A Randomized, Controlled Trial of tai chi for the Prevention of Falls: The Central Sydney tai chi Trial

Voukelatos, Alexander; Cumming, Robert G.; Lord, Stephen R.; Rissel, Chris

doi:10.1111/j.1532-5415.2007.01244.x

Cited by 224 publications

(197 citation statements)

References 27 publications

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“…However, although this study was carried out with a high-risk population, the participants had only minor balance problems and low fear of falling at the outset which may have influenced the study findings. More recent work by Voukelatos et al amongst fairly healthy older adults has suggested that falls can be reduced with Tai Chi compared with controls, in those who have had two or more falls, but not those who had one or more [93].…”

Section: Falls/fear Of Fallingmentioning

confidence: 99%

“…Again, evidence is limited, with the majority of existing studies focusing on improved balance and less evidence examining the impact on muscle strength in older adults. Nevertheless, RCTs have suggested that, in a relatively short period, Tai Chi can help to maintain and improve functional balance and provide overall physical gains [25,[91][92][93]]. …”

Section: Strength and Balancementioning

confidence: 99%

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Effects of Tai Chi Exercise on Physical and Psychological Health of Older People

Blake¹,

Hawley²

2012

CAS

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Tai Chi is a traditional Chinese form of conditioning exercise derived from martial arts and rooted in eastern philosophy and Chinese Medicine. Based on the inter-relatedness of mind, body and spirit this form of exercise focuses on producing an inner calmness which is thought to have both physical and psychological therapeutic value. This article provides a brief overview of selected current evidence examining the relationship between Tai Chi and physical, neurocognitive and psychosocial outcomes in older people. This is an emerging and growing area of research and improvements have often been reported in health functioning, physical and emotional health, reducing falls, fear of falling and risk of falls, and possibly enhancing cardiovascular functioning in older adults although the effects on bone density, cognitive and immunological functioning are less clear. Results overall are inconsistent and health improvements have not been evident in all studies. Tai Chi is becoming increasingly popular in practice, and more recent evidence is emerging which is based on experimental and longitudinal designs, although many of the proposed benefits of Tai Chi are yet to be validated in large, randomised controlled trials.

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Section: Falls/fear Of Fallingmentioning

confidence: 99%

Section: Strength and Balancementioning

confidence: 99%

Effects of Tai Chi Exercise on Physical and Psychological Health of Older People

Blake¹,

Hawley²

2012

CAS

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“…5,6 Group-based Tai Chi has been found to be effective for falls prevention in several trials. 9,10 Other well-designed group-based interventions can also prevent falls. 11,12 The availability of home-based programs is also important as many older people are reluctant to or unable to attend group exercise classes.…”

mentioning

confidence: 99%

Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations

Sherrington¹,

Tiedemann²,

Fairhall³

et al. 2011

NSW Public Health Bull.

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666

611

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This systematic review update includes 54 randomised controlled trials and confirms that exercise as a single intervention can prevent falls (pooled rate ratio 0.84, 95% CI 0.77-0.91). Metaregression revealed programs that included balance training, contained a higher dose of exercise and did not include walking training to have the greatest effect on reducing falls. We therefore recommend that exercise for falls prevention should provide a moderate or high challenge to balance and be undertaken for at least 2 hours per week on an ongoing basis. Additionally, we recommend that: falls prevention exercise should target both the general community and those at high risk for falls; exercise may be undertaken in a group or home-based setting; strength and walking training may be included in addition to balance training but high risk individuals should not be prescribed brisk walking programs; and other health-related risk factors should also be addressed.The prevention of falls and mobility-related disability among older people is an urgent public health challenge in Australia and internationally. Falls and fractures already have a major impact on older individuals, their carers, health services and the community. This impact will grow substantially in the near future due to the increased proportion of older people in the population. The proportion of Australians aged 65 years and over is predicted to increase from 14% (3 million people) in 2010 to 23% (8.1 million people) by 2050.1 By 2051, the Australian total annual health costs from fall-related injury are predicted to increase almost threefold to $1.4 billion. 2Many older individuals and their families are affected by falls. One-third of people aged 65 years and over fall once or more annually.3 Falls can result in injuries, a loss of confidence and a subsequent reduction in physical activity and community participation. Falls are associated with a threefold increase in the risk of being admitted to a residential aged-care facility after adjusting for other risk factors. 4Exercise can prevent falls Trials and systematic reviews 5,6 now provide clear evidence that falls in older people can be prevented with appropriately designed intervention programs. The recently updated Cochrane systematic review 5 concluded that exercise interventions reduce the risk and rate of falls. Although many risk factors for falls have been identified, 7 intervention trials have found that the effects of exercise as a single falls prevention intervention are comparable to those from multifaceted interventions. 5,8 Therefore, widespread implementation of exercise as a single intervention seems to be the best approach to falls prevention at a population level. Our previous meta-analysis 6 found that up to 42% of falls can be prevented by well-designed exercise programs and that the exercises which had the biggest effect on fall rates involved a challenge to balance abilities and were undertaken frequently (e.g. for more than 2 hours a week over a 6-month period).Both home-based...

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“…No presente trabalho, foram empregados cinco testes diferentes na avaliação do equilíbrio, à semelhança do estudo de Voukelatos et al 13 , que aplicaram uma bateria de seis testes visando diferentes aspectos dessa variável. Esses autores constataram benefícios significativos do TCC (praticado no estilo Sun, uma hora por semana) sobre o desempenho dos praticantes em todos os testes -com exceção do TAF -, assim como a redução no número de quedas.…”

Section: Capacidade Funcionalunclassified

Tai Chi Chuan melhora funcionalidade e qualidade de vida em homens idosos com baixa densidade mineral óssea

Pereira¹,

Souza²,

Paula³

et al. 2017

Geriatr., Gerontol. Aging

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a RESUMOOBJETIVO: Avaliar efeitos do Tai Chi Chuan (TCC) na capacidade funcional (CF) e na qualidade de vida (QV) de homens idosos com baixa densidade mineral óssea (DMO). MÉTODO: Estudo quasi-experimental, controlado, cego, com 41 idosos (≥ 60 anos) divididos em dois grupos: grupo experimental -G1 (TCC; n = 20; 69,2 ± 6,2 anos) e grupo controle -G2 (controle; n = 21; 69,0 ± 5,7 anos). A DMO (coluna lombar e colo do fêmur) foi avaliada com raios-x de dupla energia (DEXA). Para aferir CF foram utilizados: testes de resistência aeróbia (RA); de força e flexibilidade de membros superiores e inferiores; de equilíbrio em condições estática, dinâmica e funcional; e de alcance funcional, assim como para risco de quedas. A QV foi pesquisada pelo questionário SF-36 (MOS 36 ltem Short-Form Health Survey). O G1 praticou TCC estilo Yang, com 24 movimentos por 12 semanas, 2 vezes por semana, em intensidade leve; o G2 não praticou atividade física orientada. RESULTADOS: Praticantes de TCC apresentaram valores significativamente maiores em resistência aeróbia, em força de membros superiores e inferiores, e para equilíbrio dinâmico. Ao aferir a QV, surgiu significância para escore total, assim como para as dimensões de capacidade funcional, estado geral de saúde, vitalidade e saúde mental. DISCUSSÃO: Constataram-se efeitos benéficos do TCC em CF e QV, o que agrega evidências à sua utilização em homens idosos com baixa DMO. CONCLUSÃO: O TCC é eficaz na melhora da CF e da QV em homens idosos com baixa DMO. PALAVRAS-CHAVE: tai chi chuan; idoso; osteoporose; qualidade de vida. ABSTRACT OBJECTIVE:The purpose was to assess the effect of Tai Chi Chuan (TCC) on functional capacity (FC) and quality of life (QoL) in elderly men with low bone mineral density (BMD). METHODS: This quasi-experimental, controlled blinded trial evaluated 41 senior men (≥ 60 years), divided into two groups: control group 1 -G1 (TCC; n = 20; 69.2 ± 6.2 years) and control group 2 -G2 (control; n = 21; 69.0 ± 5.7 years). The BMD (of lumbar spine and femur neck) was assessed by dual energy x-ray absorptiometry (DEXA). FC was assessed for aerobic endurance, for upper and lower limbs strength and flexibility, for static, dynamic and functional balance testes, and for risk of falls. QoL was assessed by the SF-36 questionnaire (MOS 36-item Short-Form Health Survey). G1 practiced the 24-form Yang style of TCC, for 12 weeks twice a week on low intensity; G2 did not practice oriented physical activity. RESULTS: TCC practitioners had significantly higher scores for aerobic endurance, upper and lower limbs strength, and dynamic balance. In terms of QoL, values were significantly better in total score and aspects such as FC, general health, vitality, and mental health. DISCUSSION: TCC was proven beneficial to FC and QoL scores, which adds evidence for its practice by elderly men with low BMD. CONCLUSION: TCC training is effective in improving FC and QoL in elderly men with low BMD.

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A Randomized, Controlled Trial of tai chi for the Prevention of Falls: The Central Sydney tai chi Trial

Abstract: Participation in once per week tai chi classes for 16 weeks can prevent falls in relatively healthy community-dwelling older people.

Cited by 224 publications

References 27 publications

Effects of Tai Chi Exercise on Physical and Psychological Health of Older People

Effects of Tai Chi Exercise on Physical and Psychological Health of Older People

Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations

Tai Chi Chuan melhora funcionalidade e qualidade de vida em homens idosos com baixa densidade mineral óssea

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