Effects of T'ai Chi exercise on fibromyalgia symptoms and health-related quality of life.
BACKGROUND
Fibromyalgia (FM), one of the most common musculoskeletal disorders, is associated with high levels of impaired health and inadequate or limited symptom relief. The cause of this complex syndrome is unknown, and there is no known cure. Numerous research results indicate that a combination of physical exercise and mind-body therapy is effective in symptom management. T'ai Chi, an ancient Chinese exercise, combines physical exercise with mindbody therapy.


OBJECTIVE
To investigate the effects of T'ai Chi exercise on FM symptoms and health-related quality of life.


METHODS
Pilot study, one group pre-to-post posttest design.


METHODS
Participants with FM (n = 39) formed a single group for 6 weeks of 1-hour, twice weekly T'ai Chi exercise classes. FM symptoms and health-related quality of life were measured before and after exercise.


RESULTS
Twenty-one participants completed at least 10 of the 12 exercise sessions. Although the dropout rate was higher than expected, measurements on both the Fibromyalgia Impact Questionnaire (FIQ) (Buckhardt, Clark, & Bennett, 1991) and the Short Form-36 (SE-36) (Ware & Sherbourne, 1992) revealed statistically significant improvement in symptom management and health-related quality of life.


CONCLUSIONS
Knowledge of interventions to enhance health for the patient with musculoskeletal problems is a National Association of Orthopaedic Nurses priority. Tai Chi is potentially beneficial to patients with FM. Further research is needed to support evidence-based practice.
Armstrong Atlantic State University, Savannah, GA, USA.
Helen M
HM
Taggart
Christine L
CL
Arslanian
Sejong
S
Bae
Karan
K
Singh
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005356:Fibromyalgia / Q000175:diagnosis / Q000523:psychology* / Q000534:rehabilitation*; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010865:Pilot Projects; D011788:Quality of Life; D011795:Surveys and Questionnaires; D026302:Tai Ji / Q000379:methods*; D016896:Treatment Outcome