title: Chaoyi Fanhuan Qigong and fibromyalgia: methodological issues and two case reports.
abstract: BACKGROUND
  Qigong, which has many forms, was recently described as "meditative movement," and represents a self-care technique that can contribute to improved health. There are challenges involved in research into qigong, including defining the amount of instruction required for threshold effects, and whether there is a relationship between amount of practice and outcomes. Recent clinical trials examining Chaoyi Fanhuan Qigong (CFQ) for fibromyalgia have used a standardized regimen of practice over an 8-week period.
  
  
  METHODS
  Between a pilot trial and a subsequent larger controlled trial, 2 individuals with fibromyalgia of over 20 years' duration undertook levels 1-4 CFQ training involving movements and meditation at a community-based event and then practiced regularly over a 1-year period. They subsequently both undertook further training, and consolidated their health gains. Both observed major reductions in pain, improvements in sleep, mood, emotions, food and other allergies, and consider their condition essentially resolved. They have ceased taking several medications and have resumed their lives.
  
  
  RESULTS
  The information provided by these individuals could not be derived from a clinical trial, as it is unlikely people would commit to this amount of practice.
  
  
  CONCLUSIONS
  The case study approach provides data with respect to extent of practice, perseverance and long-term outcomes, and provides valuable insight into the potential of this self-care practice.
authors.affiliation: Department of Pharmacology, Dalhousie University, Halifax, Nova Scotia, Canada. jana.sawynok@dal.ca
authors.forename: Jana
authors.initials: J
authors.lastname: Sawynok
authors.forename: Chok
authors.initials: C
authors.lastname: Hiew
authors.forename: Dana
authors.initials: D
authors.lastname: Marcon
mesh_terms: D001945:Breathing Exercises; D004644:Emotions; D005260:Female; D005356:Fibromyalgia / Q000150:complications / Q000628:therapy*; D006801:Humans; D006967:Hypersensitivity; D008875:Middle Aged; D012015:Reference Standards; D012107:Research Design; D012890:Sleep; D013997:Time Factors; D016896:Treatment Outcome