The Effect of Tai Chi Exercise on Reduction the Risk of Falls in the Elderly: A Literature Review
DOI:
https://doi.org/10.33755/jkk.v8i2.335Keywords:
(Tai Chi, Risk of Falls, Older)Abstract
The risk of falls in the elderly increases with age. Even though there are many complications that occur if the elderly fall, Tai Chi exercise is one of the best fall prevention exercises, compared to other exercise programs that focus on muscle strength.
Aims: This study aims to summarize studies on the effectiveness of Tai Chi Exercises to reduce falls in the elderly.
Methods: a literature review using three databases (Pubmed, Google Scholar, and Sciendirect) for previous studies published from 2017 to 2022. The CASP format PRISMA guidelines and the PICOT framework were used to assess study quality assist in article selection, and define criteria—research inclusion.
Results: A total of 5 articles from 65 studies were included in the review process. The results showed that Tai Chi exercise significantly reduced the risk and fear of falling in the elderly. The gentle and coordinated Tai Chi movements can increase the flexibility of the lower extremities. Conclusion: Tai Chi exercise can be ascertained as an activity for healthy elderly has many benefits, mainly to prevent the risk of falling.
References
Swandari A, Sukma Rahayu P, Qoriapsari A. SENAM TAICHI BERPENGARUH UNTUK MENINGKATKAN KESEIMBANGAN DINAMIS PADA LANJUT USIA Taichi Exercise Effects to Increase Dynamic Balance in Elderly.
Lomas-Vega R, Obrero-Gaitán E, Molina-Ortega FJ, Del-Pino-Casado R. Tai Chi for Risk of Falls. A Meta-analysis. J Am Geriatr Soc. 2017;65(9):2037–43.
Liu YWJ, Tsui CM. A randomized trial comparing Tai Chi with and without cognitive-behavioral intervention (CBI) to reduce fear of falling in community-dwelling elderly people. Arch Gerontol Geriatr [Internet]. 2013;59(2):317–25. Available from: http://dx.doi.org/10.1016/j.archger.2014.05.008
Kumar A, Delbaere K, Zijlstra GAR, Carpenter H, Iliffe S, Masud T, et al. Exercise for reducing fear of falling in older people living in the community: Cochrane systematic review and Meta-Analysis. Age Ageing. 2016;45(3):345–52.
Ni M, Mooney K, Richards L, Balachandran A, Sun M, Harriell K, et al. Comparative impacts of Tai Chi, balance training, and a specially-designed yoga program on balance in older fallers. Arch Phys Med Rehabil [Internet]. 2014;95(9). Available from: http://dx.doi.org/10.1016/j.apmr.2014.04.022
W N. Keperawatan gerontik dan Geriatrik Ed. 3. 3rd ed. Jakarta: EGC; 2012.
Quijoux F, Vienne-Jumeau A, Bertin-Hugault F, Zawieja P, Lefèvre M, Vidal PP, et al. Center of pressure displacement characteristics differentiate fall risk in older people: A systematic review with meta-analysis. Ageing Res Rev. 2020;62(June).
Penn IW, Sung WH, Lin CH, Chuang E, Chuang TY, Lin PH. Effects of individualized Tai-Chi on balance and lower-limb strength in older adults. BMC Geriatr. 2019;19(1):1–8.
Huang ZG, Feng YH, Li YH, Lv CS. BMJ Open Systematic review and meta-analysis: Tai Chi for preventing falls in older adults. BMJ Open. 2017;7(2):1–8.
Yang F, Liu W. Dynamic stability based identification of optimal Tai Chi forms for preventing falls among older adults with knee osteoarthritis. Osteoarthr Cartil Open [Internet]. 2021;3(4):100216. Available from: https://doi.org/10.1016/j.ocarto.2021.100216
Taylor-Piliae RE, Hoke TM, Hepworth JT, Latt LD, Najafi B, Coull BM. Effect of tai chi on physical function, fall rates and quality of life among older stroke survivors. Arch Phys Med Rehabil [Internet]. 2014;95(5):816–24. Available from: http://dx.doi.org/10.1016/j.apmr.2014.01.001
Gallant MP, Tartaglia M, Hardman S, Burke K. Using Tai Chi to Reduce Fall Risk Factors Among Older Adults: An Evaluation of a Community-Based Implementation. J Appl Gerontol. 2019;38(7):983–98.
Hosseini L, Kargozar E, Sharifi F, Negarandeh R, Memari AH, Navab E. Tai Chi Chuan can improve balance and reduce fear of falling in community dwelling older adults: A randomized control trial. J Exerc Rehabil. 2018;14(6):1024–31.
Zacharia S, Taylor EL, Hofford CW, Brittain DR, Branscum PW. The effect of an 8-week tai chi exercise program on physical functional performance in middle-aged women. J Appl Gerontol. 2015;34(5):573–89.
Li F, Harmer P, Glasgow R, Mack KA, Sleet D, Fisher KJ, et al. Translation of an effective Tai Chi intervention into a community-based falls-prevention program. Am J Public Health. 2008;98(7):1195–8.
Fink D, Houston K. Implementing an evidence-based Tai Ji Quan program in a multicultural setting: A pilot dissemination project. J Sport Heal Sci [Internet]. 2014;3(1):27–31. Available from: http://dx.doi.org/10.1016/j.jshs.2013.10.003
Sattin RW, Easley KA, Wolf SL, Chen Y, Kutner MH. Reduction in fear of falling through intense tai chi exercise training in older, transitionally frail adults. J Am Geriatr Soc. 2005;53(7):1168–78.
Logghe IHJ, Verhagen AP, Rademaker ACHJ, Bierma-Zeinstra SMA, van Rossum E, Faber MJ, et al. The effects of Tai Chi on fall prevention, fear of falling and balance in older people: A meta-analysis. Prev Med (Baltim) [Internet]. 2010;51(3–4):222–7. Available from: http://dx.doi.org/10.1016/j.ypmed.2010.06.003
Jeon MY, Jeong HC, Petrofsky J, Lee H, Yim JE. Effects of a randomized controlled recurrent fall prevention program on risk factors for falls in frail elderly living at home in rural communities. Med Sci Monit. 2014;20:2283–91.
Zhao Y, Chung PK, Tong TK. Effectiveness of a balance-focused exercise program for enhancing functional fitness of older adults at risk of falling: A randomised controlled trial. Geriatr Nurs (Minneap) [Internet]. 2017;38(6):491–7. Available from: http://dx.doi.org/10.1016/j.gerinurse.2017.02.011
Birimoglu Okuyan C, Deveci E. The effectiveness of Tai Chi Chuan on fear of movement, prevention of falls, physical activity, and cognitive status in older adults with mild cognitive impairment: A randomized controlled trial. Perspect Psychiatr Care. 2021;57(3):1273–81.
Sungkarat S, Boripuntakul S, Chattipakorn N, Watcharasaksilp K, Lord SR. Effects of Tai Chi on Cognition and Fall Risk in Older Adults with Mild Cognitive Impairment: A Randomized Controlled Trial. J Am Geriatr Soc. 2017;65(4):721–7.
Kooshiar H, Najafi Z, Mazlom SR AA. Comparison of the effects of exhilarating and normal physical activities on the bal_ance and fear of falling in the elderly residing in nursing homes of Mashhad. Evid Based Care J. 2015;5(1):34–46.
Khajavi D, Farokhi A, Jaberi Moghadam A A KA. The impact of a training intervention program on fall-related psy_chological factors among male older adults in Arak. Salmand. 2014;9(1):32.
Mortazavi H, Tabatabaeicher M, Golestani A, Armat M, Yousefi M. The Effect of Tai Chi Exercise on the Risk and Fear of Falling in Older Adults: a Randomized Clinical Trial. Mater Socio Medica. 2018;30(1):38.
Glickman-Simon R. Home-based Tai Chi Chuan May Reduce Fall Rate Compared to Lower Extremity Exercise Training in Older Adults with History of Falls. Explor J Sci Heal [Internet]. 2017;13(1):79–80. Available from: http://dx.doi.org/10.1016/j.explore.2016.10.015