An Integrative Review of Tai Chi Research

Wooton, Angela K.

doi:10.1097/nor.0b013e3181d243b3

Cited by 22 publications

(4 citation statements)

References 25 publications

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“…A growing body of evidence has demonstrated that Tai Chi Chuan exercise can help to improve or maintain balance ability, motor function, mobility, fear of falling and quality of life in the elderly [14, 15]. The safety of Tai Chi Chuan has also been demonstrated among chronic patients including stroke survivors [16–21].…”

Section: Introductionmentioning

confidence: 99%

Effects of Tai Chi Yunshou exercise on community-based stroke patients: a cluster randomized controlled trial

Xie

Rao

Lin

et al. 2018

Eur Rev Aging Phys Act

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BackgroudTai Chi Chuan was used for stroke survivors with balance impairments. However, even a short-form of Tai Chi Chuan includes forms that make the exercise challenging for the stroke survivors. Tai Chi Yunshou (wave hands in the cloud) is the “mother” form and the fundamental form of all Tai Chi Chuan styles, which is considered more suitable and feasible for stroke survivors with balance impairments. So this study was designed to evaluate the effects of Tai Chi Yunshou exercise on community-based stroke patients with balance dysfunctions.MethodsA total of 250 participants from 10 community health centers (5 per arm) were selected and randomly allocated into Tai Chi Yunshou exercise group (TC group) or a balance rehabilitation training group (control group) in an equal ratio. Participants in the TC group were received Tai Chi Yunshou exercise training five times per week for 12 weeks and those in control group were received balance rehabilitation training five times per week for 12 weeks. Outcome assessments including Berg Balance Scale (BBS), Time up to go test (TUGT), Modified Barthel Index (MBI) were measured at baseline, 4 weeks, 8 weeks, 12 weeks and followed-up 6 weeks (18 weeks), 12 weeks (24 weeks). Intention-to-treat analysis was performed. Analysis of variance of repeated measures was used to assess between-group differences.ResultsA total of 244 participants, 120 in the TC group and 124 in the rehabilitation group, were included in final analysis. There was no siginificant difference in Tai Chi Yunshou and balance rehabilitation training on the improvement of balance ability and mobility (P = 0.531 and P = 0.839, respectively) after adjustment for baseline. However, there was significant difference between two groups on improvement of motor funtion (P = 0.022), fear of falling (P < 0.001) and depression (P = 0.035) for the post stroke patients. No adverse events were reported during the study.ConclusionTai Chi Yunshou and balance rehabilitation training led to improved balance ability and functional mobility, and both are suitable community-based programs that may benefit for stroke recovery and community reintegration. Our data demonstrated that a 12-week Tai Chi Yunshou intervention was more effective in motor function, fear of falling and depression than balance rehabilitation training. Future studies examining the effectiveness of Tai Chi Yunahou as a balance ability improvement strategy for community-dwelling survivors of stroke are recommended.Trial registrationChinese Clinical Trail Registry: ChiCRT-TRC-13003641. Registration date: 22 August, 2013.

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Section: Introductionmentioning

confidence: 99%

Effects of Tai Chi Yunshou exercise on community-based stroke patients: a cluster randomized controlled trial

Xie

Rao

Lin

et al. 2018

Eur Rev Aging Phys Act

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“…Exercise was the most frequent intervention included in the reviews (50), with 18 articles containing exercise as the only intervention [37, 44, 47, 48, 50, 53, 65–67, 69, 71, 72, 76, 79, 84, 87, 88, 91] (S4 Table). The next most frequent interventions fell under Environment in the form of environmental modifications (28 articles) [35, 38–40, 45, 46, 51, 52, 54–59, 63, 68, 70, 73, 74, 77, 78, 80–83, 86, 92], assistive and protective aids (24 reviews) [35, 38–40, 42, 43, 45, 51, 55, 56, 58, 59, 62, 63, 68, 70, 74, 77, 78, 82, 83, 86, 93, 94], staff education (15 SRs) [35, 38, 39, 45, …”

Section: Resultsmentioning

confidence: 99%

Effectiveness of Non-Pharmacological Interventions to Prevent Falls in Older People: A Systematic Overview. The SENATOR Project ONTOP Series

Rimland¹,

Abraha²,

Dell’Aquila³

et al. 2016

PLoS ONE

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BackgroundFalls are common events in older people, which cause considerable morbidity and mortality. Non-pharmacological interventions are an important approach to prevent falls. There are a large number of systematic reviews of non-pharmacological interventions, whose evidence needs to be synthesized in order to facilitate evidence-based clinical decision making.ObjectivesTo systematically examine reviews and meta-analyses that evaluated non-pharmacological interventions to prevent falls in older adults in the community, care facilities and hospitals.MethodsWe searched the electronic databases Pubmed, the Cochrane Database of Systematic Reviews, EMBASE, CINAHL, PsycINFO, PEDRO and TRIP from January 2009 to March 2015, for systematic reviews that included at least one comparative study, evaluating any non-pharmacological intervention, to prevent falls amongst older adults. The quality of the reviews was assessed using AMSTAR and ProFaNE taxonomy was used to organize the interventions.ResultsFifty-nine systematic reviews were identified which consisted of single, multiple and multifactorial non-pharmacological interventions to prevent falls in older people. The most frequent ProFaNE defined interventions were exercises either alone or combined with other interventions, followed by environment/assistive technology interventions comprising environmental modifications, assistive and protective aids, staff education and vision assessment/correction. Knowledge was the third principle class of interventions as patient education. Exercise and multifactorial interventions were the most effective treatments to reduce falls in older adults, although not all types of exercise were equally effective in all subjects and in all settings. Effective exercise programs combined balance and strength training. Reviews with a higher AMSTAR score were more likely to contain more primary studies, to be updated and to perform meta-analysis.ConclusionsThe aim of this overview of reviews of non-pharmacological interventions to prevent falls in older people in different settings, is to support clinicians and other healthcare workers with clinical decision-making by providing a comprehensive perspective of findings.

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“…1) The plausibility that a balance retraining program based on Tai Chi movements has been shown to improve balance [34], and specifically in clients with stroke [32,35]. …”

Section: Methodsmentioning

confidence: 99%

Tai Chi-based exercise program provided via telerehabilitation compared to home visits in a post-stroke population who have returned home without intensive rehabilitation: study protocol for a randomized, non-inferiority clinical trial

Tousignant

Corriveau

Kairy

et al. 2014

Trials

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BackgroundThe incidence of strokes in industrialized nations is on the rise, particularly in the older population. In Canada, a minority of individuals who have had a stroke actually receive intensive rehabilitation because most stroke patients do not have access to services or because their motor recovery was judged adequate to return home. Thus, there is a considerable need to organize home-based rehabilitation services for everyone who has had a stroke. To meet this demand, telerehabilitation, particularly from a service center to the patient’s home, is a promising alternative approach that can help improve access to rehabilitation services once patients are discharged home.Methods/DesignThis non-inferiority study will include patients who have returned home post-stroke without requiring intensive rehabilitation. To be included in the study, participants will: 1) not be referred to an Intensive Functional Rehabilitation Unit, 2) have a Rankin score of 2 or 3, and 3) have a balance problem (Berg Balance Scale score between 46 and 54). Participants will be randomly assigned to either the teletreatment group or the home visits group. Except for the delivery mode, the intervention will be the same for both groups, that is, a personalized Tai Chi-based exercise program conducted by a trained physiotherapist (45-minute session twice a week for eight consecutive weeks). The main objective of this research is to test the non-inferiority of a Tai Chi-based exercise program provided via telerehabilitation compared to the same program provided in person at home in terms of effectiveness for retraining balance in individuals who have had a stroke but do not require intensive functional rehabilitation. The main outcome of this study is balance and mobility measured with the Community Balance and Mobility Scale. Secondary outcomes include physical and psychological capacities related to balance and mobility, participants’ quality of life, satisfaction with services received, and cost-effectiveness associated with the provision of both types of services.Study/trial registrationClinicalTrials.gov: NCT01848080

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An Integrative Review of Tai Chi Research

Cited by 22 publications

References 25 publications

Effects of Tai Chi Yunshou exercise on community-based stroke patients: a cluster randomized controlled trial

Effects of Tai Chi Yunshou exercise on community-based stroke patients: a cluster randomized controlled trial

Effectiveness of Non-Pharmacological Interventions to Prevent Falls in Older People: A Systematic Overview. The SENATOR Project ONTOP Series

Tai Chi-based exercise program provided via telerehabilitation compared to home visits in a post-stroke population who have returned home without intensive rehabilitation: study protocol for a randomized, non-inferiority clinical trial

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