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Balance and Functional Outcomes for Older Community-Dwelling Adults Who Practice Tai Chi and Those Who Do Not

November 21, 2017 - A growing body of literature substantiates that Tai Chi is a form of exercise that may help older adults increase strength, improve balance, lower fall rates, and experience less fear of falling. Few studies, however, offer controlled experimental design and simultaneously investigate multiple factors known to contribute to fall risk.

Laddie Sacharko, a Tai Chi Master Instructor certified by ATCQA and chief instructor of Starfarm Tai Chi & Qigong Search Center, teamed up with University of Connecticut in a study to compare performance on measures relating to fall risk (strength, balance, functional mobility, and fear of falling) in older community-dwelling adults who participated in a community-based Tai Chi program with a control group of their peers who had no Tai Chi training over the same time period. The study is published in the November, 2017 issue of Journal of geriatric physical therapy.

A quasi-experimental comparative pre- and posttest design was used in their study to compare an experimental group of 16 community-dwelling older adults (ages ranging from 74 to 87) participating in a 16-week Tai Chi training program with a group of 13 adults (ages ranging from 65 to 77) who had no Tai Chi experience in the areas of knee extension strength (measured by handheld dynamometry), functional strength (by five-time sit to stand), mobility (by Timed Up and Go [TUG] test and Fifty-Foot Walk Test), balance (by Functional Reach and Berg Balance Scale), and fear of falling (by Activity-specific Balance Confidence scale). Within-group and between-groups comparisons were made using 2x2 mixed analysis of variance.

Tai Chi participants improved in nearly all measures, whereas controls did not. Tai Chi participants experienced significant improvement in the TUG test during the training period, with significant difference when compared with controls and moderate effect size and observed power. Significant knee extension strength improvement occurred with moderate effect size and observed power. While the total balance confidence scale score did not change significantly, responses on many individual items did reach a level of significant change for persons participating in the Tai Chi training.

Laddie and his teammates concluded that older adults' participation in a community-based Tai Chi program may lead to improvement in strength, mobility, and confidence in performing functional tasks. Incorporation of elements of Tai Chi into therapy programs for older adults at risk for fall and referral to community-based Tai Chi programs may be viable options in the continuum of health-related care for older adults.




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