OBJECTIVE: To compare the adherence to and effectiveness of Tai Chi exercise program through a live, interactive, telecommunication-based exercise (Tele-ex) with that of a similar program through a community center-based exercise (Comm-ex) and a home video-based exercise (Home-ex) among community-dwelling elders who are at risk for falls. DESIGN: Three groups randomized controlled trial with pretests and posttests. SETTING: Exercise programs were community-based, and the outcome measures were laboratory-based. PARTICIPANTS: Adults (N=64) age 65+ years with positive fall history in the previous year and/or significant fear of falling. INTERVENTION: A 24-form, Yang-style Tai Chi for 15 weeks, 3 hours a week. MAIN OUTCOME MEASURES: Exercise compliance, number of falls, fear of falling (Activities-specific Balance Confidence [ABC] score), self-perceived health (Medical Outcomes Study 36-Item Short Form Health Survey [SF-36]), Timed Up &; Go (TUG), single leg stance (SLS), and body sway during quiet stance (medial-lateral foot center of pressure [ML-COP]). RESULTS: Tele-ex and Comm-ex groups demonstrated significantly higher exercise attendance and in-class practice time than the Home-ex group (P<.01) and significant reductions in the mean number of falls and injurious falls (P<.01). There were significant improvements posttraining in SLS, ABC, ML-COP, and Physical Health subscore of the SF-36 (P<.05). Both Tele-ex and Comm-ex groups demonstrated larger improvements than the Home-ex group in TUG, ML-COP, and the Social Function, Mental Health, and Physical Health subscores of the MOS SF-36. CONCLUSION: Compared with the Home-ex, the Tele-ex and Comm-ex groups are better in exercise compliance, fall reduction and balance and health improvements. Tele-ex is an effective, affordable, and acceptable choice of exercise for elders. Copyright 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
RCT Entities:
OBJECTIVE: To compare the adherence to and effectiveness of Tai Chi exercise program through a live, interactive, telecommunication-based exercise (Tele-ex) with that of a similar program through a community center-based exercise (Comm-ex) and a home video-based exercise (Home-ex) among community-dwelling elders who are at risk for falls. DESIGN: Three groups randomized controlled trial with pretests and posttests. SETTING: Exercise programs were community-based, and the outcome measures were laboratory-based. PARTICIPANTS: Adults (N=64) age 65+ years with positive fall history in the previous year and/or significant fear of falling. INTERVENTION: A 24-form, Yang-style Tai Chi for 15 weeks, 3 hours a week. MAIN OUTCOME MEASURES: Exercise compliance, number of falls, fear of falling (Activities-specific Balance Confidence [ABC] score), self-perceived health (Medical Outcomes Study 36-Item Short Form Health Survey [SF-36]), Timed Up & Go (TUG), single leg stance (SLS), and body sway during quiet stance (medial-lateral foot center of pressure [ML-COP]). RESULTS: Tele-ex and Comm-ex groups demonstrated significantly higher exercise attendance and in-class practice time than the Home-ex group (P<.01) and significant reductions in the mean number of falls and injurious falls (P<.01). There were significant improvements posttraining in SLS, ABC, ML-COP, and Physical Health subscore of the SF-36 (P<.05). Both Tele-ex and Comm-ex groups demonstrated larger improvements than the Home-ex group in TUG, ML-COP, and the Social Function, Mental Health, and Physical Health subscores of the MOS SF-36. CONCLUSION: Compared with the Home-ex, the Tele-ex and Comm-ex groups are better in exercise compliance, fall reduction and balance and health improvements. Tele-ex is an effective, affordable, and acceptable choice of exercise for elders. Copyright 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
Authors: Kim D Jones; Christy A Sherman; Scott D Mist; James W Carson; Robert M Bennett; Fuzhong Li Journal: Clin Rheumatol Date: 2012-05-13 Impact factor: 2.980
Authors: Denise Kendrick; Arun Kumar; Hannah Carpenter; G A Rixt Zijlstra; Dawn A Skelton; Juliette R Cook; Zoe Stevens; Carolyn M Belcher; Deborah Haworth; Sheena J Gawler; Heather Gage; Tahir Masud; Ann Bowling; Mirilee Pearl; Richard W Morris; Steve Iliffe; Kim Delbaere Journal: Cochrane Database Syst Rev Date: 2014-11-28
Authors: Lesley D Gillespie; M Clare Robertson; William J Gillespie; Catherine Sherrington; Simon Gates; Lindy M Clemson; Sarah E Lamb Journal: Cochrane Database Syst Rev Date: 2012-09-12