United States Government Endorses Qigong and Tai Chi

The Need to Redesign Health Care

VHA whole health system model

New England Journal of Medicine, May 15, 2019. The VHA and DoD are developing a new health paradigm. Note that the top bullet under WELL-BEING PROGRAMS is self-care. Qigong and Tai Chi are prime examples of self-care. The real crisis is how we manage disease. Physicians do not receive training in non-drug treatments. Chronic diseases are lifestyle and behavior based. Article.

The Veterans Health Administration Whole Health Model of Care: Early Implementation and Utilization at a Large Healthcare System. The U.S. Veterans Health Administration (VHA) is changing the way it provides healthcare to a model known as Whole Health (WH). The aim is to shift from a primarily medical/disease-oriented system to a model that focuses on health promotion and disease prevention; utilizes personalized, proactive, and patient-driven care; and emphasizes the use of complementary and integrative health. Implementation of the WH model of care has the potential to transform the way VHA delivers healthcare and improve the health and lives of veterans. [PMID: 32870303].

U.S. Department of Veterans Affairs

Evidence Map of Tai Chi. The VHA's Health Services Research & Development Service (HSR&D) Evidence-based Synthesis Program (ESP) was established to provide timely and accurate syntheses of targeted healthcare topics of particular importance to VA managers and policymakers, as they work to improve the health and healthcare of Veterans. The ESP disseminates these reports throughout VA. HSR&D provides funding for four ESP Centers and each Center has evidence map of tai chi report coveran active VA affiliation. The ESP Centers generate evidence syntheses on important clinical practice topics, and these reports help develop clinical policies informed by evidence, the implementation of effective services to improve patient outcomes and to support VA clinical practice guidelines and performance measures, and set the direction for future research to address gaps in clinical knowledge.The Evidence Map of Tai Chi provides an overview of Tai Chi research and describes its volume and focus. It combines a systematic review of systematic reviews with a scoping review for the Veterans Administration priority areas pain, posttraumatic stress disorder, and fall prevention. The evidence map summarizes patient outcomes reported in reviews of studies in patients practicing Tai Chi for health-related indications. Statistically significant effects across existing studies were reported for hypertension, falls outside of institutions, cognitive performance, osteoarthritis, chronic obstructive pulmonary disease, pain, balance confidence, depression, and muscle strength.

AHRQ Evidence Report

Meditation Practices for Health

State of Research

The Meditation Practices for Health Report was requested and funded by the National Center for Complementary and Integrative Medicine. It was created by the Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services.

Objective: To review and synthesize the state of research on a variety of meditation practices, including: the specific meditation practices examined; the research designs employed and the conditions and outcomes examined; the efficacy and effectiveness of different meditation practices for the three most studied conditions; the role of effect modifiers on outcomes; and the effects of meditation on physiological and neuropsychological outcomes.

Meditation Programs for Psychological Stress and Well-Being (.PDF). Comparative Effectiveness Review Number 124. Meditation programs, in particular mindfulness programs, reduce multiple negative dimensions of psychological stress. Stronger study designs are needed to determine the effects of meditation programs in improving the positive dimensions of mental health as well as stress- related behavioral outcomes.

U.S. Department of Health and Human Services Recommends Tai Chi

NIH review finds nondrug approaches effective for treatment of common pain conditionsU.S. study reviews trial results on complementary health approaches for pain relief; aims to assist with pain management.

Tai Chi is an effective nonpharmacologic therapy for low back pain. This review examines the evidence on the comparative benefits and harms of noninvasive treatments for low back pain as opposed to pharmacological therapies. This is an AHRQ Comparative Effectiveness Review funded by the U.S. Department of Health & Human Services. Comparative effectiveness research is designed to inform health-care decisions by providing evidence on the effectiveness, benefits, and harms of different treatment options. The evidence is generated from research studies that compare drugs, medical devices, tests, surgeries, or ways to deliver health care. The Effective Health Care Program funds individual researchers, research centers, and academic organizations to work together with the Agency for Healthcare Research and Quality (AHRQ) to produce effectiveness and comparative effectiveness research for clinicians, consumers, and policymakers. Comparative effectiveness reviews draw on completed scientific studies to make head-to-head comparisons of different health care interventions. They outline the effectiveness — or benefits and harms — of treatment options.

U.S. Department of Health and Human Services Administration for Community Living 

The Administration on Aging provides grants to States and Territories based on their share of the population aged 60 and over for education and implementation activities that support healthy lifestyles and promote healthy behaviors. Evidence-based health promotion programs reduce the need for more costly medical interventions.

 A number of Tai Chi based programs have met varying degrees of criteria for inclusion in the AoA's list of effective evidence-based interventions for improving health and wellbeing or reducing disease, disability and/or injury among older adults; and being ready for translation, implementation and/or broad dissemination by community-based organizations using appropriately credentialed practitioners.

Report: Tai Chi: Moving for Better Balance.

National Center for Complementary and Integrative Health

Mind and Body Practices for Fibromyalgia. Recent systematic reviews and randomized clinical trials provide encouraging evidence that practices such as tai chi, qi gong, yoga, massage therapy, acupuncture, and balneotherapy may help relieve some fibromyalgia symptoms.

Tai Chi Has Similar or Greater Benefits Than Aerobic Exercise for Fibromyalgia, Study Shows.

Office of the Surgeon General

surgeon general logo

 

 

 

 

 

Bone Health and Osteoporosis: A Report of the Surgeon General Issued October 14, 2004. The Surgeon General recommends Tai Chi as a key part of a regular exercise program to improve balance, strength, and coordination to reduce the risk of falling.

CIA

Experimental Research in the Application of Qigong (Deep Breathing) Exercises to Restore Intelligence for Mentally Handicapped Children. 2000 CIA report: "Practical results prove that Qigong intelligence recovery therapy can alter the state of low functional ability of the cerebral brain cells of mentally handicapped children. It only requires enough time for such Qigong intelligence restoration therapy, and the intelligence of feeble-minded children can be raised even to normal levels".

National Institutes of Health recommends Qigong for hypertension

In 1996 Dr. Ken Sancier, founder of the Qigong Institute, wrote a paper describing the benefits of Qigong for hypertension. It's nice to see that NIH has finally concurred. Sancier's paper: The Anti-Aging Benefits of Qigong.

Whole Health Qi Gong video

Veterans Health Administration: Veterans share Qi gong class impact on their lives.

Government Initiatives on Pain

Pain Management Task Force

Office of The Army Surgeon General

Final Report
May 2010
Providing a Standardized DoD and VHA Vision and Approach to Pain Management to Optimize the Care for Warriors and their Families. 

Pain medicine should be managed by integrated care teams which employ a biopsychosocial model of care. The Biopsychosocial Model takes the position that the causes and outcomes of many illnesses often involve the interaction of physical and pathophysiologic factors, psychological traits and states, and social-environmental factors.

Finding the Cause of the Crises: Opioids, Pain, Suicide, Obesity, and Other “Epidemics”

The Need To Redesign Health Care

new health care model

The VHA and DoD are developing a new health paradigm. Note that the top bullet under WELL-BEING PROGRAMS is self-care. Qigong and Tai Chi are prime examples of self-care. New England Journal of MedicineArticle. May 15, 2019. The real crisis is how we manage chronic disease. Physicians do not receive training in non-drug treatments for pain. Chronic diseases are lifestyle and behavior based.

Health and Medicine Division (formerly Institute of Medicine - IOM)

of The National Academies

Relieving Pain in America

A Blueprint for Transforming Prevention, Care, Education, and Research. June 29, 2011. PMID: 22553896

The IOM is an independent, nonprofit organization that works outside of government to provide unbiased and authoritative advice to decision makers and the public. Established in 1970, the IOM is the health arm of the National Academy of Sciences, which was chartered under President Abraham Lincoln in 1863. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. 

Underlying principle for the report: Chronic pain can be a disease in itself and there is a need for interdisciplinary approaches. Comprehensive and interdisciplinary (e.g. biopsychosocial) approaches are the most important and effective ways to treat pain. Education [of patient, general public, and health professionals] is a central part of the necessary cultural transformation of the approach to pain. Education challenges include "the need to consider chronic pain as a biopsychosocial disorder"Pain is a topic of interest to virtually every NIH institute and center, but not a central concern of any one of them.

Department of Defense Recommends Tai Chi and Qigong

Military Researchers Collaborate With University on Opioid Crisis. "We now have good evidence for the use of non-pharmacologic, non-opioid treatments, such as yoga, guided imagery, medical massage, chiropractic, acupuncture, Tai Chi, as well as a closely related movement therapy called Qigong, and music therapy," he said. "We have pretty good research to endorse their use."

The U.S. Army enlists Tai Chi and Qigong in the fight against addiction. Lt. Gen. Schoomaker commented that “We now have good evidence for the use of non-pharmacologic, non-opioid treatments, such as yoga, guided imagery, medical massage, chiropractic, acupuncture, Tai Chi, as well as a closely related movement therapy called Qigong, and music therapy…We have pretty good research to endorse their use.”

Tai Chi in the VA. Vets find this ancient discipline to be relaxing therapy

Tai Chi Helps Manage Intrusive Thoughts in Veterans With PTSD

silhouette of man doing tai chi

Veterans with symptoms of posttraumatic stress disorder (PTSD) who participated in in Tai Chi not only would recommend it to a friend, but also found the ancient Chinese tradition helped with their symptoms including managing intrusive thoughts, difficulties with concentration and physiological arousal. Read article.

Centers for Disease Control

CDC logoRecommendations for an Effective Personal Falls Prevention Program

 

Exercise that can be offered through group classes or individually. Exercise programs can be offered in a community setting, at home with supervision, or in a program that combines group classes or one-on-one training with home-based exercise. Appropriate types of exercises that effectively reduce falls in older adults includes Tai Chi

Preventing Falls: How to Develop Community-based Fall Prevention Programs for Older Adults

The following publication has several articles recommending Tai Chi. CDC Compendium of Effective Fall Interventions: What Works for Community-Dwelling Older Adults, 2nd Edition (website) 

Falls Compendium (.PDF 7.3MB, 159 Pages)

CDC STEADI Initiative offers a coordinated approach to implementing the American and British Geriatrics Societies’ Clinical Practice Guideline for Prevention of Falls in Older Persons, which includes a recommendation for Tai Chi: All multifactorial interventions for community-residing older people should have an exercise component. Exercise recommendations in the 2010 guidelines specify programs that include balance, gait, and strength training, such as tai chi or physical therapy, in group programs or as individual programs at home.

Administration for Community Living's Administration on Aging

administration on aging

The Administration for Community Living's Administration on Aging provides grants to States and Territories based on their share of the population aged 60 and over for education and implementation activities that support healthy lifestyles and promote healthy behaviors. Evidence-based health promotion programs reduce the need for more costly medical interventions.

A number of Tai Chi based programs have met varying degrees of criteria for inclusion in the AoA's list of effective evidence-based interventions for improving health and wellbeing or reducing disease, disability and/or injury among older adults; and being ready for translation, implementation and/or broad dissemination by community-based organizations using appropriately credentialed practitioners.

U.S. Department of Veterans Affairs Recommends Mindfulness.

The VA's Health Services Research & Development Service (HSR&D) Evidence-based Synthesis Program (ESP) was established to provide timely and accurate syntheses of targeted healthcare topics of particular importance to VA managers and policymakers, as they work to improve the health and healthcare of Veterans. The ESP disseminates these reports (i.e. the Evidence Maps) throughout Evidence Map of Mindfulness ReportVA. HSR&D provides funding for four ESP Centers and each Center has an active VA affiliation. The ESP Centers generate evidence syntheses on important clinical practice topics, and these reports help develop clinical policies informed by evidence, the implementation of effective services to improve patient outcomes and to support VA clinical practice guidelines and performance measures, and set the direction for future research to address gaps in clinical knowledge. The Evidence Map of Mindfulness reports the most consistent effect for depression but published meta-analyses also indicated effects compared to passive control of MBSR on overall health, chronic illness, and psychological variables; MBCT for mental illness; and mindfulness interventions for somatization disorders. Limited evidence is also available for mindfulness interventions for pain, anxiety, and psychosis compared to passive control groups. More detail is provided for priority areas post-traumatic stress disorder, stress, depression, and wellness. The evidence map provides a broad overview (not detailed or definitive effectiveness evidence) over the existing research to help interpret the state of the evidence to inform policy and clinical decision making.

Efficacy and acceptability of mindfulness-based interventions for military veterans: A systematic review and meta-analysis. Interventions (such as Qigong) which incorporate mindfulness may improve psychological symptoms and quality of life / functioning in veterans. [PMID: 32906008].