Impact of tai-chi on falls among preclinically disabled older people. A randomized controlled trial

Journal of the American Medical Directors Association
Lesley DayDamien Jolley

Abstract

To investigate the effectiveness of tai-chi in preventing falls among community-dwelling older people. Multisite parallel group individually randomized controlled trial. Melbourne, Australia. Preclinically disabled community-dwelling people 70 + years (n = 503), without major medical conditions or moderate to severe cognitive impairment. Sixty-minute modified Sun style tai-chi group-based exercise program twice weekly for 48 weeks; control intervention was a seated group-based flexibility exercise program of the same dose. All falls, self-reported using a monthly calendar, analyzed at 24 weeks and 48 weeks. Injurious falls reported in follow-up telephone interviews for each reported fall. The adjusted fall incidence rate ratios at 24 and 48 weeks were 1.08 [(95% confidence interval (CI) 0.64-1.81)], and 1.12 (95% CI 0.75-1.67), respectively. A higher proportion of intervention participants ceased attendance in the first 24 weeks (difference 17.9%, 95% CI 9.6-25.8), and the second 24 weeks (2.7%, 95% CI -5.0 to 10.4). Intervention participants who ceased attendance had lower left quadriceps strength (difference 3.3 kg 95% CI 0.15-6.36) and required longer to complete the timed up and go test (difference 1.7 seconds 95% CI 0.22-3...Continue Reading

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Citations

Mar 15, 2016·Journal of the American Medical Directors Association·John E Morley
Mar 25, 2015·Journal of the American Medical Directors Association·John E Morley
May 3, 2015·Journal of the American Medical Directors Association·John E Morley
Jul 20, 2016·The American Journal of Chinese Medicine·Rafael Del-Pino-CasadoRafael Lomas-Vega
Oct 29, 2017·Journal of the American Geriatrics Society·Daniel SchoeneStephen R Lord
Oct 29, 2017·Journal of the American Geriatrics Society·Rafael Lomas-VegaRafael Del-Pino-Casado
Feb 1, 2019·The Cochrane Database of Systematic Reviews·Catherine SherringtonSarah E Lamb
Aug 26, 2020·Journal of Aging and Physical Activity·Samuel R Nyman

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