Frail Elderly

Publication Title: 
Complementary Therapies in Medicine

OBJECTIVE: To develop a simplified Tai Chi exercise program for frail older adults. DESIGN: For phase I, using a focus group, 40 frail Taiwanese older adults were interviewed to explore their viewpoints on Tai Chi and have been reported elsewhere. This paper emphasized on the phase II of the study in which the older adults' perspectives were validated by 10 experts using an evaluation survey. SETTING: Long-term care facilities.

Author(s): 
Chen, Kuei-Min
Chen, Wen-Ting
Huang, Min-Feng
Publication Title: 
Physical Therapy

BACKGROUND AND PURPOSE: Tai chi, a Chinese exercise derived from martial arts, while gaining popularity as an intervention for reducing falls in older adults, also may improve health status. The purpose of this study was to determine whether intense tai chi (TC) exercise could improve perceived health status and self-rated health (SRH) more than wellness education (WE) for older adults who are transitionally frail. SUBJECTS: Study subjects were 269 women who were >or=70 years of age and who were recruited from 20 congregate independent senior living facilities.

Author(s): 
Greenspan, Arlene I.
Wolf, Steven L.
Kelley, Mary E.
O'Grady, Michael
Publication Title: 
Alternative Medicine Review: A Journal of Clinical Therapeutic

Frailty syndrome (FS) has become increasingly recognized as a major predictor of co-morbidities and mortality in older individuals. Interventions with the potential to benefit frail elders include nutritional supplementation (vitamins D, carotenoids, creatine, dehydroepiandrosterone (DHEA), and beta-hydroxy-beta-methylbutyrate) and exercise modalities (tai chi and cobblestone walking). While these have not been explicitly tested for their impact on FS, vitamin D supplementation appears to offer significant promise in enhancing long-term health of the elderly.

Author(s): 
Cherniack, E. Paul
Florez, Hermes J.
Troen, Bruce R.
Publication Title: 
Sports Medicine (Auckland, N.Z.)

This systematic review describes the effect of exercise training on physical performance in frail older people. Randomized controlled trials were identified from searches in PubMed, EMBASE and CENTRAL from January 1995 through August 2007. Two reviewers independently screened the trials for eligibility, rated their quality, and extracted data. Randomized controlled trials that examined the effects on performance-based measures of physical function among frail older adults were included. The systematic search identified 20 studies, examining 23 different exercise programmes.

Author(s): 
Chin A Paw, Marijke J. M.
van Uffelen, Jannique G. Z.
Riphagen, Ingrid
van Mechelen, Willem
Publication Title: 
Journal of Aging and Physical Activity

No previous studies have explored the effects of mind-body approaches on health-related quality of life (HRQoL) in the frail elderly. Cognition and action are an inseparable whole during functioning. Thus, a new intervention-based approach using familiarity-based movements and a nonjudgmental approach of "cognition-action" was proposed and was tested with Tai Chi on HRQoL in frail institutionalized elderly. Fifty-two participants (58% women) age 65-94 took part in a 24-wk Tai Chi (TC) intervention 4 days/wk or a cognition-action (CA) exercise program of 30 min twice a week.

Author(s): 
Deschamps, Arnaud
Onifade, Chérifa
Decamps, Arnaud
Bourdel-Marchasson, Isabelle
Publication Title: 
Archives of Gerontology and Geriatrics

This study was to examine an effect of such an exercise program on preventing conditions requiring long-term care in the Japanese frail elderly who participated in a Tai Chi Yuttari-exercise program. The first-intervention group underwent an intervention program by participating in a Tai Chi Yuttari-exercise session once a week for 3 months. Each session lasted 90 min including a break time. Moreover, the subjects received a video recording of the exercise, and instructions to carry out the exercise at home. The same program was administered to the second-intervention group.

Author(s): 
Nomura, Takuo
Nagano, Kiyoshi
Takato, Jinro
Ueki, Shouzoh
Matsuzaki, Yumi
Yasumura, Seiji
Publication Title: 
Journal of Geriatric Physical Therapy (2001)

PURPOSE: The purpose of this systematic review was to identify exercise parameters and the most common outcome measures used in tai chi (TC) research. METHODS: Ovid Medline and PubMed were used to identify longitudinal studies published from January 2000 to July 2007 written in English with the key words tai chi, tai ji, tai chi quan, tai ji quan, balance, falls, and falling. Qualifying studies had subjects aged 60 years or older.

Author(s): 
Liu, Hao
Frank, Adam
Publication Title: 
Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics

AIM: The purpose of this study was to examine the effects of a Tai Chi Yuttari-exercise based care prevention program aimed at frail elderly people on new care-need certification and mortality. METHODS: Participants were elderly individuals (≥65 years of age) who lived in Kitakata City and who had experienced a fall in the past year but were not receiving support or long-term care. Those who agreed to participate in the exercise program were the intervention group (n=34), and those who did not participate were the control group (n=84).

Author(s): 
Fujimoto, Satoshi
Yamazaki, Sachiko
Wakabayashi, Akitsu
Matsuzaki, Yumi
Yasumura, Seiji
Publication Title: 
Disability and Rehabilitation

PURPOSE: To compare the effectiveness of supervised Tai Chi exercises versus the conventional physical therapy exercises in a personalized rehabilitation program in terms of the incidence and severity of falls in a frail older population. METHOD: The participants were frail older adults living in the community, admitted to the day hospital program in Sherbrooke, Quebec, Canada (n = 152). They were randomized to receive a 15-week intervention, either by supervised Tai Chi exercises (n = 76) or conventional physical therapy (n = 76).

Author(s): 
Tousignant, Michel
Corriveau, Hélène
Roy, Pierre-Michel
Desrosiers, Johanne
Dubuc, Nicole
Hébert, Réjean
Publication Title: 
Journal of the American Geriatrics Society

OBJECTIVES: To determine the effects of tai chi training on functional performance and walking with and without the addition of the performance of a cognitive task, in older adults living in supportive housing facilities. DESIGN: Secondary data analysis comparing a single-blind, randomized controlled trial of tai chi training with an attention-matched educational control intervention with crossover to tai chi. SETTING: Two supportive housing facilities.

Author(s): 
Manor, Brad
Lough, Matt
Gagnon, Margaret M.
Cupples, Adrienne
Wayne, Peter M.
Lipsitz, Lewis A.

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