Evaluating the effectiveness of Tai Chi in short-term, medium-term, and long-term on balance and strength among the elderly: A systematic review and meta-analysis

Lina Nan , Diana Grunberg , Sinha De Silva , Divya Sivaramakrishnan
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Abstract

Objective

To evaluate Tai Chi´s effectiveness on balance and strength in the elderly across different intervention durations.

Methods

We conducted a comprehensive meta-analysis of 37 randomised controlled trials (RCTs) on balance and 22 RCTs on strength. The databases were searched in February 2023: AMED, CINAHL Plus, Medline, Web of Science, and Embase.

Results

Tai Chi significantly improved balance (SMD = 0.40; 95 % CI: 0.05 to 0.75; P = 0.03) and strength (SMD = 0.43; 95 % CI: 0.01 to 0.84; P = 0.04) in the elderly, especially in medium-term interventions (8–16 weeks). Long-term effects were not statistically significant, indicating variability in the sustained impact of Tai Chi.

Conclusions

Tai Chi is effective in improving balance and strength among the elderly, particularly with medium-term interventions. The variability in results across different study durations suggests a need for further research to optimise Tai Chi protocols and maximise its benefits in elderly care.
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评估太极拳对老年人平衡和力量的短期、中期和长期效果:系统回顾和荟萃分析
方法 我们对 37 项有关平衡的随机对照试验 (RCT) 和 22 项有关力量的随机对照试验进行了全面的荟萃分析。我们于 2023 年 2 月对数据库进行了检索:结果太极拳显著改善了老年人的平衡能力(SMD = 0.40;95 % CI:0.05 至 0.75;P = 0.03)和力量(SMD = 0.43;95 % CI:0.01 至 0.84;P = 0.04),尤其是在中期干预(8-16 周)中。结论太极拳能有效改善老年人的平衡和力量,尤其是在中期干预中。不同研究持续时间的结果存在差异,这表明有必要开展进一步研究,以优化太极拳方案,最大限度地发挥太极拳在老年人护理中的作用。
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