Article

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: 0.92). 03/2009; 30(2):132-9. DOI: 10.1016/j.gerinurse.2007.11.002
Source: PubMed

ABSTRACT 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.

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    ABSTRACT: This article describes the authors' experience and strategies in teaching Tai Chi, a gentle exercise derived from an ancient Chinese martial art, to mildly cognitively impaired elders to relieve osteoarthritic knee pain. The 12-form Sun-style Tai Chi, a set of Tai Chi forms endorsed by the American Arthritis Foundation, was used in the program. Teaching Tai Chi to elders with mild cognitive impairment requires particular strategies tailored to their physical and cognitive frailty. When effectively taught, Tai Chi can be a unique and cost-effective intervention for elders with knee pain caused by osteoarthritis.
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    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.
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    ABSTRACT: Introduction Previous systematic reviews of the literature on the effects of Tai Chi Chuan (TCC) on balance have focussed either on determining the quality of the research design or have provided just a general description of the studies. To the best of our knowledge none have approached this topic by conducting an analysis from the point of view of the factors which affect balance. It is important to present this perspective as it will help to guide future research in this field. Methodology Seven electronic data bases were searched for publications dated between 1996 and 2012. The inclusion criteria were; randomized controlled trials (RCT) written in English. Results From a total of 397 articles identified, 27 randomized controlled trials were eligible for the analysis. Conclusions Studies reviewed appear to confirm that TCC improves static and dynamic balance and in the functional factors which affect balance in persons of over 55 years of age. Only one study was identified on people affected with problems with the vestibular system. No studies on the influence of TCC on improvement in balance in individuals suffering from deteriorated brain function were identified.
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