Evidence map›Paper›PMID 40721517›Full record

ArticleEuropean journal of applied physiology2026

Characteristic activation of respiratory muscles in Liuzijue practice: a preliminary study based on surface electromyography in healthy individuals.

Jian Li, Yuxin Sun, Min Cao, Jianglong Shi, Yinggang Zheng, Kangxia Li, Ting Xiong, Yujun Wang, Wei Gu, Fanfu Fang and 1 more

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Article in European journal of applied physiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Jian Li *Department of Rehabilitation Medicine, First Affiliated Hospital of Naval Medical University, Naval Medical University (Second Military Medical University), No. 168 Changhai Road, Shanghai, 200433, People's Republic of China.ORCID http://orcid.org/0000-0002-9421-3116
Yuxin Sun *Department of Rehabilitation Medicine, First Affiliated Hospital of Naval Medical University, Naval Medical University (Second Military Medical University), No. 168 Changhai Road, Shanghai, 200433, People's Republic of China.
Min Cao *Department of Rehabilitation Medicine, First Affiliated Hospital of Naval Medical University, Naval Medical University (Second Military Medical University), No. 168 Changhai Road, Shanghai, 200433, People's Republic of China.
Jianglong Shi *Department of Du's Orthopedics and Traumatology, Sichuan Second Hospital of Traditional Chinese Medicine (Sichuan Institute of Traditional Chinese Medicine), Chengdu, Sichuan, 610031, People's Republic of China.
Yinggang ZhengShanghai Key Laboratory of Anesthesiology and Brain Functional Modulation, Clinical Research Center for Anesthesiology and Perioperative Medicine, Translational Research Institute of Brain and Brain-Like Intelligence, Department of Anesthesiology and Perioperative Medicine, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, 200434, People's Republic of China.
Kangxia LiDepartment of Sports Rehabilitation, Shanghai University of Sport, Shanghai, 200438, People's Republic of China.
Ting XiongDepartment of Rehabilitation Medicine, First Affiliated Hospital of Naval Medical University, Naval Medical University (Second Military Medical University), No. 168 Changhai Road, Shanghai, 200433, People's Republic of China.
Yujun WangUnit 93856, People's Liberation Army, Lanzhou, Gansu, 730000, People's Republic of China.
Wei GuFaculty of Traditional Chinese Medicine, Naval Medical University (Second Military Medical University), Shanghai, 200433, People's Republic of China.
Fanfu FangDepartment of Rehabilitation Medicine, First Affiliated Hospital of Naval Medical University, Naval Medical University (Second Military Medical University), No. 168 Changhai Road, Shanghai, 200433, People's Republic of China. fangfanfu@126.com.
Cai-Tao ChenDepartment of Rehabilitation Medicine, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, No. 1279, Sanmen Road, Shanghai, 200434, People's Republic of China. ccttcm@126.com.ORCID http://orcid.org/0000-0002-6552-6148

Funding

National Natural Science Foundation of China 82205276National Natural Science Foundation of China 82402964Shanghai Professional Technology Service Platform on Cold Chain Equipment Performance and Energy Saving Evaluation 22YF1434100Traditional Chinese Medicine research project of Shanghai Health Commission 2024QN094
6 · The paper itself

Abstract

purposeLiuzijue, a traditional Chinese Qigong, is effective for respiratory rehabilitation, yet its underlying mechanisms remain largely theoretical due to complex movement patterns. This study aimed to record respiratory muscle surface electromyography (EMG) during Liuzijue practice, analyze muscle activation characteristics, and provide a scientific basis for its clinical application.

methodsThirty-two proficient Liuzijue practitioners underwent calm breathing, deep breathing, and Liuzijue training with surface EMG recordings. Contraction strength, duration, recruitment sequence of respiratory muscles, and physiological parameters (heart rate, perceived exertion, oxygen saturation) were analyzed across the three phases.

resultsCompared to calm breathing, Liuzijue significantly increased activation of external intercostal muscles, diaphragm, rectus abdominis, and transversus abdominis. During Liuzijue, internal oblique and multifidus activation was higher than during deep breathing. The activation state of the tested respiratory muscles was also influenced by the different movements within Liuzijue. Liuzijue also extended the contraction time of certain muscles and adjusted the activation sequence of transversus abdominis and external oblique muscles. Heart rate during Liuzijue was consistent with low-intensity exercise, with no significant differences in perceived respiratory fatigue or oxygen saturation compared to the other phases.

conclusionAs a low-intensity exercise, Liuzijue enhances respiratory muscle activation, extends contraction duration, and adjusts activation sequence, supporting its clinical application in respiratory rehabilitation.

trial registrationThe study was registered with the China Clinical Trial Registry on July 26, 2024 (No. ChiCTR2400087442).

Indexed as

Breathing ExercisesRespiratory MusclesAdultElectromyographyFemaleHeart RateHumansMaleMuscle ContractionYoung AdultLiuzijueRehabilitationRespiratory muscle dysfunctionSurface electromyography

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.