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Completed

NCT Number: NCT03659396

the Effects of Individualized Tai Chi Training on Balance Control in Elderly

Traditional Tai Chi is too complex for most elderly individuals. There have been few reports regarding the development of simplified Tai Chi programs to suit the physical needs of elderly adults. However, these programs were not individualized according to the participants' balance control abilities.The investigators already developed an individualized Tai Chi program. This objective of the study was to investigate the effect of individualized Tai Chi training.

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Key information

Conditions

Age range

65 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

Background: Balance control is an important skill for human to maintain a myriad of postures and activities. The elderly suffering from balance impairment by aging have high rate to increase fall-related injuries, restricted activities, declined physical functions, and decrease quality of life. Tai Chi (TC) has been demonstrated as an innovative way to promote balance function, which is a suitable exercise for older people because of its slow movement, changeable base of supports, multi-directions weight shifting and less impact on lower extremities. Recent systematic reviews have shown that TC exercises have significant benefits in improving balance control, but most of them are only connected with healthy elderlies. Actually, the long standing time and training duration, challenged recollection by its sequence forms, and complex coordination for upper and lower extremities of TC usually make it difficult to practice for some elderlies with poor physical functions. Therefore, the method of individualized TC exercise program, integrated with biomechanical analyses, is developed in this research. It can afford an easier and more applicable training for elderly to improve the balance abilities.

Purposes:To evaluate the effects of individualized Tai Chi training on balance control in elderly.

Methods: This research is a quasi-experimental design and prospective study. Participants were recruited and assigned into individualized TC, entire TC group and home-based education group

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Participants in the study were community-dwelling volunteers aged over 65 years. Participants were ambulatory and did not

Exclusion criteria

have any history of

  • diagnosed central nervous system
  • vestibular pathology
  • cognitive impairment
  • visual deficit
  • fracture of lower limb in recent 6 months
  • with Tai Chi practice experience for more than 2 months.
  • severe hearing impairment to follow instruction

Treatment and study plan

individualized Tai Chi

Other

individualized Tai Chi training exercise

Entire Tai Chi

Other

the classical Yang style Tai Chi program

home-based program

Other

Home-based exercise

Primary outcomes

  1. Time Up and Go

    Time frame: 8 weeks

    is a simple test used to assess a person's mobility and requires both static and dynamic balance

Secondary outcomes

  1. Berg balance scale

    Time frame: 8 weeks

    The Berg Balance Scale (BBS) was developed to measure balance among older people with impairment in balance function by assessing the performance of functional tasks. 1 The scale consists of 14 items, scored from 0 to 4, which are added to make a total score between 0 and 56; a higher score indicates better balance.

  2. functional reach

    Time frame: 8 weeks

    The Functional Reach Test is a quick and simple, single-task dynamic test that defines functional reach as. "the maximal distance one can reach forward beyond arm's length, while maintaining a fixed base of support in the standing position"

  3. muscle strength of hip flexor and extensor

    Time frame: 8 weeks

    muscle strength of hip flexor and extensor by dynamometer

  4. muscle strength of hip abductor and adductor

    Time frame: 8 weeks

    muscle strength of hip abductor and adductor by dynamometer

  5. muscle strength of knee flexor and extensor

    Time frame: 8 weeks

    muscle strength of knee flexor and extensor by dynamometer

  6. muscle strength of ankle dorsiflexor and plantarflexor

    Time frame: 8 weeks

    muscle strength of ankle dorsiflexor and plantarflexor by dynamometer

Sponsors and collaborators

Lead sponsor

National Yang Ming Chiao Tung University

Other

Registry information

Important dates

Study start
2012
Primary completion
2014
Study completion
2014
First posted
Sep 6, 2018
Registry last updated
Sep 10, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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