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Effects of Sun-style Tai Chi exercise on physical fitness and fall ...
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Short Description: ratio for the Tai Chi exercise group compared with the control group was 0Æ62. The ... The findings reveal that Tai Chi exercise programmes can safely ...
Content Inside: I S S U E S A N D I N N O V A T I O N S I N N U R S I N G P R A C T I C E Effects of Sun-style Tai Chi exercise on physical fitness and fall prevention in fall-prone older adults Jung Hyun Choi PhD RN Lecturer, Department of Nursing, Daewon Science College, Chungbuk, South Korea Jung-Soon Moon PhD RN Professor, College of Nursing, The Catholic University, Seoul, South Korea Rhayun Song PhD RN Assistant Professor, Department of Nursing, Chung Nam National University, Dae Jeon, South Korea Accepted for publication 13 August 2004 Correspondence: C H O I J . H . , M O O N J . - S . & S O N G R . ( 2 0 0 5 ) Journal of Advanced Nursing 51(2), Rhayun Song, 150157 Department of Nursing, Effects of Sun-style Tai Chi exercise on physical fitness and fall prevention in fall- Chung Nam National University, prone older adults 6 Munwha 1-Dong, Aim. This paper reports a study to determine changes in the physical fitness (knee Jung-Gu, and ankle muscle strength, balance, flexibility, and mobility), fall avoidance efficacy, Dae Jeon 301 747, South Korea. and fall episodes of institutionalized older adults after participating in a 12-week E-mail: songry@cnu.ac.kr Sun-style Tai Chi exercise programme. Background. Fall prevention has a high priority in health promotion for older people because a fall is associated with serious morbidity in this population. Regular exercise is effective in fall prevention for older adults because of improvements in strength and balance. Tai Chi exercise is considered to offer great potential for health promotion and rehabilitation, particularly in the maintenance of good mental and physical condition in older people. Methods. A quasi-experimental design with a non-equivalent control group was used. Data were collected from September 2001 to January 2002. A total of 68 fall- prone older adults with a mean age of 778 years participated in the study, and 29 people in the Tai Chi group and 30 controls completed the post-test measures. The Tai Chi exercise programme was provided three times a week for 12 weeks in the experimental group. Data were analysed for group differences using t-tests. Results. At post-test, the experimental group showed significantly improved muscle strength in knee and ankle flexors (P < 0001) and extensors (P < 001), and im- proved flexibility (P < 001) and mobility (P < 0001) compared with the control group. There was no significant group difference in fall episodes, but the relative risk ratio for the Tai Chi exercise group compared with the control group was 062. The experimental group reported significantly more confidence in fall avoidance than did the control group. Conclusion. The findings reveal that Tai Chi exercise programmes can safely improve physical strength and reduce fall risk for fall-prone older adults in resi- dential care facilities. Keywords: fall avoidance efficacy, falls, nursing, older adults, physical fitness, Tai Chi exercise 150 2005 Blackwell Publishing Ltd
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