The effectiveness of Tai Chi Chuan on fear of movement, prevention of falls, physical activity, and cognitive status in older adults with mild cognitive impairment: A randomized controlled trial

Abstract

This study aimed to investigate the effectiveness of Tai Chi Chuan (TCC) on fear of movement, prevention of falls, physical activity, and cognitive status in older adults with mild cognitive impairment.Design and Methods: This controlled trial was conducted with 20 participants in the intervention group, and they did exercises for 35-40 min/session, twice a week for 12 weeks.Finding: The posttest scores of the scales indicated that the scores of cognitive adaptations, being observant, and changes in level subscales of the fall behavioral scale in the older adults who did Tai Chi exercise in the intervention group significantly increased (p < .01).Practice Implications: The nursing home provider can safely manage TCC exercise interventions for older adults with MCI.

Effects of Tai Chi on Patients with Mild Cognitive Impairment: A Systematic Review and Meta-analysis of Randomized Controlled Trials

“…There was a total of 7 studies which met inclusion criteria, published between 2012 and 2020. Three studies were conducted in Hongkong, China [ 25 , 27 , 28 ], two in Thailand [ 15 , 16 ], one in Canada [ 26 ], and one in Turkey [ 29 ]. A total of 667 (TC group: 312; control group: 355) MCI participants were included in this analysis, of which most were diagnosed by Mini-Mental State Examination (MMSE), Clinical Dementia Rating (CDR), and Montreal Cognitive Assessment (MoCA).…”

“…Five studies [ 15 , 16 , 26 – 28 ] compared TC and conventional rehabilitation modalities (including memory training, health education, stretching, and toning exercise). Two studies [ 25 , 29 ] were comprised of comparisons between TC practitioners and patients without any physical exercises. Several kinds of TC were reported, including 10-form Yang-style Tai Chi [ 15 , 16 , 25 ], Taoist Tai Chi [ 26 ], simplified Yang-style Tai Chi [ 27 , 28 ], and 24-form Tai Chi [ 29 ].…”

“…Two studies [ 25 , 29 ] were comprised of comparisons between TC practitioners and patients without any physical exercises. Several kinds of TC were reported, including 10-form Yang-style Tai Chi [ 15 , 16 , 25 ], Taoist Tai Chi [ 26 ], simplified Yang-style Tai Chi [ 27 , 28 ], and 24-form Tai Chi [ 29 ]. The duration of the intervention varied between 2 and 12 months, and duration of treatment session between 20 and 90 minutes.…”

“…Six of the seven RCTs had a lower risk of bias of randomization allocation due to the specified reports of random-sequence generation [ 15 , 16 , 25 , 27 – 29 ]. One [ 29 ] used the blocked randomization method, two trials [ 25 , 28 ] used computer-generated random numbers, and three [ 15 , 16 , 27 ] used the randomization code. The other one had an unclear risk for randomization allocation due to a lack of detailed information [ 26 ].…”

“…Four RCTs were estimated at low-risk bias of allocation concealment [ 15 , 16 , 25 , 28 ], one preferred grouping sequence list with password protection and stored on a computer [ 25 ], and three performed opaque sealed allocation [ 15 , 16 , 28 ]. Three trials had unclear allocation concealment without description in enough detail [ 26 , 27 , 29 ]. Five trials were blinded only in outcome assessment, without participants and personnel [ 15 , 16 , 25 , 27 , 28 ].…”