Effects of Tai Chi on Lower-Limb Myodynamia in the Elderly People: A Meta-Analysis

Liu, Bao; Liu, Zhai-hua; Zhu, Hui-er; Mo, Jia-ci; Cheng, Donghai

doi:10.1016/s0254-6272(11)60029-0

Cited by 26 publications

(17 citation statements)

References 15 publications

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“…While the efficacy of various physiotherapy modalities in treating older people with LBP remains controversial [256], a recent meta-analysis has highlighted that Tai Chi, a mind-body exercise therapy, is an effective intervention for older patients with chronic pain (including LBP, osteoarthritis, fibromyalgia, and osteoporotic pain) as compared to education or stretching [255]. Importantly, in addition to pain relief, various systematic reviews on Tai Chi have revealed promising outcomes in improving balance [257], fear of falling [258], lower limb strength [259], physical function [260], hypertension [261], cognitive performance [262], and depression [263] in seniors as compared to no treatment or usual care. Given the high frequency of physical and psychological comorbidity among older adults (e.g., depression, hypertension, and osteoarthritis), Tai Chi appears to be a viable LBP treatment option for older adults with LBP.…”

Section: Introductionmentioning

confidence: 99%

Low back pain in older adults: risk factors, management options and future directions

2017

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Low back pain (LBP) is one of the major disabling health conditions among older adults aged 60 years or older. While most causes of LBP among older adults are non-specific and self-limiting, seniors are prone to develop certain LBP pathologies and/or chronic LBP given their age-related physical and psychosocial changes. Unfortunately, no review has previously summarized/discussed various factors that may affect the effective LBP management among older adults. Accordingly, the objectives of the current narrative review were to comprehensively summarize common causes and risk factors (modifiable and non-modifiable) of developing severe/chronic LBP in older adults, to highlight specific issues in assessing and treating seniors with LBP, and to discuss future research directions. Existing evidence suggests that prevalence rates of severe and chronic LBP increase with older age. As compared to working-age adults, older adults are more likely to develop certain LBP pathologies (e.g., osteoporotic vertebral fractures, tumors, spinal infection, and lumbar spinal stenosis). Importantly, various age-related physical, psychological, and mental changes (e.g., spinal degeneration, comorbidities, physical inactivity, age-related changes in central pain processing, and dementia), as well as multiple risk factors (e.g., genetic, gender, and ethnicity), may affect the prognosis and management of LBP in older adults. Collectively, by understanding the impacts of various factors on the assessment and treatment of older adults with LBP, both clinicians and researchers can work toward the direction of more cost-effective and personalized LBP management for older people.

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Section: Introductionmentioning

confidence: 99%

Low back pain in older adults: risk factors, management options and future directions

2017

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“…A recent meta-analysis demonstrated that Tai Chi exercise in older adults improves ankle flexor and extensor muscle strength [227], and long-term Tai Chi practitioners display better ankle proprioception relative to long-term swimmers, runners, and sedentary individuals [181]. However, a 16-week program, failed to show that Tai Chi practice benefited ankle proprioception [228].…”

Section: Ankle Painmentioning

confidence: 99%

Musculoskeletal conditions of the foot and ankle: Assessments and treatment options

Rao

Riskowski

Hannan

2012

Best Practice & Research Clinical Rheumatology

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Musculoskeletal conditions of the foot and ankle are an important public health challenge due to their increasing incidence combined with their substantial negative impact on patients’ quality of life. Non-pharmacological treatments serve as the first line of treatment and are frequently used for patients with musculoskeletal conditions of the foot and ankle. This review provides a summary of the assessments and non-invasive treatment options based upon available evidence. Recent studies show that individuals with foot and ankle pain have multiple co-existing impairments in alignment, motion, load distribution and muscle performance that may be evident in static and/or dynamic tasks. Additionally, both clinical and epidemiological studies support the inter-dependence between the foot and proximal joints. For instance, aberrant foot structure has been linked to foot osteoarthritis (OA), as well as OA and pain at the knee and hip. Most recently, advances in motion capture technology and plantar load distribution measurement offer opportunities for precise dynamic assessments of the foot and ankle. In individuals with musculoskeletal conditions of the foot and ankle, the chief objectives of treatment are to afford pain relief, restore mechanics (alignment, motion and/or load distribution) and return the patient to their desired level of activity participation. Given that most patients present with multiple impairments, combinational therapies that target foot-specific as well as global impairments have shown promising results. In particular, in individuals with rheumatoid arthritis and other rheumatic diseases, comprehensive rehabilitation strategies including early detection, foot-based interventions (such as orthoses) and wellness-based approaches for physical activity and self-management have been successful. While significant improvements have been made in the last decade to the assessment and treatment of foot and ankle conditions, few randomized clinical trials specifically have investigated patients with foot or ankle conditions to provide global insights into this area. Consequently, current recommendations vary based upon the scope of studies presented in this review as well as the strength of studies. This review indicates a need for more in-depth investigations into the components of assessment and treatment options for foot and ankle musculoskeletal conditions.

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“…Los estiramientos y la terapia manual son componentes clave de las intervenciones de rehabilitación para el dolor de pie, sobre todo en personas con dolor en el talón. 9 El ejercicio terapéutico en forma de TaiChi se ha visto acompañada por una mejoría en la movilidad y fuerza de tobillo. Un metaanálisis reciente a demostrado que el TaiChi en adultos mayores mejora la flexión de tobillo y la fuerza del músculo extensor y a largo plazo los practicantes de estos ejercicios, toleran mejor la propiocepción del tobillo en relación con los nadadores de larga duración, los corredores, y las personas sedentarias.…”

Section: Introductionunclassified

“…Un metaanálisis reciente a demostrado que el TaiChi en adultos mayores mejora la flexión de tobillo y la fuerza del músculo extensor y a largo plazo los practicantes de estos ejercicios, toleran mejor la propiocepción del tobillo en relación con los nadadores de larga duración, los corredores, y las personas sedentarias. 9 Las enfermedades músculo-esqueléticas (EME) son la primera causa de discapacidad en el mundo y tienen un alto impacto en los costes directos (sanitarios) e indirectos (bajas laborales). Lázaro et al (2014) realizan un estudio cuyo objetivo es estimar el coste anual de la incapacidad temporal (IT) ocasionada por las enfermedades músculo-esqueléticas (EME) en España y su variabilidad entre comunidades autónomas (CC.…”

Section: Introductionunclassified

Evidencia científica del tratamiento ortopodológico en pie afectado por artritis reumatoide.

Calleja

García

Fernández

2018

Rev. Int. Cienc. Podol.

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Resumen. Antecedentes: La artritis reumatoide afecta más a mujeres. La prevalencia en nuestro país es de 0.5%. Se debe abordar mediante un equipo multidisciplinar. Los signos característicos en el pie son sinovitis de las articulaciones, entesitis, nódulos reumatoides y vasculitis. Las modalidades de tratamiento conservador son: ortesis, calzado, estiramientos, terapia manual e incluso ejercicios terapéuticos mediante Tai-chi. Objetivos: Valorar la evidencia científica sobre el tratamiento conservador del pie reumático mediante ortesis plantares y calzado terapéutico. Conocer los últimos avances y que opción es la más indicada para tratar esta patología que afecta al pie. Material y métodos: Se ha realizado una revisión bibliográfica de los últimos 15 años en Pubmed. Resultados: Se ha encontrado relación entre el dolor de antepié, subluxación metatarsofalángica y erosión del cartílago articular con el aumento de presión a nivel metatarsal plantar lo que justifica la realización de tratamiento ortopodológico encaminado a reducir la misma. El tratamiento conservador está enfocado a la utilización de ortesis y de zapato terapéutico para mejorar el dolor, la marcha y la funcionalidad. Hay evidencia científica para tratar la metatarsalgia con diferentes tipos de ortesis, que no solo ayudan a mejorar el dolor sino que además reducen el nº de articulaciones inflamadas. La combinación con zapato terapéutico con o sin modificaciones externas produce mejores resultados. Conclusión: Existe escasa evidencia científica sobre el uso de tratamiento ortopodológico para el pie reumático pero se han encontrado algunos artículos que avalan su eficacia, por lo que es imprescindible realizar estudios en este campo. Palabras clave: artritis reumatoide; ortesis plantar; zapato terapéutico; antepié.[en] Evidence of orthopodiatric treatment affected by rheumatoid arthritis on foot Abstract. Background: Rheumatoid arthritis affects more women. The prevalence in our country is 0.5%. It should be approached by a multidisciplinary team. Characteristic foot signs` are synovitis of joints, enthesitis, rheumatoid nodules and vasculitis. The conservative treatment modalities are: orthotics, footwear, stretching, manual therapy and therapeutic exercises even by Tai -chi. Objectives: To evaluate the scientific evidence on the conservative treatment of rheumatoid foot with orthotics and therapeutic footwear. Aware of progress and that is the most suitable option for treating this disease that affects the feet. Material and methods: We carried out a literature review of the past 15 years in Pubmed . Results: We found the relationship between pain forefoot metatarsophalangeal subluxation and erosion of articular cartilage with increasing pressure to plantar metatarsal level which justifies conducting orthosis treatment aimed at reducing it. Conservative treatment is aimed at the use of orthoses and shoe therapy to improve pain, gait and functionality. There is scientific evidence for treating metatarsalgia with different types of orthotics that not ...

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Effects of Tai Chi on Lower-Limb Myodynamia in the Elderly People: A Meta-Analysis

Cited by 26 publications

References 15 publications

Low back pain in older adults: risk factors, management options and future directions

Low back pain in older adults: risk factors, management options and future directions

Musculoskeletal conditions of the foot and ankle: Assessments and treatment options

Evidencia científica del tratamiento ortopodológico en pie afectado por artritis reumatoide.

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