Lin, Mau-Roung
(MR Lin, PT, PhD, is Associate Professor, Institute of Injury Prevention and Control, Taipei Medical University, 250 Wu-Hsing St, Taipei 110, Taiwan, Republic of China)
,
Hwang, Hei-Fen
(HF Hwang, RN, MS, is Instructor, Department of Nursing, National Taipei College of Nursing, Taipei, Taiwan, Republic of China.)
,
Wang, Yi-Wei
(YW Wang, MS, is Research Assistant, Institute of Injury Prevention and Control, Taipei Medical University.)
,
Chang, Shu-Hui
(SH Chang, PhD, is Professor, Department of Public Health, School of Public Health, National Taiwan University, Taipei, Taiwan, Republic of China.)
,
Wolf, Steven L
(SL Wolf, PT, PhD, FAPTA, is Professor, Department of Rehabilitation Medicine, School of Medicine, Emory University, Atlanta, Ga.)
AbstractBackground and Purpose. It is important to determine the effect of adherence to a tai chi program on falls and related functional outcomes in older people. This study examined the effect of a community-based tai chi program on injurious falls, balance, gait, and fear of falling among people ...
AbstractBackground and Purpose. It is important to determine the effect of adherence to a tai chi program on falls and related functional outcomes in older people. This study examined the effect of a community-based tai chi program on injurious falls, balance, gait, and fear of falling among people aged 65 years and older in Taiwan. Subjects and Methods. In 6 rural villages in Taichung County, 1,200 subjects participated in the initial assessment. During a 1-year intervention period, all study villages were provided with education on fall prevention. Two villages had been provided tai chi exercise (n=472 participants or “tai chi villagers”), and 4 villages served as control villages (n=728 participants or “control villagers”). Injurious falls were ascertained by telephone interviews every 3 months over a 2-year study period; additionally, balance, gait, and fear of falling were assessed in 2 follow-up assessments. Results. Eighty-eight subjects, 83 from the tai chi villages and 5 from the control villages, participated and practiced in the tai chi program (the group labeled “tai chi practitioners”). After the tai chi program, injurious falls among the control villagers significantly declined by 44% (adjusted rate ratio [RR]=0.56; 95% confidence interval [CI]=0.36-0.92). Compared with the results for the control villagers, the decline was 31% greater (RR=0.69; 95% CI=0.30-1.56) among the tai chi villagers and 50% greater (RR=0.5; 95% CI=0.11-2.17) among the tai chi practitioners; the results did not reach statistical significance. Furthermore, compared with the scores for the control villagers, the scores for the tai chi practitioners increased by 1.8 points (95% CI=0.2-3.4) on the Tinetti Balance Scale and increased by 0.9 point (95% CI=0.1-1.8) on the Tinetti Gait Scale. No significant changes in the fear of falling were detected among the tai chi practitioners, tai chi villagers, and control villagers. Discussion and Conclusion. Tai chi can prevent a decline in functional balance and gait among older people. However, the reduction in injurious falls attained with tai chi did not reach statistical significance; the statistical inefficiency may have resulted partly from the large decline in injurious falls in control villagers. Finally, the unexpected effect of educational intervention on reducing injurious falls in different settings needs to be further examined. on injurious falls, balance, gait, and fear of falling in older people. Phys Ther. 2006;86:1189 -1201.]
AbstractBackground and Purpose. It is important to determine the effect of adherence to a tai chi program on falls and related functional outcomes in older people. This study examined the effect of a community-based tai chi program on injurious falls, balance, gait, and fear of falling among people aged 65 years and older in Taiwan. Subjects and Methods. In 6 rural villages in Taichung County, 1,200 subjects participated in the initial assessment. During a 1-year intervention period, all study villages were provided with education on fall prevention. Two villages had been provided tai chi exercise (n=472 participants or “tai chi villagers”), and 4 villages served as control villages (n=728 participants or “control villagers”). Injurious falls were ascertained by telephone interviews every 3 months over a 2-year study period; additionally, balance, gait, and fear of falling were assessed in 2 follow-up assessments. Results. Eighty-eight subjects, 83 from the tai chi villages and 5 from the control villages, participated and practiced in the tai chi program (the group labeled “tai chi practitioners”). After the tai chi program, injurious falls among the control villagers significantly declined by 44% (adjusted rate ratio [RR]=0.56; 95% confidence interval [CI]=0.36-0.92). Compared with the results for the control villagers, the decline was 31% greater (RR=0.69; 95% CI=0.30-1.56) among the tai chi villagers and 50% greater (RR=0.5; 95% CI=0.11-2.17) among the tai chi practitioners; the results did not reach statistical significance. Furthermore, compared with the scores for the control villagers, the scores for the tai chi practitioners increased by 1.8 points (95% CI=0.2-3.4) on the Tinetti Balance Scale and increased by 0.9 point (95% CI=0.1-1.8) on the Tinetti Gait Scale. No significant changes in the fear of falling were detected among the tai chi practitioners, tai chi villagers, and control villagers. Discussion and Conclusion. Tai chi can prevent a decline in functional balance and gait among older people. However, the reduction in injurious falls attained with tai chi did not reach statistical significance; the statistical inefficiency may have resulted partly from the large decline in injurious falls in control villagers. Finally, the unexpected effect of educational intervention on reducing injurious falls in different settings needs to be further examined. on injurious falls, balance, gait, and fear of falling in older people. Phys Ther. 2006;86:1189 -1201.]
참고문헌 (51)
J Am Geriatr Soc Perry 30 367 1982 10.1111/j.1532-5415.1982.tb02833.x Falls among the elderly: a review of the methods and conclusions of epidemiologic studies
J Gerontol Tinetti 49 M140 1994 10.1093/geronj/49.3.M140 Fear of falling and fall-related efficacy in relationship to functioning among community-living elders
Med Sci Sports Exerc Tsang 35 1962 2003 10.1249/01.MSS.0000099110.17311.A2 Effects of tai chi on joint proprioception and stability limits in elderly subjects
J Am Geriatr Soc Wolf 51 1693 2003 10.1046/j.1532-5415.2003.51552.x Intense tai chi exercise training and fall occurrences in older, transitionally frail adults: a randomized, controlled trial
J Am Geriatr Soc Hartman 48 1553 2000 10.1111/j.1532-5415.2000.tb03863.x Effects of T'ai Chi training on function and quality of life indicators in older adults with osteoarthritis
Can J Appl Sports Sci Zhou 9 7 1984 Cardiorespiratory and metabolic responses during Tai Chi Chuan exercise
J Am Geriatr Soc Lai 43 1222 1995 10.1111/j.1532-5415.1995.tb07397.x Two-year trends in cardiorespiratory function among older Tai Chi Chuan practitioners and sedentary subjects
Arch Phys Med Rehabil Lan 77 612 1996 10.1016/S0003-9993(96)90305-6 Cardiorespiratory function, flexibility, and body composition among geriatric Tai Chi Chuan practitioners
J Am Geriatr Soc Wolfson 44 498 1996 10.1111/j.1532-5415.1996.tb01433.x Balance and strength training in older adults: intervention gains and tai chi maintenance
J Am Geriatr Soc Wu 50 746 2002 10.1046/j.1532-5415.2002.50173.x Evaluation of the effectiveness of tai chi for improving balance and preventing falls in the older population: a review
Taiwan Journal of Public Health Lin 21 73 2002 Risk factors for elderly falls in a rural community of central Taiwan
Clinical Gerontology: A Guide to Assessment and Intervention Sheikh 1986 Geriatric Depression Scale (GDS): recent findings and development of a shorter version
Medical Journal of Changhua Christian Hospital (R.O.C.) Liao 23 11 1995 Geriatric Depression Scale: validity and reliability of the Chinese-translated version-a preliminary study
Arch Intern Med Lyness 157 449 1997 10.1001/archinte.1997.00440250107012 Screening for depression in elderly primary care patients: a comparison of the Center for Epidemiologic Studies-Depression Scale and the Geriatric Depression Scale
J Psychiatr Res Folstein 12 189 1975 10.1016/0022-3956(75)90026-6 Mini-Mental State: a practical method for grading the cognitive state of patients for the clinician
Journal of the Rehabilitation Medical Association (R.O.C.) Guo 16 52 1988 Chinese version and norms of the Mini-Mental State examination
Psychometric Disorders in America: The Epidemiologic Catchment Area Study George 291 1991 Cognitive impairment
J Gerontol Fillenbaum 36 428 1981 10.1093/geronj/36.4.428 The development, validity, and reliability of the OARS multidimensional functional assessment questionnaire
Chinese Journal of Public Health (Taipei) Chiu 16 119 1997 An evaluation of the reliability and validity of the Chinese-version OARS multidimensional functional assessment questionnaire
J Am Geriatr Soc Tinetti 34 119 1986 10.1111/j.1532-5415.1986.tb05480.x Performance-oriented assessment of mobility problems in elderly patients
J Am Geriatr Soc Lin 52 1343 2004 10.1111/j.1532-5415.2004.52366.x Psychometric comparisons of the timed up and go, one-leg stand, functional reach, and Tinetti balance measures in community-dwelling older people
Stat Med Cnaan 16 2349 1997 10.1002/(SICI)1097-0258(19971030)16:20@@ @@3.0.CO;2-E Using the general linear mixed model to analyse unbalanced repeated measures and longitudinal data
Am J Epidemiol Murray 142 569 1995 10.1093/oxfordjournals.aje.a117677 Design and analysis of community trials: lesion from the Minnesota Heart Health Program
Can J Aging Gallagher 15 84 1996 10.1017/S0714980800013301 Head over heels: impact of a health-promotion program to reduce falls in the elderly
Scand J Public Health Suppl Pearson 56 69 2001 Dissecting the “black box” of community intervention: lessons from community-wide cardiovascular disease prevention programs in the US and Sweden
Age Ageing Aminzadeh 29 401 2000 10.1093/ageing/29.5.401 Adherence to recommendations of community-based comprehensive geriatric assessment programs
Can J Public Health Berg 83 S7 1992 Measuring balance in the elderly: validation of an instrument
Phys Ther Di Fabio 77 904 1997 10.1093/ptj/77.9.904 Use of the “fast evaluation of mobility, balance, and fear” in elderly community dwellers: validity and reliability
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