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1

Ward, Jane. "Tai Chi for older people." Nursing Older People 13, no. 1 (March 2001): 11–13. http://dx.doi.org/10.7748/nop.13.1.11.s12.

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Scourfield, Peter. "The symbolic value of tai chi for older people." Quality in Ageing and Older Adults 7, no. 2 (June 2006): 4–12. http://dx.doi.org/10.1108/14717794200600009.

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Hunt, K., and LK Lee. "Tai chi for psychosocial well-being in older people." Focus on Alternative and Complementary Therapies 15, no. 4 (November 25, 2010): 302–4. http://dx.doi.org/10.1111/j.2042-7166.2010.01057_9.x.

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Purdie, Naomi. "Tai chi to prevent falls in older adults." British Journal of Community Nursing 24, no. 11 (November 2, 2019): 550–52. http://dx.doi.org/10.12968/bjcn.2019.24.11.550.

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Frailty is common in older age and those living with frailty are at risk of adverse health outcomes. Exercise programmes could potentially reduce the risks for this group of people by increasing muscle strength, reducing falls and improving overall mobility. This study looks specifically at the effects of weekly tai chi classes in those people living with frailty in older age. This study monitored the participants who attended each week and looked to see if any improvements were made by reducing the risk of falls, and improving mobility. Validated tools that assess balance, gait, and identify falls risk were used throughout the study. Initial results indicate a perceived improvement in physical health and wellbeing.
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Lin, Mau-Roung, Hei-Fen Hwang, Yi-Wei Wang, Shu-Hui Chang, and Steven L. Wolf. "Community-Based Tai Chi and Its Effect on Injurious Falls, Balance, Gait, and Fear of Falling in Older People." Physical Therapy 86, no. 9 (September 1, 2006): 1189–201. http://dx.doi.org/10.2522/ptj.20040408.

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Abstract Background and Purpose. It is important to determine the effect of adherence to a tai chi program on falls and related functional outcomes in older people. This study examined the effect of a community-based tai chi program on injurious falls, balance, gait, and fear of falling among people aged 65 years and older in Taiwan. Subjects and Methods. In 6 rural villages in Taichung County, 1,200 subjects participated in the initial assessment. During a 1-year intervention period, all study villages were provided with education on fall prevention. Two villages had been provided tai chi exercise (n=472 participants or “tai chi villagers”), and 4 villages served as control villages (n=728 participants or “control villagers”). Injurious falls were ascertained by telephone interviews every 3 months over a 2-year study period; additionally, balance, gait, and fear of falling were assessed in 2 follow-up assessments. Results. Eighty-eight subjects, 83 from the tai chi villages and 5 from the control villages, participated and practiced in the tai chi program (the group labeled “tai chi practitioners”). After the tai chi program, injurious falls among the control villagers significantly declined by 44% (adjusted rate ratio [RR]=0.56; 95% confidence interval [CI]=0.36–0.92). Compared with the results for the control villagers, the decline was 31% greater (RR=0.69; 95% CI=0.30–1.56) among the tai chi villagers and 50% greater (RR=0.5; 95% CI=0.11–2.17) among the tai chi practitioners; the results did not reach statistical significance. Furthermore, compared with the scores for the control villagers, the scores for the tai chi practitioners increased by 1.8 points (95% CI=0.2–3.4) on the Tinetti Balance Scale and increased by 0.9 point (95% CI=0.1–1.8) on the Tinetti Gait Scale. No significant changes in the fear of falling were detected among the tai chi practitioners, tai chi villagers, and control villagers. Discussion and Conclusion. Tai chi can prevent a decline in functional balance and gait among older people. However, the reduction in injurious falls attained with tai chi did not reach statistical significance; the statistical inefficiency may have resulted partly from the large decline in injurious falls in control villagers. Finally, the unexpected effect of educational intervention on reducing injurious falls in different settings needs to be further examined. on injurious falls, balance, gait, and fear of falling in older people. Phys Ther. 2006;86:1189 –1201.]
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Cao, Yun, and Aijun Niu. "Effect of Tai Chi exercise on older people with nephritis." African Journal of Microbiology Research 5, no. 11 (June 4, 2011): 1355–57. http://dx.doi.org/10.5897/ajmr11.110.

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Maciaszek, Janusz, and W. Osiński. "The Effects of Tai Chi on Body Balance in Elderly People — A Review of Studies from the Early 21st Century." American Journal of Chinese Medicine 38, no. 02 (January 2010): 219–29. http://dx.doi.org/10.1142/s0192415x10007798.

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We performed a systematic review of studies regarding the effects of Tai Chi on the body balance of people older than 60 years. The Medline, SPORTDiscus and Academic Search Complete databases were searched for relevant studies published after the year 2000. Original randomized controlled trials, non-randomized controlled studies and observational studies were included in this review if they evaluated Tai Chi for the treatment of body balance disorder or fall prevention, and if they contained at least one of the following key words: Tai Chi, body balance, stability, elderly, old, training or posturography. These studies suggest that participation in Tai Chi may improve the body balance of elderly people; however, more information is needed to determine the extent to which Tai Chi is more effective than other methods, especially different types of physical exercise. In addition, subgroup analyses should be performed to determine the effects of Tai Chi in people with different physical characteristics. Directions for future research are discussed.
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Morris Docker, Sara. "Tai Chi and older people in the community: A preliminary study." Complementary Therapies in Clinical Practice 12, no. 2 (May 2006): 111–18. http://dx.doi.org/10.1016/j.ctcp.2005.09.002.

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While, Alison E. "Falls and older people: preventative interventions." British Journal of Community Nursing 25, no. 6 (June 2, 2020): 288–92. http://dx.doi.org/10.12968/bjcn.2020.25.6.288.

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Falls among older people are a major public health challenge, because the sequelae of falls can be severe, both in terms of mental and physical health repercussions. Building on an earlier article that discussed the reasons why older people fall, this article describes the interventions that may help reduce falls among older people. Four interventions which could be applied within UK community settings, namely, the Otago programme, the falls management exercise programme, tai chi and home assessment and modification are outlined here. District nurses are well placed to contribute to a reduction in falls among older people by identifying those susceptible to fall risks among their clients and putting in place the necessary interventions to minimise them.
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Ogonowska-Słodownik, Anna. "Evaluation of selected forms of physical activity of older people - pilot study." Advances in Rehabilitation 26, no. 2 (June 1, 2012): 23–28. http://dx.doi.org/10.2478/rehab-2013-0034.

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Abstract Introduction: Regular physical activity can prevent sharp decline in the level of physical fitness of older people [1]. Both the quantity and quality of physical activity are important [2]. The aim of this study was to evaluate selected forms of physical activity of older people in terms of intensity of effort. Material and methods: In the study participated 10 women at the age of 73.6 ± 6.5 years, from the Third Age University at the University of Physical Education in Warsaw. The study included four forms: gymnastics, Nordic walking, dancing and Tai Chi. The study used IDEEA device (Intelligent Device for Energy Expenditure and Activity) and a pulse recorder (Polar). In addition, each of the woman immediately after class evaluated its intensity with the 20 points Borg Scale. Results: The results indicate a large diversity of physical activity in terms of work done, energy consumption, heart rate. Nordic Walking classes were most intense (2.8 kJ/min, 3.5 kcal/min, 101.5 beats/min) and Tai Chi was least intense (0.5 kJ/min, 1.6 kcal/min , 65 beats/ min). Subjective evaluation of intensity (Borg Scale) of the trainings confirms the values obtained by the objective methods - quite heavy (14 points) in Nordic Walking and very light (10 points) in Tai Chi. Conclusions: There is a need for a reliable analysis of proposed forms for the elderly in Poland. Using multiple measurement tools will help to increase the objectivity of the evaluation and defining their impact on the capabilities of older people. A comprehensive assessment can be used in programming physical activity for older people.
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Blake, Holly, and Helen Hawley. "Effects of Tai Chi Exercise on Physical and Psychological Health of Older People." Current Aging Science 5, no. 1 (February 1, 2012): 19–27. http://dx.doi.org/10.2174/1874609811205010019.

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Mackintosh, Shylie. "Hydrotherapy and Tai Chi each provide clinical improvements for older people with osteoarthritis." Australian Journal of Physiotherapy 54, no. 2 (2008): 143. http://dx.doi.org/10.1016/s0004-9514(08)70050-3.

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Benyi, M., M. Vamos, L. Meszaros, P. Czudar, and P. Rakos-Zichy. "Traditional physical exercise and tai chi comparative study among older people in Hungary." Injury Prevention 16, Supplement 1 (September 1, 2010): A148—A149. http://dx.doi.org/10.1136/ip.2010.029215.533.

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Wong, Shiu Hong, Tianjian Ji, Youlian Hong, Siu Lun Fok, and Lin Wang. "Foot Forces Induced Through Tai Chi Push-Hand Exercises." Journal of Applied Biomechanics 29, no. 4 (August 2013): 395–404. http://dx.doi.org/10.1123/jab.29.4.395.

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The low impact forces of Tai Chi push-hand exercises may be particularly suited for older people and for those with arthritis; however, the biomechanics of push-hand exercises have not previously been reported. This paper examines the ground reaction forces (GRFs) and plantar force distributions during Tai Chi push-hand exercises in a stationary stance with and without an opponent. Ten male Tai Chi practitioners participated in the study. The GRFs of each foot were measured in three perpendicular directions using two force plates (Kistler). The plantar force distribution of each foot was measured concurrently using an insole sensor system (Novel). The results showed that the average maximum vertical GRF of each foot was not more than 88% ± 6.1% of the body weight and the sum of the vertical forces (103% ± 1.4%) generated by the two feet approximately equals the body weight at any one time. The horizontal GRFs generated by the two feet were in the opposite directions and the measured mean peak values were not more than 12% ± 2.8% and 17% ± 4.3% of the body weight in the medio-lateral and antero-posterior directions respectively. Among the nine plantar areas, the toes sustained the greatest plantar force. This study indicates that push-hand exercises generate lower vertical forces than those induced by walking, bouncing, jumping and Tai Chi gait, and that the greatest plantar force is located in the toe area, which may have an important application in balance training particularly for older adults.
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Kim, Hyeong-Dong, Hyun Dong Je, Ji Hoon Jeong, and Sang-Yeol Ma. "Effects of Tai Chi Training on Obstacle Avoidance and Gait Initiation by Older People." Journal of Physical Therapy Science 25, no. 2 (2013): 193–98. http://dx.doi.org/10.1589/jpts.25.193.

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Xu, Dong-Qing, Jing-Xian Li, and Youlian Hong. "Effect of regular Tai Chi and jogging exercise on neuromuscular reaction in older people." Age and Ageing 34, no. 5 (May 26, 2005): 439–44. http://dx.doi.org/10.1093/ageing/afi114.

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Mori, Kohei, Takuo Nomura, Yoshiteru Akezaki, Ryohei Yamamoto, and Hirokazu Iwakura. "Impact of Tai Chi Yuttari-exercise on arteriosclerosis and physical function in older people." Archives of Gerontology and Geriatrics 87 (March 2020): 104011. http://dx.doi.org/10.1016/j.archger.2020.104011.

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Yang, Jingjing, Lulu Zhang, Qianyun Tang, Fengling Wang, Yu Li, Hua Peng, and Shuhong Wang. "Tai Chi is Effective in Delaying Cognitive Decline in Older Adults with Mild Cognitive Impairment: Evidence from a Systematic Review and Meta-Analysis." Evidence-Based Complementary and Alternative Medicine 2020 (March 25, 2020): 1–11. http://dx.doi.org/10.1155/2020/3620534.

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To determine whether Tai Chi (TC) is effective in slowing cognitive decline in older populations with mild cognitive impairment (MCI), we performed a systematic review and meta-analysis of randomized controlled trials (RCTs) on Tai Chi and MCI. We searched eight electronic databases (PubMed, PsycINFO, Wanfang, Web of Science, MEDLINE, CNKI, EBSCO, and the Cochrane Central Register of Controlled Trials) for appropriate RCTs published up to August 2019. For those studies included, the data were extracted, methodological quality was evaluated, and then meta-analysis was performed using Review Manager software (version 5.3). A total of 11 of the studies were available for systematic review, which together included 1061 participants, met the inclusion criteria, and ten of these were included in the meta-analysis. For most RCTs, the methodological quality was moderate. The meta-analysis revealed that Tai Chi could significantly improve global cognitive function; memory and learning; mental speed and attention; ideas, abstraction, figural creations, and mental flexibility; and visuospatial perception. The present review adds to the evidence showing that Tai Chi is potentially beneficial in improving cognitive functions among elderly people with MCI. However, strictly designed and well-reported RCTs are required.
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Hsu, Chen-Yuan, Wendy Moyle, Marie Cooke, and Cindy Jones. "Seated Tai Chi versus usual activities in older people using wheelchairs: A randomized controlled trial." Complementary Therapies in Medicine 24 (February 2016): 1–6. http://dx.doi.org/10.1016/j.ctim.2015.11.006.

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Day, Lesley, Keith D. Hill, Voula Z. Stathakis, Leon Flicker, Leonie Segal, Flavia Cicuttini, and Damien Jolley. "Impact of Tai-Chi on Falls Among Preclinically Disabled Older People. A Randomized Controlled Trial." Journal of the American Medical Directors Association 16, no. 5 (May 2015): 420–26. http://dx.doi.org/10.1016/j.jamda.2015.01.089.

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Hill, Keith, Whanseok Choi, Robyn Smith, and Joanna Condron. "Tai Chi in Australia: acceptable and effective approach to improve balance and mobility in older people?" Australasian Journal on Ageing 24, no. 1 (March 2005): 9–13. http://dx.doi.org/10.1111/j.1741-6612.2005.00060.x.

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Nyman, Samuel, and Dawn Skelton. "The case for Tai Chi in the repertoire of strategies to prevent falls among older people." Perspectives in Public Health 137, no. 2 (March 2017): 85–86. http://dx.doi.org/10.1177/1757913916685642.

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Li, Xiaoyuan, Hongyu Si, Yamin Chen, Shouhao Li, Ningning Yin, and Zhenlong Wang. "Effects of fitness qigong and tai chi on middle-aged and elderly patients with type 2 diabetes mellitus." PLOS ONE 15, no. 12 (December 17, 2020): e0243989. http://dx.doi.org/10.1371/journal.pone.0243989.

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Currently, qigong and tai chi exercises are the two most common preventive as well as therapeutic interventions for chronic metabolic diseases such as type 2 diabetes mellitus (T2DM). However, the quantitative evaluation of these interventions is limited. This study aimed to evaluate the therapeutic efficacy of qigong and tai chi intervention in middle-aged and older adults with T2DM. The study included 103 eligible participants, who were randomized to participate for 12 weeks, in one of the following intervention groups for the treatment of T2DM: fitness qigong, tai chi, and control group. Three biochemical measures, including fasting plasma glucose (FPG), glycated hemoglobin (HbA1C), and C-peptide (C-P) levels, assessed at baseline and 12 weeks, served as the primary outcome measures. During the training process, 16 of the 103 participants dropped out. After the 12-week intervention, there were significant influences on HbA1C (F2,83 = 4.88, p = 0.010) and C-P levels (F2,83 = 3.64, p = 0.031). Moreover, significant reduction in C-P levels was observed after 12-week tai chi practice (p = 0.004). Furthermore, there was a significant negative correlation between the duration of T2DM and the relative changes in FPG levels after qigong intervention, and the relative changes in HbA1C levels were positively correlated with waist-to-height ratio after tai chi practice. Our study suggests that targeted qigong exercise might have a better interventional effect on patients with a longer duration of T2DM, while tai chi might be risky for people with central obesity. Trial registration: This trial was registered in Chinese Clinical Trial Registry. The registration number is ChiCTR180020069. The public title is “Health-care qigong · study for the prescription of chronic diabetes intervention.”
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Chan, Sunny, Wai Chi Chan, Siu Man Ng, and Chong Ho Alex Yu. "Mindfulness Meditation and Tai Chi Chuan on Sleep Disturbance in Chinese Older People: A Randomized Controlled Trial." Innovation in Aging 4, Supplement_1 (December 1, 2020): 188–89. http://dx.doi.org/10.1093/geroni/igaa057.610.

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Abstract Sleep disturbances are common during the aging process and can result in a reduced quality of life. Many older people who experience sleep disturbances would consider turning to complementary and alternative medicine (CAM) due to the limitations of traditional pharmaceutical or psychological and behavioural treatments. Mindfulness Meditation (MM) and Tai Chi Chuan (TCC) are two common forms of mind-body based CAM. The former focuses more on mind-based practices whereas the latter emphasizes predominantly on body or movement-based practices. An etiological model of sleep disturbance (Shallcross et al., 2019) can lay the groundwork for a better understanding of the mechanisms of MM and TCC in relation to sleep disturbances. This study aims at comparing the effects of MM and TCC with Sleep Hygiene Education (SHE) control group. A three-armed randomized controlled pilot trial was conducted involving 45 community-dwelling older adults aged 65 to 82 with symptoms of sleep disturbance. Moderate effect sizes (Cohen’s d = 0.7 and 0.56) were found for the primary outcome of insomnia severity at post-intervention as comparing MM and TCC groups with SHE control group, respectively. More specific, participants in the MM group showed more amelioration on mental health status, introspective awareness, and objective measure of EEG-based brain arousal level; whereas participants in the TCC group showed better improvement on physical health status and subjective measure of hyperarousal. Findings demonstrate the unique therapeutic effects of MM and TCC on improving sleep problem in older people. The application in a Chinese context will be discussed.
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Wu, Ting-Yi, Chia-Chi Kung, Ting-Yu Kao, and Wei-Hsin Sun. "Innovative Mind–Body Intervention Day Easy Exercise Increases Peripheral Blood CD34+ Cells in Adults." Cell Transplantation 29 (January 1, 2020): 096368972095235. http://dx.doi.org/10.1177/0963689720952352.

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Mind–body interventions (MBIs) have many health benefits, such as reducing stress, modulating blood pressure, and improving sleep and life quality. The long-term practice of Tai chi, an MBI, also increases the number of CD34+ cells, which are surface markers of hematopoietic stem cells, so prolonged Tai chi practice may have antiaging effects. We developed the day easy exercise (DEE), an innovative MBI, that is easy to learn and requires only a small exercise area and a short practice time. The aim of this study was to explore whether DEE, like Tai chi, has antiaging effects after short-term practice. Total 44 individuals (25 to 62 years old) with or without 3-month DEE practice were divided into young- and middle-aged groups (≤30 and >30 years old) and peripheral blood was collected at 0, 1, 2, and 3 months for analysis of CD34+ cells. The number of CD34+ cells in peripheral blood remained unchanged in control young- and middle-aged groups. After DEE, the number of CD34+ cells in peripheral blood was increased over time in both young- and middle-aged groups. For young-aged adults, the cell number was markedly increased by threefold at 3 months after DEE, and for middle-aged adults, the increase was significant from the first month. DEE practice indeed increased the number of CD34+ cells in peripheral blood and the increase was more significant for older people in a shorter time. This is the first study to provide evidence that the DEE may have antiaging effects and could be beneficial for older people.
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Kim, Hyeong-Dong, Hyun Dong Je, Ji Hoon Jeong, and Kwang-ho Cho,. "Tai Chi and Its Effects on Dynamic Postural Control in the Initiation of Gait by Older People." Journal of Physical Therapy Science 24, no. 2 (2012): 175–80. http://dx.doi.org/10.1589/jpts.24.175.

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Huang, Nayan, Wenjie Li, Xiangjiang Rong, Mei Champ, Lian Wei, Mo Li, Haiyan Mu, Yueqing Hu, Zongjuan Ma, and Jihui Lyu. "Effects of a Modified Tai Chi Program on Older People with Mild Dementia: A Randomized Controlled Trial." Journal of Alzheimer's Disease 72, no. 3 (November 26, 2019): 947–56. http://dx.doi.org/10.3233/jad-190487.

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HONG, YOULIAN, and DONG QING XU. "EFFECTS OF 16-WEEK TAI CHI INTERVENTION ON POSTURAL STABILITY AND ASSOCIATED PHYSIOLOGICAL FACTORS IN OLDER PEOPLE." Journal of Biomechanics 40 (January 2007): S454. http://dx.doi.org/10.1016/s0021-9290(07)70446-3.

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Barrado-Martín, Yolanda, Michelle Heward, Remco Polman, and Samuel R. Nyman. "Acceptability of a Dyadic Tai Chi Intervention for Older People Living With Dementia and Their Informal Carers." Journal of Aging and Physical Activity 27, no. 2 (April 2019): 166–83. http://dx.doi.org/10.1123/japa.2017-0267.

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Wang, Xiangbin, Meijin Hou, Shaoqing Chen, Jiao Yu, Dalu Qi, Yanxin Zhang, Bo Chen, et al. "Effects of tai chi on postural control during dual-task stair negotiation in knee osteoarthritis: a randomised controlled trial protocol." BMJ Open 10, no. 1 (January 2020): e033230. http://dx.doi.org/10.1136/bmjopen-2019-033230.

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IntroductionStair ascent and descent require complex integration between sensory and motor systems; individuals with knee osteoarthritis (KOA) have an elevated risk for falls and fall injuries, which may be in part due to poor dynamic postural control during locomotion. Tai chi exercise has been shown to reduce fall risks in the ageing population and is recommended as one of the non-pharmocological therapies for people with KOA. However, neuromuscular mechanisms underlying the benefits of tai chi for persons with KOA are not clearly understood. Postural control deficits in performing a primary motor task may be more pronounced when required to simultaneously attend to a cognitive task. This single-blind, parallel design randomised controlled trial (RCT) aims to evaluate the effects of a 12-week tai chi programme versus balance and postural control training on neuromechanical characteristics during dual-task stair negotiation.Methods and analysisSixty-six participants with KOA will be randomised into either tai chi or balance and postural control training, each at 60 min per session, twice weekly for 12 weeks. Assessed at baseline and 12 weeks (ie, postintervention), the primary outcomes are attention cost and dynamic postural stability during dual-task stair negotiation. Secondary outcomes include balance and proprioception, foot clearances, self-reported symptoms and function. A telephone follow-up to assess symptoms and function will be conducted at 20 weeks. The findings will help determine whether tai chi is beneficial on dynamic stability and in reducing fall risks in older adults with KOA patients in community.Ethics and disseminationEthics approval was obtained from the Ethics Committee of the Affiliated Rehabilitation Hospital of Fujian University of Traditional Chinese Medicine (#2018KY-006–1). Study findings will be disseminated through presentations at scientific conferences or publications in peer-reviewed journals.Trial registration numberChiCTR1800018028.
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Wang, Shao-Jun, Dong-Qing Xu, and Jing-Xian Li. "Effects of regular Tai Chi practice and jogging on neuromuscular reaction during lateral postural control in older people." Research in Sports Medicine 25, no. 1 (November 19, 2016): 111–17. http://dx.doi.org/10.1080/15438627.2016.1258649.

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Frye, Brian, Stephen Scheinthal, Tatyana Kemarskaya, and Rachel Pruchno. "Tai Chi and Low Impact Exercise: Effects on the Physical Functioning and Psychological Well-Being of Older People." Journal of Applied Gerontology 26, no. 5 (November 2007): 433–53. http://dx.doi.org/10.1177/0733464807306915.

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Tajik, Alireza, Nahid Rejeh, Majideh Heravi-Karimooi, Parvaneh Samady Kia, Seyed Davood Tadrisi, Tessa E. Watts, Pauline Griffiths, and Mojtaba Vaismoradi. "The effect of Tai Chi on quality of life in male older people: A randomized controlled clinical trial." Complementary Therapies in Clinical Practice 33 (November 2018): 191–96. http://dx.doi.org/10.1016/j.ctcp.2018.10.009.

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Cetin, S. Y., B. Basakci Calik, and A. Ayan. "AB1307-HPR INVESTIGATION OF THE EFFECTIVENESS OF TAI CHI EXERCISE PROGRAM ON CARDIOPULMONARY FUNCTIONS AND QUALITY OF LIFE IN PATIENTS WITH SYSTEMIC SCLEROSIS." Annals of the Rheumatic Diseases 79, Suppl 1 (June 2020): 1944.2–1944. http://dx.doi.org/10.1136/annrheumdis-2020-eular.5201.

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Background:Systemic sclerosis (SSc) is an autoimmune disease that not only affects the skin but also causes symptoms that involve important internal organs such as joints, muscles, and heart and lungs. Due to all these multiple system involvements, the quality of life of individuals with scleroderma decreases. Tai Chi Chuan is a combination of physical exercise and relaxation techniques, and it is a traditional Chinese exercise method used to improve mental and physical health of people. There are many studies showing that Tai Chi improves the body’s aerobic capacity and psychological well-being. In the literature, Tai Chi has been shown to reduce pain, improve physical function, improve healing effects on depression and quality of life, especially, in the elderly, individuals with musculoskeletal diseases such as rheumatoid arthritis and osteoarthritis, and improve cardiac vascular risk factors such as hypertension and diabetes.Objectives:The aim of the study is to examine the effectiveness of Tai Chi on cardiopulmonary functions and quality of life in patients with SSc.Methods:28 SSc patients (25 females, 3 males) with an average age of 53.00 ± 10.00 were included in the study. For training, patients were divided into two groups by block randomization method. Group 1 received 60 minutes of Tai Chi exercise program and Group 2 received 60 minutes of home exercise for 2 days a week for 8 weeks. 6-min walk test (6MWT) and St. George Respiratory Questionnaire was used to evaluate the cardiopulmonary functions, Short form 36 (SF-36) was used to evaluate the quality of life. All evaluations were performed at baseline and at the end of the 8th weekResults:When the groups were compared before training, there was no significant difference (p> 0.05). In post-training comparisons, there was a significant difference in all parameters in Tai Chi group (p: 0.001-0.045); there was a significant difference in the physical function sub-parameter of SF-36 and 6MWT in the home exercise group (p: 0.045, p: 0.038, respectively). Comparing the post-training groups, Tai Chi group was found to be superior in terms of all parameters compared to the home exercise group (p: 0.00-0.04). No side effects were observed during the exercises.Conclusion:As a result of our study; Tai Chi has a possitive effect on cardiopulmonery function and quality of life in patients with SS. Tai Chi should be included in rehabilitation programs as a safe alternative type of exercise to improve cardiopulmonery function and quality of life in patients with SSc.References:[1]de Oliveira NC, Portes LA, Pettersson H, Alexanderson H, Boström C. Aerobic and resistance exercise in systemic sclerosis: State of the art. Musculoskeletal Care. 2017;15:316–323.[2]Jia X, Jiang C, Tao J, Li Y, Zhou Y, Chen LD. Effects of core strength training combined with Tai Chi Chuan for the musculoskeletal system and cardiopulmonary function in older adults: A study protocol for a randomized controlled trial. Medicine (Baltimore). 2018;97(35):e12024.[3]Wang C, Schmid CH, Hibberd PL, Kalish R, Roubenoff R, Rones R, McAlindon T. Tai Chi is effective in treating knee osteoarthritis: a randomized controlled trial. Arthritis Rheum. 2009; 61:1545–1553.[4]Wang C, Roubenoff R, Lau J, Kalish R, Schmid CH, Tighiouart H, Rones R, Hibberd PL Effect of Tai Chi in adults with rheumatoid arthritis. Rheumatology (Oxford) 2005; 44:685–687.Disclosure of Interests:None declared
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Logghe, Inge H. J., Arianne P. Verhagen, Arno C. H. J. Rademaker, Sita M. A. Bierma-Zeinstra, Erik van Rossum, Marjan J. Faber, and Bart W. Koes. "The effects of Tai Chi on fall prevention, fear of falling and balance in older people: A meta-analysis." Preventive Medicine 51, no. 3-4 (September 2010): 222–27. http://dx.doi.org/10.1016/j.ypmed.2010.06.003.

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Tuimil López, José Luis. "Three months of practice of Tai-Chi-Chuan improve the balance of people older than 60 years: practical study." Fitness & Performance Journal 7, no. 5 (September 1, 2008): 306–11. http://dx.doi.org/10.3900/fpj.7.5.306.e.

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Xu, D. Q. "Effects of long term Tai Chi practice and jogging exercise on muscle strength and endurance in older people * Commentary." British Journal of Sports Medicine 40, no. 1 (January 1, 2006): 50–54. http://dx.doi.org/10.1136/bjsm.2005.019273.

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Day, L., C. F. Finch, J. E. Harrison, E. Hoareau, L. Segal, and S. Ullah. "Modelling the population-level impact of tai-chi on falls and fall-related injury among community-dwelling older people." Injury Prevention 16, no. 5 (July 19, 2010): 321–26. http://dx.doi.org/10.1136/ip.2009.025452.

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Li, Jing Xian, Dong Qing Xu, and Youlian Hong. "Effects of 16-week Tai Chi intervention on postural stability and proprioception of knee and ankle in older people." Age and Ageing 37, no. 5 (June 9, 2008): 575–78. http://dx.doi.org/10.1093/ageing/afn109.

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Day, L., KD Hill, D. Jolley, F. Cicuttini, L. Flicker, V. Segal, and V. Stathakis. "IMPACT OF TAI CHI ON IMPAIRMENT, FUNCTIONAL LIMITATION, AND DISABILITY AMONG PRECLINICALLY DISABLED OLDER PEOPLE: A RANDOMIZED CONTROLLED TRIAL." Injury Prevention 18, Suppl 1 (October 2012): A119.1—A119. http://dx.doi.org/10.1136/injuryprev-2012-040590e.1.

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Day, L., KD Hill, D. Jolley, F. Cicuttini, L. Flicker, V. Segal, and V. Stathakis. "Impact of Tai Chi on impairment, functional limitation, and disability among preclinically disabled older people: a randomized controlled trial." Injury Prevention 18, Suppl 1 (October 2012): A124.3—A124. http://dx.doi.org/10.1136/injuryprev-2012-040590e.20.

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Day, Lesley, Keith D. Hill, Damien Jolley, Flavia Cicuttini, Leon Flicker, and Leonie Segal. "Impact of Tai Chi on Impairment, Functional Limitation, and Disability Among Preclinically Disabled Older People: A Randomized Controlled Trial." Archives of Physical Medicine and Rehabilitation 93, no. 8 (August 2012): 1400–1407. http://dx.doi.org/10.1016/j.apmr.2012.03.018.

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43

Allison, Theresa, Jennie Gubner, and Alexander Smith. "Meaningful Activities Among Vulnerable Older Adults Living With Dementia." Innovation in Aging 4, Supplement_1 (December 1, 2020): 838. http://dx.doi.org/10.1093/geroni/igaa057.3070.

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Abstract This paper examines self-identified meaningful activities in the daily lives of 21 vulnerable older adults living with dementia and the people who care for them at home (dyads). Using ethnographic observation and interviews, we asked the dyads to identify which aspects of daily life were most meaningful and how these activities changed as dementia progressed. Results ranged from pleasure-seeking activities like cigarette smoking and eating, to spiritual or mindfulness activities like hymn-singing, prayer and tai chi. Dyads identified specific examples of the ways in which meaningful activities and meaning-making both persisted and adapted throughout the progression of dementia. Using these identifiable moments of meaning-making as a starting point for inquiry, we explore underlying questions of how to adapt to dementia progression while retaining meaning in relationships.
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Chang, Mi Young. "Effects of Tai Chi Exercise Program Incorporating Laughter Therapy on Blood Pressure, Stress Response and Depression in Older People with Hypertension." International Journal of IT-based Social Welfare Promotion and Management 3, no. 1 (December 30, 2016): 95–104. http://dx.doi.org/10.21742/ijswpm.2016.3.16.

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Kendall, Julie C., Jan Hartvigsen, Michael F. Azari, and Simon D. French. "Effects of Nonpharmacological Interventions for Dizziness in Older People: Systematic Review." Physical Therapy 96, no. 5 (May 1, 2016): 641–49. http://dx.doi.org/10.2522/ptj.20150349.

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Background Nonpharmacological interventions have been shown to have some effectiveness in adults with dizziness; however, the effectiveness of these interventions in older people is unknown. Purpose The aim of this study was to determine the effects of conservative nonpharmacological interventions for dizziness in older people. Data Sources The Cochrane Central Register of Controlled Trials, PubMed, EMBASE, SCOPUS, CINAHL, AMED, Index to Chiropractic Literature, PsycINFO, and MANTIS were searched from inception to May 2014. Study Selection Two investigators independently screened controlled trials with participants who were more than 60 years old and experienced dizziness. Studies of participants with dizziness from a specific diagnosis, such as Ménière disease and benign paroxysmal positional vertigo, were excluded. Outcome measures from the selected studies included self-reported dizziness and postural balance. Data Extraction Two investigators independently extracted data on participants, interventions, comparison group, outcome measures, and results. The risk of bias of the included studies was assessed with Cochrane guidelines. Data Synthesis Seven articles consisting of 7 controlled trials were included. All studies involved some form of exercise, including vestibular rehabilitation exercises, postural balance exercises, and tai chi exercise, as the main intervention. The studies had a high risk of bias because of the lack of adequate randomization and allocation concealment, the lack of reporting on cointerventions, the lack of reporting on reasons for dropouts, and the lack of reporting on participant adherence. Limitations Heterogeneity among the included studies in interventions and outcome measures prohibited a meta-analysis. Only 2 studies reported a significant difference between the intervention group and the comparison group for self-reported dizziness. Conclusions There is insufficient evidence to determine the effectiveness of nonpharmacological treatments for dizziness in older people. Current evidence is hampered by a high risk of bias, and well-designed trials with adequate masking, randomization, and adherence are needed.
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Mitzner, Tracy, and Anne Ordway. "Innovative Approaches to Inclusive Design for Technology to Support Aging With Disability: Examples From TechSAge." Innovation in Aging 4, Supplement_1 (December 1, 2020): 599. http://dx.doi.org/10.1093/geroni/igaa057.2017.

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Abstract Technology research and development often exclude older adults with disabilities from participating in the design process. As a result, technologies may not be useful or usable by older adults with diverse abilities. This symposium, featuring projects at the TechSAge Rehabilitation Engineering Research Center, highlights ongoing efforts toward inclusive design, representing unique approaches to engage older adults with disabilities and their stakeholders in the research and development of technology supports. First, Mitzner et al., will describe the development of an online, group Tai Chi intervention, and the integral involvement of older adults with mobility disabilities, the exercise program developers, and technology partner in all steps of the process. Exploring the potential of voice-activated assistants, like Amazon Alexa, to support health management activities of older adults with mobility disabilities, Kadlyak et al. will present findings from a needs assessment of the target population and user testing in the lab and home environments. Koon et al. will present findings from a subject matter expert interview study with caregivers and medical professionals designed to identify the scope of activity challenges among people aging with long-term mobility and sensory disabilities that should be explored in more depth through our future interview study with the target population. Sanford et al., will describe a student design competition and hackathon that incorporates immersive experiences with people aging with disabilities to inspire innovative design concepts that respond to the needs of real people. NIDILRR Project Officer, Anne Ordway, will serve as the discussant.
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Lin, Shu-Fen, Huei-Chuan Sung, Tzai-Li Li, Tsung-Cheng Hsieh, Hsiao-Chin Lan, Shoa-Jen Perng, and Graeme D. Smith. "The effects of Tai-Chi in conjunction with thera-band resistance exercise on functional fitness and muscle strength among community-based older people." Journal of Clinical Nursing 24, no. 9-10 (January 26, 2015): 1357–66. http://dx.doi.org/10.1111/jocn.12751.

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Lelard, Thierry, Pierre-Louis Doutrellot, Pascal David, and Said Ahmaidi. "Effects of a 12-Week Tai Chi Chuan Program Versus a Balance Training Program on Postural Control and Walking Ability in Older People." Archives of Physical Medicine and Rehabilitation 91, no. 1 (January 2010): 9–14. http://dx.doi.org/10.1016/j.apmr.2009.09.014.

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Yu, Xiaoqun, and Shuping Xiong. "A Dynamic Time Warping Based Algorithm to Evaluate Kinect-Enabled Home-Based Physical Rehabilitation Exercises for Older People." Sensors 19, no. 13 (June 28, 2019): 2882. http://dx.doi.org/10.3390/s19132882.

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Older people face difficulty engaging in conventional rehabilitation exercises for improving physical functions over a long time period due to the passive nature of the conventional exercise, inconvenience, and cost. This study aims to develop and validate a dynamic time warping (DTW) based algorithm for assessing Kinect-enabled home-based physical rehabilitation exercises, in order to support auto-coaching in a virtual gaming environment. A DTW-based algorithm was first applied to compute motion similarity between two time series from an individual user and a virtual coach. We chose eight bone vectors of the human skeleton and body orientation as the input features and proposed a simple but innovative method to further convert the DTW distance to a meaningful performance score in terms of the percentage (0–100%), without training data and experience of experts. The effectiveness of the proposed algorithm was validated through a follow-up experiment with 21 subjects when playing a Tai Chi exergame. Results showed that the algorithm scores had a strong positive linear relationship (r = 0.86) with experts’ ratings and the calibrated algorithm scores were comparable to the gold standard. These findings suggested that the DTW-based algorithm could be effectively used for automatic performance evaluation of an individual when performing home-based rehabilitation exercises.
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Sherrington, Cathie, Nicola Fairhall, Geraldine Wallbank, Anne Tiedemann, Zoe A. Michaleff, Kirsten Howard, Lindy Clemson, Sally Hopewell, and Sarah Lamb. "Exercise for preventing falls in older people living in the community: an abridged Cochrane systematic review." British Journal of Sports Medicine 54, no. 15 (December 2, 2019): 885–91. http://dx.doi.org/10.1136/bjsports-2019-101512.

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ObjectivesTo assess the effects of exercise interventions for preventing falls in older people living in the community.Selection criteriaWe included randomised controlled trials evaluating the effects of any form of exercise as a single intervention on falls in people aged 60+years living in the community.ResultsExercise reduces the rate of falls by 23% (rate ratio (RaR) 0.77, 95% CI 0.71 to 0.83; 12 981 participants, 59 studies; high-certainty evidence). Subgroup analyses showed no evidence of a difference in effect on falls on the basis of risk of falling as a trial inclusion criterion, participant age 75 years+ or group versus individual exercise but revealed a larger effect of exercise in trials where interventions were delivered by a health professional (usually a physiotherapist). Different forms of exercise had different impacts on falls. Compared with control, balance and functional exercises reduce the rate of falls by 24% (RaR 0.76, 95% CI 0.70 to 0.81; 7920 participants, 39 studies; high-certainty evidence). Multiple types of exercise (commonly balance and functional exercises plus resistance exercises) probably reduce the rate of falls by 34% (RaR 0.66, 95% CI 0.50 to 0.88; 1374 participants, 11 studies; moderate-certainty evidence). Tai Chi may reduce the rate of falls by 19% (RaR 0.81, 95% CI 0.67 to 0.99; 2655 participants, 7 studies; low-certainty evidence). We are uncertain of the effects of programmes that primarily involve resistance training, dance or walking.Conclusions and implicationsGiven the certainty of evidence, effective programmes should now be implemented.
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