Abstract

This review focuses on Meditative Movement (MM) and its effects on anxiety, depression, and other affective states. MM is a term identifying forms of exercise that use movement in conjunction with meditative attention to body sensations, including proprioception, interoception, and kinesthesis. MM includes the traditional Chinese methods of Qigong (Chi Kung) and Taijiquan (Tai Chi), some forms of Yoga, and other Asian practices, as well as Western Somatic practices; however this review focuses primarily on Qigong and Taijiquan. We clarify the differences between MM and conventional exercise, present descriptions of several of the key methodologies of MM, and suggest how research into these practices may be approached in a systematic way. We also present evidence for possible mechanisms of the effects of MM on affective states, including the roles of posture, rhythm, coherent breathing, and the involvement of specific cortical and subcortical structures. We survey research outcomes summarized in reviews published since 2007. Results suggest that MM may be at least as effective as conventional exercise or other interventions in ameliorating anxiety and depression; however, study quality is generally poor and there are many confounding factors. This makes it difficult to draw definitive conclusions at this time. We suggest, however, that more research is warranted, and we offer specific suggestions for ensuring high-quality and productive future studies.

Highlights

  • While both exercise and meditation have been acknowledged as having health benefits, the category of exercise that combines meditative focus with movement is often ignored or misunderstood

  • We refer to the group of practices including the traditional Chinese practices of Taijiquan [1], Qigong [2], and Hatha Yoga [3], as well as Western methods such as the Alexander Technique [4] and Feldenkrais [5]

  • We found 14 review papers focusing solely or substantially on MM in relation to anxiety or depression [16,17,18,19,20,21,22,23,24,25,26,27,28,29], all of them relating to meditation, Yoga, Qigong, and/or Taijiquan, and used these as our principal source of information

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Summary

Introduction

While both exercise and meditation have been acknowledged as having health benefits, the category of exercise that combines meditative focus with movement is often ignored or misunderstood. It has been proposed that this form of exercise be called “Meditative Movement” (MM), which is defined by Larkey et al as a practice involving movement, a meditative state of mind, attention to the breath, and deep relaxation [6]. We address MM because of the proliferation of publications, some scholarly, some in the popular press, that claim physical or psychological benefit from one or more of these practices, including reduced anxiety and depression, a more positive affective state, greater calmness of mind, greater physical relaxation, improved general health, better balance, lower blood pressure (BP), and improved biomarkers for inflammation and immune function [such as C-reactive protein (CRP) and cortisol] [7,8,9,10,11,12,13]

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