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    Effects of qigong for physical and psychological well-being in pregnancy: A multicenter randomized controlled trial
    (Churchill Livingstone, 2025) Ahi, Emine Dundar; Kuculmez, Ozlem; Afsar, Sevgi Ikbali; Dogan, Rahsan Eyup
    Background: Psychological stress and anxiety during pregnancy can adversely affect both maternal and fetal health. Qigong, a traditional Chinese mind-body exercise, is believed to promote physical and mental well-being during pregnancy. This study aimed to investigate the effects of qigong on anxiety, stress, and exercise self-efficacy in pregnant women. Methods: This multicenter randomized controlled clinical trial included pregnant women in their second trimester attending prenatal education classes at Baskent University and Alaaddin Keykubat University. Women in the first or third trimester with uncontrolled systemic diseases, high-risk pregnancies, or irregular attendance were excluded. Participants were randomly assigned via Randomizer.org to either the Qigong group or the control group. The Qigong group performed Baduanjin qigong exercises for 30-45 min, three times a week, while the control group received standard prenatal counseling. Demographic data were recorded. All participants completed the Pregnancy-Related Anxiety Scale (PrAS), Pregnancy Stress Rating Scale (PSRS), and Pregnancy Exercise Self-Efficacy Scale (P-ESES). Results: A total of 102 pregnant women were analyzed (qigong group: 52; control group: 50). The mean age was 27.95 +/- 3.66 years, and the mean gestational week was 26.94 +/- 2.12. The qigong group showed significantly lower systolic and diastolic blood pressure increases compared to the control group (p < 0.05). Exercise self-efficacy scores increased significantly in the qigong group (p < 0.05). Pregnancy-related anxiety and stress scores, including all subscales, showed significant improvement in the qigong group (p < 0.05), with no significant changes in the control group (p > 0.05). Conclusions: Baduanjin qigong was effective in reducing anxiety and stress levels and improving exercise self-efficacy in pregnant women. This non-pharmacological intervention may offer a safe, supportive approach to mental well-being during pregnancy.
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    Evaluation of the neuropathic component of pain in patients with fibromyalgia with painDETECT and DN4
    (Ondokuz Mayis Universitesi, 2024) Demirdal, Ümit Seçil Irdal; Kuculmez, Ozlem; Aşkın, Ayhan; Tosun, Aliye Kapukiran; Koçak, Duygu
    Fibromyalgia (FMS) is generally associated with neuropathic pain (NP) because of the neuropathic symptoms frequently observed in patients with FMS. The aim of the study is to evaluate the neuropathic component of FMS with the painDETECT (PD-Q) and Douler Neuropathic 4 (DN4) scales. Female patients diagnosed as FMS according to the American College of Rheumatology’s 2010 FMS criteria and female healthy volunteers are included in the study. After demographic evaluation, the patients and volunteers were asked to fill out Visual Analog Score (VAS), PD-Q, and DN4 scale forms. The Fibromyalgia Impairment Questionnaire (FIQ) evaluated life quality and function. There were 66 patients in the FMS group with a mean age of 46.16± 10.66 and 61 patients in the control group with a mean age of 44.93± 12.72. It was determined that there was a significant difference between the VAS, PD-Q, and DN4 values of FMS and control groups (tVAS = 5,025 p < 0.05, t PD-Q = 5,025 p < 0.05, tDN4 = 7,885 p < 0.05). The mean pain score (VAS) and NP level (DN4 and PD-Q) of FMS patients were significantly higher than healthy individuals. In addition, it was determined that VAS (p = 0.001) and PD-Q (p = 0.046) values were found to be significant predictors of the FIQ values. FMS patients may have pain with a neuropathic component, and it seems useful to evaluate neuropathic characteristics with PD-Q and DN4. If the components of pain are researched carefully, more improvement may be achieved in pain and functional capacity. © 2024 Ondokuz Mayis Universitesi. All rights reserved.