The Effect of Modified Tai Chi Exercises on the Physical Function and Quality of Life in Elderly Women With Knee Osteoarthritis

BackgroundKnee osteoarthritis (KOA) is the leading cause of pain and stiffness, affecting older adults’ physical function and quality of life. As a form of mind-body exercise, Tai Chi has been recommended as an exercise prescription for KOA patients. This study examined the effects and continuation...

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Main Authors: Jiulong Song, Lijun Wei, Kai Cheng, Qiang Lin, Peng Xia, Xinwei Wang, Xiaoju Wang, Ting Yang, Baoyi Chen, Aimei Ding, Mingyi Sun, Anliang Chen, Xueping Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Aging Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnagi.2022.860762/full
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author Jiulong Song
Jiulong Song
Lijun Wei
Kai Cheng
Qiang Lin
Peng Xia
Xinwei Wang
Xiaoju Wang
Ting Yang
Baoyi Chen
Aimei Ding
Mingyi Sun
Anliang Chen
Xueping Li
author_facet Jiulong Song
Jiulong Song
Lijun Wei
Kai Cheng
Qiang Lin
Peng Xia
Xinwei Wang
Xiaoju Wang
Ting Yang
Baoyi Chen
Aimei Ding
Mingyi Sun
Anliang Chen
Xueping Li
author_sort Jiulong Song
collection DOAJ
description BackgroundKnee osteoarthritis (KOA) is the leading cause of pain and stiffness, affecting older adults’ physical function and quality of life. As a form of mind-body exercise, Tai Chi has been recommended as an exercise prescription for KOA patients. This study examined the effects and continuation of modified Tai Chi exercises on physical function and quality of life in elderly women with KOA.MethodsWe conducted a single-blind, randomized controlled trial (RCT) on 40 older women with KOA. The participants were randomized to a 12 weeks Tai Chi or control group. The Tai Chi group attended a kind of modified Tai Chi training sessions three times per week; the control group attended wellness education sessions once a week. The primary outcome was the Western Ontario and McMaster University Osteoarthritis Index (WOMAC). Secondary outcomes were the Berg Balance Scale (BBS), Timed Up and Go (TUG), Short-Form 36 (SF-36), Pittsburgh Sleep Quality of Index (PSQI), Self-rating Anxiety Scale (SAS), and Self-rating Depression Scale (SDS).ResultsAfter the 12-weeks the Tai Chi group showed significan improvement in the WOMAC pain (mean difference, −5.09 points, p = 0.001), WOMAC stiffness (mean difference, −3.60 points, p = 0.002), WOMAC physical function (mean difference, −11.21 points, p = 0.001) compared to the control group. In addition, the Tai Chi group had also significant improvement in the BBS (mean difference, 1.70 points, p = 0.008), TUG (mean difference, −0.52s, p = 0.001), SF-36PCS (mean difference, 7.60 points, p = 0.001), MCS (mean difference, 7.30 points, p = 0.001), PSQI (mean difference, −3.71 points, p = 0.001), SDS (mean difference, −5.37 points, p = 0.025) and SAS (mean difference, −5.06 points, p = 0.002).ConclusionThe modified Tai Chi exercises are an effective treatment for improved physical function and quality of life in elderly women with KOA.Clinical Trial RegistrationThe trial was registered in Chinese Clinical Trial Registry (ChiCTR2000040721), http://www.chictr.org.cn/edit.aspx?pid=65419&htm=4.
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spelling doaj.art-d1a59c84a0854239b7378b0ae8d8bc5d2022-12-22T00:26:08ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652022-05-011410.3389/fnagi.2022.860762860762The Effect of Modified Tai Chi Exercises on the Physical Function and Quality of Life in Elderly Women With Knee OsteoarthritisJiulong Song0Jiulong Song1Lijun Wei2Kai Cheng3Qiang Lin4Peng Xia5Xinwei Wang6Xiaoju Wang7Ting Yang8Baoyi Chen9Aimei Ding10Mingyi Sun11Anliang Chen12Xueping Li13Department of Sports and Health, Nanjing Sport Institute, Nanjing, ChinaDepartment of Rehabilitation Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, ChinaMaigaoqiao Community Health Service Center, Nanjing, ChinaDepartment of Rehabilitation Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, ChinaDepartment of Rehabilitation Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, ChinaDepartment of Rehabilitation Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, ChinaDepartment of Rehabilitation Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, ChinaDepartment of Rehabilitation Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, ChinaDepartment of Rehabilitation Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, ChinaMaigaoqiao Community Health Service Center, Nanjing, ChinaMaigaoqiao Community Health Service Center, Nanjing, ChinaDepartment of Tourism and Social Management, Nanjing Xiaozhuang University, Nanjing, ChinaDepartment of Rehabilitation Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, ChinaDepartment of Rehabilitation Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, ChinaBackgroundKnee osteoarthritis (KOA) is the leading cause of pain and stiffness, affecting older adults’ physical function and quality of life. As a form of mind-body exercise, Tai Chi has been recommended as an exercise prescription for KOA patients. This study examined the effects and continuation of modified Tai Chi exercises on physical function and quality of life in elderly women with KOA.MethodsWe conducted a single-blind, randomized controlled trial (RCT) on 40 older women with KOA. The participants were randomized to a 12 weeks Tai Chi or control group. The Tai Chi group attended a kind of modified Tai Chi training sessions three times per week; the control group attended wellness education sessions once a week. The primary outcome was the Western Ontario and McMaster University Osteoarthritis Index (WOMAC). Secondary outcomes were the Berg Balance Scale (BBS), Timed Up and Go (TUG), Short-Form 36 (SF-36), Pittsburgh Sleep Quality of Index (PSQI), Self-rating Anxiety Scale (SAS), and Self-rating Depression Scale (SDS).ResultsAfter the 12-weeks the Tai Chi group showed significan improvement in the WOMAC pain (mean difference, −5.09 points, p = 0.001), WOMAC stiffness (mean difference, −3.60 points, p = 0.002), WOMAC physical function (mean difference, −11.21 points, p = 0.001) compared to the control group. In addition, the Tai Chi group had also significant improvement in the BBS (mean difference, 1.70 points, p = 0.008), TUG (mean difference, −0.52s, p = 0.001), SF-36PCS (mean difference, 7.60 points, p = 0.001), MCS (mean difference, 7.30 points, p = 0.001), PSQI (mean difference, −3.71 points, p = 0.001), SDS (mean difference, −5.37 points, p = 0.025) and SAS (mean difference, −5.06 points, p = 0.002).ConclusionThe modified Tai Chi exercises are an effective treatment for improved physical function and quality of life in elderly women with KOA.Clinical Trial RegistrationThe trial was registered in Chinese Clinical Trial Registry (ChiCTR2000040721), http://www.chictr.org.cn/edit.aspx?pid=65419&htm=4.https://www.frontiersin.org/articles/10.3389/fnagi.2022.860762/fullmodified Tai Chielderly womenknee osteoarthritisphysical functionquality of life
spellingShingle Jiulong Song
Jiulong Song
Lijun Wei
Kai Cheng
Qiang Lin
Peng Xia
Xinwei Wang
Xiaoju Wang
Ting Yang
Baoyi Chen
Aimei Ding
Mingyi Sun
Anliang Chen
Xueping Li
The Effect of Modified Tai Chi Exercises on the Physical Function and Quality of Life in Elderly Women With Knee Osteoarthritis
Frontiers in Aging Neuroscience
modified Tai Chi
elderly women
knee osteoarthritis
physical function
quality of life
title The Effect of Modified Tai Chi Exercises on the Physical Function and Quality of Life in Elderly Women With Knee Osteoarthritis
title_full The Effect of Modified Tai Chi Exercises on the Physical Function and Quality of Life in Elderly Women With Knee Osteoarthritis
title_fullStr The Effect of Modified Tai Chi Exercises on the Physical Function and Quality of Life in Elderly Women With Knee Osteoarthritis
title_full_unstemmed The Effect of Modified Tai Chi Exercises on the Physical Function and Quality of Life in Elderly Women With Knee Osteoarthritis
title_short The Effect of Modified Tai Chi Exercises on the Physical Function and Quality of Life in Elderly Women With Knee Osteoarthritis
title_sort effect of modified tai chi exercises on the physical function and quality of life in elderly women with knee osteoarthritis
topic modified Tai Chi
elderly women
knee osteoarthritis
physical function
quality of life
url https://www.frontiersin.org/articles/10.3389/fnagi.2022.860762/full
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