Virtual Tai Chi program for patients with irritable bowel syndrome with constipation: Proof‐of‐concept feasibility trial. Issue 11 (14th July 2022)

• Record Type: Journal Article
• Authors: Staller, Kyle; Paz, Mary; Rones, Ramel; Macklin, Eric A.; Garcia‐Fischer, Isabelle; Murray, Helen Burton; Kuo, Braden
• Is Part Of: Neurogastroenterology & motility. Volume 34:Issue 11(2022)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2022-07-14
• Subjects: clinical trial -- complementary therapies -- functional colonic diseases -- Tai Ji; Gastrointestinal system -- Motility -- Periodicals; Gastrointestinal system -- Innervation -- Periodicals; 616.33
• DOI: 10.1111/nmo.14429
• Languages: English
• ISSNs: 1350-1925

Abstract

Abstract: Background: Satisfaction with current treatment options for irritable bowel syndrome with constipation (IBS‐C) is low, with many patients turning to complementary treatments. Tai Chi is a mind–body medicine practice with proven efficacy in other functional disorders. As a proof‐of‐concept, we tested the feasibility and preliminary clinical outcomes associated with a Tai Chi program designed for IBS‐C. Methods: A total of 27 IBS‐C patients participated in a single‐arm trial of 8 sessions of Tai Chi delivered weekly over 7 weeks via live videoconferencing in group format. Clinical improvement was assessed via change in IBS Symptom Severity Score (IBS‐SSS) from baseline to 4 weeks posttreatment (week 11) with secondary outcomes exploring symptom ratings, IBS‐related quality of life (IBS‐QOL), GI‐specific anxiety, abdominal distention, and psychological factors. Key Results: Despite substantial dropout ( n = 7; 26%), the treatment protocol had moderate to excellent feasibility for other criteria. Treatment satisfaction was excellent. Exit interviews confirmed high satisfaction with the program among completers, but a high burden of data collection was noted. One participant experienced an adverse event (mild, exacerbation of sciatica). There was a significant improvement in intra‐individual IBS‐SSS between baseline and posttreatment (average change −66.5, 95% CI −118.6 to −14.3, p = 0.01). Secondary outcomes were notable for improvements in other IBS symptom scoring measures, IBS‐QOL, measured abdominal diameter, and leg strength. Conclusions and Inferences: Our data provide preliminary evidence of the feasibility of a Tai Chi intervention for IBS‐C, show promise for improving outcomes, and identify more streamlined data collection as an area for further program improvement. Abstract : In a proof‐of‐concept trial of 27 patients enrolled in a virtual Tai Chi program designed specifically for irritable bowel syndrome with constipation delivered over 7 weeks, we demonstrated moderate to excellent feasibility with significant improvement in IBS Symptom Severity Scores (IBS‐SSS). Content available: Author Interview and Audio Recording