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      Qigong Ameliorates Symptoms of Chronic Fatigue: A Pilot Uncontrolled Study

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          Abstract

          Traditional Chinese Medicine practitioners consider that chronic fatigue reflects a disharmony and depletion in the supply of qi in the body. Qigong is one of the traditional complementary interventions used to strengthen qi through self-practice, and to manage the state of qi to prevent and cure disease. The aim of this study is to assess whether qigong could be used to manage the symptoms of chronic fatigue. Eighteen Caucasian, British female participants were recruited, taught a qigong routine during weekly classes over 6 months, and asked to practice it daily for 15 min. Participants completed the core set of the RAND Medical Outcomes Study questionnaire (RAND MOS) and a sleep diary during the 2-week baseline control period, and at 3 and 6 months following the start of the trial. The qigong intervention resulted in significant changes in sleep rate score and in the following subscales of the RAND MOS: SF36 Vitality, Sleep Problems, Social Activity, Social Activity Limitation due to Health, Health Distress, Mental Health Index and Psychological Well-being. Qigong seems to improve factors related to chronic fatigue such as sleep, pain, mental attitude and general mobility after 3 and 6 months. Qigong's positive effects indicate that it represents a potentially safe method of treatment for chronic fatigued patients. However, we cannot completely discount the possible influence of placebo effects, and more objective clinical measures are needed to reproduce our findings with long-term follow-up in a randomized, controlled study involving a larger number of subjects.

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          Interventions for the Treatment and Management of Chronic Fatigue Syndrome

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            The validity and relative precision of MOS short- and long-form health status scales and Dartmouth COOP charts. Results from the Medical Outcomes Study.

            This study estimated the validity and relative precision (RP) of four methods (MOS long- and short-form scales, global items, and COOP Poster Charts) in measuring six general health concepts. The authors also tested whether and how precisely each method discriminated relatively well adult patients (N = 638) from those with only severe chronic medical (N = 168) and only psychiatric conditions (N = 163), as clinically defined. For comparisons between the well group and both medical and psychiatric groups, RP estimates favored long-form over short-form, multi-item scales, and favored multi-item scales over single-item global measures and poster charts. In relation to long forms, short-form multi-item scales achieved a median RP of .93; RP estimates for global items and poster charts were .81 and .67, respectively. Variations in RP across methods and concepts were linked to differences in the coarseness of measurement scales, reliability, and content (including the effects of chart illustrations). These variations in RP have implications for the interpretation of scores, the statistical power of comparisons between clinical groups, and the size of confidence intervals around individual patient scores.
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              The Validity and Relative Precision of MOS Short-, and Long- Form Health Status Scales and Dartmouth COOP Charts

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                Author and article information

                Journal
                Evid Based Complement Alternat Med
                ecam
                ecam
                Evidence-based Complementary and Alternative Medicine : eCAM
                Oxford University Press
                1741-427X
                1741-4288
                June 2009
                1 August 2007
                1 August 2007
                : 6
                : 2
                : 265-270
                Affiliations
                1Education Health & Science, University of Derby, 2The Medical Centre, Vicarage Road, Derby, UK and 3Department of Medical Research, Korea Institute of Oriental Medicine, Daejeon, South Korea
                Author notes
                For reprints and all correspondence: N. J. M. Craske, PhD, Researcher & Lecturer in Qigong & Shiatsu, Room D001, University of Derby, Chevin Road, Mickleover, DERBY, DE3 9GX, UK. Tel: 44 (0) 1332-597746; Fax: +44(0) 1332 597746; E-mail: j.m.craske@ 123456derby.ac.uk
                Article
                nem088
                10.1093/ecam/nem088
                2686618
                18955297
                7e0ac4db-5edf-476c-9e46-015bbd5868ab
                © 2007 The Author(s).

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/2.0/uk/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 3 November 2006
                : 9 April 2007
                Categories
                Original Articles - Clinical Analyses

                Complementary & Alternative medicine
                sleep disturbance,chronic fatigue,qigong,quality of life
                Complementary & Alternative medicine
                sleep disturbance, chronic fatigue, qigong, quality of life

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