The effects of a 6-month tai chi qigong training program on temporomandibular, cervical, and shoulder joint mobility and sleep problems in nasopharyngeal cancer survivors

  • Fong S
  • Ng S
  • Lee H
 et al. 
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Introduction: Nasopharyngeal cancer (NPC) survivors often sustain head-neck-shoulder impairments from conventional treatments, which could disturb sleep. This novel study aimed to examine the efficacy of Tai Chi (TC) Qigong in optimizing temporomandibular (TMJ), cervical and shoulder joint mobility and reducing sleep problems in NPC survivors. Methods: Fifty-two NPC survivors participated in the study. The experimental group (n=25) received six months of TC Qigong training (1.5 hours/session; 4 sessions/week including self-practice) while the control group (n=27) received no training. Cervical side flexion and rotation, shoulder flexion and horizontal flexion range of motion (ROM), mouth opening capacity (interincisor distance) and sleep problems (Medical Outcomes Study Sleep Scale) were assessed at baseline, mid-intervention (3-month), immediately after TC Qigong training and at six-month follow-up. Results: Intention-to-treat analysis revealed improvement in cervical side flexion ROM only (p0.008) after the TC Qigong training. Deterioration was observed in shoulder flexion ROM and mouth opening capacity in the no-training controls over time (p

Author-supplied keywords

  • Head and neck cancer
  • Mind-body exercise
  • Sleep
  • Upper-body joint mobility

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