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Analysis of Clinical Study Trends on 'Qigong': A Preliminary Scoping Review

'기공'의 국외 임상연구 최신동향: 스코핑 고찰을 중심으로 한 예비연구

  • Choi, WonYoung (Department of Korean Medicine, School of Korean Medicine, Pusan National University) ;
  • Suh, Hyo-Weon (Department of Korean Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Kim, Jong Woo (Department of Neuropsychiatry, College of Korean Medicine, Kyung Hee University)
  • 최원영 (부산대학교 한의학전문대학원 한의학과) ;
  • 서효원 (경희대학교 한의과대학 한의학과) ;
  • 김종우 (경희대학교 한의과대학 한방신경정신과학교실)
  • Received : 2021.09.05
  • Accepted : 2021.09.16
  • Published : 2021.09.30

Abstract

Objectives: The objective of this study was to perform a scoping review to describe clinical study trends on Qigong in order to identify further directions of Qigong in Korean medicine. Methods: Under the Arksey and O'Malley methodological framework, PubMed was searched to identify articles published from January 1, 2019 to June 28, 2021. A total of 224 articles were retrieved. Results were systematically filtered by two independent reviewers based on inclusion/exclusion criteria. Publication information, disease, intervention and research results of a total of 153 articles were extracted and analyzed. Results: Asia had the largest number of Qigong studies (82 studies, 65%). Most research studies were conducted in the academic field of Medicine (n=109, 86.5%), including Complementary and Alternative Medicine (n=35), Medicine (miscellaneous) (n=15), and Oncology (n=15). Based on ICD-10 classification, Mental and Behavioral Disorder (n=25, 19.8%) was the most frequently analyzed decease, followed by Neoplasm (n=24) and Disease of the Nervous system (n=12). Almost half of all studies were Systematic Reviews. RCTs only accounted for 25.4%. Interventions were very diverse and inconsistent. Sixty (47.6%) studies analyzed Qigong as a single intervention. In 66 cases, Qigong was analyzed as part of a large category such as Mind-Body intervention. Most studies designed a Donggong (動功) program. The age of the population was relatively high as 47.1% of all studies were conducted on middle aged or older adults. Conclusions: These findings suggest that further standardized research on Qigong, especially Junggong (靜功), needs to be conducted by developing research protocols and practice programs to verify effects of Qigong and utilize Qigong as a medical intervention in Korean Medicine.

Keywords

Acknowledgement

This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number: HF20C0079).

References

  1. Korea Institute of Oriental Medicine. Depression-Korean Medicine Clinical Practice Guideline. Seoul: Elsevier Korea L.L.C. 2016: 206.
  2. Han CH, Lee SN, Kwon YK, Choi SM. Research Trends on Qigong in the Korean Journal. Journal of Physiology & Pathology in Korean Medicine. 2008 August 25;22(4):954-9.
  3. National Institute for Korean Medicine Development. Korean Medicine Clinical Practice Guideline for Anxiety Disorders. 2021: 230.
  4. Complementary, Alternative, or Integrative Health: What's In a Name? [Internet]. Maryland: NCCIH; [cited 2021 August 6]. Available from: https://www.nccih.nih.gov/health/complementary-alternative-or-integrative-health-whats-in-a-name
  5. Lee JH, Kim JH, Jung JH, Jo MG, Lee EM. Research Trends on Qigong-related Studies in Korea since 2008. Journal of Korean Academy of Medical Gi-gong. 2016 Dec 31;16(1):1-58.
  6. Lee JH, Beag JY, Cho MG, Jung JH, Lee EM, Ahn HM. Research Trends on Gigong in Korea from 1950 to 2016. Journal of Korean Academy of Medical Gi-gong. 2018 Dec 31;18(1):52-112.
  7. Yoon YS, Sung HJ, Choi SM, Shin SS, So CH, Shin YC, Kim KO, Park SE, Nam JH, Lee GS, Lee GS. Medical Research on Qi (2). Seoul: Korea Institute of Oriental Medicine; 2001.1-159, 5p.
  8. Zhang YP, Hu RX, Han M, Lai BY, Liang SB, Chen BJ, et al. Evidence Base of Clinical Studies on Qi Gong: A Bibliometric Analysis. Complement Ther Med. 2020;50:102392. https://doi.org/10.1016/j.ctim.2020.102392
  9. Yu L, Liu F, Nie P, Shen C, Chen J, Yao L. Systematic review and meta-analysis of randomized controlled trials assessing the impact of Baduanjin exercise on cognition and memory in patients with mild cognitive impairment. Clin Rehabil. 2021;35(4):492-505. https://doi.org/10.1177/0269215520969661
  10. WWY, Cai S, Yau SY, Tsang HWH. The Neurophysiological and Psychological Mechanisms of Qigong as a Treatment for Depression: A Systematic Review and MetaAnalysis. Front Psychiatry. 2019;10:820. https://doi.org/10.3389/fpsyt.2019.00820
  11. Chen SZ, Y.Wang, Y. T.Liu, X.Song, W.Du, X. The effect of Qigong-based therapy on patients with Parkinson's disease: a systematic review and meta-analysis. Clin Rehabil. 2020;34(12):1436-48. https://doi.org/10.1177/0269215520946695
  12. Kuo CC, Wang CC, Chang WL, Liao TC, Chen PE, Tung TH. Clinical Effects of Baduanjin Qigong Exercise on Cancer Patients: A Systematic Review and Meta-Analysis on Randomized Controlled Trials. Evid Based Complement Alternat Med. 2021;2021:6651238.
  13. Ching SMM, N. R.Kannan, M. M.Lee, K. W.Sallahuddin, N. A.Ng, J. X.Wong, J. L.Devaraj, N. K.Hoo, F. K.Loo, Y. S.Veettil, S. K. Effects of qigong on systolic and diastolic blood pressure lowering: a systematic review with metaanalysis and trial sequential analysis. BMC Complement Med Ther. 2021;21(1):8. https://doi.org/10.1186/s12906-020-03172-3
  14. Zeng ZPL, Y. B.Fang, J.Liu, Y.Luo, J.Yang, M. Effects of Baduanjin exercise for knee osteoarthritis: A systematic review and meta-analysis. Complement Ther Med. 2020;48:102279. https://doi.org/10.1016/j.ctim.2019.102279
  15. The Joanna Briggs Institute. Joanna Briggs Institute Reviewers' Manual: 2015 edition, Methodology for JBI Scoping Reviews. The Joanna Briggs Institute. 2015
  16. H. Arksey and L. O'Malley. Scoping studies: towards a methodological framework. International Journal of Social Research Methodology. 2005. 8:1, 19-32. https://doi.org/10.1080/1364557032000119616
  17. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of Internal Medicine. 2018;169(7):467-73. https://doi.org/10.7326/m18-0850
  18. Zaza S, Wright-De Aguero LK, Briss PA, Truman BI, Hopkins DP, Hennessy MH, et al. Data collection instrument and procedure for systematic reviews in the Guide to Community Preventive Services. Am J Prev Med. 2000;18(1):44-74. https://doi.org/10.1016/S0749-3797(99)00122-1
  19. Deuel LMS, L. C. Complementary Therapies in Parkinson Disease: a Review of Acupuncture, Tai Chi, Qi Gong, Yoga, and Cannabis. Neurotherapeutics. 2020;17(4):1434-55. https://doi.org/10.1007/s13311-020-00900-y
  20. Kim TYK, J. H. High school baseball players' experiences with static qigong training: A qualitative approach. Complement Ther Clin Pract. 2020;39:101158. https://doi.org/10.1016/j.ctcp.2020.101158
  21. Chen CHH, K. S.Chung, Y. C.Yeh, M. L. Mind-body interactive qigong improves physical and mental aspects of quality of life in inpatients with stroke: A randomized control study. Eur J Cardiovasc Nurs. 2019;18(8):658-66. https://doi.org/10.1177/1474515119860232
  22. Kamieniarz AM, A.Grzybowska-Ganszczyk, D.Opara, J.Juras, G. Tai Chi and Qi Gong therapies as a complementary treatment in Parkinson's disease - a systematic review. Complement Ther Med. 2021;56:102589. https://doi.org/10.1016/j.ctim.2020.102589
  23. DE Lee, HS Park, JS Jin, BK Min, IA Youn, HW Suh, JH Seo, et al. Analysis of Research Trends on Postpartum-women Healthcare: A Scoping Review. J Korean Med. 2020;41(3):32-54. https://doi.org/10.13048/jkm.20024