:
Clinical Trial No.: ChiCTR1900025121.

Keywords: Baduanjin; Non-small cell lung cancer; Quality of life.

PMID: 38158422 DOI: 10.1007/s00520-023-08194-4