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Qigong and Musculoskeletal Pain

  • Complementary and Alternative Medicine (S Kolasinski, Section Editor)
  • Published:
Current Rheumatology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Musculoskeletal pain is a widespread symptom that commonly produces considerable disability, particularly in later life. This brief review strove to summarize and critically review the recent research base concerning the use of Qigong as a possible strategy for alleviating longstanding or chronic musculoskeletal pain states.

Methods

Research reports and literature reviews specifically focusing on Qigong and its impact on various forms of musculoskeletal pain between 2015 and 2019 were sought and analyzed, along with related data.

Results

Collectively, these data reveal that while more research is indicated, Qigong practice may help to attenuate pain in varying degrees among adults with different forms of chronic pain with few side-effects.

Conclusion

More research is needed to ensure health professionals working with adults who have chronic unrelenting musculoskeletal pain may safely recommend these exercises as one possible remedy for reducing intractable musculoskeletal pain.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. • Zou L, Sasaki JE, Wang H, Xiao Z, Fang Q, Zhang MA. Systematic review and meta-analysis of Baduanjin qigong for health benefits: randomized controlled trials. Evid Based Complement Alternat Med 2017: 2017:4548706. https://doi.org/10.1155/2017/4548706. This review discusses the evidence concerning a specific form of Qigong and its health benefits.

    Article  Google Scholar 

  2. Rogers CE, Larkey LK, Keller C. A review of clinical trials of tai chi and qigong in older adults. West J Nurs Res. 2009;31:245–79.

    Article  Google Scholar 

  3. Vera FM, Manzaneque JM, Rodríguez FM, Bendayan R, Fernández N, Alonso A. Acute effects on the counts of innate and adaptive immune response cells after 1 month of Taoist qigong practice. Int J Behav Med. 2016;23:198–203. https://doi.org/10.1007/s12529-015-9509-8.

    Article  PubMed  Google Scholar 

  4. Haak T, Scott B. The effect of qigong on fibromyalgia (FMS): a controlled randomized study. Disabil Rehabil. 2008;30:625–33.

    Article  Google Scholar 

  5. Wu WH, Bandilla E, Ciccone DS, Yang J, Cheng SC, Carner N, et al. Effects of qigong on late-stage complex regional pain syndrome. Altern Ther Health Med. 1999;5:45–54.

    CAS  PubMed  Google Scholar 

  6. Dorcas A, Yung P. Qigong: harmonising the breath, the body and the mind. Complement Ther Nurs Midwifery. 2003;9:198–202.

    Article  Google Scholar 

  7. Gallagher B. Tai Chi Chuan and qigong: physical and mental practice for functional mobility. Topics in Geriatric Rehabil. 2003;19:172–82.

    Article  Google Scholar 

  8. • Ponzio E, Sotte L, D’Errico MM, Berti S, Barbadora P, Prospero E, et al. Qigong training reduces basal and stress-elicited cortisol secretion in healthy older adults. Eur J Integ Med 2016;7;194–201. This article discusses the application of Qigong for reducing mental stress in the elderly.

    Article  Google Scholar 

  9. Vincent A, Hill J, Kruk KM, Cha SS, Bauer BA. External qigong for chronic pain. Am J Chin Med. 2010;38:695–703.

    Article  Google Scholar 

  10. Lee MS, Jang JW, Jang HS, Moon SR. Effects of qi-therapy on blood pressure, pain and psychological symptoms in the elderly: a randomized controlled pilot trial. Complement Ther Med. 2003;11:159–64.

    Article  CAS  Google Scholar 

  11. Yang KH, Kim YH, Lee MS. Efficacy of qi-therapy (external qigong) for elderly people with chronic pain. Int J Neurosci. 2005;115:949–63.

    Article  Google Scholar 

  12. Posadzki P. The qigong of 18 Luohan hands and yoga for prevention of low back pain: a conceptual synthesis. Chin J Integr Med. 2011.

  13. Coleman JF. Spring Forest qigong and chronic pain. Making a difference. J Holist Nurs. 2011;29:118–28.

    Article  Google Scholar 

  14. Kim S-Y. The effects of combined exercise program based on qigong on the body composition and physical fitness of rural elderly people. Kinesiol. 2001;13:91–102.

    Google Scholar 

  15. Chang MY, Chen HY. Body composition outcomes of a qigong intervention among community-dwelling aging adults. West J Nurs Res. 2016;38:1574–94.

    Article  Google Scholar 

  16. Wang CW, Chan CL, Ho RT, Tsang HW, Chan CH, Ng SM. The effect of qigong on depressive and anxiety symptoms: a systematic review and meta-analysis of randomized controlled trials. Evid Based Complement Alternat Med. 2013;2013:716094. https://doi.org/10.1155/2013/716094

    Article  PubMed  PubMed Central  Google Scholar 

  17. Hung H, Yeh SH, Chen CH. Effects if qigong exercise on biomarkers and mental and physical health in adults with at least one risk factor for coronary artery disease. Biol Res for Nurs. 2015;18:264–73.

    Article  Google Scholar 

  18. Chen KW, Perlman A, Liao JG, Lam A, Staller J, Sigal LH. Effects of external qigong therapy on osteoarthritis of the knee. A randomized controlled trial. Clin Rheumatol. 2008;27:1497–505. https://doi.org/10.1007/s10067-008-0955-4.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Ladawan S, Klarod K, Philippe M, Menz V, Versen I, Gatterer H, et al. Effect of qigong exercise on cognitive function, blood pressure and cardiorespiratory fitness in healthy middle-aged subjects. Complement Ther Med. 2017;33:39–45. https://doi.org/10.1016/j.ctim.2017.05.005.

    Article  PubMed  Google Scholar 

  20. Craske NJ, Turner W, Zammit-Maempe J, Lee MS. Qigong ameliorates symptoms of chronic fatigue: a pilot uncontrolled study. Evid Based Complement Alternat Med. 2009;6:265–70. https://doi.org/10.1093/ecam/nem088.

    Article  PubMed  Google Scholar 

  21. •• Zhang Y, Loprinzi PD, Yang L, Liu J, Liu S, Zou L. The beneficial effects of traditional Chinese exercises for adults with low back pain: a meta-analysis of randomized controlled trials. Medicina (Kaunas) 2019;55(5). https://doi.org/10.3390/medicina55050118. This meta-analysis discusses evidence for the application of traditional Chinese exercises such as Qigong for relieving low back pain.

    Article  Google Scholar 

  22. An B, Dai K, Zhu Z, Wang Y, Hao Y, Tang T, et al. Baduanjin alleviates the symptoms of knee osteoarthritis. J Altern Complement Med. 2008;14:167–74. https://doi.org/10.1089/acm.2007.0600.

    Article  PubMed  Google Scholar 

  23. An B, Wang Y, Jiang X, Lu H, Fang Z, Wang Y. Effects of Badauajin exercise on knee osteoarthritis: a one year study. Clin J Integr Med. 2013;19:143–8.

    Google Scholar 

  24. Blödt S, Pach D, Kaster T, Lüdtke R, Icke K, Reisshauer A, et al. Qigong versus exercise therapy for chronic low back pain in adults--a non-inferiority trial. Eur J Pain. 2015;19:123–31. https://doi.org/10.1002/ejp.529.

    Article  PubMed  Google Scholar 

  25. Liu W, Zahner L, Cornell M, Le T, Ratner J, Wang Y, et al. Benefit of qigong exercise in patients with fibromyalgia: a pilot study. Int J Neurosci. 2012;122:657–64. https://doi.org/10.3109/00207454.2012.707713.

    Article  PubMed  Google Scholar 

  26. Lynch M, Sawynok J, Hiew C, Marcon D. A randomized controlled trial of qigong for fibromyalgia. Arthritis Res Ther. 2012;14:R178. https://doi.org/10.1186/ar3931.

    Article  PubMed  PubMed Central  Google Scholar 

  27. • Phattharasuparerk S, Purepong N, Eksakulkia S, Siriphorn A. Effects of qigong practice in office workers with chronic non-specific back pain: a randomized control trial. J Bodywork & Movement Ther 2019;23;375–81. This article describes a study of the application of Qigong for office workers with low back pain of various types that yielded favorable pain outcomes.

  28. Rendant D, Pach D, Lüdtke R, Reisshauer A, Mietzner A, Willich SN, et al. Qigong versus exercise versus no therapy for patients with chronic neck pain: a randomized controlled trial. Spine (Phila Pa 1976). 2011;36:419–27. https://doi.org/10.1097/BRS.0b013e3181d51fca.

    Article  Google Scholar 

  29. Teut M, Knilli J, Daus D, Roll S, Witt CM. Qigong or yoga versus no intervention in older adults with chronic low back pain-a randomized controlled trial. J Pain. 2016;17(7):796–805. https://doi.org/10.1016/j.jpain.2016.03.003.

    Article  PubMed  Google Scholar 

  30. Wang JY, Gua H, Tang L, Meng J, L-Yl H. Case control study on regular Ba Duan Jin practice for patients with chronic pain. Int J Nurs Sci. 2014;1:360–6.

    CAS  Google Scholar 

  31. von Trott P, Wiedemann AM, Lüdtke R, Reishauer A, Willich SN, Witt CM. Qigong and exercise therapy for elderly patients with chronic neck pain (QIBANE): a randomized controlled study. J Pain. 2009;10:501–8. https://doi.org/10.1016/j.jpain.2008.11.004.

    Article  Google Scholar 

  32. Girard J, Girard A. The effects of qigong on neck pain: a systematic review. Complement Ther Clin Pract. 2019;34:23–9. https://doi.org/10.1016/j.ctcp.2018.10.013.

    Article  PubMed  Google Scholar 

  33. Ryu H, Lee HS, Shin YS, Chung SM, Lee MS, Kim HM, et al. Acute effect of qigong training on stress hormonal levels in man. Am J Chin Med. 1996;24:193–8.

    Article  CAS  Google Scholar 

  34. Lansinger B, Larsson E, Persson LC, Carlsson JY. Qigong and exercise therapy in patients with long-term neck pain: a prospective randomized trial. Spine. 2007;32:2415–22.

    Article  Google Scholar 

  35. Chen K, He B, Rihacek G, Sigal LH. A pilot trial of external qigong therapy for arthritis. J Clin Rheumatol. 2003;9:332–5.

    Article  Google Scholar 

  36. • Bai Z, Guan Z, Fan Y, Liu C, Yang K, Ma B, et al. The effects of qigong for adults with chronic pain: systematic review and meta-analysis. Am J Chin Med. 2015;43:1525–39. https://doi.org/10.1142/S0192415X15500871. This review examines the efficacy of internal versus external Qigong approaches on chronic pain in adults.

    Article  Google Scholar 

  37. Lee MS, Pittler MH, Ernst E. Internal qigong for pain conditions: a systematic review. J Pain. 2009;10:1121–27.e14. https://doi.org/10.1016/j.jpain.2009.03.009.

    Article  PubMed  Google Scholar 

  38. •• Li H, Ge D, Liu S, Zhang W, Wang J, Si J, et al. Baduanjin exercise for low back pain: a systematic review and meta-analysis. Complement Ther Med. 2019;43:109–16. https://doi.org/10.1016/j.ctim.2019.01.021. A well-articulated timely analysis of the efficacy of Baduanjin qigong for relieving low back pain is presented in this systematic review.

    Article  Google Scholar 

  39. Lauche R, Cramer H, Häuser W, Dobos G, Langhorst J. A systematic review and meta-analysis of qigong for the fibromyalgia syndrome. Evid Based Complement Alternat Med. 2013;2013:635182. https://doi.org/10.1155/2013/635182

    Article  PubMed  PubMed Central  Google Scholar 

  40. Astin JA, Berman BM, Bausell B, Lee WL, Hochberg M, Forys KL. The efficacy of mindfulness meditation plus qigong movement therapy in the treatment of fibromyalgia: a randomized controlled trial. J Rheumatol. 2003;30:2257–62.

    PubMed  Google Scholar 

  41. Mannerkorpi K, Arndorw M. Efficacy and feasibility of a combination of body awareness therapy and qigong in patients with fibromyalgia: a pilot study. J Rehabil Med. 2004;36:279–81.

    Article  Google Scholar 

  42. • Półrola P, Wilk-Franczuk M, Wilczyński J, Nowak-Starz G, Góral-Półrola J, Chruściński G, et al. Anti-inflammatory effect on genes expression after four days of qigong training in peripheral mononuclear blood cells in healthy women. Ann Agric Environ Med. 2018;25:329–33. https://doi.org/10.26444/aaem/85208. Interesting study examining possible mechanisms of pain relief after Qigong training.

    Article  Google Scholar 

  43. Roberts D. Alternative therapies for arthritis treatment: part 2. Holist Nurs Pract. 2004;18:167–74.

    Article  Google Scholar 

  44. Schnauzer M. Qigong: the art of self-healing. Perspect Psychiatr Care. 2006;42:53–4.

    Article  Google Scholar 

  45. Holmberg C, Rappenecker J, Karner JJ, Witt CM. The perspectives of older women with chronic neck pain on perceived effects of qigong and exercise therapy on aging: a qualitative interview study. Clin Interv Aging. 2014;9:403–10. https://doi.org/10.2147/CIA.S54249.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Liu X, Clark J, Siskind D, Williams GM, Byrne G, Yang JL, et al. A systematic review and meta-analysis of the effects of qigong and tai Chi for depressive symptoms. Complement Ther Med. 2015;23:516–34. https://doi.org/10.1016/j.ctim.2015.05.001.

    Article  PubMed  Google Scholar 

  47. Southerst D, Nordin MC, Côté P, Shearer HM, Varatharajan S, Yu H, et al. Is exercise effective for the management of neck pain and associated disorders or whiplash-associated disorders? A systematic review by the Ontario protocol for traffic injury management (OPTIMa) collaboration. Spine Jl. 2016;16:1503–23. https://doi.org/10.1016/j.spinee.2014.02.014.

    Article  Google Scholar 

  48. Baumgarden J, Klein P, Picard G. Qigong and a tale of two Back complaints. Medicines (Basel), vol. 5; 2018 Jun 21. p. 3. https://doi.org/10.3390/medicines5030060.

    Book  Google Scholar 

  49. •• Sawynok J, Lynch ME. Qigong and fibromyalgia circa 2017. Medicines (Basel). 2017;4(2). https://doi.org/10.3390/medicines4020037. A well written review focusing specifically on Qigong and fibromyalgia, indicating some potentially important pain associated benefits.

    Article  Google Scholar 

  50. Bower JE, Irwin MR. Mind-body therapies and control of inflammatory biology: a descriptive review. Brain Behav Immun. 2016;51:1–11. https://doi.org/10.1016/j.bbi.2015.06.012.

    Article  PubMed  Google Scholar 

  51. Chyu MC, von Bergen V, Brismée JM, Zhang Y, Yeh JK, Shen CL. Complementary and alternative exercises for management of osteoarthritis. Arthritis. 2011;2011:364319. https://doi.org/10.1155/2011/364319.

    Article  PubMed  PubMed Central  Google Scholar 

  52. Wang YT, Huang G, Duke G, Chi YYT. Tai Chi, Yoga, and Qigong as Mind-Body Exercises. In: Yoga, and qigong as mind-body exercises. Evid based complement Alternat med, vol. 2017; 2017. p. 8763915. https://doi.org/10.1155/2017/8763915.

    Chapter  Google Scholar 

  53. •• Zou L, Zhang Y, Yang L, Loprinzi PD, Yeung AS, Kong J, Chen KW, Song W, Xiao T, Li H Are mindful exercises safe and beneficial for treating chronic lower back pain? A systematic review and meta-analysis of randomized controlled trials. J Clin Med 2019;8(5). https://doi.org/10.3390/jcm8050628, 8. A current review that focuses on Qigong as a form of exercise for reducing chronic low back pain.

    Article  Google Scholar 

  54. Lee MS, Lim HJ, Lee MS. Impact of qigong exercise on self-efficacy and other cognitive perceptual variables in patients with essential hypertension. J Altern Complement Med. 2004;10:675–80.

    Article  Google Scholar 

  55. Manzaneque JM, Vera FM, Rodriguez FM, Garcia GJ, Leyva L, Blanca MJ. Serum cytokines, mood and sleep after a qigong program: is qigong an effective psychobiological tool? J Health Psychol. 2009;14(1):60–7. https://doi.org/10.1177/1359105308097946.

    Article  PubMed  Google Scholar 

  56. Lee HJ, Park HJ, Chae Y, Kim SY, Kim SN, Kim ST, et al. Tai Chi qigong for the quality of life of patients with knee osteoarthritis: a pilot, randomized, waiting list controlled trial. Clin Rehabil. 2009;23:504–11. https://doi.org/10.1177/0269215508101746.

    Article  PubMed  Google Scholar 

  57. Zou L, Pan Z, Yeung A, Talwar S, Wang C, Liu Y, et al. A review study on the beneficial effects of Baduanjin. J Altern Complement Med. 2018;24:324–35. https://doi.org/10.1089/acm.2017.0241.

    Article  PubMed  Google Scholar 

  58. Skelly AC, Chou R, Dettori JR, Turner JA, Friedly JL, Rundell SD, Fu R, et al. . Noninvasive nonpharmacological treatment for chronic pain: a systematic review [internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2018 Jun. Available from http://www.ncbi.nlm.nih.gov.ezproxy.cul.columbia.edu/books/NBK519953/

  59. cAsian variety may be kinder to the joints. Orthop & Rheumatol. 2016:3920 https://doi.org/10.19080/OROAJ.2016.03.555608.

  60. Chan CL, Wang CW, Ho RT, Ng SM, Ziea ET, Wong VT. Qigong exercise for the treatment of fibromyalgia: a systematic review of randomized controlled trials. J Altern Complement Med. 2012;18(7):641–6. https://doi.org/10.1089/acm.2011.0347.

    Article  PubMed  Google Scholar 

  61. Ng BH, Tsang HW. Psychophysiological outcomes of health qigong for chronic conditions: a systematic review. Psychophysiol. 2009;46:257–69. https://doi.org/10.1111/j.1469-8986.2008.00763.x.

    Article  Google Scholar 

  62. Mehl-Madrona L, Mainguy B, Plummer J. Integration of complementary and alternative medicine therapies into primary-care pain management for opiate reduction in a rural setting. J Altern Complement Med. 2016;22:621–6. https://doi.org/10.1089/acm.2015.0212.

    Article  PubMed  Google Scholar 

  63. Chang PS, Knobf T, Oh B, Funk M. Physical and psychological health outcomes of qigong exercise in older adults: a systematic review and meta-analysis. Am J Chin Med. 2019;47:301–22. https://doi.org/10.1142/S0192415X19500149.

    Article  PubMed  Google Scholar 

  64. Zou L, Yeung A, Quan X, Boyden SD, Wang H. A systematic review and meta-analysis of mindfulness-based (Baduanjin) exercise for alleviating musculoskeletal pain and improving sleep quality in people with chronic diseases. Int J Environ Res Public Health 2018;15(2). https://doi.org/10.3390/ijerph15020206.

    Article  Google Scholar 

  65. Hou PW, Fu PK, Hsu HC, Hsieh CL. Traditional Chinese medicine in patients with osteoarthritis of the knee. J Tradit Complement Med. 2015;5:182–96. https://doi.org/10.1016/j.jtcme.2015.06.002.

    Article  PubMed  PubMed Central  Google Scholar 

  66. Lee MS, Yang KH, Huh HJ, Kim HW, Ryu H, Lee HS, et al. Qi therapy as an intervention to reduce chronic pain and to enhance mood in elderly subjects: a pilot study. Am J Chin Med. 2001;29(2):237–45.

    Article  CAS  Google Scholar 

  67. Tsang HW, Lee JL, Au DW, Wong KK, Lai KW. Developing and testing the effectiveness of a novel health qigong for frail elders in Hong Kong: a preliminary study. Evid Based Complement Alternat Med. 2013;2013:827392. https://doi.org/10.1155/2013/827392

    Article  PubMed  PubMed Central  Google Scholar 

  68. Yu WL, Li XQ, Tang WJ, Li Y, Weng XC, Chen YZ. fMRI study of pain reaction in the brain under state of "qigong". Am J Chin Med. 2007;35:937–45.

    Article  Google Scholar 

  69. Lee MS, Hong SS, Lim HJ, Kim HJ, Woo WH, Moon SR. Retrospective survey on therapeutic efficacy of qigong in Korea. Am J Chin Med. 2003;31:809–15.

    Article  Google Scholar 

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Marks, R. Qigong and Musculoskeletal Pain. Curr Rheumatol Rep 21, 59 (2019). https://doi.org/10.1007/s11926-019-0861-6

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