Selected As the Best Paper in the 1990s: Reducing Frailty and Falls in Older Persons: An Investigation of Tai Chi and Computerized Balance Training

Wolf, Steven L.; Barnhart, Huimnan X.; Kutner, Nancy G.; McNeely, Elizabeth; Coogler, Carol; Xu, Tong

doi:10.1046/j.1532-5415.2003.51566.x

Cited by 125 publications

(102 citation statements)

References 34 publications

Supporting

Mentioning

101

Contrasting

Unclassified

Order By: Relevance

“…Six studies [14,19,24,37,39,41] based their criteria of frailty, at least in part, on functional limitation degree as measured by activities of daily living (ADL) and instrumental activities of daily living; disability in executing ADLs was the principal criteria for two of them [39,41]. Performance in some functional fitness tests was the most utilized criteria to define frailty, being present in at least 19 articles [14, 15, 19-28, 31-34, 36, 37, 40], while physiological measures were found to characterize frailty in nine studies [14,19,20,22,25,26,[34][35][36] and fall-related aspects in six studies [24,28,[31][32][33]38]. Nutritional status and metabolic aspects contributed to define a frail elderly population in six articles [16-18, 20, 29, 38], and a low physical activity level participated in ten definitions [16-18, 20, 22, 25, 26, 29, 34, 36].…”

Section: Resultsmentioning

confidence: 99%

“…Authors that did not answer the first e-mail were contacted once more 10 days after the first e-mail. Articles that met inclusion criteria were selected (n=8 [27][28][29][30][31][32][33][34]). Studies in which full text was not available but that were possible candidates to meet inclusion criteria were preselected, and their authors were contacted by e-mail to provide full text.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Exercise and health in frail elderly people: a review of randomized controlled trials

Barreto

2009

Eur Rev Aging Phys Act

View full text Add to dashboard Cite

Frailty is a physiological syndrome that increases the risk of poor health. Although some research has been conducted to study the benefits of physical exercise in frail elderly populations, different operational definitions of frailty have been used, and this makes the studies difficult to compare. The present review was aimed at examining the influence of exercise on health in frail older adults. Studies using randomized controlled trials that administered an exercise program to a frail elderly population and that had an operational definition of frailty were selected from publications between January 2000 and October 2008. Information about the study population, frailty criteria, exercise program, principles of exercise training, randomization procedures, main and secondary outcome measures, study follow-up, and control group characteristics was taken from these studies, and the results from a final sample of 28 articles are discussed. Exercise training seems to be a safe and effective tool for promoting and maintaining optimal health levels in a wide variety of vulnerable older adults. However, the lack of studies on a well-defined frail older adult sample with selection procedures based on current knowledge in this field does not allow us, at the present time, to conclude that exercise influences health in this population. Further research is needed to confirm the benefits of exercise on health in frail older adults. The study population must be selected based on current knowledge in the area of frailty, and the design of the exercise program must be based on principles of training

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Exercise and health in frail elderly people: a review of randomized controlled trials

Barreto

2009

Eur Rev Aging Phys Act

View full text Add to dashboard Cite

show abstract

“…With the recent publication of the National Service Framework for Older People, falls reduction programs have become the focus of considerable effort [33,34]. There is evidence for exercise in multifactorial falls prevention [35][36][37][38]. Programs of aerobic and strength training in haemodialysis patients can be performed safely and, particularly in combination with erythropoietin, have been shown to improve muscle strength, mental and physical function [39,40] and bring significant improvement in performance testing, physical function scales, mood and quality of life [41,42].…”

Section: Discussionmentioning

confidence: 99%

The effect of a single haemodialysis session on functional mobility in older adults: a pilot study

et al. 2007

View full text Add to dashboard Cite

show abstract

“…Ten (10) of the studies selected for review encouraged participants to practice TCC outside of class. 7,9,11,[13][14][15][16][17][18][19] For example, 2 publications 13 recommended practicing daily TCC, outside of class instruction, to participants. Another study specified home practice at least 3 times a week outside of supervised instruction.…”

Section: Instruction Given Regarding Outside Tcc Practicementioning

confidence: 99%

The Need for Attention to Dose in Mind–Body Interventions: Lessons fromT'ai ChiClinical Trials

Sannes

Mansky

Chesney

2008

The Journal of Alternative and Complementary Medicine

View full text Add to dashboard Cite

Objective: The rise in popularity of complementary and alternative medicine (CAM) in the United States has stimulated increasing interest in researching CAM. One challenge to this research is determining the optimal dose of a CAM intervention. T'ai Chi Chuan (TCC) has received considerable attention as a mind-body practice; however, it remains unclear exactly how much TCC practice is necessary to elicit a discernable effect. Design: In this review, we selected 19 studies and examined the variation in the number and length of training sessions. Secondary and tertiary aims include examining attendance rates for each intervention and the instructions given to participants regarding home-based practice. The degree to which investigators monitored participants' home-based practice was also examined. Results: In the intent-to-treat analyses, the median time of TCC practice was 2877 minutes intended for participants across the selected interventions. Fourteen (14) of the publications provided information about participant attendance in the original publication, 2 provided additional information through further author inquiry, and 3 commented on TCC practice outside of the structured class environment through author inquiry. Conclusions:The data reported are inconsistent in reported attendance and home-based practice rates, making it difficult to speculate on the relationship between the amount of TCC and intervention effects. Further research could contribute to this area by determining the optimal dose of TCC instruction. 645

show abstract

Selected As the Best Paper in the 1990s: Reducing Frailty and Falls in Older Persons: An Investigation of Tai Chi and Computerized Balance Training

Abstract: A moderate TC intervention can impact favorably on defined biomedical and psychosocial indices of frailty. This intervention can also have favorable effects upon the occurrence of falls. TC warrants further study as an exercise treatment to improve the health of older people.

Cited by 125 publications

References 34 publications

Exercise and health in frail elderly people: a review of randomized controlled trials

Exercise and health in frail elderly people: a review of randomized controlled trials

The effect of a single haemodialysis session on functional mobility in older adults: a pilot study

The Need for Attention to Dose in Mind–Body Interventions: Lessons fromT'ai ChiClinical Trials

Contact Info

Product

Resources

About