Effects of 12 weeks of Tai Chi on neuromuscular responses and postural control in elderly patients with sarcopenia: a randomized controlled trial
ObjectiveTo explore the effect of 12 weeks of Tai Chi on neuromuscular responses and postural control in elderly patients with sarcopenia.MethodsOne hundred and twenty-four elderly patients with sarcopenia from ZheJiang Hospital and surrounding communities were selected, however, 64 were later disqu...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-04-01
|
| Series: | Frontiers in Neurology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1167957/full |
| _version_ | 1827957926332989440 |
|---|---|
| author | Dunbing Huang Xiaohua Ke Cai Jiang Cai Jiang Cai Jiang Wei Song Jing Feng Huiting Zhou Rui Zhang Anren Zhang Fujun Lan |
| author_facet | Dunbing Huang Xiaohua Ke Cai Jiang Cai Jiang Cai Jiang Wei Song Jing Feng Huiting Zhou Rui Zhang Anren Zhang Fujun Lan |
| author_sort | Dunbing Huang |
| collection | DOAJ |
| description | ObjectiveTo explore the effect of 12 weeks of Tai Chi on neuromuscular responses and postural control in elderly patients with sarcopenia.MethodsOne hundred and twenty-four elderly patients with sarcopenia from ZheJiang Hospital and surrounding communities were selected, however, 64 were later disqualified. Sixty elderly patients with sarcopenia were randomly assigned to the Tai Chi group (n = 30) and the control group (n = 30). Both groups received 45-min health education sessions once every 2 weeks for 12 weeks, and the Tai Chi group engaged in 40-min simplified eight-style Tai Chi exercise sessions 3 times per week for 12 weeks. Two assessors who had received professional training and were unaware of the intervention allocation assessed the subjects within 3 days prior to the intervention and within 3 days after completion of the intervention. They chose the unstable platform provided by the dynamic stability test module in ProKin 254 to evaluate the patient’s postural control ability. Meanwhile, surface EMG was utilized to assess the neuromuscular response during this period.ResultsAfter 12 weeks of intervention, the Tai Chi group showed a significant decrease in neuromuscular response times of the rectus femoris, semitendinosus, anterior tibialis, and gastrocnemius and overall stability index (OSI) compared to before the intervention (p < 0.05), while there was no significant difference in the control group for these indicators before and after intervention (p > 0.05). In addition, these indicators in the Tai Chi group were significantly lower than those in the control group (p < 0.05). The changes in neuromuscular response times of the rectus femoris, semitendinosus, anterior tibialis, and gastrocnemius were positively correlated with the changes in OSI (p < 0.05) in the Tai Chi group, but there were no significant correlations between changes in neuromuscular response times of the aforementioned muscles and changes in OSI in the control group (p < 0.05).ConclusionTwelve-weeks of Tai Chi exercise can improve the neuromuscular response of the lower extremities in elderly patients with sarcopenia, shorten their neuromuscular response time when balance is endangered, enhance their dynamic posture control ability, and ultimately reduce the risk of falls. |
| first_indexed | 2024-04-09T15:28:42Z |
| format | Article |
| id | doaj.art-136b4eef1fab4553a94dc563bccf007a |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-09T15:28:42Z |
| publishDate | 2023-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-136b4eef1fab4553a94dc563bccf007a2023-04-28T10:19:06ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-04-011410.3389/fneur.2023.11679571167957Effects of 12 weeks of Tai Chi on neuromuscular responses and postural control in elderly patients with sarcopenia: a randomized controlled trialDunbing Huang0Xiaohua Ke1Cai Jiang2Cai Jiang3Cai Jiang4Wei Song5Jing Feng6Huiting Zhou7Rui Zhang8Anren Zhang9Fujun Lan10Department of Rehabilitation Medicine, Shanghai Fourth People’s Hospital, School of Medicine, Tongji University, Shanghai, ChinaDepartment of Rehabilitation Medicine, Shanghai Fourth People’s Hospital, School of Medicine, Tongji University, Shanghai, ChinaShengli Clinical Medical College, Fujian Medical University, Fuzhou, ChinaThe Second Rehabilitation Department, Fujian Provincial Hospital, Fuzhou, ChinaFujian Institute of Clinical Geriatric, Fujian Provincial Hospital, Fuzhou, ChinaDepartment of Rehabilitation Medicine, Shanghai Fourth People’s Hospital, School of Medicine, Tongji University, Shanghai, ChinaDepartment of Rehabilitation Medicine, Shanghai Fourth People’s Hospital, School of Medicine, Tongji University, Shanghai, ChinaDepartment of Rehabilitation Medicine, Zhejiang Hospital, Hangzhou, ChinaDepartment of Rehabilitation Medicine, Zhejiang Hospital, Hangzhou, ChinaDepartment of Rehabilitation Medicine, Shanghai Fourth People’s Hospital, School of Medicine, Tongji University, Shanghai, ChinaDepartment of Neurosurgery, Zhejiang Hospital, Hangzhou, ChinaObjectiveTo explore the effect of 12 weeks of Tai Chi on neuromuscular responses and postural control in elderly patients with sarcopenia.MethodsOne hundred and twenty-four elderly patients with sarcopenia from ZheJiang Hospital and surrounding communities were selected, however, 64 were later disqualified. Sixty elderly patients with sarcopenia were randomly assigned to the Tai Chi group (n = 30) and the control group (n = 30). Both groups received 45-min health education sessions once every 2 weeks for 12 weeks, and the Tai Chi group engaged in 40-min simplified eight-style Tai Chi exercise sessions 3 times per week for 12 weeks. Two assessors who had received professional training and were unaware of the intervention allocation assessed the subjects within 3 days prior to the intervention and within 3 days after completion of the intervention. They chose the unstable platform provided by the dynamic stability test module in ProKin 254 to evaluate the patient’s postural control ability. Meanwhile, surface EMG was utilized to assess the neuromuscular response during this period.ResultsAfter 12 weeks of intervention, the Tai Chi group showed a significant decrease in neuromuscular response times of the rectus femoris, semitendinosus, anterior tibialis, and gastrocnemius and overall stability index (OSI) compared to before the intervention (p < 0.05), while there was no significant difference in the control group for these indicators before and after intervention (p > 0.05). In addition, these indicators in the Tai Chi group were significantly lower than those in the control group (p < 0.05). The changes in neuromuscular response times of the rectus femoris, semitendinosus, anterior tibialis, and gastrocnemius were positively correlated with the changes in OSI (p < 0.05) in the Tai Chi group, but there were no significant correlations between changes in neuromuscular response times of the aforementioned muscles and changes in OSI in the control group (p < 0.05).ConclusionTwelve-weeks of Tai Chi exercise can improve the neuromuscular response of the lower extremities in elderly patients with sarcopenia, shorten their neuromuscular response time when balance is endangered, enhance their dynamic posture control ability, and ultimately reduce the risk of falls.https://www.frontiersin.org/articles/10.3389/fneur.2023.1167957/fullTai Chineuromuscular responsespostural controlelderly patientssarcopenia |
| spellingShingle | Dunbing Huang Xiaohua Ke Cai Jiang Cai Jiang Cai Jiang Wei Song Jing Feng Huiting Zhou Rui Zhang Anren Zhang Fujun Lan Effects of 12 weeks of Tai Chi on neuromuscular responses and postural control in elderly patients with sarcopenia: a randomized controlled trial Frontiers in Neurology Tai Chi neuromuscular responses postural control elderly patients sarcopenia |
| title | Effects of 12 weeks of Tai Chi on neuromuscular responses and postural control in elderly patients with sarcopenia: a randomized controlled trial |
| title_full | Effects of 12 weeks of Tai Chi on neuromuscular responses and postural control in elderly patients with sarcopenia: a randomized controlled trial |
| title_fullStr | Effects of 12 weeks of Tai Chi on neuromuscular responses and postural control in elderly patients with sarcopenia: a randomized controlled trial |
| title_full_unstemmed | Effects of 12 weeks of Tai Chi on neuromuscular responses and postural control in elderly patients with sarcopenia: a randomized controlled trial |
| title_short | Effects of 12 weeks of Tai Chi on neuromuscular responses and postural control in elderly patients with sarcopenia: a randomized controlled trial |
| title_sort | effects of 12 weeks of tai chi on neuromuscular responses and postural control in elderly patients with sarcopenia a randomized controlled trial |
| topic | Tai Chi neuromuscular responses postural control elderly patients sarcopenia |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1167957/full |
| work_keys_str_mv | AT dunbinghuang effectsof12weeksoftaichionneuromuscularresponsesandposturalcontrolinelderlypatientswithsarcopeniaarandomizedcontrolledtrial AT xiaohuake effectsof12weeksoftaichionneuromuscularresponsesandposturalcontrolinelderlypatientswithsarcopeniaarandomizedcontrolledtrial AT caijiang effectsof12weeksoftaichionneuromuscularresponsesandposturalcontrolinelderlypatientswithsarcopeniaarandomizedcontrolledtrial AT caijiang effectsof12weeksoftaichionneuromuscularresponsesandposturalcontrolinelderlypatientswithsarcopeniaarandomizedcontrolledtrial AT caijiang effectsof12weeksoftaichionneuromuscularresponsesandposturalcontrolinelderlypatientswithsarcopeniaarandomizedcontrolledtrial AT weisong effectsof12weeksoftaichionneuromuscularresponsesandposturalcontrolinelderlypatientswithsarcopeniaarandomizedcontrolledtrial AT jingfeng effectsof12weeksoftaichionneuromuscularresponsesandposturalcontrolinelderlypatientswithsarcopeniaarandomizedcontrolledtrial AT huitingzhou effectsof12weeksoftaichionneuromuscularresponsesandposturalcontrolinelderlypatientswithsarcopeniaarandomizedcontrolledtrial AT ruizhang effectsof12weeksoftaichionneuromuscularresponsesandposturalcontrolinelderlypatientswithsarcopeniaarandomizedcontrolledtrial AT anrenzhang effectsof12weeksoftaichionneuromuscularresponsesandposturalcontrolinelderlypatientswithsarcopeniaarandomizedcontrolledtrial AT fujunlan effectsof12weeksoftaichionneuromuscularresponsesandposturalcontrolinelderlypatientswithsarcopeniaarandomizedcontrolledtrial |