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Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 2011; 21(04): 199-202
DOI: 10.1055/s-0031-1283130
Wissenschaft und Forschung
Georg Thieme Verlag KG Stuttgart · New York

Zum Einsatz von Tai-Chi in der Sturzprophylaxe bei Senioren

Tai Chi as Intervention to Reduce Falls in Older People
D. Schoene
1   Neuroscience Research, Australia   Falls and Balance Research, Group, Randwick, Sydney, Australia
,
S. Steib
2   Friedrich-Alexander Universität Erlangen-Nürnberg, Institut für Sportwissenschaft und Sport, Erlangen
,
E. Freiberger
2   Friedrich-Alexander Universität Erlangen-Nürnberg, Institut für Sportwissenschaft und Sport, Erlangen
› Author Affiliations
Further Information

Publication History

eingereicht:03 April 2011

angenommen: 15 June 2011

Publication Date:
15 August 2011 (online)

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Zusammenfassung

Stürze im Alter sind eine große Belastung für das Gesundheitssystem. Einige randomisierte und kontrollierte Studien konnten aufzeigen, dass Tai-Chi Interventionen sturzrelevante Outcomes bei selbständig lebenden Senioren reduzieren, nicht jedoch bei Senioren in Pflegeheimen. Die Effekte sind primär auf die Beeinflussung von Komponenten der posturalen Kontrolle zurück zu führen. Die Mindestdauer der Interventionen sollte 3–6 Monate betragen.

Abstract

Falls in older people are a major public health problem. A limited number of randomised controlled trials could show that Tai Chi interventions reduce falls outcomes in independent living older people but not in the institutionalised setting. The effectiveness can primarily be attributed to improvements in postural stability. The minimum duration of interventions should be 3–6 months.

Schlüsselwörter

Tai-Chi - Sturz - Alter - posturale Kontrolle - Dosis-Wirkungs-Beziehung

Key words

Tai Chi - accidental falls - aged - postural stability - dose-response
 

  • Literatur

  • 1 Campbell AJ, Borrie MJ, Spears GF. Risk factors for falls in a community-based prospective study of people 70 years and older. J Gerontol 1989; 44: M112-M117
    CrossrefPubMedGoogle Scholar
  • 2 Rubenstein LZ, Josephson KR, Robbins AS. Falls in the nursing home. Ann Intern Med 1994; 121: 442-451
    PubMedGoogle Scholar
  • 3 Aschkenasy MT, Rothenhaus TC. Trauma and falls in the elderly. Emerg Med Clin North Am 2006; 24: 413-432
    CrossrefPubMedGoogle Scholar
  • 4 Donald IP, Bulpitt CJ. The prognosis of falls in elderly people living at home. Age Ageing 1999; 28: 121-125
    CrossrefPubMedGoogle Scholar
  • 5 Wijlhuizen GJ, de Jong R, Hopman-Rock M. Older persons afraid of falling reduce physical activity to prevent outdoor falls. Prev Med 2007; 44: 260-264
    CrossrefPubMedGoogle Scholar
  • 6 Englander F, Hodson TJ, Terregrossa RA. Economic dimensions of slip and fall injuries. J Forensic Sci 1996; 41: 733-746
    PubMedGoogle Scholar
  • 7 Lord SR, Sherrington C, Menz HB et al. Falls in the Elderly. Risk factors and strategies for prevention. 2nd edition New York: Cambridge University Press; 2007
    CrossrefGoogle Scholar
  • 8 Gillespie LD, Robertson MC, Gillespie WJ et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev 2009; Apr 15; CD007146
    PubMedGoogle Scholar
  • 9 Sherrington C, Whitney JC, Lord SR et al. Effective exercise for the prevention of falls: a systematic review and meta-analysis. J Am Geriatr Soc 2008; 56: 2234-2243
    CrossrefPubMedGoogle Scholar
  • 10 Cameron ID, Murray GR, Gillespie LD et al. Interventions for preventing falls in older people in nursing care facilities and hospitals. Cochrane Database Syst Rev 2010; Jan 20; CD005465
    PubMedGoogle Scholar
  • 11 Wolf SL, Coogler C, Xu T. Exploring the basis for Tai Chi Chuan as a therapeutic exercise approach. Arch Phys Med Rehabil 1997; 78: 886-892
    CrossrefPubMedGoogle Scholar
  • 12 Li F, Harmer P, Fisher KJ et al. Tai Chi and fall reductions in older adults: a randomized controlled trial. J Gerontol A Biol Sci Med Sci 2005; 60: 187-194
    CrossrefPubMedGoogle Scholar
  • 13 Woo J, Hong A, Lau E et al. randomised controlled trial of Tai Chi and resistance exercise on bone health, muscle strength and balance in community-living elderly people. Age Ageing 2007; 36: 262-268
    CrossrefPubMedGoogle Scholar
  • 14 Logghe IH, Zeeuwe PE, Verhagen AP et al. Lack of Tai Chi Chuan in preventing falls in elderly people living at home: A randomized clinical trial. J Am Geriatr Soc 2009; 57: 70-75
    CrossrefPubMedGoogle Scholar
  • 15 Voukelatos A, Cumming RG, Lord SR et al. randomized, controlled trial of tai chi for the prevention of falls: the Central Sydney tai chi trial. J Am Geriatr Soc 2007; 55: 1185-1191
    CrossrefPubMedGoogle Scholar
  • 16 Wolf SL, Barnhart HX, Kutner NG et al. Atlanta FICSIT Group. Reducing frailty and falls in older persons: an investigation of Tai Chi and computerized balance training. Atlanta FICSIT Group. Frailty and Injuries: Cooperative Studies of Intervention Techniques. J Am Geriatr Soc 1996; 44: 489-497
    PubMedGoogle Scholar
  • 17 Logghe IH, Verhagen AP, Rademaker AC et al. Explaining the ineffectiveness of Tai Chi fall prevention training for community-living older people: A process evaluation alongside a randomized clinical trial (RCT). Arch Gerontol Geriatr 2010; in Druck
    PubMedGoogle Scholar
  • 18 Faber MJ, Bosscher RJ, Chin A et al. Effects of exercise programs on falls and mobility in frail and pre-frail older adults: A multicenter randomized controlled trial. Arch Phys Med Rehabil 2006; 87: 885-896
    CrossrefPubMedGoogle Scholar
  • 19 Wolf SL, Sattin RW, Kutner M et al. Intense tai chi exercise training and fall occurrences in older, transitionally frail adults: a randomized, controlled trial. J Am Geriatr Soc 2003; 51: 1693-1701
    CrossrefPubMedGoogle Scholar
  • 20 Lan C, Chen SY, Lai JS. The exercise intensity of Tai Chi Chuan. Med Sport Sci 2008; 52: 12-19
    PubMedGoogle Scholar
  • 21 Wong AM, Lan C. Tai Chi and balance control. Med Sport Sci 2008; 52: 115-123
    PubMedGoogle Scholar
  • 22 Wong AM, Pei YC, Lan C et al. Is Tai Chi Chuan effective in improving lower limb response time to prevent backward falls in the elderly?. Age 2009; 31: 163-170
    CrossrefPubMedGoogle Scholar
  • 23 Hong Y, Li JX. Biomechanics of Tai Chi: A review. Sports Biomech 2007; 6: 453-464
    CrossrefPubMedGoogle Scholar
  • 24 Meyer PF, Oddsson LI, de Luca CJ. Reduced plantar sensitivity alters postural responses to lateral perturbations of balance. Exp Brain Res 2004; 157: 526-536
    PubMedGoogle Scholar
  • 25 Xu D, Hong Y, Li J et al. Effect of Tai Chi exercise on proprioception of ankle and knee joints in old people. B J Sports Med 2004; 38: 50-54
    PubMedGoogle Scholar
  • 26 Audette JF, Jin YS, Newcomer R et al. Tai Chi versus brisk walking in elderly women. Age Ageing 2006; 35: 388-393
    CrossrefPubMedGoogle Scholar
  • 27 Lai JS, Lan C, Wong MK et al. Two-year in cardiorespiratory function among older Tai Chi Chuan practitioners and sendentary subjects. J Am Geriatr Soc 1995; 43: 1222-1227
    PubMedGoogle Scholar
  • 28 Rosengren KS, Christou E, Yang Y et al. Quantification of Taiji learning in older adults. J Am Geriatr Soc 2003; 51: 1186-1187
    CrossrefPubMedGoogle Scholar
  • 29 Mao DW, Hong Y, Li JX. Characteristics of foot movement in Tai Chi exercise. Phys Ther 2006; 86: 215-222
    PubMedGoogle Scholar
  • 30 Gatts S. Neural mechanisms underlying balance control in Tai Chi. Med Sport Sci 2008; 52: 87-103
    PubMedGoogle Scholar
  • 31 Zijlstra GA, van Haastregt JC, van Rossum E et al. Interventions to reduce fear of falling in community-living older people: A systematic review. J Am Geriatr Soc 2007; 55: 603-615
    CrossrefPubMedGoogle Scholar
  • 32 Chou KL, Lee PW, Yu EC et al. Effect of Tai Chi on depressive symptoms amongst chinese patients with depressive disorders: a randomized clinical trial. Int J Geriatr Psychiatry 2004; 19: 1105-1107
    CrossrefPubMedGoogle Scholar
  • 33 Deandrea S, Lucenteforte E, Bravi F et al. Risk factors of falls in community-dwelling older people. A systematic review and meta-analysis. Epidemiology 2010; 21: 658-668
    CrossrefPubMedGoogle Scholar
  • 34 Han A, Robinson V, Judd M et al. Tai Chi for treating rheumatoid arthritis. Cochrane Database Syst Rev 2004; CD004849
    PubMedGoogle Scholar
  • 35 Wu G, Keyes L, Callas P et al. Comparison of telecommunication, community, and home-based Tai Chi exercise programs on compliance and effectiveness in elders at risk for falls. Arch Phys Med Rehabil 2010; 91: 849-856
    CrossrefPubMedGoogle Scholar