A randomized study of the effects of t'ai chi on muscle strength, bone mineral density, and fear of falling in women with osteoarthritis.

Chungnam National University, College of Nursing, Daejeon, South Korea.
Journal of alternative and complementary medicine (New York, N.Y.) (Impact Factor: 1.69). 03/2010; 16(3):227-33. DOI: 10.1089/acm.2009.0165
Source: PubMed

ABSTRACT Individuals with osteoarthritis can experience difficulty walking and poor strength, possibly leading to falls and fractures. Exercise has been found to increase strength and bone mineral density. The purpose of this study was to determine the effects of 6 months of t'ai chi on knee muscle strength, bone mineral density, and fear of falling in older women with osteoarthritis.
Eighty-two (82) women with osteoarthritis, recruited from outpatient clinics and community health centers, were randomly assigned to either a t'ai chi group and took part in a t'ai chi program, or a control group. Of these, 30 subjects (mean age = 63 years) in the t'ai chi group and 35 (mean age = 61 years) in the control group completed post-test measures at 6 months.
After the 6-month study period, subjects in the t'ai chi program had significantly greater knee extensor endurance (pre- to post-test mean increase = 36.4 W/kg, versus 1.1 W/kg for the controls), and significantly greater bone mineral density in the neck of the proximal femur (mean change = 0.09, versus -0.10 for the controls), Ward's triangle (mean change = 0.04, versus -0.04 for the controls), and trochanter (mean change = 0.07, versus -0.05 for the controls) than the controls. However, knee extensor and flexor strength did not differ significantly between the groups. The fear of falling during daily activities reduced significantly more in the t'ai chi group (mean change = -2.40, versus 0.66 for the controls).
T'ai chi increased knee extensor muscle endurance and bone mineral density in older women with osteoarthritis, and decreased their fear of falling during daily activities. Further study with long-term follow-up is needed to substantiate the role of t'ai chi exercise in the prevention of fall and its related fracture.

1 Bookmark
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Background. Although hatha yoga has frequently been recommended for patients with bipolar disorder (BD) and there is preliminary evidence that it alleviates depression, there are no published data on the benefits-and potential risks-of yoga for patients with BD. Thus, the goal of this study was to assess the risks and benefits of yoga in individuals with BD. Methods. We recruited self-identified yoga practitioners with BD (N=109) to complete an Internet survey that included measures of demographic and clinical information and open-ended questions about yoga practice and the impact of yoga. Results. 86 respondents provided sufficient information for analysis, 70 of whom met positive screening criteria for a lifetime history of mania or hypomania. The most common styles of yoga preferred were hatha and vinyasa. When asked what impact yoga had on their life, participants responded most commonly with positive emotional effects, particularly reduced anxiety, positive cognitive effects (e.g., acceptance, focus, or "a break from my thoughts"), or positive physical effects (e.g., weight loss, increased energy). Some respondents considered yoga to be significantly life changing. The most common negative effect of yoga was physical injury or pain. Five respondents gave examples of specific instances or a yoga practice that they believed increased agitation or manic symptoms; five respondents gave examples of times that yoga increased depression or lethargy. Conclusions. Many individuals who self-identify as having BD believe that yoga has benefits for mental health. However, yoga is not without potential risks. It is possible that yoga could serve as a useful adjunctive treatment for BD. (Journal of Psychiatric Practice 2014;20:345-352).
    Journal of Psychiatric Practice 09/2014; 20(5):345-352. · 1.35 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Hip muscle weakness is an often-occurring condition after displaced fractures of the proximal femur in older patients. The aim of this study was to compare hip muscle strength and pain in elderly female patients after proximal femoral fracture. Nine female patients (mean±SD of 71.4±3.9 yrs) participated in this study. Knee extensor, hip abductor and adductor muscle strength was evaluated with handheld dynamometer Lafayette (USA) during the first week of postoperative stay in hospital, and 6 months postfracture with fractured and nonfractured leg. Pain was assessed using a visual analogue scale. A week after the operation knee extensor, hip abductor and adductor muscle isometric muscle strength for the fractured leg was decreased (p<0.05) by 50.7%, 55.6% and 38.8%, respectively, compared to the nonfractured limb. At 6-month follow-up, hip muscle strength increased significantly (p < 0.05) in both the fractured and nonfractured leg. Hip muscle strength for the fractured leg was significantly lower (p<0.05) compared with the nonfractured leg 6 months after surgery. Pain score was significantly (p<0.05) higher during the first postoperative week as compared to 6 months follow-up. It was concluded that voluntary maximal isometric force-generating capacity of knee and hip muscles for the fractured leg was markedly increased 1 week and 6 months postoperatively. Isometric force-generating capacity for the fractured leg was significantly improved by 6 months follow-up.
    Acta Kinesiologiae Universitatis Tartuensis. 11/2011; 17:80-88.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Background Chronic work-related stress is an independent risk factor for cardiometabolic diseases and associated mortality, particularly when compounded by a sedentary work environment. The purpose of this study was to determine if an office worksite-based hatha yoga program could improve physiological stress, evaluated via heart rate variability (HRV), and associated health-related outcomes in a cohort of office workers. Methods Thirty-seven adults employed in university-based office positions were randomized upon the completion of baseline testing to an experimental or control group. The experimental group completed a 10-week yoga program prescribed three sessions per week during lunch hour (50 min per session). An experienced instructor led the sessions, which emphasized asanas (postures) and vinyasa (exercises). The primary outcome was the high frequency (HF) power component of HRV. Secondary outcomes included additional HRV parameters, musculoskeletal fitness (i.e. push-up, side-bridge, and sit & reach tests) and psychological indices (i.e. state and trait anxiety, quality of life and job satisfaction). Results All measures of HRV failed to change in the experimental group versus the control group, except that the experimental group significantly increased LF:HF (p = 0.04) and reduced pNN50 (p = 0.04) versus control, contrary to our hypotheses. Flexibility, evaluated via sit & reach test increased in the experimental group versus the control group (p < 0.001). No other adaptations were noted. Post hoc analysis comparing participants who completed ≥70% of yoga sessions (n = 11) to control (n = 19) yielded the same findings, except that the high adherers also reduced state anxiety (p = 0.02) and RMSSD (p = 0.05), and tended to improve the push-up test (p = 0.07) versus control. Conclusions A 10-week hatha yoga intervention delivered at the office worksite during lunch hour did not improve HF power or other HRV parameters. However, improvements in flexibility, state anxiety and musculoskeletal fitness were noted with high adherence. Future investigations should incorporate strategies to promote adherence, involve more frequent and longer durations of yoga training, and enrol cohorts who suffer from higher levels of work-related stress. Trial registration ACTRN12611000536965 Keywords: Stress; Quality of life; Anxiety; Physical fitness; Mood
    BMC Complementary and Alternative Medicine 04/2013; 13(1):82. · 1.88 Impact Factor