Effects of a 12-Week Tai Chi Chuan Program Versus a Balance Training Program on Postural Control and Walking Ability in Older People

Lelard, Thierry; Doutrellot, Pierre-Louis; David, P.; Ahmaidi, Saïd

doi:10.1016/j.apmr.2009.09.014

Cited by 50 publications

(30 citation statements)

References 29 publications

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“…This fi nding differs from the study of Lelard et al 24 This divergence may be related to the different intensities and dosage of the exercises between the studies. Lopopolo et al have shown that only the programs with exercises in high dosages and intensities increased the gait speed of older adults and concluded, therefore, that exercise dosages and intensities are determinant of their effects on gait speed.…”

Section: Discussioncontrasting

confidence: 96%

“…Lopopolo et al have shown that only the programs with exercises in high dosages and intensities increased the gait speed of older adults and concluded, therefore, that exercise dosages and intensities are determinant of their effects on gait speed. 25 The exercise sessions of the present study had twice the duration of those from the study by Lelard et al 24 These factors, thus, may be relevant in the determination of the exercises' effects on the gait of older adults.…”

Section: Discussionmentioning

confidence: 77%

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Effect of a Program Based on Balance Exercises on Gait, Functional Mobility, Fear of Falling, and Falls in Prefrail Older Women

Arantes

Dias

Fonseca

et al. 2015

Topics in Geriatric Rehabilitation

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Objectives:To evaluate the effi cacy of a program on the basis of balance exercises on gait, balance, functional mobility, fear of falling, and falls in prefrail older women at risk of falling. Methods: Thirty older women were randomly distributed for an experimental (EG) or a control group (CG). Assessments were performed of gait (GAITRite) , balance, and functional mobility with the sit-to-stand, semitandem and alternate step tests, fear of falling, and occurrence of falls. The EG performed progressive exercises, which challenged balance in different tasks and environment conditions. The CG practiced exercises for the upper limbs. Results: The mixed analysis of variance with repeated measures revealed signifi cant interactions that showed increase in stride speed and length, better performance in the tests of balance and mobility, and reduced fear of falling. The EG showed fewer falls ( P = .029) during the period of intervention than did the CG. The number necessary to treat ranged from 1 to 3.8. Conclusion:The results reinforce the importance of including exercises that challenge balance, in high doses and progressive intensity, in programs designed for older women. ability of postural control 3 and this decline has been associated with alterations in functional mobility and in gait pattern. 4 , 5 It has been shown that older adults with balance alterations and a history of falls present reduced gait speed and stride length and increased cadence. 5 , 6 Barak et al 5 suggests that such alterations can occur because of the difficulty that an older adult has to control the displacement of the center of gravity. It has already been demonstrated that gait patterns characterized by reduction in step length and increase in the frequency of steps lead to a smaller excursion of the center of gravity out of the support base. 7 Thus, these alterations could be adaptations in the attempt to minimize displacement of the center of gravity during gait and improve stability. 5 Another factor that also seems to be related to the deterioration of postural control is the fear of falling. Some studies demonstrated that older adults with fear of falling present wider postural sway than those who report absence of this fear. 8 Gait changes in the older adults with fear of falling, such as the reduction of speed and the increase in variability, have already been cited. 9 Several interventions have been proposed to improve postural control of older adults. It has been recommended that interventions on the basis of specifi c exercises that challenge balance, in high and progressive dosages, would be the most indicated ones for preventing falls and improving postural control of older adults. 10 , 11 However, few studies evaluate programs composed, specifi cally, by this type of exercises and that manipulate the elderly capacities, the task goals, and the environment conditions.It has been discussed that there is a population more prone to benefi t from balance exercise programs, probably composed of older adults who do not present ver...

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Section: Discussioncontrasting

confidence: 96%

Section: Discussionmentioning

confidence: 77%

Effect of a Program Based on Balance Exercises on Gait, Functional Mobility, Fear of Falling, and Falls in Prefrail Older Women

Arantes

Dias

Fonseca

et al. 2015

Topics in Geriatric Rehabilitation

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show abstract

“…In particular, studies using Tai Chi have generated a substantial body of evidence (Lelard et al, 2010;Rogers et al, 2009;Wei et al, 2014). A detailed appreciation of all this work is beyond the scope of this review.…”

Section: Sport Tai Chi and Martial Arts As Interventionsmentioning

confidence: 99%

Maintaining older brain functionality: A targeted review

Ballesteros

Kraft²,

Santana

et al. 2015

Neuroscience & Biobehavioral Reviews

178

131

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“…Diversified stepping patterns could improve the balance control ability, even for instantaneous changes in the stepping pattern (Mao et al, 2006). Therefore, Tai Chi Chuan training could improve balance, postural control (Law & Li, 2014;Lelard, Doutrellot, David, & Ahmaidi, 2010;Li et al, 2012), muscular strength, and flexibility for older adults (Hong, Li, & Robinson, 2000, Law & Li, 2014. According to past studies, Tai Chi training improved some abilities, such as single foot support, postural control, and the range of joint motion.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Tai Chi Chuan on Obstacle Crossing Strategy in Older Adults

Chang

Huang

Chang

2015

Research in Sports Medicine

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The purpose of this study was to determine the effect of Tai Chi Chuan on the strategies of obstacle-crossing behavior in older adults aged over 65 years. Fifteen Tai Chi group (TCG) participants were compared with 15 general group (GG) participants. Kinematic parameters (by Vicon motion analysis system) and ground reaction forces (by Kistler force plates) were synchronously recorded. A two-way mixed-design ANOVA (α = 0.05) was used to test the effects of the group and the obstacle height. The TCG performed significantly faster stride velocities, longer stride lengths, and shorter stride times than GG while crossing the obstacles. TCG could also produce significantly larger forward ground reaction forces to propel the body and were able to make a significantly greater flexion angle of the hip of the leading leg compared with the GG. It was concluded that the TCG adopted a different strategy with GG to cross the obstacles and completed the crossing behavior more effectively.

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Effects of a 12-Week Tai Chi Chuan Program Versus a Balance Training Program on Postural Control and Walking Ability in Older People

Cited by 50 publications

References 29 publications

Effect of a Program Based on Balance Exercises on Gait, Functional Mobility, Fear of Falling, and Falls in Prefrail Older Women

Effect of a Program Based on Balance Exercises on Gait, Functional Mobility, Fear of Falling, and Falls in Prefrail Older Women

Maintaining older brain functionality: A targeted review

The Effect of Tai Chi Chuan on Obstacle Crossing Strategy in Older Adults

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