Clinical trial NCT06046911: Effects of Tai Chi on Postural Balance and Quality of Life in the Elderly With Gait Disorder
Official title: Effects of Tai Chi on Postural Balance and Quality of Life Among Elderly With Gait Disorders in China
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Gait Disorder
Postural Balance
Keywords: Tai Chi
Balance
Gait
Quality of life
Muscle strength
Lead sponsor: Universiti Putra Malaysia
Sponsor class: OTHER
First posted: 2023-09-21
Enrollment: 50
Sex: ALL
Minimum age (years): 60
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: In this experiment, the experimental group will practice Yang Style Tai Chi.The control group will be the daily activity group, maintaining daily activities such as walking. There are males and females in each parallel group.
Primary purpose: BASIC_SCIENCE

Brief summary: The goal of this intervention study was to test balance ability and quality of life in older adults with gait problems. The main questions it aims to answer are: 1. Can the balance ability of elderly people with gait disorders be improved through Tai Chi intervention? 2. Whether Tai Chi intervention can improve the quality of life of elderly people with gait disorders.

Participants will be divided into an experimental group and a control group. The experimental group will undergo 12 weeks of Tai Chi intervention, while the control group will maintain daily habits, including simple walking or stretching activities.

Detailed description: The inclusion criteria for potential participants were as follows:

Age ≥ 60 years old Have mild gait problems Can walk independently No Tai Chi training experience or exercise habits

The exclusion criteria for potential participants were as follows:

Age \<60 years old No obvious problems with gait walking with tools Have experience in Tai Chi intervention within three months hearing loss

Outcomes measured: balance, gait, muscle strength, mobility, fall rate, quality of life.

Eligibility criteria: Inclusion Criteria:

* Age ≥ 60 years old Have mild gait problems Can walk independently No Tai Chi training experience or exercise habits

Exclusion Criteria:

* Age \<60 years old No obvious problems with gait walking with tools Have experience in Tai Chi intervention within three months hearing loss

Primary outcomes:
measure: Effects of 12 weeks of Tai Chi intervention on balance ability in the elderly
timeFrame: The balance ability of the elderly was tested before the intervention, after 6 weeks of intervention, and at 12 weeks
measure: Effects of 12 weeks of Tai Chi intervention on gait speed of the elderly
timeFrame: The gait speed of the elderly was tested before the intervention, after 6 weeks of intervention, and at 12 weeks
measure: Effects of 12 weeks of Tai Chi intervention on gait skills
timeFrame: The gait skills of the elderly were tested before the intervention and at 6 and 12 weeks after the intervention
measure: Effects of 12-week Tai Chi intervention on mobility of the elderly
timeFrame: The Mobility of the elderly was tested before the intervention, after 6 weeks of intervention, and at 12 weeks
measure: Effects of 12 weeks of Tai Chi intervention on upper limb muscle strength in the elderly
timeFrame: The upper limb muscle strength of the elderly was tested before the intervention, after 6 weeks of intervention, and at 12 weeks
measure: Effects of 12 weeks of Tai Chi intervention on lower limb muscle strength in the elderly
timeFrame: The lower limb muscle strength of the elderly was tested before the intervention, after 6 weeks of intervention, and at 12 weeks
measure: Effect of 12-week Tai Chi intervention on fall risk in the elderly
timeFrame: The Fall risk of the elderly was tested before the intervention, after 6 weeks of intervention, and at 12 weeks
measure: Effects of 12-week Tai Chi intervention on the quality of life of the elderly
timeFrame: The Quality of life of the elderly was tested before the intervention, after 6 weeks of intervention, and at 12 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Taiyuan
country: China
facility: Binhe Sports Center
state: Shanxi
Study officials:
affiliation: Universiti Putra Malaysia
name: Fan Xu
role: PRINCIPAL_INVESTIGATOR
References:
citation: Borowicz A, Zasadzka E, Gaczkowska A, Gawlowska O, Pawlaczyk M. Assessing gait and balance impairment in elderly residents of nursing homes. J Phys Ther Sci. 2016 Sep;28(9):2486-2490. doi: 10.1589/jpts.28.2486. Epub 2016 Sep 29.
citation: Chang JH, Koo M, Wu SW, Chen CY. Effects of a 12-week program of Tai Chi exercise on the kidney disease quality of life and physical functioning of patients with end-stage renal disease on hemodialysis. Complement Ther Med. 2017 Feb;30:79-83. doi: 10.1016/j.ctim.2016.12.002. Epub 2016 Dec 7.
citation: Taylor-Piliae RE, Haskell WL, Waters CM, Froelicher ES. Change in perceived psychosocial status following a 12-week Tai Chi exercise programme. J Adv Nurs. 2006 May;54(3):313-29. doi: 10.1111/j.1365-2648.2006.03809.x.
citation: Huang SL, Hsieh CL, Wu RM, Tai CH, Lin CH, Lu WS. Minimal detectable change of the timed "up & go" test and the dynamic gait index in people with Parkinson disease. Phys Ther. 2011 Jan;91(1):114-21. doi: 10.2522/ptj.20090126. Epub 2010 Oct 14.
citation: Ke XH, Huang DB, Li YY, Li XM, Guo JH, Guo MM, Yu SX, Ma SC, Jiang C, Lin ZH. Effects of 12 weeks of Tai Chi Chuan intervention on the postural stability and self-reported instability in subjects with functional ankle instability: Study protocol for a randomized controlled trial. Front Neurol. 2022 Sep 21;13:923669. doi: 10.3389/fneur.2022.923669. eCollection 2022.
citation: Perez-Cruzado D, Gonzalez-Sanchez M, Cuesta-Vargas AI. Parameterization and reliability of single-leg balance test assessed with inertial sensors in stroke survivors: a cross-sectional study. Biomed Eng Online. 2014 Aug 30;13:127. doi: 10.1186/1475-925X-13-127.
citation: Soke F, Demirkaya S, Gulsen C, Yavuz N, Karakoc S, Ozcan Gulsen E, Yilmaz O, Kocer B, Kurtulus Aydin F, Yucesan C. The figure-of-eight walk test is a reliable and valid test for assessing walking skill in people with multiple sclerosis. Mult Scler Relat Disord. 2022 Nov;67:104099. doi: 10.1016/j.msard.2022.104099. Epub 2022 Aug 9.
citation: 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. 2014 May;95(5):816-24. doi: 10.1016/j.apmr.2014.01.001. Epub 2014 Jan 17.