The Effect of Tai Chi on Knee Osteoarthritis Pain in Cognitively Impaired Elders: Pilot Study

College of Nursing, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Geriatric nursing (New York, N.Y.) (Impact Factor: 1.2). 03/2009; 30(2):132-9. DOI: 10.1016/j.gerinurse.2007.11.002
Source: PubMed


This article reports a pilot study of the effect of tai chi (TC), a pharmacological adjunct and mild aerobic exercise, on osteoarthritic knee pain in elders with cognitive impairment (CI). The TC program included a warm-up, 12-form Sun-style TC, and a cool-down period, for a total of 20-40 minutes per session, twice a week for 15 weeks. The results showed no significant differences in knee pain after the TC intervention in 7 elders with CI. However, more minutes of TC attendance were related to improved pain scores (Spearman's rho=.78, P < .05). Greater accuracy in TC performance was also correlated with improvements in pain scores (Spearman's rho = .70, P=.08). Of 4 elders who participated in TC practice regularly (more than 20 sessions), 3 showed clinically important improvements, but 3 elders who participated in no sessions or only a few sessions showed no improvement.

Download full-text


Available from: Karl S Rosengren, Sep 02, 2014
22 Reads
  • Source
    • "People practice TC for various health purposes such as improving physical condition, muscle strength, coordination , flexibility, and balance, decreasing risk for falls, pain, stiffness, and fatigue, and improving sleep, cardiovascular and respiratory function, and overall wellness [25] [26] [27] [28] [29]. Tai chi involves slowly stretching the limbs and trunk, requires less physical strength than strenuous exercise, and can be suitable for physically frail older adults to practice in a small space, at any time, individually or in groups, regardless of weather conditions [30]. The National Arthritis Foundation has begun to promote a TC program to improve the quality of life for people with arthritis. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Osteoarthritis (OA) is a chronic condition characterized by degeneration of cartilage and its underlying bone within a joint. With no cure currently available, the goals of treating OA are to alleviate pain, maintain, or improve joint mobility, increase the muscle strength of the joints, and minimize the disabling effects of the disease. Recent research has suggested that complementary and alternative medicine (CAM) exercises may improve OA symptoms. This paper covers CAM mind-body exercises-Tai Chi, qigong, and yoga-for OA management and evaluates their benefits in pain reduction, muscle strength, physical function, stiffness, balance, fear of falling, self-efficacy, quality of life, and psychological outcomes in patients with OA, based on randomized controlled trials published. Findings from the literature suggest that CAM exercises demonstrate considerable promise in the management of OA. Future studies require rigorous randomized controlled trials with larger sample sizes.
    07/2011; 2011:364319. DOI:10.1155/2011/364319
  • [Show abstract] [Hide abstract]
    ABSTRACT: Several adaptive transmission schemes have been proposed to improve the performance of wireless networks. In this paper we have analysed three criteria to compute the switching points in a wireless ATM system with adaptive modulation, Then, we have proposed two hybrid approaches using adaptive modulation and channel coding to improve the performance of the wireless link.
    High Speed Networks and Multimedia Communications 5th IEEE International Conference on; 02/2002
  • [Show abstract] [Hide abstract]
    ABSTRACT: This paper addresses the feasibility of implementing Tai Chi (TC) as an intervention for nursing home residents with osteoarthritis knee and cognitive impairment (CI). Recruiting elderly residents to participate was difficult. Only 9 out of the 31 originally thought eligible meet study criteria and 8 of the 9 elders eventually completed the study. With 2 sessions per week, the elders needed 8-10 weeks to learn the complete set of TC. They could not memorize the TC sequences, but they could follow the instructor who also employed verbal and visual cueing during the intervention. Clearly, elders with CI need different teaching methods and doses of TC. Using extended TC and teaching strategies tailored to participants' physical and cognitive capacity may promote effective learning.
Show more