Pao-Feng Tsai1, Jason Y Chang2, Cornelia Beck3, Yong-Fang Kuo4, Francis J Keefe5, Karl Rosengren6. 1. College of Nursing, University of Arkansas for Medical Sciences, 4301 West Markham St. Slot 529, Little Rock, AR 72205, USA. Electronic address: tsaipaofeng@uams.edu. 2. Department of Neurobiology and Developmental Sciences, College of Medicine, University of Arkansas for Medical Sciences, 4301 West Markham St. Slot 510, Little Rock, AR 72205, USA. Electronic address: jychang@uams.edu. 3. Department of Geriatrics, College of Medicine, University of Arkansas for Medical Sciences, 4301 West Markham St. Slot 808, Little Rock, AR 72205, USA. Electronic address: Corneliabeck@uams.edu. 4. Department of Preventive Medicine and Community Health, University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555, USA. Electronic address: yokuo@utmb.edu. 5. Department of Psychiatry and Behavioral Science, Duke University Medical Center DUMC 3159, Durham, NC 27710, USA. Electronic address: francis.keefe@duke.edu. 6. Department of Psychology, University of Wisconsin-Madison, 1202 West Johnson St. Madison, WI 53706, USA. Electronic address: krosengren@wise.edu.
Abstract
OBJECTIVE: This was a secondary data analysis of a cluster-randomized clinical trial that tested the efficacy of a 20-week Sun-style Tai Chi (TC) program in reducing pain in community-dwelling elders with cognitive impairment and knee osteoarthritis (OA). The study also examined whether elders' level of cognitive function was related to the outcomes of the TC program. METHOD:Elders (N=55) were recruited from 8 study sites. Each site was randomly assigned to participate in either a 20-week TC or an education program. Verbal report of pain was measured by a Verbal Descriptor Scale (VDS) at weeks 1, 5, 9, 13, 17 and 21 (designated as times 1-6). Pain behaviors and analgesic intake were also recorded at times 1-6. RESULTS: At post-test, scores on the VDS and observed pain behaviors were significantly better in the TC group than in the control group (p=0.008-0.048). The beneficial effects of TC were not associated with cognitive ability. CONCLUSION: These results suggest that TC can be used as an adjunct to pharmacological intervention to relieve OA pain in elders with cognitive impairment. TRIAL REGISTRATION: Clinical Trial.gov NCT01528566.
RCT Entities:
OBJECTIVE: This was a secondary data analysis of a cluster-randomized clinical trial that tested the efficacy of a 20-week Sun-style Tai Chi (TC) program in reducing pain in community-dwelling elders with cognitive impairment and knee osteoarthritis (OA). The study also examined whether elders' level of cognitive function was related to the outcomes of the TC program. METHOD: Elders (N=55) were recruited from 8 study sites. Each site was randomly assigned to participate in either a 20-week TC or an education program. Verbal report of pain was measured by a Verbal Descriptor Scale (VDS) at weeks 1, 5, 9, 13, 17 and 21 (designated as times 1-6). Pain behaviors and analgesic intake were also recorded at times 1-6. RESULTS: At post-test, scores on the VDS and observed pain behaviors were significantly better in the TC group than in the control group (p=0.008-0.048). The beneficial effects of TC were not associated with cognitive ability. CONCLUSION: These results suggest that TC can be used as an adjunct to pharmacological intervention to relieve OA pain in elders with cognitive impairment. TRIAL REGISTRATION: Clinical Trial.gov NCT01528566.
Authors: Thomas Hadjistavropoulos; Keela Herr; Kenneth M Prkachin; Kenneth D Craig; Stephen J Gibson; Albert Lukas; Jonathan H Smith Journal: Lancet Neurol Date: 2014-11-10 Impact factor: 44.182
Authors: Francis J Keefe; John C Lefebvre; Jennifer R Egert; Glenn Affleck; Michael J Sullivan; David S Caldwell Journal: Pain Date: 2000-09 Impact factor: 6.961
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