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Tai Chi

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1361. The effects of Tai Chi Chuan on physiological function and fear of falling in the less robust elderly: an intervention study for preventing falls. (Abstract)

The effects of Tai Chi Chuan on physiological function and fear of falling in the less robust elderly: an intervention study for preventing falls. The aim of this report is to investigate the effects of 8 weeks of intensive Tai Chi Chuan (TCC) training on physiological function and fear of falling (FOF) in the less-robust elderly. Forty-nine community-dwelling elderly, aged 60 or older, were classified randomly into a TCC training or control group. Physical performance measures (including one

2005 Archives of gerontology and geriatrics Controlled trial quality: uncertain

1362. Reduction in fear of falling through intense tai chi exercise training in older, transitionally frail adults. Full Text available with Trip Pro

Reduction in fear of falling through intense tai chi exercise training in older, transitionally frail adults. To determine whether an intense tai chi exercise program could reduce fear of falling better than a wellness education (WE) program in older adults who had fallen previously and meet criteria for transitioning to frailty.Cluster-randomized, controlled trial of 48 weeks' duration.Ten matched pairs of congregate living facilities in the greater Atlanta area.Sample of 291 women and 20 men (...) higher (decreased fear) in the tai chi cohort at 8 months (57.9 vs 49.0, P<.001) and at study end (59.2 vs 47.9, P<.001). After adjusting for covariates, the mean ABC after 12 months of intervention was significantly greater in the tai chi group than in the WE group, with the differences increasing with time (mean difference at 12 months=9.5 points, 95% confidence interval=4.8-14.2, P<.001).Tai chi led to a significantly greater reduction in fear of falling than a WE program in transitionally frail

2005 Journal of the American Geriatrics Society Controlled trial quality: uncertain

1363. The effect of Tai Chi Chuan in reducing falls among elderly people: design of a randomized clinical trial in the Netherlands [ISRCTN98840266]. Full Text available with Trip Pro

The effect of Tai Chi Chuan in reducing falls among elderly people: design of a randomized clinical trial in the Netherlands [ISRCTN98840266]. Falls are a significant public health problem. Thirty to fifty percent of the elderly of 65 years and older fall each year. Falls are the most common type of accident in this age group and can result in fractures and subsequent disabilities, increased fear of falling, social isolation, decreased mobility, and even an increased mortality. Several forms (...) of exercise have been associated with a reduced risk of falling and with a wide range of physiological as well as psychosocial health benefits. Tai Chi Chuan seems to be the most promising form of exercise in the elderly, but the evidence is still controversial. In this article the design of a randomized clinical trial is presented. The trial evaluates the effect of Tai Chi Chuan on fall prevention and physical and psychological function in older adults.270 people of seventy years and older living at home

2006 BMC geriatrics

1364. How Tai Chi improves balance: biomechanics of recovery to a walking slip in impaired seniors. (Abstract)

How Tai Chi improves balance: biomechanics of recovery to a walking slip in impaired seniors. This study examined the effect of Tai Chi (TC) training on biomechanical responses to large, fast walking perturbations in balance-impaired seniors.Twenty-two seniors (age 68-92, BERG 44 or less) with surgical interventions to knees, hips, and back were randomly divided into control or TC groups. Groups trained 1.5h/day, 5 days/week for 3 weeks. Controls received TC training after post-control testing (...) increased COM-COP A/P angular separation at RHS (p<0.067).Tai Chi training significantly enhanced balance responses by more efficacious use of mechanisms controlling stepping strategies of the swing leg. COM A/P path significantly increased after TC implying improved ability to tolerate unsteadiness. COM-COP A/P separation angle at RHS increased suggesting a longer step and increased mechanical loading at the hip.

2007 Gait & posture Controlled trial quality: uncertain

1365. The influence of intense Tai Chi training on physical performance and hemodynamic outcomes in transitionally frail, older adults. (Abstract)

The influence of intense Tai Chi training on physical performance and hemodynamic outcomes in transitionally frail, older adults. Few data exist to evaluate whether Tai Chi (TC) training improves physical performance and hemodynamic outcomes more than a wellness education (WE) program does among older fallers transitioning to frailty.This 48-week randomized clinical trial was provided at 10 matched pairs of congregate living facilities in the Atlanta metropolitan area to 291 women and 20 men

2006 The journals of gerontology. Series A, Biological sciences and medical sciences Controlled trial quality: uncertain

1366. Research on psychoneuroimmunology: tai chi as a stress management approach for individuals with HIV disease. Full Text available with Trip Pro

Research on psychoneuroimmunology: tai chi as a stress management approach for individuals with HIV disease. Psychoneuroimmunology is a framework for mind-body practice and research that combines cutting-edge scientific exploration with holistic philosophy to appreciate and understand stress responses. The rapidly growing research literature provides a foundation for building an integrative stress management model with the potential to positively influence the stress-disease relationship (...) and, ultimately, health outcomes. This article introduces a novel tai chi intervention and provides quantitative and qualitative data from a randomized clinical trial indicating its effects on psychosocial variables in individuals living with various stages of HIV disease.

2006 Applied nursing research : ANR Controlled trial quality: uncertain

1367. A pilot study to assess the influence of tai chi chuan on functional capacity among breast cancer survivors. (Abstract)

A pilot study to assess the influence of tai chi chuan on functional capacity among breast cancer survivors. Treatment of breast cancer can significantly diminish functional capacity in patients months and even years after the completion of treatments. Tai chi chuan (TCC) is a moderate form of exercise that may be an effective therapy for improving functional capacity among breast cancer survivors. We sought to provide pilot data comparing the efficacy of TCC and psychosocial therapy (PST

2006 The journal of supportive oncology Controlled trial quality: uncertain

1368. Effects of Tai Chi and resistance training on cardiovascular risk factors in elderly Chinese subjects: a 12-month longitudinal, randomized, controlled intervention study. Full Text available with Trip Pro

Effects of Tai Chi and resistance training on cardiovascular risk factors in elderly Chinese subjects: a 12-month longitudinal, randomized, controlled intervention study. Tai Chi is rapidly gaining in popularity, worldwide. This study was performed to assess its impact on cardiovascular risk factors in comparison with resistance training exercises in elderly Chinese subjects.A total of 207 healthy elderly participants (65-74 years, 113/207 (55%) men) were randomly assigned to one of three (...) intervention groups: (1) Tai Chi, three times/week for 1 h/session (n = 64); (2) resistance training exercise, three times/week for 1 h/session (n = 65); (3) usual level of physical activity control group (n = 78). Anthropometric measures, dual X-ray densitometry body composition, blood pressure, lipids, glycaemic and insulin sensitivity indices were measured at baseline and 12 months. Repeated-measures analysis of variance (anova) was used to assess the between-group changes using a last-observation

2005 Clinical endocrinology Controlled trial quality: uncertain

1369. A study investigating the effects of Tai Chi Chuan: individuals with traumatic brain injury compared to controls. (Abstract)

A study investigating the effects of Tai Chi Chuan: individuals with traumatic brain injury compared to controls. To explore the effects of a 6-week course in Tai Chi associated with traumatic brain injury (TBI) symptoms.Eighteen participants, with TBI assigned to a control (waiting list) group (n = 9) or Tai Chi group (n = 9) completed the Medical Outcome Scale Short Form 36 (SF-36) and Rosenberg Self-Esteem Scale (RSES) before, during, immediately after and 3 weeks after completion of the Tai (...) Chi course. The Tai Chi group completed the Visual Analogue Mood Scales (VAMS) before and after each class.Tai Chi was associated with significant improvement on all VAMS scores (except fatigue) with decreases in sadness, confusion, anger, tension, fear and increases in energy and happiness. There were no significant between-group differences on the SF-36 or RSES.Tai Chi provides short-term benefits after TBI, with rigorous outcome measurement needed to examine long-term benefits.

2006 Brain injury : [BI] Controlled trial quality: uncertain

1370. Neural mechanisms underlying balance improvement with short term Tai Chi training. (Abstract)

Neural mechanisms underlying balance improvement with short term Tai Chi training. Though previous research has shown that Tai Chi reduces falls risk in older adults, no studies have examined underlying neural mechanisms responsible for balance improvement. We aimed to determine the efficacy of Tai Chi training in improving neuromuscular response characteristics underlying balance control in balance-impaired older adults.Twenty-two balance-impaired older adults were randomly divided into Tai (...) Chi (TC) or control groups. Nineteen subjects (age 68-92, BERG 44 or less) completed the study. TC training included repetitive exercises using TC motor and biomechanical strategies, techniques, and postural elements. Control training included axial mobility exercises, balance/awareness education and stress reduction. Groups trained 1.5 hours/day, 5 days/week for 3 weeks. After post-testing the control group received TC training. Subjects walked across a force plate triggered to move forward 15 cm

2006 Aging clinical and experimental research Controlled trial quality: uncertain

1371. Tai Chi versus brisk walking in elderly women. Full Text available with Trip Pro

Tai Chi versus brisk walking in elderly women. to compare the effects of a short style of Tai Chi versus brisk walking training programme on aerobic capacity, heart rate variability (HRV), strength, flexibility, balance, psychological status and quality of life in elderly women.nineteen community-dwelling, sedentary women (aged 71.4 +/- 4.5 years) were randomly assigned to Tai Chi Chuan (TCC; n = 11) or brisk walking group (BWG; n = 8). A separate group of elderly women was recruited from

2006 Age and ageing Controlled trial quality: uncertain

1372. Tai Chi and fall reductions in older adults: a randomized controlled trial. (Abstract)

Tai Chi and fall reductions in older adults: a randomized controlled trial. The authors' objective was to evaluate the efficacy of a 6-month Tai Chi intervention for decreasing the number of falls and the risk for falling in older persons.This randomized controlled trial involved a sample of 256 physically inactive, community-dwelling adults aged 70 to 92 (mean age, 77.48 years; standard deviation, 4.95 years) who were recruited through a patient database in Portland, Oregon. Participants were (...) randomized to participate in a three-times-per-week Tai Chi group or to a stretching control group for 6 months. The primary outcome measure was the number of falls; the secondary outcome measures included functional balance (Berg Balance Scale, Dynamic Gait Index, Functional Reach, and single-leg standing), physical performance (50-foot speed walk, Up&Go), and fear of falling, assessed at baseline, 3 months, 6 months (intervention termination), and at a 6-month postintervention follow-up.At the end

2005 The journals of gerontology. Series A, Biological sciences and medical sciences Controlled trial quality: predicted high

1373. Tai chi and perceived health status in older adults who are transitionally frail: a randomized controlled trial. Full Text available with Trip Pro

Tai chi and perceived health status in older adults who are transitionally frail: a randomized controlled trial. Tai chi, a Chinese exercise derived from martial arts, while gaining popularity as an intervention for reducing falls in older adults, also may improve health status. The purpose of this study was to determine whether intense tai chi (TC) exercise could improve perceived health status and self-rated health (SRH) more than wellness education (WE) for older adults who

2007 Physical therapy Controlled trial quality: uncertain

1374. Physical activity for osteoarthritis management: a randomized controlled clinical trial evaluating hydrotherapy or Tai Chi classes. Full Text available with Trip Pro

Physical activity for osteoarthritis management: a randomized controlled clinical trial evaluating hydrotherapy or Tai Chi classes. To determine whether Tai Chi or hydrotherapy classes for individuals with chronic symptomatic hip or knee osteoarthritis (OA) result in measurable clinical benefits.A randomized controlled trial was conducted among 152 older persons with chronic symptomatic hip or knee OA. Participants were randomly allocated for 12 weeks to hydrotherapy classes (n = 55), Tai Chi (...) classes demonstrated mean improvements (95% confidence interval) of 6.5 (0.4, 12.7) and 10.5 (3.6, 14.5) for pain and physical function scores (range 0-100), respectively, whereas participants allocated to Tai Chi classes demonstrated improvements of 5.2 (-0.8, 11.1) and 9.7 (2.8, 16.7), respectively. Both class allocations achieved significant improvements in the SF-12 physical component summary score, but only allocation to hydrotherapy achieved significant improvements in the physical performance

2007 Arthritis and rheumatism Controlled trial quality: predicted high

1375. Effects of a Sun-style Tai Chi exercise on arthritic symptoms, motivation and the performance of health behaviors in women with osteoarthritis. (Abstract)

Effects of a Sun-style Tai Chi exercise on arthritic symptoms, motivation and the performance of health behaviors in women with osteoarthritis. Tai Chi exercise, an ancient Chinese martial art, has drawn more and more attention for its health benefits. The purpose of the study was to identify the effects of a Sun-style Tai Chi exercise on arthritic symptoms (joint pain and stiffness), motivation for performing health behaviors, and the performance of health behaviors among older women (...) with osteoarthritis.Total of 72 women with the mean age of 63 years old were recruited from outpatients clinic or public health centers according to the inclusion criteria and assigned randomly to either the Tai Chi exercise group or the control. A Sun-style Tai Chi exercise has been provided three times a week for the first two weeks, and then once a week for another 10 weeks. In 12 weeks of study period, 22 subjects in the Tai Chi exercise group and 21 subjects in the control group completed the posttest measure

2007 Taehan Kanho Hakhoe chi Controlled trial quality: uncertain

1376. A randomised controlled trial of Tai Chi and resistance exercise on bone health, muscle strength and balance in community-living elderly people. Full Text available with Trip Pro

A randomised controlled trial of Tai Chi and resistance exercise on bone health, muscle strength and balance in community-living elderly people. The beneficial role of exercise in improving bone mineral density, muscle strength and balance, has been documented predominantly in younger populations. These findings may not apply to elderly populations with limited ability to perform exercises of high intensity.To examine the effects of Tai Chi (TC) and resistance exercise (RTE) on bone mineral

2007 Age and ageing Controlled trial quality: uncertain

1377. Augmenting immune responses to varicella zoster virus in older adults: a randomized, controlled trial of Tai Chi. Full Text available with Trip Pro

Augmenting immune responses to varicella zoster virus in older adults: a randomized, controlled trial of Tai Chi. To evaluate the effects of a behavioral intervention, Tai Chi, on resting and vaccine-stimulated levels of cell-mediated immunity (CMI) to varicella zoster virus (VZV) and on health functioning in older adults.A prospective, randomized, controlled trial with allocation to two arms (Tai Chi and health education) for 25 weeks. After 16 weeks of intervention, subjects were vaccinated (...) with VARIVAX, the live attenuated Oka/Merck VZV vaccine licensed to prevent varicella.Two urban U.S. communities between 2001 and 2005.A total of 112 healthy older adults aged 59 to 86.The primary endpoint was a quantitative measure of VZV-CMI. Secondary outcomes were scores on the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36).The Tai Chi group showed higher levels of VZV-CMI than the health education group (P<.05), with a significant rate of increase (P<.001) that was nearly twice

2007 Journal of the American Geriatrics Society Controlled trial quality: uncertain

1378. Comparison of the effects of Tai Chi and resistance training on bone metabolism in the elderly: a feasibility study. (Abstract)

Comparison of the effects of Tai Chi and resistance training on bone metabolism in the elderly: a feasibility study. This feasibility study compared the effects of Tai Chi (TC) and resistance training (RT) on bone metabolism in the elderly. Twenty eight sedentary, elder adults, were randomized into either TC (n = 14, 78.8 +/-1.3 years) or RT (n = 14, 79.4 +/-2.2 years) to participate in 40 min of exercise per session, 3 sessions/week for 24 weeks. The outcome measures assessed were

2007 The American journal of Chinese medicine Controlled trial quality: uncertain

1379. Effects of Tai Chi on glucose homeostasis and insulin sensitivity in older adults with type 2 diabetes: a randomised double-blind sham-exercise-controlled trial. Full Text available with Trip Pro

Effects of Tai Chi on glucose homeostasis and insulin sensitivity in older adults with type 2 diabetes: a randomised double-blind sham-exercise-controlled trial. a large proportion of adults with type 2 diabetes remain sedentary despite evidence of benefits from exercise for type 2 diabetes. Simplified Yang Tai Chi has been shown in one study to have no effect on insulin sensitivity in older adults. However, a modified Tai Chi form, Tai Chi for Diabetes (TCD) has recently been composed (...) , claiming to improve diabetes control.subjects were randomised to Tai Chi or sham exercise, twice a week for 16 weeks. Primary outcomes were insulin resistance 72 h post-exercise (HOMA2-IR), and long-term glucose control (HbA(1c)).thirty-eight subjects (65 +/- 7.8 years, 79% women) were enrolled. Baseline BMI was 32.2 +/- 6.3 kg/m(2), 84% had osteoarthritis, 76% hypertension, and 34% cardiac disease. There was one dropout, no adverse events, and median compliance was 100 (0-100)%. There were no effects

2008 Age and ageing Controlled trial quality: predicted high

1380. A randomized controlled trial of tai chi for tension headaches. Full Text available with Trip Pro

A randomized controlled trial of tai chi for tension headaches. This study examined whether a traditional low-impact mind-body exercise, Tai Chi, affects health-related quality-of-life (HRQOL) and headache impact in an adult population suffering from tension-type headaches. Forty-seven participants were randomly assigned to either a 15 week intervention program of Tai Chi instruction or a wait-list control group. HRQOL (SF-36v2) and headache status (HIT-6trade mark) were obtained at baseline (...) and at 5, 10 and 15 weeks post-baseline during the intervention period. Statistically significant (P < 0.05) improvements in favor of the intervention were present for the HIT score and the SF-36 pain, energy/fatigue, social functioning, emotional well-being and mental health summary scores. A 15 week intervention of Tai Chi practice was effective in reducing headache impact and also effective in improving perceptions of some aspects of physical and mental health.

2007 Evidence-based Complementary and Alternative Medicine (eCAM) Controlled trial quality: uncertain

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