Best Practices Catalogue
Areas of Injury Prevention >
Fall Related Injuries
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Tai Chi and Computerized Balance Training for Falls Prevention in Older Adults |
||
|
Background |
|
|
|
|
Program Goals: |
The Atlanta FICSIT trials (Frailty and Injuries: Cooperative Studies on Intervention Techniques) incorporate two fall prevention strategies for older adults that diminish the effects of physical deficits that contribute to falls |
|
|
Intent: |
Unintentional |
|
|
Risk Factors Addressed: |
Changes in balance, strength, endurance, flexibility, and reaction time |
|
|
Place of occurrence: |
Home and community |
|
|
Age/Age Range: |
Older adults |
|
Resources |
|
|
|
|
Year Developed: |
1990 |
|
|
Collaborative Organization(s): |
National
Institute on Aging |
|
|
Funding Resource(s): |
Funded jointly by National Institute on Aging and the National Institute for Nursing Research |
|
Implementation |
|
|
|
|
Context/Setting: |
Health care setting |
|
|
Strategies Used: |
Evaluation, Education |
|
|
Activities Used: |
Comparison of the use of computerized balance training, Tai Chi, and an educational control group |
|
|
Program Evaluation: |
Randomized control trial |
|
|
Source of Best Practice: |
Volpe, R., Lewko, J., & Battra, A. (2002). A Compendium of Effective, Evidence-Based Best Practices in Prevention of Neurotrauma. University of Toronto Press, Toronto. |
|
|
Original Source: |
Wolf, S. L., Barnhart, H. X., Ellison, G. L., & Coogler, C. E. (1997). The effect of tai chi quan and computerized balance training on postural stability in older subjects. Physical Therapy, 77, 371-384. |
|
|
Supplementary Material: |
N/A |
|
|
Local Example(s): |
N/A |
|
|
Contact Information: |
Dr
Steven L Wolf |
|
Outcomes |
|
|
|
|
Long-term outcomes/Effectiveness: |
Improved psychosocial indicators of well-being in Tai Chi group |
|
|
Short-term outcomes: |
Delayed onset of falls and reduced risk of multiple falls in Tai
Chi intervention group; |
|
Other |
|
|
|
|
Date of Review: |
2000 |
|
|
Classification: |
Best Practice |
References
Coogler, C.E., & Wolf, S.L. (1999). Falls. In W. Hazzard, E. Bierman, J. Blass, W. Ettinger Jr., J. Halter, & J. Oslander (Eds.). Principles of geriatric medicine and gerontology (pp. 1535-1546). New York: McGraw-Hill.
Kutner, N.G., Barnhart, H., Wolf, S.L., McNeely, E., & Xu, T. (1997). Self-report benefits of tai chi practice by older adults. Journal of Gerontology: Psychological Sciences, 52B, 242-246.
Wolf, S.L., Coogler, C., & Xu, T. (1997). Exploring the basis for tai chi chuan as a therapeutic exercise approach. Archives of Physical Medicine and Rehabilitation, 78, 886-892.
| This best practice has been taken from the compendium volumes of best practices in neurotrauma prevention, identified and reviewed by Ontario researchers, with funding from the Ontario Neurotrauma Foundation (ONF). OIPRC has partnered with the ONF to abstract and web-enable this practice. Please direct inquiries about this best practice to richard.volpe@utoronto.ca. |
|