Tai Chi may not reduce fall risk in elderly

As CMA practitioners have had the spotlight of the internet shined upon them, one of the tenets of their training beliefs asserted is the superior health benefits of their methodology. The reality may not be the case, however, as the following story suggests.

Still, a single study should never be used as definitive proof of anything, especially when pulled out of a larger context. It does, however, underscore what many believe is a duty by the CMA community to constantly reexamine the health claims of CMA training with an objective set of criteria.

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NEW YORK (Reuters Health) - Traditional Chinese balance and mobility exercise training does not appear to reduce the risk of falls among home-living elderly at high risk of falling, according to a study from the Netherlands.

“It is not enough to practice Tai Chi for a short period to prevent falls in the future,” Inge H. J. Logghe, of Erasmus MC University Medical Center, in Rotterdam, told Reuters Health.

Over a 12-month period, elderly men and women who took Tai Chi Chuan training recorded a total of 115 falls, while the men and women who did not train in Tai Chi Chuan recorded 90 falls, Logghe and colleagues report in the Journal of the American Geriatrics Society.

Tai Chi Chuan potentially improves balance by training people to perform a series of positions in a slow, flowing manner, but previous studies of its usefulness in preventing falls had provided mixed results.

Thus, Logghe’s team randomly assigned 131 elders to a control group that received “usual” care and another 138 elders to participate in Tai Chi Chuan training for 1 hour, twice weekly for 13 weeks.

The participants were 77 years old on average, and 71 percent female. They all lived at home, and had disturbed balance, dizziness, mobility problems, or were on medications that placed them a high risk for falling.

The investigators tallied the elders’ daily calendar records of whether or not they had fallen over the course of the study and, as noted, found there were more falls among the Tai Chi participants.

Moreover, Logghe reported “a trend of higher fall risk in the elderly who participated in the Tai Chi training,” when she and colleagues specifically assessed falls among the 61 percent of participants who had fallen at least once during the year prior to study enrollment.

The investigators also found no between group differences in balance, fear of falling, physical activity level, or functional status, further suggesting Tai Chi Chuan is limited in preventing falls among home-living elderly at high risk for falling.

SOURCE: Journal of the American Geriatrics Society, January 2009.
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Original article at:
http://www.reuters.com/article/healthNews/idUSTRE50R77S20090128

All Taiji is not created equal.

Why did they specifically pick those who “lived at home, and had disturbed balance, dizziness, mobility problems, or were on medications that placed them a high risk for falling”?

I genuinely would like to see a similar study with healthier geezers in addition, though as-is this is sufficient to undercut bad science/health claims.

This is just yet another case of looking for the “magic answer” or like Mr. Tripp said in another thread “the dream”

Taiji isn’t a magical cure all. Its just a tool, that if done properly has health benefits.

damn straight.

plus as we all know, the only real protection for those old folks is to make sure that they give a red envelope to the lion at new years to bring them good luck all year.

taiji? that’s just a bunch of silly superstition. lion dance has the r34l luck.

There was a study done (maybe posted somewhere on bullshido) that touted the benefits of taiji and the elderly in a positive light. I can’t remember if they used similar subjects.

Naturally, if they did, you try to recreate the same scenario.

I’ll see if I can find the thread or the original article.

I would love to see old white people doing a lion dance.

while i was just joking around about lion dance, there is some truth to what i said.

i didn’t mean that the old people should be doing lion dance. i meant that deep down, many of them believe that the act of giving a red envelope to the lion will bring them good luck for the coming year. touching the lion, will, in their minds, bring them extra luck as well.

whether or not the lion can actually bring luck is completely immaterial. if these people believe that it will, then they will have a more positive outlook, and that has been shown to help with general health. it’s like a placebo, in essence.

up until a couple years ago, we would go to the chinatown senior citizens banquet and go from table to table with the lion. knowing that i was contributing to the positive attitude of these people was a big part of why i volunteer my time for such events. unfortunately our group no longer does that banquet (long story, not worth going into here.)

does this have anything to do with slipping and falling? no, sorry. it’s more about old folks health in general. but since i have a lion dance this sunday, and next friday, i have lion on the brain right now.

Fixed.

That’s cool, but I still want to see them do the lion dance.

You’re right, that’s what I meant to say.

That is my first thought whenever there is a study on the effects of taiji… Not just good or bad, but different characteristics altogether.

Also, this study focuses on a certain population and there is a certain methodology, etc.

One of the major problems is not with the studies themselves, but the reporting. If something sounds remotely positive, then it gets played up and vice versa.

LOL. Should teach 'em to sprawl. Only way to stop takedowns!

They need Judo, since they’re gonna fall anyways.

again, something I want to see. An elderly person doing ukemi after falling down the stairs.

Maybe some sort of Iron Shirt would be good for that.

This is really turning into a great sitcom.

I say doing Tai Chi would be better for an elderly person then being completely inactive. While judo ukemi would probably be beneficial it would not be feasible to teach it to an 80 year old woman with osteoporosis.

I wonder if the taiji instructor gave them any insight into the mechanics of balance ( for instance, the relationship of the six co-ordination points to the vertical axis )? Or if they were just taught a ten-or-twelve posture form?

Flawed study is flawed.
I mean 1 hour? Seriously…
The warm-ups and stretching alone takes 40 minutes at least!

The informal group in my nearby park does two hours 6am - 8am, and on weekends 7 am - 11am which includes an hour of pushing hands practice.