The Effects Of Fitness Qigong On Improving Chronic Non-specific Low Back Pain

Objective:To conduct a theoretical and evidence-based study on fitness qigong intervention in chronic non-specific low back pain（CNLBP）,and to observe the effects of fitness qigong on CNLBP population in terms of pain,functional impairment,quality of life,anxiety and depression,lumbar spine mobility,low back muscle strength and balance ability through exercise intervention experiments,and to explore the actual improvement effects of fitness qigong on their pain and physical and mental functional status,with a view to To provide theoretical and practical references for subsequent related studies and promote the development and popularization of fitness qigong.Methods:Seventy-two people with CNLBP were studied and randomly grouped and then subjected to a 12-week intervention experiment.The experimental group underwent fitness qigong intervention for 60 min five times a week;the control group did not do exercise intervention and only routinely supervised their daily life,and the VAS pain score,RMDQ dysfunction score,HADS anxiety-depression score,SF-12 quality of life score,lumbar spine mobility,lumbar back muscle strength,and balance to comprehensively explore the effects of fitness qigong on pain and physical and mental function in people with CNLBP.Results:It was found that the indicators of the two groups showed different trends with increasing time in general.The index scores of the experimental group decreased sequentially with increasing time from before the intervention to the end of the 12th week of the intervention,while those of the control group increased sequentially with increasing time,and the differences between the index scores of the two groups reached a significant level of P<0.05.1.VAS pain scores:M₀=5.60,M₄=4.77,M₈=3.27,M₁₂=1.91 in the experimental group;M₀=5.50,M₄=5.66,M₈=6.01,M₁₂=6.26 in the control group,and the difference between each measurement in both groups reached a very significant level P<0.001.2.RMDQ dysfunction scores:M₀=7.14,M₄=5.86,M₈=3.69,M₁₂=2.22 in the experimental group,the difference between each measurement reached a very significant level P<0.001;M₀=6.83,M₄=7.03,M₈=7.78,M₁₂=8.33 in the control group,where the difference between M₀=6.83 and M₄=7.03 significant P<0.05,and the rest of the differences between measurements reached a very significant level P<0.001.3.HADS anxiety and depression scores:（1）Anxiety:M₀=7.97,M₄=6.58,M₈=4.81,M₁₂=3.39 in the experimental group,the difference between each measurement reached a very significant level P<0.001;M₀=7.42,M₄=7.31,M₈=8.44,M₁₂=9.14 in the control group,where the difference between M₀=7.42 and M₄=7.31 The difference between M₀=7.42 and M₄=7.31 was not significant P>0.05,and the difference between the remaining measurements reached a highly significant level P<0.001.（2）Depression:experimental group M₀=7.14,M₄=6.06,M₈=4.28,M₁₂=3.08,the difference between each measurement reached a highly significant level P<0.001;control group M₀=6.64,M₄=6.81,M₈=7.83,M₁₂=8.44,where the differences between M₀=6.64 and M₄=6.81 were not significant P>0.05,and the differences between the rest of the measurements reached a highly significant level P<0.001.4.SF-12 quality of life scores:（1）PCS（physical total score）:M₀=49.17,M₄=56.11,M₈=71.25,M₁₂=78.47 in the experimental group,the difference between each measurement reached a very significant level P<0.001;in the control group,M₀=51.25,M₄=50.56,M₈=46.39,M₁₂=41.94,where the difference between M₀=51.25 and M₄=50.56 was not significant P>0.05,and the difference between the remaining measurements reached a highly significant level P<0.001.（2）MCS（mental total score）:M₀=59.61,M₄=67.71,M₈=74.54,M₁₂=80.67 in the experimental group,the difference between each measurement reached a highly significant level P<0.001;in the control group,M₀=63.20,M₄=61.69,M₈=57.06,M₁₂=53.82,where the difference between M₀=63.20 and M₄=61.69 was not significant P>0.05,and the difference between the rest of the measurements reached a very significant level P<0.001.5.Lumbar spine mobility:（1）Forward flexion:experimental group M₀=37.88,M₄=40.50,M₈=46.53,M₁₂=50.72;control group M₀=38.06,M₄=37.30,M₈=36.20,M₁₂=35.52,the difference between the two groups of each test reached a very significant level P<0.001.（2）Posterior extension:experimental group M₀=12.41,M₄=14.07,M₈=17.24,M₁₂=19.63;in the control group,M₀=13.19,M₄=12.77,M₈=11.90,M₁₂=11.21,and the difference between the two groups reached a highly significant level of P<0.001 for each test.（3）Left-sided flexion:experimental group M₀=12.87,M₄=14.64,M₈=18.71,M₁₂=22.18;control group M₀=13.54,M₄=13.02,M₈=12.09,M₁₂=11.39,and the differences between the test values reached a highly significant level P<0.001.（4）Right-sided flexion:M₀=12.55,M₄=14.56,M₈=19.06,M₁₂=22.23 in the experimental group,and the differences between the test values reached a highly significant level P<0.001.The differences reached a highly significant level P<0.001;in the control group,M₀=13.55,M₄=13.14,M₈=12.27,M₁₂11.56,where the differences between M₀=13.55 and M₄=13.14 were not significant P>0.05,and the differences between the rest of the tests reached a highly significant level P<0.001.（5）Left-sided flexion:experimental group M₀=16.47,M₄=19.44,M₈=25.24,M₁₂=29.52in the experimental group;M₀=17.16,M₄=16.54,M₈=15.53,M₁₂=14.69in the control group,the difference between the two groups reached a very significant level P<0.001 for each test value.（6）Right-sided flexion:M₀=16.37,M₄=19.30,M₈=25.31,M₁₂=29.57 in the experimental group,the difference between the two groups reached a very significant level P<0.001 for each test value;control group M₀=17.47,M₄=16.86,M₈=15.93,M₁₂=15.02,where the difference between M₄=16.86 and M₈=15.93 was significant P<0.05,and the rest of the differences between each test reached a very significant level P<0.001.6.Lumbar and back muscle strength:（1）Bdominal muscle endurance:experimental group M₀=22.08,M₄=24.91,M₈=31.67,M₁₂=37.14;control group M₀=23.26,M₄=22.18,M₈=20.15,M₁₂=18.58,the difference between the two groups of each test value reached a very significant level P<0.001.（2）Back muscle endurance:experimental group M₀=31.21,M₄=35.42,M₈=46.29,M₁₂=55.35;control group M₀=32.68,M₄=31.88,M₈=29.28,M₁₂=27.79,the difference between the two groups of each test reached a very significant level P<0.001.7.Balance ability:（1）Static balance:（1）Left foot static balance ability:experimental group M₀=5.68,M₄=7.05,M₈=9.67,M₁₂=11.28,the difference between each test reached a very significant level P<0.001;control group M₀=6.35,M₄=6.39,M₈=5.73,M₁₂=5.23,where the difference between M₀=6.35 and the difference between M₀=6.35 and M₄=6.39 was not significant P>0.05,and the rest of the differences between the tests reached a very significant level P<0.001.（2）Static balance ability of the right foot:M₀=6.62,M₄=8.40,M₈=11.10,M₁₂=13.05in the experimental group,the differences between the tests reached a very significant level P<0.001;M₀=6.91,M₄=6.86,M₈=6.11,M₁₂=5.73,where the difference between M₀=6.91 and M₄=6.86 was not significant P>0.05,the difference between M₈=6.11 and M₁₂=5.73 was significant P<0.05,and the difference between the rest of the tests reached a very significant level P<0.001.（2）Dynamic equilibrium:experimental group M₀=6.91,M₄=7.57,M₈=8.68,M₁₂=9.40;in the control group,M₀=6.89,M₄=6.70,M₈=6.13,M₁₂=5.80,and the differences between the two groups reached a highly significant level of P<0.001Conclusion:1.Fitness qigong can effectively relieve pain symptoms and reduce pain sensation;2.Fitness qigong can effectively improve lumbar spine dysfunction and promote lumbar spine function recovery;3.Fitness qigong can effectively regulate anxiety and depression and maintain psychological dynamic balance;4.Fitness qigong can effectively improve the quality of life and enhance physical and mental health;5.Fitness qigong can effectively increase the mobility of the lumbar spine and enhance the flexibility and agility of the spine;6.Fitness qigong can effectively enhance lumbar back muscle strength,improve muscle strength imbalance and enhance lumbar spine stability;7.Fitness qigong can effectively improves dynamic and static balance,enhances proprioception and maintains body stability.