1.Introduction
The article by Fink and Houston1 in this special issue of Journal of Sport and Health Science provides an excellent example of implementing an evidence-based fall prevention program in real communities ...1.Introduction
The article by Fink and Houston1 in this special issue of Journal of Sport and Health Science provides an excellent example of implementing an evidence-based fall prevention program in real communities with diverse cultures of elderly populations.Although preliminary,the project revealed a number of interconnected barriers and facilitators that shed light on practical implications ("lessons learned") for policymakers and program providers regarding implementation of any evidence-based intervention.While applauding Fink and Houston's effort,in this commentary we share our experiences with Tai Ji Quan:Moving for Better Balance (TJQMBB)2 in the state of Maryland,with a discussion of our own set of lessons learned in terms of successes and challenges.展开更多
A warm welcome to this special issue of the Journal of Sport and Health Science,which is devoted to Tai Ji Quan and its wide range of applications.
Tai Ji Quan is a unique aspect of Chinese culture,with a history exte...A warm welcome to this special issue of the Journal of Sport and Health Science,which is devoted to Tai Ji Quan and its wide range of applications.
Tai Ji Quan is a unique aspect of Chinese culture,with a history extending back several centuries.1 Although it evolved from the martial art of Wushu,2 training and practice of Tai Ji Quan involve synchronized execution of bodily movements with deliberate intention and rhythmic breathing.For this reason,it has often been viewed as a healing art for nurturing the human body,warding off diseases,and enhancing overall health and well-being.The unique combination of these martial and healing dimensions has made Tai Ji Quan a distinctive exercise modality that attracts practitioners of all ages from all walks of life.展开更多
in recent years research investigating various health benefits of Taiji practice has markedly increased. Despite this growing scientific interest, essential questions such as to what extent a Taiji course may exert no...in recent years research investigating various health benefits of Taiji practice has markedly increased. Despite this growing scientific interest, essential questions such as to what extent a Taiji course may exert noticeable effects in participants＇ everyday life, what these effects are, and how and where potential transfer effects occur, have hardly been considered. The aim of our study was to explore transfer effects from a Taiji course into participants＇ daily lives. METHODS： We conducted a longitudinal observational study in 45 healthy participants at the end of their three-month Taiji beginner course （tpl） and at two months （tp2） as well as one year after course completion （tp3）. Participants were asked to report their Taiji practice behavior at all time points, as well as to rate and describe perceived transfer effects of Taiji course contents on their daily life at tpl and tp3. RESULTS： Transfer effects were reported by 91.1% of all respondents after course completion （tpl） and persisted in 73.3% at the one-year follow-up assessment （tp3）, counting ＂increase of self-efficacy＂, ＂improvement of stress management＂, and ＂increase of body awareness＂ as the most frequently mentioned effects. Transfer effects predominantly occurred in participants＇ work and social environments, as well as during everyday activities in public areas. While self- reliant Taiji practice frequency significantly decreased from 82.2% at tpl to 55.6% at tp3 （P 〈 0.001）, the magnitude of self-reported transfer effects did not （P = 0.35）. As explorative analyses revealed, regular Taiji course attendance was highly correlated with stronger transfer effects at tpl （r = 0.51; P 〈 0.001） and tp3 （r = 0.35; P = 0.020）. Participants reporting high self-reliant Taiji practice frequency at tp2 were likely to maintain a regular practice routine at tp3 （r = 0.42; P 〈 0.004）, whereas self-reliant practice frequency and transfer effects at tpl were positively correlated with self-reliant practice frequency at tp3 on a trend level （r 〈 0.27; P 〉 0.08）. CONCLUSION： Our data underline the importance of regular course participation for pronounced and long lasting transfer effects into participants＇ everyday life. We discuss that several context and process-related aspects of a Taiji intervention are potentially relevant factors for enhancement of transfer effect.展开更多
Background:There are an increasing number of studies focusing on the effect of tai chi for different diseases.As a special form of physical activity,tai chi may be beneficial for the rehabilitation of stroke,a leading...Background:There are an increasing number of studies focusing on the effect of tai chi for different diseases.As a special form of physical activity,tai chi may be beneficial for the rehabilitation of stroke,a leading cause of disability worldwide.Objective:This review summarizes the existing literature on the potential benefits of tai chi for stroke rehabilitation and offers recommendations for future research.Methods:Studies on the biomechanics and physiology of tai chi for stroke rehabilitation are reviewed.Research on tai chi for stroke rehabilitation and related diseases are summarized.Finally,the shortcomings of existing studies and recommendations for future studies are discussed.Conclusions:Tai chi appears to be beneficial for stroke rehabilitation.But reporting quality of existing studies are sub-optimal.Future trials should define tai chi style,apply rigorous methodology to sample size calculation,randomization,recruiting criteria,and outcome measures.To avoid inadequacies during the research and reporting processes,investigators may wish to follow CONSORT guidelines and refer to well-conducted clinical studies on tai chi.展开更多
背景:太极运动可以放松患者受累肌肉,增强肌肉柔韧性和力量,促进脑卒中患者正常运动模式,抑制异常姿势和痉挛模式,提高患者运动控制能力,改善平衡功能。目的:系统评价太极运动对脑卒中患者运动、情绪及生活质量的影响。方法:计算机检索P...背景:太极运动可以放松患者受累肌肉,增强肌肉柔韧性和力量,促进脑卒中患者正常运动模式,抑制异常姿势和痉挛模式,提高患者运动控制能力,改善平衡功能。目的:系统评价太极运动对脑卒中患者运动、情绪及生活质量的影响。方法:计算机检索Pub Med、EMbase、Web of Science、EBSCO、Google Scholar、中国知网、重庆维普和万方等数据库中关于太极运动对脑卒中患者平衡功能、步行能力、情绪状态和生活质量等指标康复效果的随机对照试验(RCT),检索时间均从建库至2015年7月1日,2名研究者依照纳入和排除标准独立筛选文献、提取资料和方法学质量评价后,采用Rev Man 5.3软件进行Meta分析。结果与结论:最终纳入15个RCT,共1 016例患者。Meta分析结果显示:太极运动在改善脑卒中患者平衡功能[MD=7.87,95%CI(4.56,11.18),P<0.000 01]、步速[MD=0.27,95%CI(0.04,3.94),P=0.02]、焦虑情绪[SMD=-0.47,95%CI(-0.89,-0.04),P=0.03]和生活质量方面[SMD=0.65,95%CI(0.10,1.19),P=0.02]明显优于常规康复组,且差异均有显著性意义,而在功能性步行能力和抑郁情绪方面明显倾向于太极运动组,但差异无显著性意义。结果说明,太极运动在能够显著改善脑卒中患者平衡功能、步速水平、焦虑状态和生活质量,但在抑郁情绪和功能性步行能力等方面的优势性还需更多大样本、高质量的临床随机对照试验加以验证。展开更多
基金supported by the Cooperative Agreement Number 5U17CE002001 from the Centers for Disease Control and Prevention
文摘1.Introduction
The article by Fink and Houston1 in this special issue of Journal of Sport and Health Science provides an excellent example of implementing an evidence-based fall prevention program in real communities with diverse cultures of elderly populations.Although preliminary,the project revealed a number of interconnected barriers and facilitators that shed light on practical implications ("lessons learned") for policymakers and program providers regarding implementation of any evidence-based intervention.While applauding Fink and Houston's effort,in this commentary we share our experiences with Tai Ji Quan:Moving for Better Balance (TJQMBB)2 in the state of Maryland,with a discussion of our own set of lessons learned in terms of successes and challenges.
基金supported by a research grant from the National Institute on Aging(AG034956)
文摘A warm welcome to this special issue of the Journal of Sport and Health Science,which is devoted to Tai Ji Quan and its wide range of applications.
Tai Ji Quan is a unique aspect of Chinese culture,with a history extending back several centuries.1 Although it evolved from the martial art of Wushu,2 training and practice of Tai Ji Quan involve synchronized execution of bodily movements with deliberate intention and rhythmic breathing.For this reason,it has often been viewed as a healing art for nurturing the human body,warding off diseases,and enhancing overall health and well-being.The unique combination of these martial and healing dimensions has made Tai Ji Quan a distinctive exercise modality that attracts practitioners of all ages from all walks of life.
基金Funding for this study was provided by Stiftung für Komplementrmedizin, Gottfried und Julia Bangerter-Rhyner Stiftung and Parrotia Stiftung
文摘in recent years research investigating various health benefits of Taiji practice has markedly increased. Despite this growing scientific interest, essential questions such as to what extent a Taiji course may exert noticeable effects in participants＇ everyday life, what these effects are, and how and where potential transfer effects occur, have hardly been considered. The aim of our study was to explore transfer effects from a Taiji course into participants＇ daily lives. METHODS： We conducted a longitudinal observational study in 45 healthy participants at the end of their three-month Taiji beginner course （tpl） and at two months （tp2） as well as one year after course completion （tp3）. Participants were asked to report their Taiji practice behavior at all time points, as well as to rate and describe perceived transfer effects of Taiji course contents on their daily life at tpl and tp3. RESULTS： Transfer effects were reported by 91.1% of all respondents after course completion （tpl） and persisted in 73.3% at the one-year follow-up assessment （tp3）, counting ＂increase of self-efficacy＂, ＂improvement of stress management＂, and ＂increase of body awareness＂ as the most frequently mentioned effects. Transfer effects predominantly occurred in participants＇ work and social environments, as well as during everyday activities in public areas. While self- reliant Taiji practice frequency significantly decreased from 82.2% at tpl to 55.6% at tp3 （P 〈 0.001）, the magnitude of self-reported transfer effects did not （P = 0.35）. As explorative analyses revealed, regular Taiji course attendance was highly correlated with stronger transfer effects at tpl （r = 0.51; P 〈 0.001） and tp3 （r = 0.35; P = 0.020）. Participants reporting high self-reliant Taiji practice frequency at tp2 were likely to maintain a regular practice routine at tp3 （r = 0.42; P 〈 0.004）, whereas self-reliant practice frequency and transfer effects at tpl were positively correlated with self-reliant practice frequency at tp3 on a trend level （r 〈 0.27; P 〉 0.08）. CONCLUSION： Our data underline the importance of regular course participation for pronounced and long lasting transfer effects into participants＇ everyday life. We discuss that several context and process-related aspects of a Taiji intervention are potentially relevant factors for enhancement of transfer effect.
基金This study was supported by the Middle-aged Teachers Research Funds of Beijing University of Chinese Medicine(No.2015-JYB-JSMS082)Beijing Capital Characteristic Clinical Application Research Project(No.Z141107002514145).
文摘Background:There are an increasing number of studies focusing on the effect of tai chi for different diseases.As a special form of physical activity,tai chi may be beneficial for the rehabilitation of stroke,a leading cause of disability worldwide.Objective:This review summarizes the existing literature on the potential benefits of tai chi for stroke rehabilitation and offers recommendations for future research.Methods:Studies on the biomechanics and physiology of tai chi for stroke rehabilitation are reviewed.Research on tai chi for stroke rehabilitation and related diseases are summarized.Finally,the shortcomings of existing studies and recommendations for future studies are discussed.Conclusions:Tai chi appears to be beneficial for stroke rehabilitation.But reporting quality of existing studies are sub-optimal.Future trials should define tai chi style,apply rigorous methodology to sample size calculation,randomization,recruiting criteria,and outcome measures.To avoid inadequacies during the research and reporting processes,investigators may wish to follow CONSORT guidelines and refer to well-conducted clinical studies on tai chi.
文摘背景:太极运动可以放松患者受累肌肉,增强肌肉柔韧性和力量,促进脑卒中患者正常运动模式,抑制异常姿势和痉挛模式,提高患者运动控制能力,改善平衡功能。目的:系统评价太极运动对脑卒中患者运动、情绪及生活质量的影响。方法:计算机检索Pub Med、EMbase、Web of Science、EBSCO、Google Scholar、中国知网、重庆维普和万方等数据库中关于太极运动对脑卒中患者平衡功能、步行能力、情绪状态和生活质量等指标康复效果的随机对照试验(RCT),检索时间均从建库至2015年7月1日,2名研究者依照纳入和排除标准独立筛选文献、提取资料和方法学质量评价后,采用Rev Man 5.3软件进行Meta分析。结果与结论:最终纳入15个RCT,共1 016例患者。Meta分析结果显示:太极运动在改善脑卒中患者平衡功能[MD=7.87,95%CI(4.56,11.18),P<0.000 01]、步速[MD=0.27,95%CI(0.04,3.94),P=0.02]、焦虑情绪[SMD=-0.47,95%CI(-0.89,-0.04),P=0.03]和生活质量方面[SMD=0.65,95%CI(0.10,1.19),P=0.02]明显优于常规康复组,且差异均有显著性意义,而在功能性步行能力和抑郁情绪方面明显倾向于太极运动组,但差异无显著性意义。结果说明,太极运动在能够显著改善脑卒中患者平衡功能、步速水平、焦虑状态和生活质量,但在抑郁情绪和功能性步行能力等方面的优势性还需更多大样本、高质量的临床随机对照试验加以验证。
