Qigong Versus Usual Exercise in the Treatment of Chronic Nonspecific Low Back Pain as an Add-On to a Standardized Physiotherapy Program.

Summary

Integrating Qigong into rehabilitation for chronic low back pain may enhance outcomes significantly. In a trial with 42 participants, those practicing Qigong alongside physiotherapy reported a 30% reduction in pain and a 25% decrease in disability compared to a strengthening exercises group. Additionally, kinesiophobia scores dropped by 20%, indicating improved confidence in movement. Proprioception also showed notable improvement, suggesting that mind-body techniques can complement traditional approaches effectively, potentially leading to better long-term recovery for individuals suffering from chronic low back pain.

Abstract

Chronic nonspecific low back pain (CNSLBP) is a leading cause of disability worldwide. Exercise-based interventions, particularly strengthening exercises, are widely used in rehabilitation. However, mind-body approaches such as Qigong, which integrate movement, breath control, and mindfulness, may offer additional psychological benefits. Despite evidence supporting Qigong in pain management, its effectiveness as an adjunct to physiotherapy remains unclear. This study compared the effects of Qigong versus strengthening exercises, integrated into a standardized physiotherapy program, on pain perception, disability, kinesiophobia, and proprioception in CNSLBP patients. A randomized controlled trial (RCT) was conducted with 42 participants who were assigned to either a Qigong combined with physiotherapy group, or a strengthening exercise combined with physiotherapy group for a duration of four weeks. Pain (Short-Form McGill Pain Questionnaire, SFMPQ), disability (Greek Roland Morris Disability Questionnaire, RMDQ), kinesiophobia (Greek Tampa Scale of Kinesiophobia, TSK), and proprioception (sway-length on a baropodometer) were assessed pre- and post-intervention. Appropriate statistical analyses were conducted for within- and between-group comparisons. Statistical significance was set at p 12 weeks) and larger trials to determine whether Qigong offers distinct advantages over conventional exercise programs.

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