Effects of modified Tai Chi Chuan on balance in older adults

Authors

  • Brian R. Snapp, MS
  • Marjorie J. Malkin, EdD, CTRS
  • Leslie F. Lloyd, RhD, CRC

DOI:

https://doi.org/10.5055/ajrt.2009.0018

Keywords:

Tai Chi, older adults, recreational therapy

Abstract

The purpose of this study was to test the overall balance of older adults who participated in a modified 10-step Tai Chi Chuan program. The 19 participants who were chosen for this study all resided in rural southern Illinois at either an assisted living facility or an independent living facility. All of the participants were over the age of 65, and had experienced a reduction in the ability to maintain balance. The Balance Scale served as the instrument to measure balance in participants.18 Measures were taken at the baseline and at the endof- program to test for improvement. The test group included 10 participants who practiced Tai Chi. The comparison group included nine participants who practiced non-Tai Chi exercise. The program lasted eight weeks and both groups met for 30-minute sessions three times a week. Results indicate both the test group and the comparison group received health benefits. Data analysis indicated a moderate to strong relationship between the practice of Tai Chi and balance improvement in the test group. Interestingly, the balance measures of the comparison group who participated in the non-Tai Chi exercise also improved. Thus, the data indicate a moderate improvement in balance among an aged population for both non-Tai Chi exercise and Tai Chi exercise.

Author Biographies

Brian R. Snapp, MS

Southern Illinois University Carbondale, Carbondale, Illinois.

Marjorie J. Malkin, EdD, CTRS

Professor, Department of Health Education and Recreation, Southern Illinois University Carbondale, Carbondale, Illinois.

Leslie F. Lloyd, RhD, CRC

Associate Professor, Health Care Management, Southern Illinois University Carbondale, Carbondale, Illinois.

References

Gillespie LD, Gillespie WJ, Robertson MC, et al.: Interventions for preventing falls in elderly people. Cochrane Database Syst Rev. 2003; (4): CD000340.

Center for Disease Control: Cost of falls among older adults. Available at www.cdc.gov/ncipc/factsheets/fallcost.htm. Accessed April 6, 2009.

Center for Disease Control and Prevention, National Center for Injury Prevention and Control: Web-based Injury Statistics Query and Reporting System (WISQARS). Available at www.cdc.gov/ncipc/wisqars. Accessed April 6, 2008.

De Marco MA: Tai Chi Chuan: Why do 200 million people practice it in China? Black Belt. 1985; 23: 62-65.

McGibbon CA, Krebs DE, Wolf SL, et al.: Tai Chi and vestibular rehabilitation effects on gaze and whole-body stability. J Vestib Res. 2004; 14(6): 476-478.

Venglar M: Caser report: Tai Chi and parkinsonism. Physiother Res Int. 2005; 10(2): 116-121.

Kuramoto AM: Therapeutic benefits of Tai Chi exercise: Research reviews. WMJ. 2006; 105(7): 42-46.

Young DR: Tai Chi helps lower blood pressure in the elderly. Paper presented at: American Heart Association Conference on Cardiovascular Disease Epidemiology and Prevention, Santa Fe, NM, 1998.

Choi JH, Moon, JS, Song, R: Effects of sun-style Tai Chi exercise on physical fitness and fall prevention in fall-prone older adults. J Adv Nurs. 2005; 51(2): 150-157.

Sattin RW, Easley KA, Wolf SL, et al.: Reduction in fear of falling through intense Tai Chi exercise training in older, transitionally frail adults. J Am Ger Soc. 2005; 53(7): 1168-1178.

Wolf SL, Coogler C, Xu T: Exploring the basis for Tai Chi Chuan as a therapeutic exercise approach. Arch Phys Med Rehabil. 1997; 78: 886-892.

Tse SK, Baily DM: Tai Chi and postural control in the elderly. Am J Occup Ther. 1992; 46(4): 295-300.

Lin MR, Hwang HF, Wang YW, et al.: Community-based Tai Chi and its effect on injurious falls, balance, gait, and fear of falling in older people. Phys Ther. 2006; 86(2): 1189-1201.

Taylor-Piliae RE, Haskell WL, Stotts NA, et al.: Improvement in balance, strength, and flexibility after 12 weeks of Tai Chi exercise in ethnic Chinese adults with cardiovascular disease risk factors. Altern Ther Health Med. 2006; 12(2): 50-58.

Zeeuwe PEM, Verhagen AP, Biernma-Zenistra S, et al.: The effect of Tai Chi Chuan in reducing falls among elderly people: Design of a randomized clinical trial in the Netherlands. BMC Geriatr. 2006; 6(6).

Fuzhong LK, Fisher J, Harmer P, et al.: A Simpler eight-form easy Tai Chi for elderly adults. J Aging Phys Act. 2003; 11: 206-218.

Wu G: Evaluation of the effectiveness of Tai Chi for improving balance and preventing falls in the older population—A review. J Am Geriatr Soc. 2002; 5: 746-754.

Wood-Dauphinee S, Berg K, Bravo G, et al.: The Balance Scale: Responding to clinically meaningful changes. Can J Rehabil. 1997; 10: 35-50.

Centre for Evidence-Based Medicine: Randomized control trial critical appraisal sheet. Available at www.cebm.net/index.aspx?o=1157. Accessed April 6, 2009.

Published

07/01/2009

How to Cite

Snapp, MS, B. R., Malkin, EdD, CTRS, M. J., & Lloyd, RhD, CRC, L. F. (2009). Effects of modified Tai Chi Chuan on balance in older adults. American Journal of Recreation Therapy, 8(3), 25–30. https://doi.org/10.5055/ajrt.2009.0018

Issue

Section

Articles