Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/35946
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dc.contributorDepartment of Rehabilitation Sciencesen_US
dc.creatorFong, SSMen_US
dc.creatorNg, SSMen_US
dc.creatorLee, HWen_US
dc.creatorPang, MYCen_US
dc.creatorLuk, WSen_US
dc.creatorChung, JWYen_US
dc.creatorWong, JYHen_US
dc.creatorMasters, RSWen_US
dc.date.accessioned2016-04-15T08:36:04Z-
dc.date.available2016-04-15T08:36:04Z-
dc.identifier.issn1534-7354en_US
dc.identifier.urihttp://hdl.handle.net/10397/35946-
dc.language.isoenen_US
dc.publisherSAGE Publicationsen_US
dc.rightsThis is the accepted version of the publication Fong, Shirley S. M., et al. “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.” Integrative Cancer Therapies, Jan. 2015, pp. 16–25. Copyright © 2014 (The Author(s)). DOI: 10.1177/1534735414556508en_US
dc.subjectHead and neck canceren_US
dc.subjectMind-body exerciseen_US
dc.subjectUpper-body joint mobilityen_US
dc.subjectSleepen_US
dc.titleThe effects of a 6-month Tai Chi Qigong training program on temporomandibular, cervical, and shoulder joint mobility and sleep problems in nasopharyngeal cancer survivorsen_US
dc.typeJournal/Magazine Articleen_US
dc.identifier.spage16en_US
dc.identifier.epage25en_US
dc.identifier.volume14en_US
dc.identifier.issue1en_US
dc.identifier.doi10.1177/1534735414556508en_US
dcterms.abstractIntroduction. 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 joint (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 6 months of TC Qigong training (1.5 h/session; 4 sessions/wk 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 months), immediately after TC Qigong training, and at 6-month follow-up. Results. Intention-to-treat analysis revealed improvement in cervical side flexion ROM only (P < .008) and unchanged shoulder and TMJ mobility (P > .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 < .008). Sleep problems also decreased in the TC Qigong group (P < .008), and this effect was most profound during the follow-up period. In addition, improvement in cervical side flexion ROM was associated with a reduction in sleep problems in the experimental group after TC Qigong training (P < .05). Conclusions. The 6-month TC Qigong intervention improved neck mobility, maintained TMJ and shoulder joint mobility, and reduced sleep problems for NPC survivors. TC Qigong could be an effective nonpharmacological intervention for managing progressive trismus, chronic neck and shoulder hypomobility, and reducing sleep problems among NPC survivors.en_US
dcterms.accessRightsopen accessen_US
dcterms.bibliographicCitationIntegrative cancer therapies, 1 Jan. 2015, v. 14, no. 1, p. 16-25en_US
dcterms.isPartOfIntegrative cancer therapiesen_US
dcterms.issued2015-01-01-
dc.identifier.isiWOS:000346262900003-
dc.identifier.pmid25411207-
dc.identifier.eissn1552-695Xen_US
dc.identifier.rosgroupid2014000741-
dc.description.ros2014-2015 > Academic research: refereed > Publication in refereed journalen_US
dc.description.oaAccepted Manuscripten_US
dc.identifier.FolderNumbera0590-n10-
dc.identifier.SubFormID334-
dc.description.fundingSourceSelf-fundeden_US
dc.description.pubStatusPublisheden_US
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