Journal Screenshot

International Journal of Academic Research in Business and Social Sciences

Open Access Journal

ISSN: 2222-6990

Feasibility of Tai Chi Intervention for Improving Quality of Life in Older Adults with Gait Disorders: A Pilot Study

Fan Xu, Kim Geok Soh, Yoke Mun Chan

http://dx.doi.org/10.6007/IJARBSS/v14-i9/22968

Open access

Maintaining older adults' health and quality of life (QoL) is increasingly important with the global population ageing. Gait disorders can lead to reduced mobility and a heightened risk of falls, significantly impacting the overall well-being of older adults. Tai Chi (TC), a traditional Chinese martial art, is recognised for its potential to improve balance, strength, and mobility, which may, in turn, positively influence the QoL in older adults. This pilot study aimed to evaluate the feasibility and effectiveness of a TC intervention on the QoL of older adults with gait disorders. Recruited 16 participants and conducted a two-week training session. QoL was assessed using the SF-36 questionnaire, with validity and reliability evaluated through the content validity index (CVI) and expert ratings. All statistical analyses were conducted using SPSS version 20.0. Content validity analysis indicated strong correlations among SF-36 items (CVI = 0.833, kappa = 0.816), and internal consistency across dimensions was high (Cronbach’s alpha ranged from 0.846 to 0.970). Despite high retention and compliance rates, there were no significant improvements in overall QoL scores post-intervention. This study demonstrates the feasibility and acceptability of a TC intervention for older adults with gait disorders. Although no significant changes in QoL were observed, the findings suggest that further research with extended interventions is warranted to explore the potential benefits of TC for this population.

Anderson, N., & Ozakinci, G. (2018). Effectiveness of psychological interventions to improve quality of life in people with long-term conditions: rapid systematic review of randomised controlled trials. BMC Psychology, 6, 1-17.
Bloem, B. R., Haan, J., Lagaay, A. M., van Beek, W., Wintzen, A. R., & Roos, R. A. (1992). Investigation of gait in elderly subjects over 88 years of age. J Geriatr Psychiatry Neurol, 5(2), 78-84. https://doi.org/10.1177/002383099200500204
Bohannon, R. W., & DePasquale, L. (2010). Physical Functioning Scale of the Short-Form (SF) 36: internal consistency and validity with older adults. Journal of Geriatric Physical Therapy, 33(1), 16-18.
Campo, R. A., O'Connor, K., Light, K. C., Nakamura, Y., Lipschitz, D. L., LaStayo, P. C., Pappas, L., Boucher, K., Irwin, M. R., Agarwal, N., & Kinney, A. Y. (2013). Feasibility and acceptability of a Tai Chi Chih randomized controlled trial in senior female cancer survivors. Integr Cancer Ther, 12(6), 464-474. https://doi.org/10.1177/1534735413485418
Choo, Y. T., Jiang, Y., Hong, J., & Wang, W. (2020). Effectiveness of Tai Chi on quality of life, depressive symptoms and physical function among community-dwelling older adults with chronic disease: A systematic review and meta-analysis. Int J Nurs Stud, 111, 103737. https://doi.org/10.1016/j.ijnurstu.2020.103737
Kamieniarz, A., Milert, A., Grzybowska-Ganszczyk, D., Opara, J., & Juras, G. (2021). Tai Chi and Qi Gong therapies as a complementary treatment in Parkinson’s disease–a systematic review. Complementary Therapies in Medicine, 56, 102589.
Kim, S. D., Allen, N. E., Canning, C. G., & Fung, V. S. (2013). Postural instability in patients with Parkinson’s disease: Epidemiology, pathophysiology and management. CNS Drugs, 27, 97-112.
Lam, C. L., Eileen, Y., Gandek, B., & Fong, D. Y. (2005). The SF-36 summary scales were valid, reliable, and equivalent in a Chinese population. Journal of clinical epidemiology, 58(8), 815-822.
Lera, L., Fuentes-García, A., Sánchez, H., & Albala, C. (2013). Validity and reliability of the SF-36 in Chilean older adults: the ALEXANDROS study. European journal of ageing, 10, 127-134.
Liu, H., & Frank, A. (2010). Tai chi as a balance improvement exercise for older adults: a systematic review. Journal of Geriatric Physical Therapy, 33(3), 103-109.
Mahlknecht, P., Kiechl, S., Bloem, B. R., Willeit, J., Scherfler, C., Gasperi, A., Rungger, G., Poewe, W., & Seppi, K. (2013). Prevalence and burden of gait disorders in elderly men and women aged 60–97 years: a population-based study. PLoS One, 8(7), e69627.
Miller, S. M., Hui-Lio, C., & Taylor-Piliae, R. E. (2020). Health benefits of Tai Chi exercise: a guide for nurses. Nursing Clinics, 55(4), 581-600.
Motl, R. W., & McAuley, E. (2010). Physical activity, disability, and quality of life in older adults. Physical Medicine and Rehabilitation Clinics, 21(2), 299-308.
Ronthal, M. (2019). Gait Disorders and Falls in the Elderly. Med Clin North Am, 103(2), 203-213. https://doi.org/10.1016/j.mcna.2018.10.010
Rubino, F. A. (1993). Gait disorders in the elderly. Distinguishing between normal and dysfunctional gaits. Postgrad Med, 93(6), 185-190. https://doi.org/10.1080/00325481.1993.11701693
Salmoirago-Blotcher, E., Wayne, P. M., Dunsiger, S., Krol, J., Breault, C., Bock, B. C., Wu, W. C., & Yeh, G. Y. (2017). Tai Chi Is a Promising Exercise Option for Patients With Coronary Heart Disease Declining Cardiac Rehabilitation [Journal Article; Clinical Trial Protocol]. Journal of the American Heart Association, 6(10). https://doi.org/10.1161/JAHA.117.006603
Shankar, A., McMunn, A., Demakakos, P., Hamer, M., & Steptoe, A. (2017). Social isolation and loneliness: Prospective associations with functional status in older adults. Health psychology, 36(2), 179.
Taylor-Piliae, R. E., & Coull, B. M. (2012). Community-based Yang-style Tai Chi is safe and feasible in chronic stroke: a pilot study. Clinical Rehabilitation, 26(2), 121-131.
Wang, F. (2024). Taichi is Medicine (TIM): the Model of Taichi and Health Promotion. Malaysian Journal of Medicine & Health Sciences, 20(3).

Xu, F., Soh, K. G., & Chan, Y. M. (2024). Feasibility of Tai Chi Intervention for Improving Quality of Life in Older Adults with Gait Disorders: A Pilot Study. International Journal of Academic Research in Business and Social Sciences, 14(9), 1756–1764.