Safety and effectiveness of a Tai Chi-based cardiac rehabilitation programme for chronic coronary syndrom patients: study protocol for a randomised controlled trial

Abstract

Introduction: Preliminary evidence from clinical observations suggests that Tai Chi exercise may offer potential benefits for patients with chronic coronary syndrom (CCS). However, the advantages for CCS patients to practice Tai Chi exercise as rehabilitation have not been rigorously tested and there is a lack of consensus on its benefits. This study aims to develop an innovative Tai Chi Cardiac Rehabilitation Program (TCCRP) for CCS patients and to assess the efficacy, safety and acceptability of the programme.

Methods and analysis: We propose to conduct a multicentre randomised controlled clinical trial comprising of 150 participants with CCS. The patients will be randomly assigned in a 1:1 ratio into two groups. The intervention group will participate in a supervised TCCRP held three times a week for 3 months. The control group will receive supervised conventional exercise rehabilitation held three times a week for 3 months. The primary and secondary outcomes will be assessed at baseline, 1 month, 3 months after intervention and after an additional 3-month follow-up period. Primary outcome measures will include a score of 36-Item Short Form Survey and Chinese Perceived Stress Scale. The secondary outcome measures will include body composition, cardiopulmonary exercise test, respiratory muscle function, locomotor skills, echocardiogram, New York Heart Association classification, heart rate recovery time and laboratory examination. Other measures also include Seattle Angina Scale, Pittsburgh Sleep Quality Index, Patient Health Questionnaire-9, Generalized Anxiety Disorder-7 and Berg Balance Scale. All adverse events will be recorded and analysed.

Ethics and dissemination: This study conforms to the principles of the Declaration of Helsinki and relevant ethical guidelines. Ethical approval has been obtained from the Ethics Committee of Chinese People's Libration Army General Hospital (approval number: S2019-060-02). Findings from this study will be published and presented at conferences for widespread dissemination of the results.

Trial registration number: NCT03936504.

Keywords: clinical trials; complementary medicine; coronary heart disease; education & training (see medical education & training); rehabilitation medicine; sports medicine.

Conflict of interest statement

Competing interests: None declared.

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Figures

Figure 1

Flow diagram of study design. BBS, Berg Balance Scale; CPSS, Chinese Perceived Stress Scale;GAD-7, Generalized Anxiety Disorder-7; NYHA, New York Heart Association; PSQI, Pittsburgh Sleep Quality Index; PHQ-9, Patient Health Questionnaire-9;SF-36, SAQ, Seattle Angina Scale; SF-36 Health Survey.

Figure 2

Exemplary Bafa Wubu of Tai Chi; the pictures have taken the portrait right; the fugleman is the developer of TCCRP. The ‘Bafa’ consisted of eight hand techniques are shown in figure 2. Each figure shows each hand technique, namely, ‘Peng (warding off), Lu (rolling back), Ji (pressing), An (pushing), Cai (pulling down), Lie (splitting), Zhou (elbowing) and Kao (shouldering)’.