The effect of supervised Tai Chi intervention compared to a physiotherapy program on fall-related clinical outcomes: a randomized clinical trial
| Autor: | Hélène Corriveau, Pierre-Michel Roy, Michel Tousignant, Nicole Dubuc, Johanne Desrosiers, Réjean Hébert, Audrée Jeanne Beaudoin, Valérie Tremblay-Boudreault |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Canada Poison control Fear of falling law.invention Hospitals University Physical medicine and rehabilitation Randomized controlled trial law Intervention (counseling) medicine Humans Single-Blind Method Gait Geriatric Assessment Postural Balance Physical Therapy Modalities Balance (ability) Aged Self-efficacy Aged 80 and over Psychiatric Status Rating Scales business.industry Rehabilitation Fear Middle Aged Self Efficacy Treatment Outcome Physical therapy Accidental Falls Female Tai Ji medicine.symptom business Fall prevention Follow-Up Studies |
| Zdroj: | Disability and rehabilitation. 34(3) |
| ISSN: | 1464-5165 |
| Popis: | To assess some fall-related clinical variables (balance, gait, fear of falling, functional autonomy, self-actualization and self-efficacy) that might explain the fact that supervised Tai Chi has a better impact on preventing falls compared to a conventional physiotherapy program.The participants (152 older adults over 65 who were admitted to a geriatric day hospital program) were randomly assigned to either a supervised Tai Chi group or the usual physiotherapy. The presence of the clinical variables related to falls was evaluated before the intervention (T1), immediately after (T2), and 12 months after the end of the intervention (T3).Both exercise programs significantly improved fall-related outcomes but only the Tai Chi intervention group decreased the incidence of falls. For both groups, most variables followed the same pattern, i.e. showed significant improvement with the intervention between T1 and T2, and followed by a statistically significant decrease at the T3 evaluation. However, self-efficacy was the only variable that improved solely with the Tai Chi intervention (p = 0.001).The impact of supervised Tai Chi on fall prevention can not be explained by a differential effect on balance, gait and fear of falling. It appeared to be related to an increase of general self-efficacy, a phenomenon which is not seen in the conventional physiotherapy program. |
| Databáze: | OpenAIRE |
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