Effects of Tai Chi on Postural Balance and Quality of Life in the Elderly With Gait Disorder

Postural Balance Clinical Trial

Official title:

Effects of Tai Chi on Postural Balance and Quality of Life Among Elderly With Gait Disorders in China

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06046911
• Other study ID #: Xu Fan
• Status: Recruiting
• Phase: N/A
• Start date: September 8, 2023
• Est. completion date: December 2023

Study information

• Verified date: September 2023
• Source: Universiti Putra Malaysia
• Contact: Fan Xu
• Phone: 86- 15835664633
• Email: gs62396[@]student.upm.edu.my
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The goal of this intervention study was to test balance ability and quality of life in older adults with gait problems. The main questions it aims to answer are: 1. Can the balance ability of elderly people with gait disorders be improved through Tai Chi intervention? 2. Whether Tai Chi intervention can improve the quality of life of elderly people with gait disorders.

Participants will be divided into an experimental group and a control group. The experimental group will undergo 12 weeks of Tai Chi intervention, while the control group will maintain daily habits, including simple walking or stretching activities.

Description:

The inclusion criteria for potential participants were as follows:

Age ≥ 60 years old Have mild gait problems Can walk independently No Tai Chi training experience or exercise habits

The exclusion criteria for potential participants were as follows:

Age <60 years old No obvious problems with gait walking with tools Have experience in Tai Chi intervention within three months hearing loss

Outcomes measured: balance, gait, muscle strength, mobility, fall rate, quality of life.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 50
• Est. completion date: December 2023
• Est. primary completion date: October 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 60 Years to 85 Years

Eligibility

Inclusion Criteria:

• Age = 60 years old Have mild gait problems Can walk independently No Tai Chi training experience or exercise habits

Exclusion Criteria:

• Age <60 years old No obvious problems with gait walking with tools Have experience in Tai Chi intervention within three months hearing loss

Related Conditions & MeSH terms

• Gait Disorder
• Postural Balance

Intervention

Other:
• Tai Chi
In this study, Tai Chi has a total of 24 movements, which are connected step by step according to the principles of sports training.
• Daily activity group
The daily activity group does not receive special intervention, and the subjects must maintain their daily habits and complete the 12-week test.

Locations

Country	Name	City	State
China	Binhe Sports Center	Taiyuan	Shanxi

Sponsors (1)

Lead Sponsor	Collaborator
Universiti Putra Malaysia

Country where clinical trial is conducted

China, 

References & Publications (8)

Borowicz A, Zasadzka E, Gaczkowska A, Gawlowska O, Pawlaczyk M. Assessing gait and balance impairment in elderly residents of nursing homes. J Phys Ther Sci. 2016 Sep;28(9):2486-2490. doi: 10.1589/jpts.28.2486. Epub 2016 Sep 29. — View Citation

Chang JH, Koo M, Wu SW, Chen CY. Effects of a 12-week program of Tai Chi exercise on the kidney disease quality of life and physical functioning of patients with end-stage renal disease on hemodialysis. Complement Ther Med. 2017 Feb;30:79-83. doi: 10.1016/j.ctim.2016.12.002. Epub 2016 Dec 7. — View Citation

Huang SL, Hsieh CL, Wu RM, Tai CH, Lin CH, Lu WS. Minimal detectable change of the timed "up & go" test and the dynamic gait index in people with Parkinson disease. Phys Ther. 2011 Jan;91(1):114-21. doi: 10.2522/ptj.20090126. Epub 2010 Oct 14. Erratum In: Phys Ther. 2014 Jul;94(7):1056. — View Citation

Ke XH, Huang DB, Li YY, Li XM, Guo JH, Guo MM, Yu SX, Ma SC, Jiang C, Lin ZH. Effects of 12 weeks of Tai Chi Chuan intervention on the postural stability and self-reported instability in subjects with functional ankle instability: Study protocol for a randomized controlled trial. Front Neurol. 2022 Sep 21;13:923669. doi: 10.3389/fneur.2022.923669. eCollection 2022. — View Citation

Perez-Cruzado D, Gonzalez-Sanchez M, Cuesta-Vargas AI. Parameterization and reliability of single-leg balance test assessed with inertial sensors in stroke survivors: a cross-sectional study. Biomed Eng Online. 2014 Aug 30;13:127. doi: 10.1186/1475-925X-13-127. — View Citation

Soke F, Demirkaya S, Gulsen C, Yavuz N, Karakoc S, Ozcan Gulsen E, Yilmaz O, Kocer B, Kurtulus Aydin F, Yucesan C. The figure-of-eight walk test is a reliable and valid test for assessing walking skill in people with multiple sclerosis. Mult Scler Relat Disord. 2022 Nov;67:104099. doi: 10.1016/j.msard.2022.104099. Epub 2022 Aug 9. — View Citation

Taylor-Piliae RE, Haskell WL, Waters CM, Froelicher ES. Change in perceived psychosocial status following a 12-week Tai Chi exercise programme. J Adv Nurs. 2006 May;54(3):313-29. doi: 10.1111/j.1365-2648.2006.03809.x. — View Citation

Taylor-Piliae RE, Hoke TM, Hepworth JT, Latt LD, Najafi B, Coull BM. Effect of Tai Chi on physical function, fall rates and quality of life among older stroke survivors. Arch Phys Med Rehabil. 2014 May;95(5):816-24. doi: 10.1016/j.apmr.2014.01.001. Epub 2014 Jan 17. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Effects of 12 weeks of Tai Chi intervention on balance ability in the elderly	The main test method is the single-leg eyes-closed test	The balance ability of the elderly was tested before the intervention, after 6 weeks of intervention, and at 12 weeks
Primary	Effects of 12 weeks of Tai Chi intervention on gait speed of the elderly	Gait speed measurement mainly uses the four-meter walking test	The gait speed of the elderly was tested before the intervention, after 6 weeks of intervention, and at 12 weeks
Primary	Effects of 12 weeks of Tai Chi intervention on gait skills	Gait skill measurement mainly uses the figure-8 walking test	The gait skills of the elderly were tested before the intervention and at 6 and 12 weeks after the intervention
Primary	Effects of 12-week Tai Chi intervention on mobility of the elderly	Time Up and Go measures mobility	The Mobility of the elderly was tested before the intervention, after 6 weeks of intervention, and at 12 weeks
Primary	Effects of 12 weeks of Tai Chi intervention on upper limb muscle strength in the elderly	Grip strength test upper limb muscle strength	The upper limb muscle strength of the elderly was tested before the intervention, after 6 weeks of intervention, and at 12 weeks
Primary	Effects of 12 weeks of Tai Chi intervention on lower limb muscle strength in the elderly	30s chair test to measure lower limb muscle strength	The lower limb muscle strength of the elderly was tested before the intervention, after 6 weeks of intervention, and at 12 weeks
Primary	Effect of 12-week Tai Chi intervention on fall risk in the elderly	Time Up and Go measures Fall risk	The Fall risk of the elderly was tested before the intervention, after 6 weeks of intervention, and at 12 weeks
Primary	Effects of 12-week Tai Chi intervention on the quality of life of the elderly	Measured using Questionnaire, 36-Item Short Form Surve (SF-36) Scale	The Quality of life of the elderly was tested before the intervention, after 6 weeks of intervention, and at 12 weeks

External Links

•   Assessment of the 4-meter walk test test-retest reliability and concurrent validity and its correlation with the five sit-to-stand test in chronic ambulatory stroke survivors