Effect of Eight Weeks of Tai Chi Training on Balance and Ankle Range of Motion in Elderly Women

Document Type : Original article

Authors

1 MSc in Physical Education and Sport Sciences, Department of Sport Sciences, Payame Noor University of Garmsar, Iran

2 Assistant Professor of Sport Injuries and Corrective Exercises, Department of Sport Sciences, Sirjan University of Technology, Sirjan, Iran

3 Assistant Professor of Sports Management, Department of Sport Sciences, Payame Noor University of Saveh, Iran

Abstract

Background and Aims: The reduction of balance and motion range in elderly people are the main causes of their falling and its consequences like physical injuries. The aim of the present study was to determine the effect of eight weeks of Tai Chi training on balance and ankle range of motion in elderly women.
Materials and Methods: A total of 30 elderly women aged 55-65 years were selected using purposive sampling of female volunteers in Bam. Participants were randomly divided into experimental (n=15, age: 57.4 ± 2.8 (y), weight: 74.4 ± 8.1(kg), height: 154.2 ± 4.6 (cm)) and control (n=15, age: 59.2 ± 3.2 (y), weight: 72.4 ± 10.3 (kg), height: 156.2 ± 5.8 (cm)) groups. The study involved a training program for eight weeks, three times per week in experimental group, while the control group did not participate in any organized regular physical exercise. The ankle range of motion was measured using goniometer and balance was measured using Berg Balance test before and after training protocol in two groups. Data were analyzed running Multivariate covariance and alpha level was set at 0.05.
Results: The results of the study showed that there is a significant difference between the mean scores of balance and plantar flexion range of motion for the right foot, dorsi flexion range of motion for the left foot, and inversion and eversion ranges of motion for the left and right feet of the participants according to group membership (P<0.05)
Conclusion:Tai Chi training can improve the balance and ankle range of motion in elderly women. These findings can help design training programs for older adults. Tai chi training is also effective for improving function and reducing the potential risk of falling and its complications in elder women.

Keywords

Main Subjects


1. Ghasemi B, Azamyan Jazee A, Nouri S. The effect of 12 weeks functional exercise in dynamic balance in healthy older women Journal of Ageing; 2011; 5 (18): 36-30. [In Persian]##
2. Myrabzadh A. The situation of the elderly in the community. Form http://www.Aftabir.com. 2009; 7-18. [In Persian] ##
3. Salman Z, Rostamipour M. Exercise and Health in the Elderly. Growth and Culture; 2018. [In Persian] ##
4. Nzakt Husseini M, Mokhtari M, Esfarjani F. Effects of a Pilates movement on improving cognitive functions associated with falls in older women. International Journal of Rehabilitation Research. 2011; 8 (3):1-12. [In Persian] ##
5. Freeman M. Instability of the foot affer injuries to the lateral ligament of the ankle. Bone & Joint Journal. 1965; 47(40): 669-677. ##
6. Lephart SM, Pincivero DM, Giraido JL, Fu FH. The role of proprioception in the management and rehabilitation of athletic injuries. The American journal of Sports Medicine. 1997; 25(1): 130-137. ##
7. Pai YC, Rymer WZ, Chang RW, Sharma L. Effect of age and osteoarthritis on knee proprioception. Arthritis and Rheumatology. 1997; 40(12): 2260-2265. ##
8. Robbins S, Waked E, McClaran J. Proprioception and stability: foot position awareness as a function of age and footware. Age and Ageing. 1995; 24(1): 67-72. ##
9. Freeman MAR, Wyke B. Articular reflexes at the ankle joint: An electromyography study of normal and abnormal influences of ankle joint mechanoreceptors upon reflex activity in the leg muscles. British Journal of Surgery. 1967; 54(12): 990-1001. ##
10. Gilassi HR, Souri H, Yazdani Sh, Taheri P. Prevention of Fall and Damage Caused by Elderly Residents. Journal of Safety Promotion and Prevention of Injuries. 2014; 2(3):172-161. [In Persian] ##
11. Tavakol H.R. Martial arts and its great founders. Mehr Publication. Tehran; 2015. [In Persian] ##
12. Lan C, Lai J S, Chen SY. Tai chi chuan. Sports Medicine; 2002; 32(4): 217-224. ##
13. Gribble P.A, Robinson R.H. Alterations in knee kinematics and dynamic stability associated with chronic ankle instability. Journal of Athletic Training. 2009; 44(4): 350-355. ##
14. Xu D, Hong Y, Li J, Chan K. Effect of tai chi exercise on proprioception of ankle and knee joints in old people. British Journal of Sports Medicine; 2004; 38(1):50-54. ##
15. Mirzaee M, Sahebozamani M, Ali Ebrahimi H. The effect of 8-week Tai Chi exercise on static and dynamic balance in women with multiple sclerosis with emphasis on mesomorph and endomorph's morphology- a clinical trial study. Daneshvar (medicine) shahed University. 2017; 127:15-24. [In Persian] ##
16. Mohali Z, Ebrahimi Atri A, Hassan Abad H, Khoshraftar Yazdi N, Shoeibi A. The effect of Tai Chi training programs on women's balance with multiple sclerosis. Medical-Surgical Nursing Journal. 2013; 2(3, 4): 81-85. [In Persian] ##
17. Alavi Kh, Sheikh M, Bagherzadeh F. Comparing effect of tai chi and pilates exercises on static and dynamic balance of elderly men with parkinson’s disease. Journal of Gerontology. 2018; 3(1): 73-83. [In Persian] ##
18. Dastmanesh S, Sahebozamani M, Karimi MT. The effect of Otago and Tai chi exercise programs on balance and risk of falls in elderly men. http://medrehab.sbmu.ac.ir/article_1100595.html. 2018. [In Persian] ##
19. Sadeghi H, Alireza'I F. The effect of a training course on the static and dynamic balance of elderly women. Iranian Elderly Magazine. 2008; 2(4): 402-409. [In Persian] ##
20. Ali Aslankhani M, Shams A, Shamsipour P. Comparing physical, mental and physical exercises on the static and dynamic balance of healthy elderly. Iranian Aging Magazine. 2008; 2(10): 22-29. [In Persian] ##
21. Wolfson L, Whipple R, Derby C, Judge J, King M, Amerman P, Smyers D. Balance and strength training in older adults: intervention gains and Tai Chi maintenance. Journal of the American Geriatrics Society. 1996; 44(5): 498-506. ##
22. Norkin CC, White DJ. Measurement of joint motion: a guide to goniometry. FA Davis; 2016. ##
23. Sadeghi H, Mousavi K, Nabavi Nik H. Sport Laboratory Biomechanics Guide. Hatami Publishing; 2013. [In Persian] ##
24. Pierce CA, Block CA, Aguinis H. Educational and Psychological Measurement. 2004; 64(6): 916-924. ##
25. Tse SK, Bailey DM. Tai chi and postural control in the well elderly. The American journal of occupational therapy. 1992; 46(4):295–300. ##
26. Hong Y, Li JX, Robinson PD. Balance control, flexibility, and cardiorespiratory fitness among older Tai Chi practitioners. British Journal of Sports Medicine. 2000; 34(1):29–34. ##
27. Koh Bomi M. The effect of yoga exercises on physical fitness and balance of elderly women. Elder Magazine. 2015; 10(3): 27-34. [In Persian] ##
28. Maciaszek J, Osinski W, Szeklicki R, Stemplewski R. Effect of Tai Chi on body balance: randomized controlled trial in men with osteopenia or osteoporosis. The American journal of Chinese medicine. 2007; 35(01): 1-9. ##
29. Taggart HM. Effects of Tai Chi exercise on balance, functional mobility, and fear of falling among older women. Applied Nursing Research. 2002; 15(4): 235-242. ##
30. Hartman CA, Manos TM, Winter C. Effects of Tai Chi training on function and quality of life indicators in older adults with osteoarthritis. Journal of the American Geriatrics Society. 2000; 48:1553–1559. ##
31. Ge Wu. Evaluation of the Effectiveness of  Tai Chi for Improving Balance and Preventing Falls in the Older Population. Journal of the American Geriatrics Society. 2002; 50:746–754##
32. Mecagni C, Smith JP, Roberts KE, O'Sullivan SB. Balance and ankle range of motion in community-dwelling women aged 64 to 87 years: a correlational study. Physical Therapy; 2000; 80(10): 1004-1011. ##
33. khosravi kaviz M, Rahnama N, Sahebalzamani M. The Effect of Eight Weeks of Training with Balance Board on Neuromuscular Variables of Karate Girls Ankle. Journal of Paramedical Sciences and Rehabilitation. 2016; 6(2):27-37. [In Persian] ##
34. Hale S A, Hertel J, Olmsted-Kramer LC. The effect of a 4-week comprehensive rehabilitation program on postural control and lower extremity function in individuals with chronic ankle instability. Journal of Orthopedic and Sports Physical Therapy. 2007; 37(6):303-311. ##
35. Onigbinde AT, Awotidebe T, Awosika H. Effect of 6 weeks wobble board exercises on static and dynamic balance of stroke survivors. Technology and Health Care. 2009; 17(5, 6): 387-392. ##
36. O'Driscoll J, Kerin F, Delahunt E. Effect of a 6-week dynamic neuromuscular training program on ankle joint function: a case report. Sports Medicine, Arthroscopy, Rehabilitation, Therapy and Technology. 2011; 9(3):1-13. ##
37. Eshaghi E. Effect of Tai Chi Practices on Balance and Headache in Blind Boy Students, Master's Thesis, Faculty of Physical Education and Sport Sciences, Ministry of Science, Research and Technology, Ferdowsi University of Mashhad; 2014. [In Persian] ##
38. Qasemi M. The impact of Tai Chi Chuan sports program on the risk of falling, fear of falling, self-esteem and social involvement in elderly women members of the Tehran Television Retirees Association, MSc Thesis, Ministry of Science, Research and Technology - Uni##versity of Welfare and Rehabilitation Sciences; 2009. [In Persian]
39. Davies JA, Bull RH, Farrelly IJ, Wakelin MJ. A home-based exercise program improves ankle range of motion in long-term venous ulcer patients. Phlebology. 2007; 22(2): 86-89. ##
40. Gauchard GC, Jeandel C, Tessier A, Perrin PP. Beneficial effect of proprioceptive physical activities on balance control in elderly human subjects. Neuroscience letters. 1999; 273(2): 81-84. ##
41. Cummings SR, Melton III LJ. Epidemiology and outcomes of osteoporotic fractures. The Lancet. 2002; 359(9319): 1761-1767. ##
Volume 8, Issue 3
October 2019
Pages 19-28
  • Receive Date: 12 November 2018
  • Revise Date: 10 January 2019
  • Accept Date: 26 January 2019
  • First Publish Date: 23 September 2019