Synergistic Study of Taichi for the Treatment of Ankylosing Spondylitis with Attainment of Standard Control
Objective To investigate the synergistic effect of Taichi exercise on the attainment of standard control in patients with renal deficiency and blood stasis certificates of ankylosing spondylitis(AS).Methods A randomised controlled study method was used to include 80 patients with renal deficiency and blood stasis syndrome of AS who attended Guang'anmen hospital of the China academy of traditional Chinese medicine from March 2022 to March 2023,and they were divided into 40 cases each in the treatment group and the control group using the random number table method.The treatment group was treated with Taichi exercise combined with Bushen Qiangji Decoction(补肾强脊汤),and the control group was treated with Bushen Qiangji Decoction,and the treatment course of both groups was 12 weeks.To observe the ankylosing spondylitis disease activity score(ASDAS-CRP),Bath ankylosing spondylitis functional index(BASFI)scores,Bath ankylosing spondylitis measurement index(BASMI),finger to ground distance,occipital wall distance,depression,anxiety,and stress scale-21(DASS-21)scores,nocturnal pain visual analogue scale(VAS)scores,spinal pain visual analogue scale(VAS)scores,patient general assessment(PGA)scores,functional assessment of chronic illness therapy-fatigue scale(FACIT-F)scores,and level changes in C-reactive protein(CRP)and blood sedimentation(ESR).Results 12 cases were shed in this study and 68 cases were finally included in the analysis,32 cases in the treatment group and 36 cases in the control group.(1)After 12 weeks of treatment,the ASDAS-CRP of patients in both groups were significantly reduced(P＜0.05),and the ASDAS-CRP in the Taichi treatment group was significantly lower than that of the control group(P＜0.05);in terms of the rate of attainment of the ASDAS-CRP＜1.3 in the treatment group,it was significantly higher than that of the control group(40.6％vs.25.0％);and the treatment group achieved an important improvement in the ASDAS-CRP,which was significantly higher in the treatment group compared to the control group(56.3％vs 38.9％).(2)After 12 weeks of treatment,the BASFI scores,BASMI scores,and finger-ground distance of patients in both groups were significantly improved compared with those before treatment(P＜0.05);the BASFI scores and BASMI scores of the treatment group were significantly lower than those of the control group(P＜0.05).(3)After 12 weeks of treatment,the anxiety and depression scores of the treatment group were significantly lower than those of the control group(P＜0.05).(4)After 12 weeks of treatment,the spinal pain VAS scores,nocturnal pain VAS scores,and PGA scores were significantly improved compared with those before treatment,and nocturnal pain VAS scores and PGA scores in the treatment group were significantly lower than those in the control group(P＜0.05).(5)After 12 weeks of treatment,ESR and CRP of patients in both groups decreased significantly compared with before treatment(P＜0.05).Conclusion Taichi exercise combined with Bushen Qiangji Decoction can effectively reduce the disease activity of AS patients,improve the functional status,alleviate anxiety and depression,and improve the patient-reported outcomes,and Taichi exercise has a synergistic effect on the attainment of AS control.
ankylosing spondylitisBushen Qiangji Decoction(补肾强脊汤)Taichiattainment of controldisease activitypotentiation study
万方数据
维普
