Discussion
IPF diseases, dyspnea, ’, Dyspnea, IPF disease, IPF, pain, COPD
COPD, DISEASE, BLIND, STILL
Dyspnea is a typical feature of IPF. In clinical practice, the majority of IPF patients experience varying degrees of limb function degradation as the disease progresses. Therefore, it is of utmost clinical importance to treat dyspnea and improve or enhance the limb function of IPF patients.Baduanjin is a gentle, safe, and effective traditional Chinese sport. Compared with the traditional Baduanjin, the Modified Baduanjin has the following important characteristics: (1) Easy to operate, simple and interesting action, at the same time, we combined the features of the Modified Baduanjin to remember the name. (2) Easy to develop, the Modified Baduanjin has extremely low needs for the environment and site and does not borrow any tools. It can be carried out effectively at home, in the office, and even in a hospital bed. (3) Suitable for prevention, treatment, and rehabilitation of IPF, can be used in the complete process of IPF disease, and according to the severity of the disease, can choose different kinds of vertical, seated, and horizontal training. It is convenient for doctors to carry out their duties. Doctors can use the Modified Baduanjin in the propaganda, education, and prevention and treatment of IPF diseases. Patient training at the same time can promote communication between patients and patients, patients and doctors, compared with drug therapy, no pain, this is a natural, pollution-free, easy, and pressure-free new way of prevention and treatment. This study, therefore, focuses on the lung function and limb motor function of stable IPF patients and measures the effect and effect of Modified Baduanjin on IPF patients using different indicators.Rehabilitation exercise is an important part of IPF treatment. Anti-resistance exercise stimulates and trains the muscles related to IPF rehabilitation through a variety of tools, such as instruments, weight lifting, rubber bands, and so on, to improve the skeletal muscle strength and function of IPF patients. COPD patients who use rubber band exercises can improve their 6MWT test results, according to studies. We hope to examine the effect of anti-resistance exercise on IPF patients and compare its therapeutic effect to that of Modified Baduanjin in order to determine its specific effect and effect on stable IPF.Resistance movement is characterized by setting relevant resistance movements for the relevant ten muscles, to improve the muscle strength and function of the relevant muscles, and to improve lung function and limb movement function. The Modified Baduanjin is a combination of whole-body aerobic exercise and breathing that can effectively improve dyspnea and limb movement ability. Consequently, we hypothesize that this combined exercise regimen may have a synergistic effect on IPF patients.This study has several bright spots. First, the Modified Baduanjin is innovatively developed in three forms, standing, sitting, and horizontal, compared with traditional Chinese sports skills. As far as we know, the latter two forms are new forms that are not available in other exercise therapies. Therefore, patients with severe lung function injury, particularly long-term hospitalized patients, can choose the appropriate sitting or horizontal rehabilitation posture, which is not possible with other exercise therapies. Second, for IPF patients, we evaluate several comprehensive indicators of new-type Baduanjin on IPF in the stable phase, paying special attention to lung function and limb function. Third, a subgroup analysis of patients with different degrees of disease is conducted to study whether there are differences in the therapeutic effects of vertical, sitting, and horizontal types respectively, and finally to find out the best combination plan to optimize the therapeutic effect. Finally, this study is conducted strictly and standardized under CONSORT guidelines [Still, our study has some limitations. First of all, as a kind of exercise intervention, the Modified Baduanjin will inevitably fail to blind participants and doctors, which may lead to a certain degree of bias in the results. Lack of blinding may also contribute to sample shedding, with participants in different treatment groups experiencing varying levels of psychological impact, leading to the possibility of early withdrawal from the trial. Second, the focus of this study is given priority to home exercise intervention, the patient’s compliance may not be able to get a good guarantee, but the staff will promptly with the participants of this study via remote video and telephone contact, strengthen communication, supervision, and education curriculum implementation once a week, at the same time to test the normal; Lastly, the promotion of the Modified Baduanjin may be limited to some extent by the specificity of different populations as a result of regionalism, as different regions and populations have varying degrees of acceptance and recognition of the Modified Baduanjin.In conclusion, this study introduced a Modified Baduanjin through three different forms (vertical, seated, horizontal) on the stability of IPF patients’ intervention of clinical trial plan, aims to investigate the lung function and limb function and role in IPF patients, as well as the influence of a single solution (including Modified Baduanjin and resistance training) and the benefits and drawbacks of the joint scheme. In addition, these results may provide clinicians and therapists with a new IPF rehabilitation protocol that is simple, safe, and effective.