The effect of Tai Chi exercises on postural stability and control in older patients with knee osteoarthritis.

Author: Ghandali E1, Moghadam ST2, Hadian MR3, Olyaei G4, Jalaie S5, Sajjadi E6
Affiliation:
1Physical Therapy Department, School of Rehabilitation, Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: eghandali@sbmu.ac.ir.
2Physical Therapy Department, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: talebian@sina.tums.ac.ir.
3Physical Therapy Department, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: hadianrs@sina.tums.ac.ir.
4Physical Therapy Department, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: olyaeigh@sina.tums.ac.ir.
5Physical Therapy Department, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: jalaeish@sina.tums.ac.ir.
6Physical Therapy Department, University of Florida, Gainesville, FL, USA. Electronic address: esajjadi@ufl.edu.
Conference/Journal: J Bodyw Mov Ther.
Date published: 2017 Jul
Other: Volume ID: 21 , Issue ID: 3 , Pages: 594-598 , Special Notes: doi: 10.1016/j.jbmt.2016.09.001. Epub 2016 Sep 10. , Word Count: 247


A few studies have examined the effect of Tai Chi on balance in elder patients with knee osteoarthritis (OA). The aim of this study was to determine the balance measures in elder patients with knee OA after Tai Chi exercises. For this purpose 14 females and 6 males with knee OA were chosen. Area and mean velocity of the center of pressure movements (CoP) were measured by force plate in standing positions (on foam and rigid surfaces). The measurements of area and mean velocity of CoP were performed before and after 60 min of Tai Chi sessions (twice a week for 8 weeks). The results showed that the area of CoP in standing position on rigid surface was significantly decreased (P < 0.01) after Tai Chi exercises. Furthermore, the mean velocity of CoP was significantly decreased after Tai Chi exercises on both rigid and foam surfaces (P < 0.001). Our study also indicated that changes in surfaces (rigid and foam) would cause significant differences regarding the area of CoP in standing positions. However, similar findings were not found regarding the mean velocity of CoP. Considering the effects of Tai Chi on mean velocity of CoP, it might be concluded that motor control and postural stability improvements have occurred. Therefore, based on these results, Tai Chi exercises could be recommended for elder patients with knee OA as part of their rehabilitation and physical therapy protocols.

Copyright © 2016. Published by Elsevier Ltd.

KEYWORDS: Balance; Different surfaces; Elder patients; Knee osteoarthritis; Tai Chi

PMID: 28750970 DOI: 10.1016/j.jbmt.2016.09.001

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