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Tai Chi

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1. Children and Adults Tai Chi Study (CF-CATS2): a randomised controlled feasibility study comparing internet-delivered with face-to-face Tai Chi lessons in cystic fibrosis. (PubMed)

Children and Adults Tai Chi Study (CF-CATS2): a randomised controlled feasibility study comparing internet-delivered with face-to-face Tai Chi lessons in cystic fibrosis. Virtual healthcare is fast entering medical practice. Research into the feasibility of using it to teach treatment regimens such as exercise has not been explored. Maintaining an exercise regime can be difficult in cystic fibrosis: group classes risk potential infection, yet motivation is hard to maintain when alone. Tai Chi (...) is a low-impact exercise and involves gentle, demanding movements. This study aimed to assess the feasibility, safety and acceptability of learning Tai Chi via an internet-based approach and compared patient-reported outcomes. Children and adults with cystic fibrosis were recruited to a randomised, comparative effectiveness trial. Participants learnt eight Tai Chi movements; teaching was delivered in eight lessons over 3 months: delivered either via the internet or face-to-face. Assessments were at 3

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2018 ERJ open research

2. Tai Chi for chronic obstructive pulmonary disease (COPD). (PubMed)

Tai Chi for chronic obstructive pulmonary disease (COPD). Tai Chi, a systematic callisthenic exercise first developed in ancient China, involves a series of slow and rhythmic circular motions. It emphasises use of 'mind' or concentration to control breathing and circular body motions to facilitate flow of internal energy (i.e. 'qi') within the body. Normal flow of 'qi' is believed to be essential to sustain body homeostasis, ultimately leading to longevity. The effect of Tai Chi on balance (...) and muscle strength in the elderly population has been reported; however, the effect of Tai Chi on dyspnoea, exercise capacity, pulmonary function and psychosocial status among people with chronic obstructive pulmonary disease (COPD) remains unclear.• To explore the effectiveness of Tai Chi in reducing dyspnoea and improving exercise capacity in people with COPD.• To determine the influence of Tai Chi on physiological and psychosocial functions among people with COPD.We searched the Cochrane Airways

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2016 Cochrane

3. A randomised controlled trial comparing the effectiveness of tai chi alongside usual care with usual care alone on the postural balance of community-dwelling people with dementia: protocol for the TACIT trial (TAi ChI for people with demenTia). (PubMed)

A randomised controlled trial comparing the effectiveness of tai chi alongside usual care with usual care alone on the postural balance of community-dwelling people with dementia: protocol for the TACIT trial (TAi ChI for people with demenTia). Falls are a public health issue for the older adult population and more so for people with dementia (PWD). Compared with their cognitively intact peers, PWD are at higher risk of falls and injurious falls. This randomised controlled trial aims to test (...) the clinical and cost effectiveness of Tai Chi to improve postural balance among community-dwelling PWD and to assess the feasibility of conducting a larger definitive trial to reduce the incidence of falls among PWD.A 3-centre parallel group randomised controlled trial with embedded process evaluation. One hundred and fifty community-dwelling dyads of a person with dementia and their informal carer will be recruited and assessed at baseline and at six-month follow-up. Dyads will be randomised in a 1:1

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2018 BMC Geriatrics

4. Protocol for the MATCH Study: Mindfulness And Tai Chi for Cancer Health: A Preference-Based Multi-Site Randomized Comparative Effectiveness Trial (CET) of Mindfulness-Based Cancer Recovery (MBCR) vs. Tai Chi/Qigong (TCQ) for Cancer Survivors (PubMed)

Protocol for the MATCH Study: Mindfulness And Tai Chi for Cancer Health: A Preference-Based Multi-Site Randomized Comparative Effectiveness Trial (CET) of Mindfulness-Based Cancer Recovery (MBCR) vs. Tai Chi/Qigong (TCQ) for Cancer Survivors A growing number of cancer survivors suffer high levels of distress, depression and stress, as well as sleep disturbance, pain and fatigue. Two different mind-body interventions helpful for treating these problems are Mindfulness-Based Cancer Recovery (MBCR (...) ) and Tai Chi/Qigong (TCQ). However, while both interventions show efficacy compared to usual care, they have never been evaluated in the same study or directly compared. This study will be the first to incorporate innovative design features including patient choice while evaluating two interventions to treat distressed cancer survivors. It will also allow for secondary analyses of which program best targets specific symptoms in particular groups of survivors, based on preferences and baseline

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2017 Contemporary clinical trials

5. A mixed methods study of Tai Chi exercise for patients with chronic heart failure aged 70 years and older (PubMed)

A mixed methods study of Tai Chi exercise for patients with chronic heart failure aged 70 years and older This study aimed to evaluate Tai Chi group training among patients with chronic heart failure (CHF) aged 70 years and older.Physical activity is recommended for CHF treatment. Tai Chi is found to be beneficial to different patient groups, although few studies focus on older patients with CHF.A mixed methods study. Participants were randomly assigned to Tai Chi training twice a week for 16 (...)  weeks (N = 25) or control (N = 20). Quantitative data were collected at baseline, at the end of the training period and 6 months after training, assessing self-rated fatigue and quality of life, natriuretic peptides and physical performance. Individual qualitative interviews were conducted with participants (N = 10) in the Tai Chi training group.No statistical differences between the Tai Chi training group and the control group in quality of life or natriuretic peptides was found. After 16 weeks

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2018 Nursing open

6. Tai Chi exercise is more effective than brisk walking in reducing cardiovascular disease risk factors among adults with hypertension: A randomised controlled trial

Tai Chi exercise is more effective than brisk walking in reducing cardiovascular disease risk factors among adults with hypertension: A randomised controlled trial Physical inactivity is a major modifiable lifestyle risk factor associated with cardiovascular disease. Tai Chi is a safe and popular form of physical activity among older adults, yet direct comparisons are lacking between Tai Chi and brisk walking in their ability to reduce cardiovascular disease risk factors and improve (...) psychosocial well-being.246 adults (mean age = 64.4 ± 9.8 years, age range = 30-91 years, 45.5% men) with hypertension and at least two but not more than three modifiable cardiovascular disease risk factors (diabetes, dyslipidaemia, overweight, physical inactivity and smoking) were randomly assigned to either Tai Chi (n = 82), brisk walking (n = 82) or control (n = 82) groups. The Tai Chi and brisk walking groups engaged in moderate-intensity physical activity 150 min/week for 3 months; daily home-based

2018 EvidenceUpdates

7. Does Tai Chi improve balance and reduce falls incidence in neurological disorders? A systematic review and meta-analysis

Does Tai Chi improve balance and reduce falls incidence in neurological disorders? A systematic review and meta-analysis To evaluate the effect of Tai Chi on balance and reducing falls incidence in neurological disorders.AMED, Embase, Web of Science, SCOPUS, EBSCO and Medline from inception until February 2018.Randomized controlled trials of Tai Chi compared with active or no treatment control, measuring balance with the Berg Balance Scale or the Timed Up and Go Test and number of falls (...) significant effect of Tai Chi compared to no treatment (weighted mean difference (WMD), -2.13; 95% confidence interval (CI), -3.26 to -1.00; P < 0.001) and was insignificant (WMD, -0.19; 95% CI, -1.74 to 1.35; P = 0.81) when compared with active treatment. Tai Chi significantly reduced falls incidence in Parkinson's disease (odds ratio (OR), 0.47; 95% CI, 0.29 to 0.77; P = 0.003) and stroke (OR, 0.21; 95% CI, 0.09 to 0.48; P < 0.001). Balance measured with the Timed Up and Go Test comparing Tai Chi

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2018 EvidenceUpdates

8. Tai Chi and Pulmonary Rehabilitation Compared for Treatment-Naive Patients With COPD: A Randomized Controlled Trial

Tai Chi and Pulmonary Rehabilitation Compared for Treatment-Naive Patients With COPD: A Randomized Controlled Trial In COPD, functional status is improved by pulmonary rehabilitation (PR) but requires specific facilities. Tai Chi, which combines psychological treatment and physical exercise and requires no special equipment, is widely practiced in China and is becoming increasingly popular in the rest of the world. We hypothesized that Tai Chi is equivalent (ie, difference less than ±4 St (...) . George's Respiratory Questionnaire [SGRQ] points) to PR.A total of 120 patients (mean FEV1, 1.11 ± 0.42 L; 43.6% predicted) bronchodilator-naive patients were studied. Two weeks after starting indacaterol 150 μg once daily, they randomly received either standard PR thrice weekly or group Tai Chi five times weekly, for 12 weeks. The primary end point was change in SGRQ prior to and following the exercise intervention; measurements were also made 12 weeks after the end of the intervention.The between

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2018 EvidenceUpdates

9. Tai chi for primary prevention of cardiovascular disease. (PubMed)

Tai chi for primary prevention of cardiovascular disease. Stress and a sedentary lifestyle are major determinants of cardiovascular disease (CVD). As tai chi involves exercise and can help in stress reduction, it may be effective in the primary prevention of CVD.To determine the effectiveness of tai chi for the primary prevention of CVD.We searched the following electronic databases: the Cochrane Central Register of Controlled Trials (CENTRAL) (Issue 11, 2013); MEDLINE (Ovid) (1946 to November (...) and reference lists of reviews for further studies. We applied no language restrictions.Randomised controlled trials of tai chi lasting at least three months involving healthy adults or adults at high risk of CVD. The comparison group was no intervention or minimal intervention. The outcomes of interest were CVD clinical events and CVD risk factors. We excluded trials involving multifactorial lifestyle interventions or focusing on weight loss to avoid confounding.Two review authors independently selected

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2014 Cochrane

10. Effect of tai chi versus aerobic exercise for fibromyalgia: comparative effectiveness randomized controlled trial. (PubMed)

Effect of tai chi versus aerobic exercise for fibromyalgia: comparative effectiveness randomized controlled trial. To determine the effectiveness of tai chi interventions compared with aerobic exercise, a current core standard treatment in patients with fibromyalgia, and to test whether the effectiveness of tai chi depends on its dosage or duration.Prospective, randomized, 52 week, single blind comparative effectiveness trial.Urban tertiary care academic hospital in the United States between (...) March 2012 and September 2016.226 adults with fibromyalgia (as defined by the American College of Rheumatology 1990 and 2010 criteria) were included in the intention to treat analyses: 151 were assigned to one of four tai chi groups and 75 to an aerobic exercise group.Participants were randomly assigned to either supervised aerobic exercise (24 weeks, twice weekly) or one of four classic Yang style supervised tai chi interventions (12 or 24 weeks, once or twice weekly). Participants were followed

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2018 BMJ

11. The effect of Tai Chi training on the dual-tasking performance of stroke survivors: a randomized controlled trial

The effect of Tai Chi training on the dual-tasking performance of stroke survivors: a randomized controlled trial To compare the effect of Tai Chi training with conventional exercise on dual-tasking performance among stroke survivors.An assessor-blinded, randomized controlled trial.Community-dwelling stroke survivors.Community centers and university.Subjects in the Tai Chi group and the conventional exercise group were trained with the corresponding exercises for 12 weeks (1 hour/session, 2 (...) /week). No training was given to the controls.An auditory Stroop test, a turning-while-walking test, and a dual-tasking condition that combined the two tests were conducted at baseline, after the intervention, and one month later.Forty-seven subjects were randomized into Tai Chi group ( n = 15), conventional exercise group ( n = 17), or control group ( n = 15). There was no significant difference in the outcome measures among the three groups after the intervention and at the one month follow-up

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2018 EvidenceUpdates

12. Tai Chi Exercise for Patients with Chronic Heart Failure: A Meta-analysis of Randomized Controlled Trials. (PubMed)

Tai Chi Exercise for Patients with Chronic Heart Failure: A Meta-analysis of Randomized Controlled Trials. This meta-analysis aimed to update and evaluate evidence from randomized controlled trials of tai chi for patients with chronic heart failure.Both English and Chinese databases were searched from their inception to June 2, 2016 (PubMed, EMBASE, Cochrane Central Register of Controlled Trials for English publications and China Knowledge Resource Integrated, Wanfang, and Weipu databases (...) for Chinese publication). Titles, abstracts, and full-text articles were screened against study inclusion criteria: randomized controlled trials studying tai chi intervention for patients with chronic heart failure. The meta-analysis was conducted with Revman 5.3 or STATA 12.Thirteen randomized controlled trials were included. Tai chi induced significant improvement in 6-min walking distance (51.01 m; 30.49-71.53; P < 0.00). Moreover, tai chi was beneficial for quality of life (-10.37 points; -14.43

2017 American journal of physical medicine & rehabilitation

13. Simplified Tai Chi Program Training versus Traditional Tai Chi on the Functional Movement Screening in Older Adults. (PubMed)

Simplified Tai Chi Program Training versus Traditional Tai Chi on the Functional Movement Screening in Older Adults. Background. The present study aimed to evaluate and compare the effect of two different types of Tai Chi programs on the Functional Movement Screening (FMS) in older adults. Methods. Ninety older adults (65.5 ± 4.6 years old) who met the eligibility criteria were randomized into three different groups based on a ratio of 1 : 1 : 1: a traditional Tai Chi exercise (TTC (...) ), a simplified Tai Chi exercise (TCRT), or a control group (routine activity). The FMS consisted of the deep squat, hurdle step, in-line lunge, shoulder mobility, active straight leg rise, trunk stability push-up, and rotatory stability, which was used to measure physical function before the present study and after six months of Tai Chi interventions. Results. Seventy-nine participants completed the present study (control = 27, TTC = 23, and TCRT = 29). Significant improvement on the FMS tests between

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2016 Evidence-based Complementary and Alternative Medicine (eCAM)

14. Evidence Map of Tai Chi

Evidence Map of Tai Chi Evidence-based Synthesis Program Department of Veterans Affairs Health Services Research & Development Service September 2014 4 Prepared for: Department of Veterans Affairs Veterans Health Administration Quality Enhancement Research Initiative Health Services Research & Development Service Washington, DC 20420 Prepared by: Evidence-based Synthesis Program (ESP) Center West Los Angeles VA Medical Center Los Angeles, CA Paul G. Shekelle, MD, PhD, Director Principal (...) Investigators: Susanne Hempel, PhD Paul G. Shekelle, MD, PhD Co-Investigator: Stephanie L. Taylor, PhD Michele R. Solloway, PhD Research Associates: Isomi M. Miake-Lye, BA Jessica M. Beroes, BS Roberta Shanman, MS Evidence Map of Tai Chii Evidence Map of Tai Chi Evidence-based Synthesis Program PREFACE Quality Enhancement Research Initiative’s (QUERI) Evidence-based Synthesis Program (ESP) was established to provide timely and accurate syntheses of targeted healthcare topics of particular importance

2014 Veterans Affairs Evidence-based Synthesis Program Reports

15. Effect of tai chi on cognitive performance in older adults: systematic review and meta-analysis

Effect of tai chi on cognitive performance in older adults: systematic review and meta-analysis Effect of tai chi on cognitive performance in older adults: systematic review and meta-analysis Effect of tai chi on cognitive performance in older adults: systematic review and meta-analysis Wayne PM, Walsh JN, Taylor-Piliae RE, Wells RE, Papp KV, Donovan NJ, Yeh GY CRD summary The authors concluded that tai chi showed potential to enhance cognitive function in older adults, particularly executive (...) functioning in people without significant cognitive impairment. The authors' conclusions reflect the evidence presented but potential lack of generalisability and risk of language bias should be taken into account when interpreting the findings. Authors' objectives To assess the effects of tai chi on cognitive function in older adults. Searching The authors searched PubMed, CINAHL, EMBASE and The Cochrane Library to March 2013. Search terms were reported. Reference lists of retrieved papers were checked

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2014 DARE.

16. Tai Chi for older adults with chronic multisite pain: a randomized controlled pilot study. (PubMed)

Tai Chi for older adults with chronic multisite pain: a randomized controlled pilot study. Chronic pain is associated with poorer cognition and mobility, and fall risk in older adults.To investigate the feasibility of a randomized controlled trial of mind-body exercise (Tai Chi) versus light physical exercise in older adults with multisite pain.Adults aged ≥ 65 years with multisite pain who reported falling in the past year or current use of an assistive device were recruited from Boston area (...) communities. Participants were randomized to either a Tai Chi or a light physical exercise program, offered twice weekly for 12 weeks. The primary outcomes were feasibility and acceptability. Secondary outcomes included pain characteristics, cognition, physical function, gait mobility, fear of falling, and fall rate.Of 176 adults screened, 85 were eligible, and 54 consented and enrolled (average age 75 ± 8 years; 96.30% white; 75.93% female). The dropout rate was 18% for Tai Chi and 12% for light physical

2019 Aging clinical and experimental research

17. Tai Chi Improves Cognition and Plasma BDNF in Older Adults With Mild Cognitive Impairment: A Randomized Controlled Trial. (PubMed)

Tai Chi Improves Cognition and Plasma BDNF in Older Adults With Mild Cognitive Impairment: A Randomized Controlled Trial. Effects of Tai Chi (TC) on specific cognitive function and mechanisms by which TC may improve cognition in older adults with amnestic mild cognitive impairment (a-MCI) remain unknown.To examine the effects of TC on cognitive functions and plasma biomarkers (brain-derived neurotrophic factor [BDNF], tumor necrosis factor-α [TNF-α], and interleukin-10 [IL-10]) in a-MCI.A total

2019 Neurorehabilitation and neural repair

18. Tai Chi Chih Compared With Cognitive Behavioral Therapy for the Treatment of Insomnia in Survivors of Breast Cancer: A Randomized, Partially Blinded, Noninferiority Trial

Tai Chi Chih Compared With Cognitive Behavioral Therapy for the Treatment of Insomnia in Survivors of Breast Cancer: A Randomized, Partially Blinded, Noninferiority Trial Purpose Cognitive behavioral therapy for insomnia (CBT-I) and Tai Chi Chih (TCC), a movement meditation, improve insomnia symptoms. Here, we evaluated whether TCC is noninferior to CBT-I for the treatment of insomnia in survivors of breast cancer. Patients and Methods This was a randomized, partially blinded, noninferiority

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2017 EvidenceUpdates

19. Amy Price: The unintended consequences of tai chi for fibromyalgia

Amy Price: The unintended consequences of tai chi for fibromyalgia Amy Price: The unintended consequences of tai chi for fibromyalgia - The BMJ ---> I am a trauma survivor with chronic pain. My options for surgical relief and pain management have been exhausted as I refuse to have an internal pain pump and the Food and Drug Administration have denied my compassionate use request for dangerous neck and spinal surgery, because it is high risk and has a less than five percent chance of doing any (...) good. Someone decided I might have fibromyalgia, but no one could explain to me what it was. The doctor mumbled something about maybe tai chi helping, and for me it did. I later learned that fibromyalgia is a complex and confusing diagnosis that is thought to come from an overly aroused nervous system. This dysfunction can result in chronic, intermittent pain; sleep deprivation; and fatigue. These symptoms can trigger mental distress as well as cognitive and memory problems. There is no “one size

2018 The BMJ Blog

20. Different Modulation Effects of Tai Chi Chuan and Baduanjin on Resting State Functional Connectivity of the Default Mode Network in Older Adults. (PubMed)

Different Modulation Effects of Tai Chi Chuan and Baduanjin on Resting State Functional Connectivity of the Default Mode Network in Older Adults. The default mode network (DMN) plays an importment role in age-related cognitive decline. This study aims to explore the modulation effect of two mind-body interventions (Tai Chi Chuan and Baduanjin) on DMN in elderly individuals. Participants between 50 and 70 years old were recruited and randomized into a Tai Chi Chuan, Baduanjin, or control group (...) . The Wechsler Memory Scale-Chinese Revision (WMS-CR) and resting state fMRI scans were administered at baseline and following 12 weeks of exercise. Seed-based resting state functional connectivity (rsFC) was calculated. We found that: 1) compared to the Baduanjin group, Tai Chi Chuan was significantly associated with increased rsFC between the medial prefrontal cortex (mPFC) and right putamen/caudate; 2) Compared to the control group, Tai Chi Chuan increased posterior cingulate cortex rsFC with the right

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2019 Social cognitive and affective neuroscience

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