Feasibility Study of Tai Chi for Cognitively Impaired Older Adults

Cognitive Impairment Clinical Trial

— TCM  

Official title:

Effects of 12-week Tai Chi Program on Physical Function, Depression, and Quality of Life Among Cognitively Impaired Older Adults: A Feasibility Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05629650
• Other study ID #: ChungnamNU3
• Status: Completed
• Phase: N/A
• Start date: July 1, 2018
• Est. completion date: January 10, 2022

Study information

• Verified date: November 2022
• Source: Chungnam National University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The goal of this clinical trial is to determine the feasibility of a 12-week program of Tai Chi for memory (TCM) among older adults with mild cognitive impairment (MCI) or dementia and to determine the effects of TCM on physical functioning, depression, and health-related QoL. Two experimental groups will be recruited for inclusion criteria of community-residing older adults with a diagnosis of either MCI or Dementia.

Description:

The purpose of the study are to determine the acceptability of a 12-week program of Tai Chi for memory (TCM) among older adults with mild cognitive impairment (MCI) or dementia; and to determine the effects of TCM on physical functioning, depression, and health-related QoL.

A quasi-experimental design was used with two groups classified according to the level of their cognitive impairment (MCI vs. Dementia).

Depression, health-related QoL, and physical functioning including grip strength, balance, flexibility, and mobility were measured before and after the 12-week TCM program.

Depression was measured using the Korean version of the Geriatric Depression Scale.

Health-related QoL was measured using the 12-item Short Form survey (SF-12). Grip strength was assessed using a digital hand dynamometer. Flexibility was assessed using the standard sit-and-reach test. Balance was measured using the one-leg-standing balance test. Mobility was assessed using the timed up and go test. Paired and independent t-tests will be used to compare the effects of TCM within and between groups.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 41
• Est. completion date: January 10, 2022
• Est. primary completion date: January 28, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 75 Years to 90 Years

Eligibility

Inclusion Criteria:

• community-residing older adults aged 75 years or older,

• registered at the public dementia prevention centers for dementia screening by health professionals with the diagnosis of either MCI or dementia,

• Korean version of the Montreal Cognitive Assessment (MoCA-K) score of 22 or lower,

• agreed to participate in the Tai Chi program twice a week for 12 weeks.

Exclusion Criteria:

• participated in any formal regular exercise program during the previous 6 months, and

Related Conditions & MeSH terms

• Cognitive Dysfunction
• Cognitive Impairment

Intervention

Behavioral:
• Tai Chi for memory
The adapted form of TCM will be provided at 60 minutes per session, twice a week for 12 weeks by a certified Tai Chi instructor who had experience in teaching older adults with cognitive impairments.

Locations

Country	Name	City	State
Korea, Republic of	Tai Chi for health institute	Daejeon

Sponsors (2)

Lead Sponsor	Collaborator
Chungnam National University	National Research Foundation, Singapore

Country where clinical trial is conducted

Korea, Republic of, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	physical function-grip strength	grip strength by assessed in both hands using a digital hand dynamometer (0-90 kg; Labisen KS-301)	changes from pretest to 12 week posttest scores
Primary	physical function - flexibility	by the standard sit-and-reach test (SSRT)	changes from pretest to 12 week posttest scores
Primary	physical function - balance	assessed using a one-leg-standing balance test (OLST)	changes from pretest to 12 week posttest scores
Primary	physical function - mobility	assessed by the Timed Up and Go test (TUG)	changes from pretest to 12 week posttest scores
Secondary	emotional functioning - depression	assessed by the short form of the Korean version of the Geriatric Depression Scale (SGDS-K) with 16 items (yes/no). higher scores indicate more depressive symptoms	changes from pretest to 12 week posttest scores
Secondary	Short Form Health Survey 12 (SF12)	Short Form Health Survey 12, which consists of eight dimensions: general health, physical functioning, role physical, body pain, vitality, social functioning, role emotional, and mental health. two summary scores for the physical and mental components of health-related QoL are calculated by using the weighted means for the eight domains.	changes from pretest to 12 week posttest scores