دورية أكاديمية
أعرض في EDS

Optimal exercise parameters of tai chi for balance performance in older adults: A meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Optimal exercise parameters of tai chi for balance performance in older adults: A meta-analysis.
المؤلفون: Wang LC; Graduate School of Shanghai University of Traditional Chinese Medicine, Shanghai, China., Ye MZ; Graduate School of Shanghai University of Traditional Chinese Medicine, Shanghai, China., Xiong J; Graduate School of Shanghai University of Traditional Chinese Medicine, Shanghai, China., Wang XQ; Graduate School of Shanghai University of Traditional Chinese Medicine, Shanghai, China., Wu JW; Graduate School of Shanghai University of Traditional Chinese Medicine, Shanghai, China., Zheng GH; Graduate School of Shanghai University of Traditional Chinese Medicine, Shanghai, China.; College of Nursing and Health Management, Shanghai University of Medicine and Health Sciences, Shanghai, China.
المصدر: Journal of the American Geriatrics Society [J Am Geriatr Soc] 2021 Jul; Vol. 69 (7), pp. 2000-2010. Date of Electronic Publication: 2021 Mar 26.
نوع المنشور: Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Systematic Review
اللغة: English
بيانات الدورية: Publisher: Blackwell Science Country of Publication: United States NLM ID: 7503062 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-5415 (Electronic) Linking ISSN: 00028614 NLM ISO Abbreviation: J Am Geriatr Soc Subsets: MEDLINE
أسماء مطبوعة: Publication: Malden, MA : Blackwell Science
Original Publication: New York [etc.]
مواضيع طبية MeSH: Postural Balance*, Tai Ji/*methods, Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; Randomized Controlled Trials as Topic ; Time Factors ; Treatment Outcome
مستخلص: Background: Tai chi is considered a safe and low-cost treatment for improving balance ability among an older population. However, there is no existing evidence on the optimal exercise parameters of tai chi for improving balance in older adults.
Objectives: To investigate the optimal parameters of a tai chi intervention to improve balance performance of older adults.
Design: Systematic review and meta-analysis of randomized controlled trials (RCTs).
Setting: PubMed, Embase, Cochrane Library, Web of Science, Scopus, China National Knowledge Infrastructure, Wanfang, Chinese Science and Technology Periodical and China Biology Medicine were searched from inception until November 30, 2020.
Participants: Adults aged 60 years and over.
Measurements: Two reviewers independently extracted the data and assessed the quality of the included studies according to the Physiotherapy Evidence Database (PEDro) scale. Subgroup analyses and meta-regressions were conducted to elucidate the impact of tai chi training programs on balance measures.
Results: Twenty-six eligible RCTs were included in the meta-analysis. Pooled results showed that tai chi has moderate effects for improving proactive balance (weighted mean standardized mean differences [SMD wm ] = 0.61, 95% CI 0.33-0.89) and static steady-state balance (SMD wm  = 0.62, 95% CI 0.30-0.95) and small effects for improving dynamic steady-state balance (SMD wm  = 0.38, 95% CI 0.03-0.73) and balance test batteries (SMD wm  = 0.47, 95% CI 0.13-0.81) in adults over 60 years of age. The practice frequency could predict the effects of tai chi on static steady-state balance, and the 24-form simplified Yang style tai chi (45-60 min/session, more than four sessions per week and at least 8 weeks) was the most optimal.
Conclusions: Tai chi is effective at improving the balance ability of adults over 60 years of age. A medium duration and high frequency of 24-form tai chi may be the optimal program for improving balance, but this evidence should be recommended with caution due to limitations of the methodology and small sample sizes.
(© 2021 The American Geriatrics Society.)
التعليقات: Comment in: J Am Geriatr Soc. 2022 Mar;70(3):911-912. (PMID: 34962284)
Comment in: J Am Geriatr Soc. 2022 Mar;70(3):912-913. (PMID: 34962290)
References: Gillespie LD, Gillespie WJ, Robertson MC, Lamb SE, Cumming RG, Rowe BH. Interventions for preventing falls in elderly people. Cochrane Database Syst Rev. 2003;4:CD000340.
Delbaere K, Crombez G, Van Den Noortgate N, Willems T, Cambier D. The risk of being fearful or fearless of falls in older people: an empirical validation. Disabil Rehabil. 2006;28(12):751-756.
Gill TM, Allore HG, Holford TR, Guo Z. Hospitalization, restricted activity, and the development of disability among older persons. JAMA. 2004;292(17):2115-2124.
Burns E, Kakara R. Deaths from falls among persons aged ≥65 years - United States, 2007-2016. MMWR Morb Mortal Wkly Rep. 2018;67(18):509-514.
Muir SW, Berg K, Chesworth B, Klar N, Speechley M. Quantifying the magnitude of risk for balance impairment on falls in community-dwelling older adults: a systematic review and meta-analysis. J Clin Epidemiol. 2010;63(4):389-406.
Youkhana S, Dean CM, Wolff M, Sherrington C, Tiedemann A. Yoga-based exercise improves balance and mobility in people aged 60 and over: a systematic review and meta-analysis. Age Ageing. 2016;45(1):21-29.
Papalia GF, Papalia R, Diaz Balzani LA, et al. The effects of physical exercise on balance and prevention of falls in older people: a systematic review and meta-analysis. J Clin Med. 2020;9(8):2595.
Robins JL, Elswick RK, McCain NL. The story of the evolution of a unique tai chi form: origins, philosophy, and research. J Holist Nurs. 2012;30(3):134-146.
Lan C, Lai JS, Chen SY. Tai chi Chuan: an ancient wisdom on exercise and health promotion. Sports Med. 2002;32(4):217-224.
Hackney ME, Wolf SL. Impact of tai chi Chu'an practice on balance and mobility in older adults: an integrative review of 20 years of research. J Geriatr Phys Ther. 2014;37(3):127-135.
Li F, Harmer P, Fitzgerald K, et al. Tai chi and postural stability in patients with Parkinson's disease. N Engl J Med. 2012;366(6):511-519.
Li Y, Devault CN, Van Oteghen S. Effects of extended tai chi intervention on balance and selected motor functions of the elderly. Am J Chin Med. 2007;35(3):383-391.
Lu X, Hui-Chan CW, Tsang WW. Effects of tai chi training on arterial compliance and muscle strength in female seniors: a randomized clinical trial. Eur J Prev Cardiol. 2013;20(2):238-245.
Liu H, Frank A. Tai chi as a balance improvement exercise for older adults: a systematic review. J Geriatr Phys Ther. 2010;33(3):103-109.
Huang Y, Liu X. Improvement of balance control ability and flexibility in the elderly tai chi Chuan (TCC) practitioners: a systematic review and meta-analysis. Arch Gerontol Geriatr. 2015;60(2):233-238.
Maciaszek J, Osinski W. The effects of tai chi on body balance in elderly people - a review of studies from the early 21st century. Am J Chin Med. 2010;38(2):219-229.
Leung DP, Chan CK, Tsang HW, Tsang WW, Jones AY. Tai chi as an intervention to improve balance and reduce falls in older adults: a systematic and meta-analytical review. Altern Ther Health Med. 2011;17(1):40-48.
Scianni A. Tai chi improves balance and prevents falls in people with Parkinson's disease. J Physiother. 2015;61(1):44.
Liu HH, Yeh NC, Wu YF, Yang YR, Wang RY, Cheng FY. Effects of tai chi exercise on reducing falls and improving balance performance in Parkinson's disease: a meta-analysis. Parkinsons Dis. 2019;2019:9626934.
Wu S, Chen J, Wang S, Jiang M, Wang X, Wen Y. Effect of tai chi exercise on balance function of stroke patients: a meta-analysis. Med Sci Monit Basic Res. 2018;24:210-215.
Li GY, Wang W, Liu GL, Zhang Y. Effects of tai chi on balance and gait in stroke survivors: a systematic meta-analysis of randomized controlled trials. J Rehabil Med. 2018;50(7):582-588.
Schleicher MM, Wedam L, Wu G. Review of tai chi as an effective exercise on falls prevention in elderly. Res Sports Med. 2012;20(1):37-58.
Wu Y, MacDonald HV, Pescatello LS. Evaluating exercise prescription and instructional methods used in tai chi studies aimed at improving balance in older adults: a systematic review. J Am Geriatr Soc. 2016;64(10):2074-2080.
Cashin AG, McAuley JH. Clinimetrics: physiotherapy evidence database (PEDro) scale. J Physiother. 2020;66(1):59.
Maher CG, Sherrington C, Herbert RD, Moseley AM, Elkins M. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther. 2003;83(8):713-721.
Hedges LV, Olkin I. Statistical Methods for Meta-Analysis. Orlando, FL: Academic Press; 1985.
Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Hillsdale, NJ: Lewis Erlbaum Associates; 1988.
Birimoglu Okuyan C, Bilgili N. Effect of tai chi chuan on fear of falling, balance and physical self-perception in elderly: a randomised controlled trial. Turk Geriatri Dergisi. 2017;20(3):232-241.
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.
Hass CJ, Gregor RJ, Waddell DE, et al. The influence of tai chi training on the center of pressure trajectory during gait initiation in older adults. Arch Phys Med Rehabil. 2004;85(10):1593-1598.
Holmes ML, Manor B, Hsieh WH, Hu K, Lipsitz LA, Li L. Tai chi training reduced coupling between respiration and postural control. Neurosci Lett. 2016;610:60-65.
Hosseini L, Kargozar E, Sharifi F, Negarandeh R, Memari AH, Navab E. Tai chi Chuan can improve balance and reduce fear of falling in community dwelling older adults: a randomized control trial. J Exerc Rehabil. 2018;14(6):1024-1031.
Huang HC, Liu CY, Huang YT, Kernohan WG. Community-based interventions to reduce falls among older adults in Taiwan - long time follow-up randomised controlled study. J Clin Nurs. 2010;19(7-8):959-968.
Kim HD. Effects of tai chi exercise on the center of pressure trace during obstacle crossing in older adults who are at a risk of falling. J Phys Ther Sci. 2009;21(1):49-54.
Kim HD, Han JT, Cho YH. The effectiveness of community-based tai chi training on balance control during stair descent by older adults. J Phys Ther Sci. 2009;21(4):317-323.
Li JX, Xu DQ, Hong Y. Effects of 16-week tai chi intervention on postural stability and proprioception of knee and ankle in older people. Age Ageing. 2008;37(5):575-578.
Logghe IH, Zeeuwe PE, Verhagen AP, et al. Lack of effect of tai chi Chuan in preventing falls in elderly people living at home: a randomized clinical trial. J Am Geriatr Soc. 2009;57(1):70-75.
Lough M, Manor B, Gagnon M, Cupples A, Wayne PM, Lipsitz LA. Functional benefits of tai chi training within senior housing facilities. J Am Geriatr Soc. 2014;62:S99-S100.
Lu X, Siu KC, Fu SN, Hui-Chan CW, Tsang WW. Effects of tai chi training on postural control and cognitive performance while dual tasking - a randomized clinical trial. J Complement Integr Med. 2016;13(2):181-187.
Noradechanunt C, Worsley A, Groeller H. Thai yoga improves physical function and well-being in older adults: a randomised controlled trial. J Sci Med Sport. 2017;20(5):494-501.
Pereira MM, Oliveira RJ, Silva MAF, Souza LHR, Vianna LG. Effects of tai chi Chuon on knee extensor muscle strength and balance in elderly women. Rev Bras Fisioter. 2008;12(2):121-126.
Saravanakumar P, Higgins IJ, van der Riet PJ, Marquez J, Sibbritt D. The influence of tai chi and yoga on balance and falls in a residential care setting: a randomised controlled trial. Contemp Nurse. 2014;48(1):76-87.
Sun J, Kanagawa K, Sasaki J, Ooki S, Xu HL, Wang L. Tai chi improves cognitive and physical function in the elderly: a randomized controlled trial. J Phys Ther Sci. 2015;27(5):1467-1471.
Sun W, Ma X, Wang L, et al. Effects of tai chi Chuan and brisk walking exercise on balance ability in elderly women: a randomized controlled trial. Motor Control. 2019;23(1):100-114.
Voukelatos A, Cumming RG, Lord SR, Rissel C. A randomized, controlled trial of tai chi for the prevention of falls: the Central Sydney tai chi trial. J Am Geriatr Soc. 2007;55(8):1185-1191.
Wolf SL, Barnhart HX, Ellison GL, Coogler CE. The effect of tai chi Quan and computerized balance training on postural stability in older subjects. Atlanta FICSIT group. Frailty and injuries: cooperative studies on intervention techniques. Phys Ther. 1997;77(4):371-381.discussion 382-384.
Wolf SL, O'Grady M, Easley KA, Guo Y, Kressig RW, Kutner M. The influence of intense tai chi training on physical performance and hemodynamic outcomes in transitionally frail, older adults. J Gerontol A Biol Sci Med Sci. 2006;61(2):184-189.
Zhang JG, Ishikawa-Takata K, Yamazaki H, Morita T, Ohta T. The effects of tai chi Chuan on physiological function and fear of falling in the less robust elderly: an intervention study for preventing falls. Arch Gerontol Geriatr. 2006;42(2):107-116.
Zhao Y, Chung PK, Tong TK. Effectiveness of a balance-focused exercise program for enhancing functional fitness of older adults at risk of falling: a randomised controlled trial. Geriatr Nurs. 2017;38(6):491-497.
Qian WB. The effect of Taijiquan on the balance ability in the elderly in Changning District. Comp Study Cult Innov. 2017;1(14):26-27.+23. (Chinese).
Qiu YY, Cui Y. A study on mechanism of Taijiquan exercises in senile people to prevent fall. Chin Nurs Res. 2008;22(6):490-491. (Chinese).
Wang HY, Zhang L. The effect of 24-style simplified Taijiquan on the balance function in the elderly. Chin J Gerontol. 2013;33(13):3011-3013. (Chinese).
Ma ZY, Jia XF, Ding XL, et al. Study on the effect of Core muscle strength training combined with TaiChi on bone mineral density and balance function of the elderly. J Ningx Med Univ. 2020;42(8):791-794.(Chinese).
Shumway-Cook A, Woollacott MH. Motor Control: Translating Research into Clinical Practice. 4th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2012.
Lesinski M, Hortobagyi T, Muehlbauer T, Gollhofer A, Granacher U. Effects of balance training on balance performance in healthy older adults: a systematic review and meta-analysis. Sports Med. 2015;45(12):1721-1738.
Kiss R, Schedler S, Muehlbauer T. Associations between types of balance performance in healthy individuals across the lifespan: a systematic review and meta-analysis. Front Physiol. 2018;9:1366.
Muehlbauer T, Besemer C, Wehrle A, Gollhofer A, Granacher U. Relationship between strength, power and balance performance in seniors. Gerontology. 2012;58(6):504-512.
Piercy KL, Troiano RP, Ballard RM, et al. The physical activity guidelines for Americans. JAMA. 2018;320(19):2020-2028.
Chen S, Zhang Y, Wang YT, Liu XL. Traditional Chinese mind and body exercises for promoting balance ability of old adults: a systematic review and meta-analysis. Evid Based Complement Alternat Med. 2016;2016:7137362.
Force USPST, Grossman DC, Curry SJ, et al. Interventions to prevent falls in community-dwelling older adults: US preventive services task Force recommendation statement. JAMA. 2018;319(16):1696-1704.
Huang ZG, Feng YH, Li YH, Lv CS. Systematic review and meta-analysis: tai chi for preventing falls in older adults. BMJ Open. 2017;7(2):e013661.
Yildirim P, Ofluoglu D, Aydogan S, Akyuz G. Tai chi vs. combined exercise prescription: a comparison of their effects on factors related to falls. J Back Musculoskelet Rehabil. 2016;29(3):493-501.
Sannes TS, Mansky PJ, Chesney MA. The need for attention to dose in mind-body interventions: lessons from t'ai chi clinical trials. J Altern Complement Med. 2008;14(6):645-653.
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;50(4):746-754.
Seco J, Abecia LC, Echevarria E, et al. A long-term physical activity training program increases strength and flexibility, and improves balance in older adults. Rehabil Nurs. 2013;38(1):37-47.
Gatts S. Neural mechanisms underlying balance control in tai chi. Med Sport Sci. 2008;52:87-103.
فهرسة مساهمة: Keywords: balance; older adults; optimal exercise parameters; tai chi
تواريخ الأحداث: Date Created: 20210326 Date Completed: 20211011 Latest Revision: 20220502
رمز التحديث: 20240628
DOI: 10.1111/jgs.17094
PMID: 33769556
قاعدة البيانات: MEDLINE
الوصف
تدمد:1532-5415
DOI:10.1111/jgs.17094