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קישור למאמר… http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pubmed&pubmedid=17342248

 Randomized Controlled Trial of Tai Chi for Tension Headaches

Ryan B. Abbott,1Ka-Kit Hui,1Ron D. Hays,2Ming-Dong Li,1 and Timothy Pan1Author informationArticle notesCopyright and License informationDisclaimerThis article has been cited by other articles in PMC.Go to:

Abstract

This study examined whether a traditional low-impact mind–body exercise, Tai Chi, affects health-related quality-of-life (HRQOL) and headache impact in an adult population suffering from tension-type headaches. Forty-seven participants were randomly assigned to either a 15 week intervention program of Tai Chi instruction or a wait-list control group. HRQOL (SF-36v2) and headache status (HIT-6™) were obtained at baseline and at 5, 10 and 15 weeks post-baseline during the intervention period. Statistically significant (P < 0.05) improvements in favor of the intervention were present for the HIT score and the SF-36 pain, energy/fatigue, social functioning, emotional well-being and mental health summary scores. A 15 week intervention of Tai Chi practice was effective in reducing headache impact and also effective in improving perceptions of some aspects of physical and mental health.Keywords: complementary and alternative medicine, health-related quality-of-life, integrative medicine, Tai Chi, tension-type headache, traditional Chinese medicineGo to:

Introduction

A Clinical and Epidemiological Description of Tension-Type Headaches

According to the National Headache Foundation, more than 45 million Americans suffer from chronic headaches, with losses of $50 billion a year to absenteeism and medical expenses and an excess of $4 billion spent on over-the-counter medications (1). Tension-type headaches (TTH), which represent approximately 78% of all headaches (1), occur either in single episodes or chronically, and are often the result of temporary stress, anxiety, fatigue or anger. Symptoms include soreness and pain, a tightening band-like sensation around the head, pressure sensations, and contracted head and neck muscles. Symptoms are bilateral and are not aggravated by physical activity. Standard care for TTH includes relaxation routines, massage, biofeedback, pharmacological interventions (such as over-the-counter pain killers and muscle relaxants) and stress reduction (2).

The Usage of Complementary and Alternative Medicine in the US is Substantially Increasing

In the US, complementary and alternative medicine (CAM) use has increased substantially in recent years [CAM is a group of diverse medical and health care systems, therapies and products that are not presently considered to be a part of conventional medicine (examples include chiropractics, ayurveda, homeopathy, naturopathy, etc.) (3)]. In 2002, 62% of the US adults polled said that they had used some form of CAM within the past year (3). In 1997, it was estimated that the US public had spent between $36 billion and $47 billion on CAM therapies, with between $12.2 billion and $19.6 billion spent out-of-pocket for professional CAM services (more than the out-of-pocket fees for all hospitalizations in that year, and about half that paid for all out-of-pocket physician services) (3).

Traditional Chinese medicine (TCM) is a complete system of medicine representative of CAM practices. TCM dates before the common era in written form, and its techniques include acupuncture, herbal medicine and practices such as Tai Chi.

Tai Chi is a Traditional Mind–Body Exercise and an Evidence-Based Treatment for a Variety of Conditions

Tai Chi is a form of traditional Chinese exercise that purports to improve health by changes in mental focus, breathing, coordination and relaxation. The goal of Tai Chi is to ‘rebalance’ the body's own healing capacity. Tai Chi has been practiced in China for hundreds of years and is now widely practiced throughout the world. It has been estimated that over 100 million people regularly practice Tai Chi in China alone (4).

As examined in two recent review articles (5,6), studies have shown that Tai Chi can help to improve balance and prevent falls in the elderly (7,8), improve musculoskeletal conditions (9,10), lower hypertension (11), enhance cardiovascular and respiratory function (12), improve mental health (13,14), and enhance endocrine and immune functioning (15–17).

This study sought to examine whether Tai Chi would prove to be effective in the treatment of TTH. As early as 1990, relaxation therapy and biofeedback had been shown to be effective in the treatment of TTH (18), and Tai Chi may have an effect similar to both of these interventions. Also, it has been demonstrated that acupuncture is effective in the treatment of TTH (19,20), and it is believed in TCM theory that acupuncture and Tai Chi operate along the same principles (21).Go to:

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