The effects of Tai Chi on fall prevention, fear of falling and balance in older people: A meta-analysis

Preventive Medicine

Volumn 51, Issue 3-4, 2010, Pages 222-227

  Logghe, Inge H J ^a,b   Verhagen, Arianne P ^a,b   Rademaker, Arno C H J ^b   Bierma Zeinstra, Sita M A ^a   van Rossum, Erik ^c,d   Faber, Marjan J ^e   Koes, Bart W ^a  

^a ERASMUS MEDICAL CENTER   (Netherlands)

^b ROTTERDAM UNIVERSITY OF APPLIED SCIENCES   (Netherlands)

^c MAASTRICHT UNIVERSITY   (Netherlands)

^d ZUYD UNIVERSITY OF APPLIED SCIENCES   (Netherlands)

^e RADBOUD UNIVERSITY MEDICAL CENTER   (Netherlands)

Author keywords

Fall prevention; Meta analysis; Tai Chi

Indexed keywords

ACCIDENT PREVENTION; ACCIDENTAL INJURY; BODY EQUILIBRIUM; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; ELDERLY CARE; EXERCISE; FALL RISK; FALLING; FEAR; HUMAN; META ANALYSIS; OUTCOME ASSESSMENT; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; REVIEW; RISK REDUCTION; SYSTEMATIC REVIEW; TAI CHI;

ACCIDENTAL FALLS; AGED; BIAS (EPIDEMIOLOGY); FEAR; HUMANS; MIDDLE AGED; POSTURAL BALANCE; TAI JI;

EID: 78649858915     PISSN: 00917435     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ypmed.2010.06.003     Document Type: Review

References (47)

1. Audette J.F., Jin Y.S., Newcomer R., Stein L., Duncan G., Frontera W.R. Tai Chi versus brisk walking in elderly women. Age Ageing 2006, 35:388-393.
2. Chan W.W., Barlett D.J. Effectiveness of Tai Chi as a therapeutic exercise in improving balance and postural control. Phys. Occupat. Ther. Geriatr. 2000, 17:1-22.
3. Chang J.T., Morton S.C., Rubenstein L.Z., Mojica W.A., Maglione M., Suttorp M.J., Roth E.A., Shekelle P.G. Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomised clinical trials. BMJ 2004, 328(7441):680.
4. Choi J.H., Moon J.S., Song R. Effects of Sun-style Tai Chi exercise on physical fitness and fall prevention in fall-prone older adults. J. Adv. Nurs. 2005, 51:150-157.
5. Deeks J., Higgins J., Altman D. Chapter 9: Analysing data and undertaking meta-analyses. The Cochrane Collaboration 2008, J. Higgins, S. Green (Eds.).
6. Frye B., Scheinthal S., Tatyana Kemarskaya T., Pruchno R. Tai Chi and low impact exercise: effects on the physical functioning and psychological well-being of older people. J. Appl. Gerontol. 2007, 26:433-453.
7. Gillespie L.D., Robertson M.C., Gillespie W.J., Lamb S.E., Gates S., Cumming R.G., Rowe B.H. Interventions for preventing falls in older people living in the community. Cochrane Database Syst. Rev. 2009, 2:CD007146.
8. Harmer P.A., Li F. Tai Chi and falls prevention in older people. Med. Sport Sci. 2008, 52:124-134.
9. Hong Y., Li J.X. Biomechanics of Tai Chi: a review. Sports Biomech. 2007, 6:453-464.
10. Howe T.E., Rochester L., Jackson A., Banks P.M., Blair V.A. Exercise for improving balance in older people. Cochrane Database Syst. Rev. 2007, 4:CD004963.
11. Komagata S., Newton R. The effectiveness of Tai Chi on improving balance in older adults: an evidence-based review. J. Geriatr. Phys. Ther. 2003, 26:9-16.
12. Li F., Fisher K.J., Harmer P., Irbe D., Tearse R.G., Weimer C. Tai Chi and self-rated quality of sleep and daytime sleepiness in older adults: a randomized controlled trial. J. Am. Geriatr. Soc. 2004, 52:892-900.
13. Li F., Harmer P., Fisher K.J., McAuley E. Tai Chi: improving functional balance and predicting subsequent falls in older persons. Med. Sci. Sports Exerc. 2004, 36:2046-2052.
14. Li F., Fisher K.J., Harmer P., McAuley E. Falls self-efficacy as a mediator of fear of falling in an exercise intervention for older adults. J. Gerontol. B Psychol. Sci. Soc. Sci. 2005, 60:34-40.
15. Li F., Harmer P., Fisher K.J., McAuley E., Chaumeton N., Eckstrom E., Wilson N.L. Tai Chi and fall reductions in older adults: a randomized controlled trial. J. Gerontol. A Biol. Sci. Med. Sci. 2005, 60:187-194.
16. Li J.X., Xu D.Q., Hong Y. Effects of 16-week Tai Chi intervention on postural stability and proprioception of knee and ankle in older people. Age Ageing 2008, 37:575-578.
17. Logghe I.H., Zeeuwe P.E., Verhagen A.P., Wijnen-Sponselee R.M., Willemsen S.P., Bierma-Zeinstra S.M., van Rossum E., Faber M.J., Koes B.W. Lack of effect of Tai Chi Chuan in preventing falls in elderly people living at home: a randomized clinical trial. J. Am. Geriatr. Soc. 2009, 57:70-75.
18. Low S., Ang L.W., Goh K.S., Chew S.K. A systematic review of the effectiveness of Tai Chi on fall reduction among the elderly. Arch. Gerontol. Geriatr. 2009, 48:325-331.
19. Nevitt M.C., Cummings S.R., Hudes E.S. Risk factors for injurious falls: a prospective study. J. Gerontol. 1991, 46:M164-M170.
20. Nnodim J.O., Strasburg D., Nabozny M., Nyquist L., Galecki A., Chen S., Alexander N.B. Dynamic balance and stepping versus Tai Chi training to improve balance and stepping in at-risk older adults. J. Am. Geriatr. Soc. 2006, 54:1825-1831.
21. Nowalk M.P., Prendergast J.M., Bayles C.M., D'Amico F.J., Colvin G.C. A randomized trial of exercise programs among older individuals living in two long-term care facilities: the FallsFREE program. J. Am. Geriatr. Soc. 2001, 49:859-865.
22. Peeters G.M., van Schoor N.M., Pluijm S.M., Deeg D.J., Lips P. Is there a U-shaped association between physical activity and falling in older persons?. Osteoporos. Int 2009, 10.1007/s00198-009-1053-4.
23. Province M.A., Hadley E.C., Hornbrook M.C., Lipsitz L.A., Miller J.P., Mulrow C.D., Ory M.G., Sattin R.W., Tinetti M.E., Wolf S.L. The effects of exercise on falls in elderly patientsA preplanned meta-analysis of the FICSIT Trials. Frailty and injuries: cooperative studies of intervention techniques. Jama 1995, 273:1341-1347.
24. Rubenstein L.Z. Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing 2006, Suppl 2:ii37-ii41.
25. Sattin R.W., Easley K.A., Wolf S.L., Chen Y., Kutner M.H. Reduction in fear of falling through intense Tai Chi exercise training in older, transitionally frail adults. J. Am. Geriatr. Soc. 2005, 53:1168-1178.
26. Schünemann H.J.O.A., Vist G.E., Higgins J.P.T., Deeks J.J., Glasziou P., Guyatt G.H. Chapter 12: Interpreting results and drawing conclusions. The Cochrane Collaboration 2008, J.P.T. Higgins (Ed.).
27. Scuffham P., Chaplin S., Legood R. Incidence and costs of unintentional falls in older people in the United Kingdom. J. Epidemiol. Commun. Health 2003, 57:740-744.
28. Sherrington C., Whitney J.C., Lord S.R., Herbert R.D., Cumming R.G., Close J.C. Effective exercise for the prevention of falls: a systematic review and meta-analysis. J. Am. Geriatr. Soc. 2008, 56:2234-2243.
29. Sjosten N., Vaapio S., Kivela S.L. The effects of fall prevention trials on depressive symptoms and fear of falling among the aged: a systematic review. Aging Ment. Health 2008, 12:30-46.
30. Stevens J.A., Corso P.S., Finkelstein E.A., Miller T.R. The costs of fatal and non-fatal falls among older adults. Inj. Prev. 2006, 12:290-295.
31. Verhagen A.P., de Vet H.C., de Bie R.A., Kessels A.G., Boers M., Bouter L.M., Knipschild P.G. The Delphi list: a criteria list for quality assessment of randomized clinical trials for conducting systematic reviews developed by Delphi consensus. J. Clin. Epidemiol. 1998, 51:1235-1241.
32. Verhagen A.P., Immink M., van der Meulen A., Bierma-Zeinstra S.M. The efficacy of Tai Chi Chuan in older adults: a systematic review. Fam. Pract. 2004, 21:107-113.
33. Voukelatos A., Cumming R.G., Lord S.R., Rissel C. A randomized, controlled trial of Tai Chi for the prevention of falls: the Central Sydney Tai Chi trial. J. Am. Geriatr. Soc. 2007, 55:1185-1191.
34. Wallsten S.M., Bintrim K., Denman D.W., Parrish J.M., Hughes G. The effect of Tai Chi chuan on confidence and lower extremity strength and balance in residents living independently at a continuing care retirement community. J. Appl. Gerontol. 2006, 25:82-95.
35. Wayne P.M., Krebs D.E., Wolf S.L., Gill-Body K.M., Scarborough D.M., McGibbon C.A., Kaptchuk T.J., Parker S.W. Can Tai Chi improve vestibulopathic postural control?. Arch. Phys. Med. Rehabil. 2004, 85:142-152.
36. Wijlhuizen G.J., Chorus A.M., Hopman-Rock M. The 24-h distribution of falls and person-hours of physical activity in the home are strongly associated among community-dwelling older persons. Prev. Med. 2008, 46:605-608.
37. Wolf S.L., Barnhart H.X., Kutner N.G., McNeely E., Coogler C., Xu T. Reducing frailty and falls in older persons: an investigation of Tai Chi and computerized balance training. Atlanta FICSIT Group. Frailty and injuries: cooperative studies of intervention techniques. J. Am. Geriatr. Soc. 1996, 44:489-497.
38. Wolf S.L., Barnhart H.X., Ellison G.L., Coogler C.E. The effect of Tai Chi Quan and computerized balance training on postural stability in older subjects. Atlanta FICSIT Group. Frailty and injuries: cooperative studies on intervention techniques. Phys. Ther. 1997, 77:371-384.
39. Wolf S.L., Barnhart H.X., Kutner N.G., McNeely E., Coogler C., Xu T., Atlanta F.G. Selected as the best paper in the 1990s: reducing frailty and falls in older persons: an investigation of Tai Chi and computerized balance training. J. Am. Geriatr. Soc. 2003, 51:1794-1803.
40. Wolf S.L., Sattin R.W., Kutner M., O'Grady M., Greenspan A.I., Gregor R.J. Intense Tai Chi exercise training and fall occurrences in older, transitionally frail adults: a randomized, controlled trial. J. Am. Geriatr. Soc. 2003, 51:1693-1701.
41. Wolf S.L., O'Grady M., Easley K.A., Guo Y., Kressig R.W., Kutner M. The influence of intense Tai Chi training on physical performance and hemodynamic outcomes in transitionally frail, older adults. J. Gerontol. A Biol. Sci. Med. Sci. 2006, 61:184-189.
42. Woo J., Hong A., Lau E., Lynn H. A randomised controlled trial of Tai Chi and resistance exercise on bone health, muscle strength and balance in community-living elderly people. Age Ageing 2007, 36:262-268.
43. Wu G. Evaluation of the effectiveness of Tai Chi for improving balance and preventing falls in the older population-a review. J. Am. Geriatr. Soc. 2002, 50:746-754.
44. Zhang J.G., Ishikawa-Takata K., Yamazaki H., Morita T., Ohta T. The effects of Tai Chi Chuan on physiological function and fear of falling in the less robust elderly: an intervention study for preventing falls. Arch. Gerontol. Geriatr. 2006, 42:107-116.
45. Zhao J., Zhang L., Tian Y. Effect of 6months of Tai Chi Chuan and calcium supplementation on bone health in females aged 50-59years. J. Exerc. Sci. Fitness 2007, 5:88-94.
46. Zijlstra G.A., van Haastregt J.C., van Rossum E., van Eijk J.T., Yardley L., Kempen G.I. Interventions to reduce fear of falling in community-living older people: a systematic review. J. Am. Geriatr. Soc. 2007, 55:603-615.
47. Zwick D., Rochelle A., Choksi A., Domowicz J. Evaluation and treatment of balance in the elderly: a review of the efficacy of the Berg Balance Test and Tai Chi Quan. NeuroRehabil. 2000, 15:49-56.