Tai Chi Benefits the Rehabilitation of Elderly Patients with Chronic Heart Failure
November 28, 2011 -
This study is performed by Centre for
Clinical and Basic Research, IRCCS San Raffaele of Italy and published in the
latest issue of Rehabilitation Research and Practice.
Purpose: To assess if Tai Chi added to
endurance training (ET) is more effective than ET alone in improving exercise
tolerance and quality of life (QOL) of elderly patients with chronic heart
Design: Sixty CHF patients, aging 67 to 80 years old, M/F 51/9, were
enlisted. Thirty patients were randomized to combined training (CT) performing
Tai Chi +ET and 30 patients to ET (ET only).
Methods: At baseline and after 12 weeks all patients underwent 6-minute
walking test (6MWT), assessment of amino terminal probrain natriuretic peptide
(NT-pro BNP), quadriceps maximal voluntary contraction (MVC) and peak torque
(PT), QOL questionnaire (MacNewQLMI), blood pressure (BP), and heart rate (HR).
All patients performed 4 sessions of exercise/week.
Results: Distance at 6mwt improved in both groups with significant
between-groups differences. Systolic BP and NT-proBNP decreased significant in
the CT group compared to ET. CT group had a greater significant improvement in
physical perception and a significant increase of PT compared to ET group.
Conclusions: The association of Tai Chi and
ET improves exercise tolerance and QOL of patients with CHF more efficiently