Effects of tai chi exercise on posturography, gait, physical function and quality of life in postmenopausal women with osteopaenia: a randomized clinical study

  • Ming-Chien Chyu
    Graduate Healthcare Engineering, Department of Mechanical Engineering, Department of Health, Exercise, and Sport Sciences, Texas Tech University and Department of Pathology, Texas Tech University Health Sciences Center
  • C. Roger James
    Department of Rehabilitation Sciences, Center for Rehabilitation Research, Texas Tech University Health Sciences Center
  • Steven F Sawyer
    Department of Rehabilitation Sciences, Center for Rehabilitation Research, Texas Tech University Health Sciences Center
  • Jean-Michel Brismée
    Department of Rehabilitation Sciences, Center for Rehabilitation Research, Texas Tech University Health Sciences Center
  • Ke T Xu
    Department of Family Medicine, Texas Tech University Health Sciences Center
  • Glen Poklikuha
    Department of Rehabilitation Sciences, Center for Rehabilitation Research, Texas Tech University Health Sciences Center
  • Dale M Dunn
    Department of Pathology, Texas Tech University Health Sciences Center
  • Chwan-Li Shen
    Department of Pathology and Laura W. Bush Institute for Women's Health, Texas Tech University Health Sciences Center, Lubbock, Texas, USA,

説明

<jats:p> Objective: To evaluate the effects of tai chi exercise on risk factors for falls in postmenopausal women with osteopaenia through measurements of balance, gait, physical function and quality of life. </jats:p><jats:p> Design: A randomized, controlled, single-blinded, 24-week trial with stratification by age and bone mass. </jats:p><jats:p> Setting: General community. </jats:p><jats:p> Participants: Sixty-one independently living elderly females aged 65 years and older with low bone mass. </jats:p><jats:p> Interventions: Subjects were recruited and randomly assigned to 24 weeks of tai chi (60 minutes/session, three sessions/week, n = 30) or a control group (n = 31). </jats:p><jats:p> Outcome measures: Computerized dynamic posturography, gait, ‘timed up and go’, five-chair sit-to-stand and quality of life assessed at baseline, 12 and 24 weeks. </jats:p><jats:p> Results: After 24 weeks, subjects in the tai chi group demonstrated an increase in stride width (P = 0.05) and improvement in general health (P = 0.008), vitality (P = 0.02) and bodily pain (P = 0.03) compared with those in the control group. There was no significant difference in balance parameters, ‘timed up and go’, five-chair sit-to-stand and other domains of quality of life. </jats:p><jats:p> Conclusion: Tai chi exercise may reduce risk factors for falls by increasing the stride width, and may improve quality of life in terms of general health, vitality and bodily pain in postmenopausal women with osteopaenia. </jats:p>

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