Tai Chi for Risk of Falls. A Meta‐analysis

Lomas‐Vega, Rafael; Obrero‐Gaitán, Esteban; Molina, Filomena; Casado, Rafael del Pino

doi:10.1111/jgs.15008

Cited by 89 publications

(59 citation statements)

References 45 publications

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“…The coordinated and balanced movements of TC promote efficiency of movement and economy of effort that is ideal for falls prevention. [6][7][8] It provides benefit for many chronic health conditions seen in older adults and offers psychological, social and health promotion benefits. 5,6 TC is a mild-to-moderate aerobic exercise depending on style (lineage) or health status of the participant.…”

Section: What Is Tai Chi?mentioning

confidence: 99%

Untitled

2019

IJFCM

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Optimal aging and well-being is a goal of every adult. Mobility, walking speed and balance are key to maintaining functional independence, community engagement and quality of life. Tai Chi, an ancient Chinese martial art, is a mind-body exercise that influences physical, mental and social wellness. The slow, deliberate and integrated movements of Tai Chi foster effective and efficient functional movement patterns. The breadth and scope of Tai Chi research has advanced steadily since the turn of the century. Now, there is ample scientific evidence that Tai Chi fights back on the chronic diseases of aging. Its many health benefits overlap well with the leading causes of mortality and morbidity seen in older adults. Persons of all ages and abilities can perform Tai Chi. Tai Chi promotes optimal aging and well-being by providing mild-to-moderate cardiorespiratory exercise, muscular strengthening, balance and postural control along with many mental and social benefits. This paper offers the reader an outline of the who-what-where-when-why and how of Tai Chi practice to promote optimal aging and well-being for the older adult.

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Section: What Is Tai Chi?mentioning

confidence: 99%

Untitled

2019

IJFCM

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“…One meta-analysis examined the effect of Tai-Chi on the incidence of falls and time to first fall in adults aged 56 to 98 years compared to usual care or other interventions in 10 randomised controlled trials 18 . Interventions were typically of 1-hour duration and delivered at a frequency of 1-3 times per week for 12-26 weeks.…”

Section: Risk Of Fallsmentioning

confidence: 99%

“…Although there is review level evidence of the benefit of multi-component exercise interventions on self-reported measures of quality of life 22 , it was not possible to separate out the independent effects of musculoskeletal fitness exercise or balance exercise. However, as part of a Cochrane review 18 of the effects of resistance training in older adults (see Physical Function section for details) one analysis compared the effects of resistance training versus a control group on the Vitality measure of the SF-36 in 10 randomised controlled trials and reported no difference between groups. In a further sub-group analysis of 2 trials, high intensity resistance training did have a positive effect on Vitality compared to low intensity training.…”

Section: Quality Of Lifementioning

confidence: 99%

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What are the health benefits of muscle and bone strengthening and balance activities across life stages and specific health outcomes?

Hillsdon¹,

Foster²

2018

JFSF

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Many activities of daily living require muscular strength and power as well as balance. Consequently, preserving musculoskeletal function is a prerequisite for maintaining mobility and independent living during ageing. Estimates suggest that the prevalence of physical activity guidelines for strength and balance is low. Review of reviews of: a) observation studies of the prospective association between measures of musculoskeletal fitness and health outcomes and b) randomised controlled trials of resistance, balance and skeletal impact training exercises on bone health, risk of falls, physical function, motor and cognitive function, quality of life and activities of daily living. Preserving muscular strength/power in middle and older age is associated with a reduced risk of all-cause and cardiovascular mortality. Impaired muscular strength/power and balance is associated with an increased risk of falls and lower bone mineral content. Regular supervised exercise incorporating high intensity resistance training, vertical impacts and a balance challenge are most likely to be beneficial to health and wellbeing, bone health and reduce the risks of falls. Adults in late middle and older age would benefit from a regular program of exercise that incorporates high intensity resistance training, impact exercises and balance challenges.

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“…18 TC includes gentle movements that may simulate activities of daily living. At least some evidence suggests TC may be effective for improving balance 19 and fall prevention, 20 congestive heart failure, 21 bone health, 22 osteoarthritis, 23,24 and depression, 25 conditions that are more common in older adults. We are unaware of studies of TC for cLBP that focused on older adults (and it is unclear if any were included in the published trials).…”

Section: Introductionmentioning

confidence: 99%

T'ai Chi for Chronic Low Back Pain in Older Adults: A Feasibility Trial

Sherman

Wellman

Hawkes

et al. 2020

The Journal of Alternative and Complementary Medicine

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Objectives: T'ai chi (TC) has been found effective for improving chronic low back pain (cLBP). However, such studies did not include adults over 65 years of age. This study was designed to evaluate the feasibility and acceptability of TC in this population compared with Health Education (HE) and with Usual Care (UC).Design: Feasibility randomized controlled trial. Settings/Location: Participants were recruited from Kaiser Permanente Washington and classes took place in a Kaiser facility.Patients: Adults 65 years of age and older with cLBP.Interventions: Twenty-eight participants were randomized to 12 weeks of TC followed by a 24-week tapered TC program, 12 were assigned to a 12-week HE intervention and 17 were assigned to UC only.Outcome Measures: Feasibility and acceptability were determined by recruitment, retention and 12-, 26-, and 52-week follow-up rates, instructor adherence to protocol, class attendance, TC home practice, class satisfaction, and adverse events.Results: Fifty-seven participants were enrolled in two cohorts of 28 and 29 during two 4-month recruitment periods. Questionnaire follow-up completion rates ranged between 88% and 93%. Two major class protocol deviations were noted in TC and none in HE. Sixty-two percent of TC participants versus 50% of HE participants attended at least 70% of the classes during the 12-week initial intervention period. Weekly rates of TC home practice were high among class attendees (median of 4.2 days) at 12 weeks, with fewer people practicing at 26 and 52 weeks. By 52 weeks, 70% of TC participants reported practicing the week before, with a median of 3 days per week and 15 min/session. TC participants rated the helpfulness of their classes significantly higher than did HE participants, but the groups were similarly likely to recommend the classes.Conclusion: The TC intervention is feasible in this population, while the HE group requires modifications in delivery.

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Tai Chi for Risk of Falls. A Meta‐analysis

Cited by 89 publications

References 45 publications

Untitled

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What are the health benefits of muscle and bone strengthening and balance activities across life stages and specific health outcomes?

T'ai Chi for Chronic Low Back Pain in Older Adults: A Feasibility Trial

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