Health  Vol.10 No.1 , January 2018
Immediate and Long-Term Effects of Qigong on Cold Intolerance in Patients with Post-Poliomyelitis Syndrome
Abstract: Post-poliomyelitis syndrome (PPS) is a disorder in individuals who have had poliomyelitis, characterized by new muscle weakness and often associated with other symptoms, including cold intolerance (CI). Qigong is a Traditional Chinese Medicine technique to adjust energy and blood circulation. Objective: To verify the effects and late repercussions of Qigong on CI complaints in PPS patients. Methods: PPS patients (n = 22, 14 females, 8 males; ages 35 - 60) performed Qigong exercises in 40-minute sessions, three times per week, for three consecutive months. They were evaluated at baseline, the end of treatment and every three months for a year using a visual analogue scale adapted for CI (VAS-cold). Results: The systemic VAS-cold scores exhibited significant differences between the baseline, the end of treatment and throughout 12 months of follow-up. Conclusion: The CI scores were low and bearable at the end of intervention and for the following 12 months without activity.
Cite this paper: Ramos, P. , Abe, G. , Pradella-Hallinan, M. , Quadros, A. , Tao, T. , Oliveira, A. (2018) Immediate and Long-Term Effects of Qigong on Cold Intolerance in Patients with Post-Poliomyelitis Syndrome. Health, 10, 56-68. doi: 10.4236/health.2018.101004.

[1]   Dalakas, M. and Illa, I. (1991) Post-Polio Syndrome: Concepts in Clinical Diagnosis, Pathogenesis, and Etiology. Advances in Neurology, 56, 495-511.

[2]   Secretaria de Estado da Saude de Sao Paulo (2006) Sindrome pos-poliomielite. Revista de saude publica, 40, 941-945.

[3]   Abe, G.C., Ramos, P.E., Fontes, S.V., Yonamine, B.T.S., Mello, C.Ad.S., Quadros, A.A.J., et al. (2011) Polio-mielite e sindrome pos-poliomielite pela Medicina Tradicional Chinesa: Do diagnostico aos mecanismos fisiopatologicos. Revista Neurociencias, 19, 365-381.

[4]   Balzien, B., Hofner, B., Harlander-Weikert, E., Frommelt, P., Bork, H., Forst, R., et al. (2014) Orthopadische Beschwerden und Funktionseinschrankungen beim Post-Polio-Syndrom. [Musculoskeletal Symptoms in Patients with Post-Polio Syndrome.] Zeitschrift Fur Orthopadie Und Unfall-chirurgie, 152, 241-246.

[5]   Quadros, A.A., Conde, M.T., Marin, L.F., Silva, H.C., e Silva, T.M., de Paula, M.B., et al. (2012) Frequency and Clinical Manifestations of Post-Poliomyelitis Syndrome in a Brazilian Tertiary Care Center. Arquivos de Neuro-Psiquiatria, 70, 571-573.

[6]   Oliveira, A.S.B. and Quadros, A.A.J. (2008) Síndrome Pós-Poliomielite (SPP): Orientacoes para Profissionais de Saude. CCD/SES-SES/SP, Sao Paulo.

[7]   Oliveira, A.S.B. and Maynard, F.M. (2002) Síndrome pós-poliomielite: Aspectos neurologicos. Revista Neurociencias, 10, 31-34.

[8]   Departamento de Atencao Basica, Secretaria de Atencao a Saude, Ministerio da Saude, Brasil (2006) Politica Nacional de Praticas Integrativas e Complementares no SUS. Ministério da Saude, Brasília, 96 p.

[9]   Yang, H.-P. (2006) The Textual Research of What “Shuo Wen Jie Zi Xi Zhuan” Quoted Ancient Books. Journal of Ancient Books Collation and Studies, 2, 29-32.

[10]   Mulder, D.W. (1995) Clinical Observations on Acute Poliomyelitis. Annals of the New York Academy of Sciences, 753, 1-10.

[11]   Ramos, P.E., Abe, G.C., Pradella-Hallinan, M., Quadros, A.A., Schmidt, B. and Oliveira, A.S. (2012) Effects of Daoyin Qigong in Postpolio Syndrome Patients with Cold Intolerance. Arquivos de neuro-psiquiatria, 70, 680-685.

[12]   Barbosa, V. and Stewien, K.E. (1980) Aspectos de importancia para a vigilancia epidemiologica da poliomielite na cidade de Sao Paulo, Brasil. Revista de saude publica, 14, 557-568.

[13]   Borella, Md.P. and Sacchelli, T. (2009) Os efeitos da pratica de atividades motoras sobre a neuroplasticidade. Revista Neurociencias, 17, 161-169.

[14]   Fisher, B.E. and Sullivan, K.J. (2003) Activity-Dependent Factors Affecting Poststroke Functional Outcomes. Topics in Stroke Rehabilitation, 8, 31-44.

[15]   Gonzalez-Alonso, J., Mortensen, S.P., Jeppesen, T.D., Ali, L., Barker, H., Damsgaard, R., et al. (2008) Haemodynamic Responses to Exercise, ATP Infusion and Thigh Compression in Humans: Insight into the Role of Muscle Mechanisms on Cardiovascular Function. The Journal of Physiology, 586, 2405-2417.

[16]   Gonzalez-Alonso, J., Olsen, D.B. and Saltin, B. (2002) Erythrocyte and the Regulation of Human Skeletal Muscle Blood Flow and Oxygen Delivery: Role of Circulating ATP. Circulation Research, 91, 1046-1055.

[17]   Kirby, B.S., Voyles, W.F., Carlson, R.E. and Dinenno, F.A. (2008) Graded Sympatholytic Effect of Exogenous ATP on Postjunctional Alpha-Adrenergic Vasoconstriction in the Human Forearm: Implications for Vascular Control in Contracting Muscle. The Journal of Physiology, 586, 4305-4316.

[18]   Rosenmeier, J.B., Hansen, J. and Gonzalez-Alonso, J. (2004) Circulating ATP-Induced Vasodilatation Overrides Sympathetic Vasoconstrictor Activity in Human Skeletal Muscle. The Journal of Physiology, 558, 351-365.

[19]   Rosenmeier, J.B., Yegutkin, G.G. and Gonzalez-Alonso, J. (2008) Activation of ATP/UTP-Selective Receptors Increases Blood Flow and Blunts Sympathetic Vasoconstriction in Human Skeletal Muscle. The Journal of Physiology, 586, 4993-5002.

[20]   Pearson, J., Low, D.A., Stohr, E., Kalsi, K., Ali, L., Barker, H., et al. (2011) Hemodynamic Responses to Heat Stress in the Resting and Exercising Human Leg: Insight into the Effect of Temperature on Skeletal Muscle Blood Flow. American Journal of Physiology. Regulatory, Integrative and Comparative Physiology, 300, R663-R673.

[21]   Sao Paulo (2013) Prefeitura Municipal de Sao Paulo.

[22]   Estacao Meteorológica do IAG/USP (2013) Informacoes sobre as Estacoes do Ano na Cidade de Sao Paulo Sao Paulo—Brasil: Estaco Meteorológica do IAG/USP— Secao Técnica de Servicos Meteorológicos.

[23]   Horvath, S.M., Radcliffe, C.E., Hutt, B.K. and Spurr, G.B. (1955) Metabolic Responses of Old People to a Cold Environment. Journal of Applied Physiology, 8, 145-148.

[24]   Watts, A.J. (1972) Hypothermia in the Aged: A Study of the Role of Cold-Sensitivity. Environmental Research, 5, 119-126.

[25]   Sugarek, N.J. (1986) Temperature Lowering after Iced Water. Enhanced Effects in the Elderly. Journal of the American Geriatrics Society, 34, 526-529.

[26]   Collins, K.J. (1987) Effects of Cold on Old People. British Journal of Hospital Medicine, 38, 506-508.