The management of behavioural and psychological symptoms of dementia in residential homes: Does Tai Chi have any role for people with dementia?

Tadros, George; Ormerod, Sara; Dobson-Smyth, Penny; Gallon, Mark; Doherty, Donna; Carryer, Angela; Oyebode, Jan R.; Kingston, Paul

doi:10.1177/1471301211422769

Cited by 12 publications

(9 citation statements)

References 38 publications

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“…Tai Chi is an ancient form of Chinese mind–body exercise, where participants carry out smooth and continuous body movements along with deep breathing and mental concentration;12 equivalent to moderate-intensity exercise and quiet meditation 13. This form of exercise is particularly suited for PWD with its use of slow and repetitive movements 14. Tai Chi has been found to provide numerous health benefits,15 though most of the relevant research to date has focused on balance outcomes among healthy older people 16…”

Section: Introductionmentioning

confidence: 99%

<p>Randomised Controlled Trial Of The Effect Of Tai Chi On Postural Balance Of People With Dementia</p>

Nyman¹,

Ingram²,

Sanders³

et al. 2019

CIA

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PurposeTo investigate the effect of Tai Chi exercise on postural balance among people with dementia (PWD) and the feasibility of a definitive trial on falls prevention.Patients and methodsDyads, comprising community-dwelling PWD and their informal carer (N=85), were randomised to usual care (n=43) or usual care plus weekly Tai Chi classes and home practice for 20 weeks (n=42). The primary outcome was the timed up and go test. All outcomes for PWD and their carers were assessed six months post-baseline, except for falls, which were collected prospectively over the six-month follow-up period.ResultsFor PWD, there was no significant difference at follow-up on the timed up and go test (mean difference [MD] = 0.82, 95% confidence interval [CI] = −2.17, 3.81). At follow-up, PWD in the Tai Chi group had significantly higher quality of life (MD = 0.051, 95% CI = 0.002, 0.100, standardised effect size [ES] = 0.51) and a significantly lower rate of falls (rate ratio = 0.35, 95% CI =0.15, 0.81), which was no longer significant when an outlier was removed. Carers in the Tai Chi group at follow-up were significantly worse on the timed up and go test (MD = 1.83, 95% CI = 0.12, 3.53, ES = 0.61). The remaining secondary outcomes were not significant. No serious adverse events were related to participation in Tai Chi.ConclusionWith refinement, this Tai Chi intervention has potential to reduce the incidence of falls and improve quality of life among community-dwelling PWD [Trial registration: NCT02864056].

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Section: Introductionmentioning

confidence: 99%

<p>Randomised Controlled Trial Of The Effect Of Tai Chi On Postural Balance Of People With Dementia</p>

Nyman¹,

Ingram²,

Sanders³

et al. 2019

CIA

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“…In addition, the mirroring of movements allows for constant visual feedback. 17 The literature suggests using easy-to-follow, tai chi-like exercise rather than traditional tai chi practice for people with dementia. 14 This pilot study therefore used simplified TCQ as an exercise aiming to investigate its preliminary effects on night-time sleep in older adults with cognitive impairment.…”

Section: Introductionmentioning

confidence: 99%

Tai chi qigong as a means to improve night-time sleep quality among older adults with cognitive impairment: a pilot randomized controlled trial

Chan¹,

Yu²,

Choi³

et al. 2016

CIA

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PurposeAge-related cognitivee decline is a growing public health concern worldwide. More than a quarter of adults with cognitive impairment experience sleep disturbance. The objective of this pilot study was to evaluate the preliminary effects of tai chi qigong (TCQ) on improving the night-time sleep quality of older adults with cognitive impairment.ParticipantsOlder adults with cognitive impairment who complain of sleep disturbance.MethodsA randomized controlled trial with two groups. Fifty-two subjects were recruited from two district elderly community centers and randomly assigned to either the TCQ group (n=27) or the control group (n=25). The intervention group received TCQ training consisting of two 60-minute sessions each week for 2 months. The control group was advised to maintain their usual activities. Sleep quality was measured by the Chinese Pittsburgh Sleep Quality Index. Quality of life was measured by Short-form 12, cognitive functions measured by mini-mental state examination, and subjective memory deficits measured by the memory inventory for Chinese.ResultsData were collected at baseline, 2 months, and 6 months. Significant results were noted at 6 months in the Chinese Pittsburgh Sleep Quality Index global score (P=0.004), sleep duration (P=0.003), habitual sleep efficiency (P=0.002), and the Short-form 12 mental health component (P<0.001). The TCQ participants reported better sleep quality and a better (quality of life) mental health component than the control group.ConclusionTCQ can be considered a useful nonpharmacological approach for improving sleep quality in older adults with cognitive impairment.Clinical trial registrationCUHK_CCT00448 (https://www2.ccrb.cuhk.edu.hk/registry/public/287).

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“…13 This form of exercise is particularly suited for PWD with its use of slow and repetitive movements. 14 Tai Chi has been found to provide numerous health benefits, 15 though most of the relevant research to date has focused on balance outcomes among healthy older people. 16 We conducted a trial to test the effect of Tai Chi on improving postural balance among PWD.…”

Section: Introductionmentioning

confidence: 99%

89 Randomised Controlled Trial of the Effect of Tai Chi on Postural Balance of People with Dementia

et al. 2019

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Introduction We investigated the effect of Tai Chi exercise on postural balance among people with dementia (PWD), and the feasibility of a definitive trial on falls prevention. Method We conducted a randomised controlled trial. Dyads, comprising community-dwelling PWD and their informal carer (N=85), were randomised to usual care (n=43) or usual care plus the intervention (n=42). For the intervention, over 20 weeks, Tai Chi classes were provided weekly and Tai Chi home practice was facilitated by the carer. The primary outcome was the timed up and go test. Secondary outcomes for PWD included functional balance, static balance, fear of falling, cognitive functioning, quality of life, and falls. Secondary outcomes for carers included dynamic balance, static balance, quality of life, and carer burden. Outcomes were assessed six months post-baseline, except for falls, which were collected prospectively over the six-month follow-up period. Results For PWD, there was no significant difference at follow-up on the timed up and go test (mean difference [MD] = 0.82, 95% confidence interval [CI] = -2.17, 3.81, standardised effect size [ES] = 0.14). Among the secondary outcomes, at follow-up, PWD in the Tai Chi group had significantly higher quality of life (MD = 0.051, 95% CI = 0.002, 0.100, ES = 0.51) and a significantly lower rate of falls (rate ratio = 0.35, 95% CI =0.15, 0.81), which was no longer significant when an outlier was removed. Carers in the Tai Chi group at follow-up were significantly worse on the timed up and go test (MD = 1.83, 95% CI = 0.12, 3.53, ES = 0.61). The remaining secondary outcomes were not significant. No serious adverse events were related to participation in Tai Chi. Conclusion With refinement, this Tai Chi intervention has potential to reduce the incidence of falls and improve quality of life among community-dwelling PWD.

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The management of behavioural and psychological symptoms of dementia in residential homes: Does Tai Chi have any role for people with dementia?

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Cited by 12 publications

References 38 publications

<p>Randomised Controlled Trial Of The Effect Of Tai Chi On Postural Balance Of People With Dementia</p>

<p>Randomised Controlled Trial Of The Effect Of Tai Chi On Postural Balance Of People With Dementia</p>

Tai chi qigong as a means to improve night-time sleep quality among older adults with cognitive impairment: a pilot randomized controlled trial

89 Randomised Controlled Trial of the Effect of Tai Chi on Postural Balance of People with Dementia

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