The effect of Tai Chi on four chronic conditions—cancer, osteoarthritis, heart failure and chronic obstructive pulmonary disease: a systematic review and meta-analyses

Chen, Yiwen; Hunt, Michael A.; Campbell, Kristin L.; Peill, Kortni; Reid, W. Darlene

doi:10.1136/bjsports-2014-094388

Cited by 94 publications

(80 citation statements)

References 64 publications

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“…Tai Chi is a multi‐component, lower‐intensity Chinese mind‐body exercise that consists of slow, flowing movements and incorporates muscle strengthening, balance, postural training, meditation, and deep breath training. Accumulating evidence supports the role of Tai Chi as an effective therapeutic exercise option for patients with chronic pain and other chronic conditions such as fibromyalgia, cancer, heart failure, and chronic obstructive pulmonary disease [33‐35]. In this study, each Tai Chi class lasted 60 minutes and occurred twice weekly over 12 weeks.…”

Section: Methodsmentioning

confidence: 79%

Dose‐Response Effects of Tai Chi and Physical Therapy Exercise Interventions in Symptomatic Knee Osteoarthritis

Lee

Harvey

Price

et al. 2018

PM&R

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Section: Methodsmentioning

confidence: 79%

Dose‐Response Effects of Tai Chi and Physical Therapy Exercise Interventions in Symptomatic Knee Osteoarthritis

Lee

Harvey

Price

et al. 2018

PM&R

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“…Accumulating evidence supports Tai Chi as an effective therapeutic exercise option for patients with chronic disease 27,28 . In this study, each Tai Chi class lasted 60 minutes and occurred twice weekly over 12 weeks.…”

Section: Methodsmentioning

confidence: 99%

Mindfulness Is Associated With Treatment Response From Nonpharmacologic Exercise Interventions in Knee Osteoarthritis

Lee

Harvey

Price

et al. 2017

Archives of Physical Medicine and Rehabilitation

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Objective To examine the association between baseline mindfulness and response from exercise interventions in knee osteoarthritis (OA). Design Cohort Study; Responder analysis of a clinical trial subset Setting Urban tertiary care academic hospital Participants 86 participants with symptomatic, radiographic knee OA (mean age, 60 years; 74% female; 48% white) Interventions 12 weeks (twice per week) of Tai Chi or Physical Therapy exercise Main Outcome Measure(s) Treatment response was defined using Osteoarthritis Research Society International criteria indicating meaningful improvements in the Western Ontario and McMaster Osteoarthritis Index (WOMAC) pain, function, or Patient Global Assessment scores. At baseline, participants completed the Five Facet Mindfulness Questionnaire (FFMQ; mean total score ±SD: 142±17) and were grouped into three categories of total mindfulness: higher, medium, or lower. Relative risk (RR) ratios were used to compare treatment response across groups. Results Participants with higher total mindfulness appeared to be 38% (95% CI: 1.05, 1.83) more likely to meet responder criteria than those with lower mindfulness. We found no significant difference between medium and lower mindfulness groups (RR=1.0; 95% CI: 0.69, 1.44). Among the 5 mindfulness facets, medium Acting-with–Awareness was 46% (95% CI: 1.09, 1.96) more likely to respond than lower Acting-with–Awareness, and higher Acting-with–Awareness was 34% more likely to respond, but this did not reach significance (95% CI: 0.97, 1.86). Conclusions In this study, higher mindfulness, primarily driven by its Acting-with-Awareness facet, was significantly associated with a greater likelihood of response to non-pharmacological exercise interventions in knee OA. This suggests that mindfulness-cultivating interventions may increase the likelihood of response from exercise.

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“…Systematic reviews have concluded that there is convincing evidence for the positive effects of Tai Chi on fall prevention (Huang, Feng, Li, & Lv, 2017), depressive symptoms (Chi, Jordan-Marsh, Guo, Xie, & Bai, 2013) and cognitive performance (Wayne et al, 2014) among older people. Tendencies to improve physical performance by Tai Chi exercise was found in chronic conditions such as heart failure and chronic obstructive pulmonary disease (Chen, Hunt, Campbell, Peill, & Reid, 2015). Tai Chi has even been found to be a safe form of physical exercise for patients with CHF, without reported side effects (Barrow, Bedford, Ives, O′Toole, & Channer, 2007;Yeh et al, 2004).…”

mentioning

confidence: 99%

A mixed methods study of Tai Chi exercise for patients with chronic heart failure aged 70 years and older

2018

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Aims and objectivesThis study aimed to evaluate Tai Chi group training among patients with chronic heart failure (CHF) aged 70 years and older.BackgroundPhysical activity is recommended for CHF treatment. Tai Chi is found to be beneficial to different patient groups, although few studies focus on older patients with CHF.DesignA mixed methods study. Participants were randomly assigned to Tai Chi training twice a week for 16 weeks (N = 25) or control (N = 20). Quantitative data were collected at baseline, at the end of the training period and 6 months after training, assessing self‐rated fatigue and quality of life, natriuretic peptides and physical performance. Individual qualitative interviews were conducted with participants (N = 10) in the Tai Chi training group.ResultsNo statistical differences between the Tai Chi training group and the control group in quality of life or natriuretic peptides was found. After 16 weeks, the training group tended to rate more reduced activity and the control group rated more mental fatigue. Participants in the training group rated increased general fatigue at follow‐up compared with baseline. Qualitative interviews showed that Tai Chi training was experienced as a new, feasible and meaningful activity. The importance of the leader and the group was emphasized. Improvements in balance were mentioned and there was no physical discomfort.ConclusionTai Chi was experienced as a feasible and meaningful form of physical exercise for patients with CHF aged over 70 years despite lack of achieved health improvement. Further investigations, using feasibility and meaningfulness as outcome variables seems to be useful.

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The effect of Tai Chi on four chronic conditions—cancer, osteoarthritis, heart failure and chronic obstructive pulmonary disease: a systematic review and meta-analyses

Cited by 94 publications

References 64 publications

Dose‐Response Effects of Tai Chi and Physical Therapy Exercise Interventions in Symptomatic Knee Osteoarthritis

Dose‐Response Effects of Tai Chi and Physical Therapy Exercise Interventions in Symptomatic Knee Osteoarthritis

Mindfulness Is Associated With Treatment Response From Nonpharmacologic Exercise Interventions in Knee Osteoarthritis

A mixed methods study of Tai Chi exercise for patients with chronic heart failure aged 70 years and older

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