Randomised Controlled Trial Of The Effect Of Tai Chi On Postural Balance Of People With Dementia
dc.contributor.author | Nyman, SR | |
dc.contributor.author | Ingram, Wendy | |
dc.contributor.author | Sanders, Jeanette | |
dc.contributor.author | Thomas, PW | |
dc.contributor.author | Thomas, S | |
dc.contributor.author | Vassallo, M | |
dc.contributor.author | Raftery, J | |
dc.contributor.author | Bibi, I | |
dc.contributor.author | Barrado-Martín, Y | |
dc.date.accessioned | 2020-03-16T13:00:03Z | |
dc.date.issued | 2019-11-19 | |
dc.identifier.issn | 1176-9092 | |
dc.identifier.issn | 1178-1998 | |
dc.identifier.uri | http://hdl.handle.net/10026.1/15457 | |
dc.description.abstract |
PURPOSE: To investigate the effect of Tai Chi exercise on postural balance among people with dementia (PWD) and the feasibility of a definitive trial on falls prevention. PATIENTS AND METHODS: Dyads, comprising community-dwelling PWD and their informal carer (N=85), were randomised to usual care (n=43) or usual care plus weekly Tai Chi classes and home practice for 20 weeks (n=42). The primary outcome was the timed up and go test. All outcomes for PWD and their carers were assessed six months post-baseline, except for falls, which were collected prospectively over the six-month follow-up period. RESULTS: For PWD, there was no significant difference at follow-up on the timed up and go test (mean difference [MD] = 0.82, 95% confidence interval [CI] = -2.17, 3.81). At follow-up, PWD in the Tai Chi group had significantly higher quality of life (MD = 0.051, 95% CI = 0.002, 0.100, standardised effect size [ES] = 0.51) and a significantly lower rate of falls (rate ratio = 0.35, 95% CI =0.15, 0.81), which was no longer significant when an outlier was removed. Carers in the Tai Chi group at follow-up were significantly worse on the timed up and go test (MD = 1.83, 95% CI = 0.12, 3.53, ES = 0.61). The remaining secondary outcomes were not significant. No serious adverse events were related to participation in Tai Chi. CONCLUSION: With refinement, this Tai Chi intervention has potential to reduce the incidence of falls and improve quality of life among community-dwelling PWD [Trial registration: NCT02864056]. | |
dc.format.extent | 2017-2029 | |
dc.format.medium | Electronic-eCollection | |
dc.language | en | |
dc.language.iso | en | |
dc.publisher | Dove Medical Press | |
dc.subject | accidental falls | |
dc.subject | clinical trial | |
dc.subject | cognitive impairment | |
dc.subject | exercise | |
dc.subject | intervention | |
dc.subject | Accidental Falls | |
dc.subject | Aged | |
dc.subject | Aged, 80 and over | |
dc.subject | Dementia | |
dc.subject | Exercise | |
dc.subject | Female | |
dc.subject | Humans | |
dc.subject | Independent Living | |
dc.subject | Male | |
dc.subject | Postural Balance | |
dc.subject | Quality of Life | |
dc.subject | Tai Ji | |
dc.subject | Time and Motion Studies | |
dc.title | Randomised Controlled Trial Of The Effect Of Tai Chi On Postural Balance Of People With Dementia | |
dc.type | journal-article | |
dc.type | Journal Article | |
dc.type | Randomized Controlled Trial | |
plymouth.author-url | https://www.ncbi.nlm.nih.gov/pubmed/31819385 | |
plymouth.volume | Volume 14 | |
plymouth.publication-status | Published online | |
plymouth.journal | Clinical Interventions in Aging | |
dc.identifier.doi | 10.2147/cia.s228931 | |
plymouth.organisational-group | /Plymouth | |
plymouth.organisational-group | /Plymouth/Faculty of Health | |
plymouth.organisational-group | /Plymouth/Faculty of Health/Peninsula Medical School | |
plymouth.organisational-group | /Plymouth/Research Groups | |
plymouth.organisational-group | /Plymouth/Research Groups/Institute of Health and Community | |
plymouth.organisational-group | /Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED) | |
plymouth.organisational-group | /Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)/CCT&PS | |
plymouth.organisational-group | /Plymouth/Users by role | |
plymouth.organisational-group | /Plymouth/Users by role/Academics | |
dc.publisher.place | New Zealand | |
dcterms.dateAccepted | 2019-09-26 | |
dc.rights.embargodate | 2020-3-17 | |
dc.identifier.eissn | 1178-1998 | |
dc.rights.embargoperiod | Not known | |
rioxxterms.versionofrecord | 10.2147/cia.s228931 | |
rioxxterms.licenseref.uri | http://www.rioxx.net/licenses/all-rights-reserved | |
rioxxterms.licenseref.startdate | 2019-11-19 | |
rioxxterms.type | Journal Article/Review |