Randomised Controlled Trial Of The Effect Of Tai Chi On Postural Balance Of People With Dementia

Samuel R Nyman,1 Wendy Ingram,2 Jeanette Sanders,2 Peter W Thomas,3 Sarah Thomas,3 Michael Vassallo,4 James Raftery,5 Iram Bibi,1 Yolanda Barrado-Martín1 1Department of Psychology and Ageing & Dementia Research Centre, Faculty of Science and Technology, Bournemouth University, Poo...

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Autores principales:	Nyman SR, Ingram W, Sanders J, Thomas PW, Thomas S, Vassallo M, Raftery J, Bibi I, Barrado-Martín Y
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	accidental falls clinical trial cognitive impairment exercise intervention. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/796e16ade89f446e988036a06baf3f73
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spelling	oai:doaj.org-article:796e16ade89f446e988036a06baf3f732021-12-02T12:03:06ZRandomised Controlled Trial Of The Effect Of Tai Chi On Postural Balance Of People With Dementia1178-1998https://doaj.org/article/796e16ade89f446e988036a06baf3f732019-11-01T00:00:00Zhttps://www.dovepress.com/randomised-controlled-trial-of-the-effect-of-tai-chi-on-postural-balan-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Samuel R Nyman,1 Wendy Ingram,2 Jeanette Sanders,2 Peter W Thomas,3 Sarah Thomas,3 Michael Vassallo,4 James Raftery,5 Iram Bibi,1 Yolanda Barrado-Martín1 1Department of Psychology and Ageing & Dementia Research Centre, Faculty of Science and Technology, Bournemouth University, Poole House, Talbot Campus, Poole, Dorset BH12 5BB, UK; 2Peninsula Clinical Trials Unit, Peninsula Medical School, University of Plymouth, Plymouth, Devon PL4 8AA, UK; 3Bournemouth University Clinical Research Unit, Faculty of Health and Social Sciences, Bournemouth University, Royal London House, Lansdowne Campus, Bournemouth, Dorset BH1 3LT, UK; 4Centre of Postgraduate Medical Research and Education, Faculty of Health and Social Sciences, Bournemouth University, Royal London House, Lansdowne Campus, Bournemouth, Dorset BH1 3LT, UK; 5Faculty of Medicine, University of Southampton, Highfield Campus, Southampton, SO17 1BJ, UKCorrespondence: Samuel R NymanDepartment of Medical Science and Public Health, Faculty of Health and Social Sciences, Bournemouth University, Poole House, Talbot Campus, Poole, Dorset BH12 5BB, UKTel +44 1202 968179Email snyman@bournemouth.ac.ukPurpose: 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].Keywords: accidental falls, clinical trial, cognitive impairment, exercise, interventionNyman SRIngram WSanders JThomas PWThomas SVassallo MRaftery JBibi IBarrado-Martín YDove Medical Pressarticleaccidental fallsclinical trialcognitive impairmentexerciseintervention.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 14, Pp 2017-2029 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	accidental falls clinical trial cognitive impairment exercise intervention. Geriatrics RC952-954.6
spellingShingle	accidental falls clinical trial cognitive impairment exercise intervention. Geriatrics RC952-954.6 Nyman SR Ingram W Sanders J Thomas PW Thomas S Vassallo M Raftery J Bibi I Barrado-Martín Y Randomised Controlled Trial Of The Effect Of Tai Chi On Postural Balance Of People With Dementia
description	Samuel R Nyman,1 Wendy Ingram,2 Jeanette Sanders,2 Peter W Thomas,3 Sarah Thomas,3 Michael Vassallo,4 James Raftery,5 Iram Bibi,1 Yolanda Barrado-Martín1 1Department of Psychology and Ageing & Dementia Research Centre, Faculty of Science and Technology, Bournemouth University, Poole House, Talbot Campus, Poole, Dorset BH12 5BB, UK; 2Peninsula Clinical Trials Unit, Peninsula Medical School, University of Plymouth, Plymouth, Devon PL4 8AA, UK; 3Bournemouth University Clinical Research Unit, Faculty of Health and Social Sciences, Bournemouth University, Royal London House, Lansdowne Campus, Bournemouth, Dorset BH1 3LT, UK; 4Centre of Postgraduate Medical Research and Education, Faculty of Health and Social Sciences, Bournemouth University, Royal London House, Lansdowne Campus, Bournemouth, Dorset BH1 3LT, UK; 5Faculty of Medicine, University of Southampton, Highfield Campus, Southampton, SO17 1BJ, UKCorrespondence: Samuel R NymanDepartment of Medical Science and Public Health, Faculty of Health and Social Sciences, Bournemouth University, Poole House, Talbot Campus, Poole, Dorset BH12 5BB, UKTel +44 1202 968179Email snyman@bournemouth.ac.ukPurpose: 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].Keywords: accidental falls, clinical trial, cognitive impairment, exercise, intervention
format	article
author	Nyman SR Ingram W Sanders J Thomas PW Thomas S Vassallo M Raftery J Bibi I Barrado-Martín Y
author_facet	Nyman SR Ingram W Sanders J Thomas PW Thomas S Vassallo M Raftery J Bibi I Barrado-Martín Y
author_sort	Nyman SR
title	Randomised Controlled Trial Of The Effect Of Tai Chi On Postural Balance Of People With Dementia
title_short	Randomised Controlled Trial Of The Effect Of Tai Chi On Postural Balance Of People With Dementia
title_full	Randomised Controlled Trial Of The Effect Of Tai Chi On Postural Balance Of People With Dementia
title_fullStr	Randomised Controlled Trial Of The Effect Of Tai Chi On Postural Balance Of People With Dementia
title_full_unstemmed	Randomised Controlled Trial Of The Effect Of Tai Chi On Postural Balance Of People With Dementia
title_sort	randomised controlled trial of the effect of tai chi on postural balance of people with dementia
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/796e16ade89f446e988036a06baf3f73
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Randomised Controlled Trial Of The Effect Of Tai Chi On Postural Balance Of People With Dementia

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