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Improve Physical Ability, Balance, and Flexibility with Tai Chi

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Improve Physical Ability, Balance, and Flexibility with Tai Chi

 

By John M. de Castro, Ph.D.

 

“Tai Chi is a relatively safe activity that can result in gains in general motor function and improve bradykinesia and balance. “ – Xiny Yu

 

Tai Chi is an ancient Chinese practice involving mindfulness and gentle movements. It is easy to learn, safe, and gentle. Tai Chi has been practiced for thousands of years with benefits for health and longevity. Tai Chi training is designed to enhance function and regulate the activities of the body through controlled breathing, mindful concentration, and gentle movements. Only recently though have the physical and motor effects of this practice been scrutinized with empirical research. The findings have been accumulating. So, it makes sense to summarize what has been learned.

 

In today’s Research News article “Effect of Tai Chi on muscle strength, physical endurance, postural balance and flexibility: a systematic review and meta-analysis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7871341/ ) Wehner and colleagues review, summarize and perform a meta-analysis of the published research findings from randomized controlled trials (RCTs) of the effects of Tai Chi training on physical ability, strength, balance, and flexibility. They identified 31 published randomized controlled trials that included mostly participants over 60 years of age.

 

They report that the published research found that Tai Chi practice produce a significant increase in hand grip strength, timed walking distance, postural balance, and spine flexibility. These findings suggest that engaging in Tai Chi practice results in improved health-related fitness. This is particularly important for aging individuals where physical decline is inevitable and suggests an increased health-related quality of life. The improvements in balance are important as they signal a decreased likelihood of falls which are very dangerous for the elderly.

 

So, improve physical ability, balance, and flexibility with Tai Chi.

 

“our main finding suggests a statistically significant general improvement in motor efficiency for the TC group.” – Luisa Sartori

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available on Twitter @MindfulResearch

 

Study Summary

 

Wehner, C., Blank, C., Arvandi, M., Wehner, C., & Schobersberger, W. (2021). Effect of Tai Chi on muscle strength, physical endurance, postural balance and flexibility: a systematic review and meta-analysis. BMJ open sport & exercise medicine, 7(1), e000817. https://doi.org/10.1136/bmjsem-2020-000817

 

What is already known?

  • Tai Chi training has positive effects on a variety of chronic diseases (eg, osteoarthritis) and health-related issues (eg, reduced risk of falling).
  • Tai Chi training exerts a positive impact not only on physical parameters, but also on mental health.
  • There is good evidence for positive effects of Tai Chi training for older people and patient populations, as most previous studies concentrated on these populations.

What are the new findings?

  • There is evidence that Tai Chi training can also moderately improve physical fitness as measured by tests commonly applied in health-related fitness or competitive sports contexts; for healthy people such tests are more relevant compared with the clinical assessment tools used for unfit and patient populations. Improvements were observed in handgrip strength, functional capacity, postural balance and thoracolumbar flexibility.
  • We hypothesise that not only slow motions of the legs and kicking movements while standing on one leg, which are characteristic in Tai Chi but also the improvement of thoracolumbar flexibility enhance postural balance.

Abstract

Objective

To investigate the impact of Tai Chi training on muscle strength, physical endurance, postural balance and flexibility, as measured by tests commonly used in health-related fitness or competitive sports contexts.

Design

Systematic review and meta-analysis.

Data sources

The following databases were searched up to 31 July 2020: CINAHL, Cochrane Library, MEDLINE via PubMed and SPORTDiscus.

Eligibility criteria for studies

Inclusion: (1) Randomised controlled trials published in German or English; (2) Tai Chi used as an intervention to improve physical performance; (3) Test methods commonly used in health-related fitness or competitive sports and (4) Participants aged ≥16 years (irrespective of health status). Exclusion: (1) Studies not focusing on Tai Chi or including Tai Chi mixed with other interventions and (2) Modified or less than eight Tai Chi movements.

Results

Out of 3817 records, 31 studies were included in the review, 21 of them in the meta-analysis. Significant improvements in handgrip strength (2.34 kg, 95% CI 1.53 to 3.14), walking distance during 6 min (43.37 m, 95% CI 29.12 to 57.63), standing time in single-leg-stance with open eyes (6.41 s, 95% CI 4.58 to 8.24) and thoracolumbar spine flexibility (2.33 cm, 95% CI 0.11 to 4.55) were observed.

Conclusion

Tai Chi training seems to moderately improve physical fitness when evaluated by tests used in health-related fitness or competitive sports. Moreover, thoracolumbar spine flexibility seems to be a factor in the improvement of postural balance. Further research is needed, including younger healthy participants performing a widely used, standardised form (eg, Peking-style routine) with high-intensity movements (eg, use of lower stances).

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7871341/

 

Yoga Practitioners Cope Better with the Stress and Psychological Distress During Covid-19 Pandemic

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Yoga Practitioners Cope Better with the Stress and Psychological Distress During Covid-19 Pandemic

 

By John M. de Castro, Ph.D.

 

“As the lockdown cannot last forever and workplaces will have to be functional soon, there is an increased possibility of recurrent infection. Therefore, Yoga can provide the necessary tool for risk reduction, amelioration of stress and anxiety and strengthening of the immune function.” – Kanupriya Sharma 

 

Mindfulness training and yoga practices have been shown to improve health and well-being in healthy individuals. They have also been found to be effective for a large array of medical and psychiatric conditions, either stand-alone or in combination with more traditional therapies. The COVID-19 pandemic has challenged the mental and physical health of the population. It has created intense stress both for frontline workers but also for people simply isolating at home. Mindfulness is known to decrease the psychological and physical responses to stress and yoga practice also produces similar improvements. So, yoga practice may be helpful in coping with the mental and physical challenges resulting from the lockdown during the COVID-19 pandemic.

 

In today’s Research News article “Yoga Practice Is Beneficial for Maintaining Healthy Lifestyle and Endurance Under Restrictions and Stress Imposed by Lockdown During COVID-19 Pandemic.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8257944/ ) Nagarathna and colleagues recruited adult (>18 years of age) participants in India online during the Covid-19 lockdown and had them complete a questionnaire measuring demographics, Covid-19 exposure, physical health, mental health, coping strategies, lifestyle, and physical activities.

 

They defined a yoga group as those participants who practiced yoga before and during the Covid-19 lockdown and the non-yoga group as those who did not. They report that the yoga group had a significantly greater proportion of females and students, were younger, were less likely to use alcohol, tobacco, or other substances and eat junk food, more likely to be vegetarian, were disciplined in their diet, and had greater sleep quality, physical strength and endurance, and energy, have lower levels of anxiety and fear, but did not differ in Covid-19 exposure. In addition, the yoga group indicated more adaptive coping strategies.

 

This study was a comparison between groups defined by whether they were yoga practitioners or not. Any observed differences could well be due to the types of people attracted to yoga practice versus those who are not. It cannot be concluded that the practice of yoga was responsible for the differences. But prior research has demonstrated in controlled trials that the practice of yoga produces many physical and psychological benefits. So, the differences observed here may well be due to causal effects of yoga practice. Regardless of causation, the results clearly show that during the Covid-19 lockdown, yoga practitioners have greater physical and mental well-being and have healthier lifestyles.

 

So, yoga practitioners cope better with the stress and psychological distress during Covid-19 pandemic.

 

“Yoga can be a powerful tool to deal with the lockdown’s uncertainty and isolation, as well as to maintain physical well-being.” – United Nations

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

Nagarathna, R., Anand, A., Rain, M., Srivastava, V., Sivapuram, M. S., Kulkarni, R., Ilavarasu, J., Sharma, M., Singh, A., & Nagendra, H. R. (2021). Yoga Practice Is Beneficial for Maintaining Healthy Lifestyle and Endurance Under Restrictions and Stress Imposed by Lockdown During COVID-19 Pandemic. Frontiers in psychiatry, 12, 613762. https://doi.org/10.3389/fpsyt.2021.613762

 

Abstract

Uncertainty about Coronavirus disease 2019 (COVID-19) and resulting lockdown caused widespread panic, stress, and anxiety. Yoga is a known practice that reduces stress and anxiety and may enhance immunity. This study aimed to (1) investigate that including Yoga in daily routine is beneficial for physical and mental health, and (2) to evaluate lifestyle of Yoga practitioners that may be instrumental in coping with stress associated with lockdown. This is a pan-India cross-sectional survey study, which was conducted during the lockdown. A self-rated scale, COVID Health Assessment Scale (CHAS), was designed by 11 experts in 3 Delphi rounds (Content valid ratio = 0.85) to evaluate the physical health, mental health, lifestyle, and coping skills of the individuals. The survey was made available digitally using Google forms and collected 23,760 CHAS responses. There were 23,290 valid responses (98%). After the study’s inclusion and exclusion criteria of yogic practices, the respondents were categorized into the Yoga (n = 9,840) and Non-Yoga (n = 3,377) groups, who actively practiced Yoga during the lockdown in India. The statistical analyses were performed running logistic and multinomial regression and calculating odds ratio estimation using R software version 4.0.0. The non-Yoga group was more likely to use substances and unhealthy food and less likely to have good quality sleep. Yoga practitioners reported good physical ability and endurance. Yoga group also showed less anxiety, stress, fear, and having better coping strategies than the non-Yoga group. The Yoga group displayed striking and superior ability to cope with stress and anxiety associated with lockdown and COVID-19. In the Yoga group, participants performing meditation reportedly had relatively better mental health. Yoga may lead to risk reduction of COVID-19 by decreasing stress and improving immunity if specific yoga protocols are implemented through a global public health initiative.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8257944/

 

Improve Forgiveness, Character, and Satisfaction with Life with a Smartphone Mindfulness App

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Improve Forgiveness, Character, and Satisfaction with Life with a Smartphone Mindfulness App

 

By John M. de Castro, Ph.D.

 

“mindfulness can promote forgiveness. We have known for many years that mindfulness helps people cope with stress and increases their wellbeing. These studies suggest that mindfulness can also enhance the quality of our relationships with other people by affecting how forgiving we are.” – Johan Karremans

 

Mindfulness training has been shown through extensive research to be effective in improving physical and psychological health and particularly with reducing the physical and psychological reactions to stress and increasing resilience in the face of stress. So, mindfulness training may be particularly effective in promoting well-being even during a stressful time like the lockdown during the Covid-19 pandemic.

 

The vast majority of the mindfulness training techniques, however, require a trained therapist. This results in costs that many clients can’t afford. In addition, the participants must be available to attend multiple sessions at particular scheduled times that may or may not be compatible with their busy schedules and at locations that may not be convenient. As an alternative, mindfulness training with smartphone apps have been developed. These have tremendous advantages in decreasing costs, making training schedules much more flexible, and eliminating the need to go repeatedly to specific locations. In addition, research has indicated that mindfulness training with smartphone apps can be effective for improving the health and well-being of the participants.

 

In today’s Research News article “Influence on Forgiveness, Character Strengths and Satisfaction with Life of a Short Mindfulness Intervention via a Spanish Smartphone Application.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7832842/ )  Pizarro-Ruiz and colleagues recruited college students during Covid-19 confinement and randomly assigned them to perform a smartphone app guided practice of either mindfulness (Aire Fresco) or mental exercises (Luminosity) once a day for 14 days. They were measured before and after training for mindfulness, positive and negative emotions, forgiveness, satisfaction with life, and 3 strengths, temperance, intellectual, and interpersonal. A strength of the study was that the control condition was highly similar to the experimental condition. This makes the results and conclusions resistant to confounding.

 

They found that at baseline the higher the levels of mindfulness the higher the levels of positive emotions, forgiveness, satisfaction with life, and temperance, and the lower the levels of negative emotions. In comparison to baseline and the mental exercise control group, after the interventions the mindfulness group had significantly greater decreases in negative emotions and significantly greater increases in forgiveness, intellectual and interpersonal strength and mindfulness, including the observe, describe, act with awareness, and non-judgment facets.

 

The findings are similar to previous findings that mindfulness training improves emotions, satisfaction with life, forgiveness and intellectual and interpersonal strength. This study, however, demonstrates that training mindfulness with a smartphone app is effective in improving the mood and mental health of college students locked down during a pandemic. Since, during a pandemic lockdown access to trained therapists is extremely limited, employing an smartphone app is one of the few available methods to receive mindfulness training. The results suggest that mindfulness smartphone apps should be recommended to help counteract the deleterious effects of a stressful and isolating situation.

 

So, improve forgiveness, character, and satisfaction with life with a smartphone mindfulness app.

 

“mindfulness may meet the defining characteristics of character strength, it is really “an attentional stance, or a way of relating to one’s present-moment experience, that probably cultivates a wide range of strengths and virtues” – Karrie Shogren

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Pizarro-Ruiz, J. P., Ordóñez-Camblor, N., Del-Líbano, M., & Escolar-LLamazares, M. C. (2021). Influence on Forgiveness, Character Strengths and Satisfaction with Life of a Short Mindfulness Intervention via a Spanish Smartphone Application. International journal of environmental research and public health, 18(2), 802. https://doi.org/10.3390/ijerph18020802

 

Abstract

Mindfulness-based interventions (MBI) are a recognized effective psychological practice characterized by attention control, awareness, acceptance, non-reactivity, and non-judgmental thinking obtained through the practice of meditation. They have been shown to be useful in reducing stress and enhancing well-being in different contexts. In this research, the effectiveness of an MBI was evaluated on variables that can promote successful job performance such as mindfulness trait, positive and negative affect, forgiveness, personality strengths and satisfaction with life. The intervention was carried out through a smartphone application called “Aire Fresco” (Fresh Air) during 14 days in the middle of the quarantine produced by the Covid-19 pandemic. The study sample was composed of 164 Spanish people who were distributed in two groups: control group and experimental group, which were evaluated before and after the intervention. The MANCOVA performed showed an overall positive effect of the intervention on the variables evaluated. The different ANCOVAs carried out showed that the intervention was beneficial in increasing mindfulness trait, reducing negative affect or increasing life satisfaction, among others. Our study is, as far as we know, the first to demonstrate the effectiveness of a brief intervention in mindfulness conducted using a smartphone application in Spanish.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7832842/

 

Improve Balance in the Elderly with Traditional Tai Chi or Augmented Reality-Assisted Tai-Chi

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Improve Balance in the Elderly with Traditional Tai Chi or Augmented Reality-Assisted Tai-Chi

 

By John M. de Castro, Ph.D.

 

‘Tai chi is an ancient Chinese exercise that can help older adults improve their balance and lower their fall risk.” – Harvard Health

 

The process of aging affects every aspect of the physical and cognitive domains. Every system in the body deteriorates including motor function with a decline in strength, flexibility, and balance. Impaired balance is a particular problem as it can lead to falls. In the U.S. one third of people over 65 fall each year and 2.5 million are treated in emergency rooms for injuries produced by falls. About 1% of falls result in deaths making it the leading cause of death due to injury among the elderly.

 

Falls, with or without injury, also carry a heavy quality of life impact. A growing number of older adults, fear falling and, as a result, limit their activities and social engagements. This can result in further physical decline, depression, social isolation, and feelings of helplessness. It is obviously important to discover methods to improve balance and decrease the number of falls in the elderly.

 

Tai Chi training is designed to enhance and regulate the functional activities of the body through regulated breathing, mindful concentration, and gentle movements. It includes balance training and has been shown to improve balance and coordination. Indeed, Tai Chi training has been shown to reduce the frequency of falls in the elderly. It is not known, however, whether augmented reality can improve the effectiveness of Tai Chi training in improving balance.

 

In today’s Research News article “Augmented reality-assisted training with selected Tai-Chi movements improves balance control and increases lower limb muscle strength in older adults: A prospective randomized trial.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265060/) Chen and colleagues recruited healthy elderly over 65 years of age and randomly assigned them to an 8-week training in either traditional 24 movement Yang Tai Chi or to an Augmented form of Tai Chi. Augmented Tai Chi involved a computerized monitoring of movements and video feedback on the movements and only 8 of the 24 Yang style movements were included. They were measured before and after training for balance, functional reach, timed up-and-go, and lower extremity muscle strength.

 

They found that both Tai Chi groups had significant improvements in dynamic balance and lower extremity muscle strength. While only static balance was significantly improved in the traditional Tai Chi group, both static and dynamic balance and mobility (timed up-and-go) were significantly improved in the simplified augmented Tai Chi group. The augmented Tai Chi group improved more in all measures that the traditional Tai Chi group, but the differences were not statistically significant.

 

The results demonstrate that Tai Chi training is effective in improving balance and leg muscle strength in the elderly. This is important to prevent falls. There was evidence that practicing a simplified program with computerized augmentation may produce superior results, but a larger study is needed to have the statistical power to determine if this is in fact a reliable difference. It will also be important to determine if the simplification of the movements (8 rather than 24) or the augmentation, or both are responsible for better performance.

 

One drawback of the augmented program is that it requires practice in the lab. A strength of traditional Tai Chi practice is that it can be practiced without professional supervision and in groups making it inexpensive to deliver and fun to engage in. So, although the augmented program may produce superior results, there are still considerable advantages to traditional Tai Chi for improving the health and well-being of the elderly..

 

So, improve balance in the elderly with traditional Tai Chi or augmented reality-assisted Tai-Chi.

 

“When you’re practicing the movements, you’re shifting your weight from one foot to the other to maintain balance. By doing (tai chi), you become more aware of the position of your body in space — which is something we become less aware of as we age.” – Michael Irwin

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Chen, P. J., Penn, I. W., Wei, S. H., Chuang, L. R., & Sung, W. H. (2020). Augmented reality-assisted training with selected Tai-Chi movements improves balance control and increases lower limb muscle strength in older adults: A prospective randomized trial. Journal of exercise science and fitness, 18(3), 142–147. https://doi.org/10.1016/j.jesf.2020.05.003

 

Abstract

Background

Tai-Chi benefits older adults by enhancing balance control and increasing the muscle strength of the lower limbs. However, a complete set of traditional Tai-Chi exercises is sometimes too difficult for beginners. We investigated whether practicing augmented reality-assisted training with selected Tai-Chi movements tailored to the practitioner’s ability (selected Tai-Chi, or sTC) is as effective as performing a complete set of Tai-Chi sequences (complete traditional Tai-Chi, or tTC).

Methods

In this prospective randomized trial carried out in the Beitou District of Taipei City, Taiwan, community-dwelling adults aged ≥65 and without any debilitating diseases (n = 28) were included. Participants were randomly assigned to the sTC group (n = 14) or the tTC group (n = 14). Participants in the sTC group practiced selected Tai-Chi movements using the augmented reality Tai-Chi training system. Participants of the tTC group were asked to complete the 24-form Yang-style Tai-Chi following the instructions of Tai-Chi masters. Each training session lasted 30 min, with 3 sessions per week for 8 weeks. Pre- and post-intervention evaluations included functional balance tests, comprising the Berg Balance Scale (BBS), Timed Up and Go test (TUG), and Functional Reach Test (FRT), as well as muscle strength measurements of the lower extremities.

Results

Pre-intervention evaluations showed significant differences in FRT (p = 0.034) and left hip abductor muscle strength (p = 0.046) between the sTC and tTC groups. After 8 weeks of training, the BBS, TUG, and FRT scores in the sTC group showed significant improvement overall. Although all three functional balance test scores improved in the tTC group, only the improvement in BBS was statistically significant (p = 0.001). After 8 weeks, all muscle strength measurements increased by an average of 3.1 ± 1.0 kgw in the sTC group and 1.6 ± 0.8 kgw in the tTC group.

Conclusions

The augmented reality-assisted training with selected Tai-Chi movements, designed based on objective measurements of the practitioner’s capability, improved balance control and muscle strength of lower limbs at least as effectively as the complete sequence of traditional Tai-Chi exercises.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265060/

 

Improve Physical Function and Postural Control Complexity in Older Adults with Peripheral Neuropathy with Tai Chi

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Improve Physical Function and Postural Control Complexity in Older Adults with Peripheral Neuropathy with Tai Chi

 

By John M. de Castro, Ph.D.

 

“slow and fluid movements improve the body’s alignment, posture, strength, flexibility, coordination, balance, and stamina. Many of these benefits of Tai Chi are consistent with many other forms of low-impact exercise, with the added benefit of focus on improved posture, balance, and alignment.” – Robert Humphries

 

The process of aging affects every aspect of the physical and cognitive domains. Every system in the body deteriorates including motor function with a decline in strength, flexibility, and balance. Impaired balance is a particular problem as it can lead to falls. In the U.S. one third of people over 65 fall each year and 2.5 million are treated in emergency rooms for injuries produced by falls. About 1% of falls result in deaths making it the leading cause of death due to injury among the elderly. Falls, with or without injury, also carry a heavy quality of life impact.

 

Peripheral neuropathy can compound the effects of aging on motor ability. It involves damage to the peripheral nerves carrying information to the spinal cord and brain. This results in deficits in sensory information from the body and motor control. Peripheral neuropathy can impair muscle movement, prevent normal sensation in the arms and legs, and cause pain. In this way peripheral neuropathy may further impair older adults motor abilities and increase the likelihood of falls.

 

Tai Chi training is designed to enhance and regulate the functional activities of the body through posture, regulated breathing, mindful concentration, and gentle movements. It includes posture and balance training and has been shown to improve balance and coordination. Indeed, Tai Chi training has been shown to reduce the likelihood of falls in the elderly. One possible way that Tai Chi training may contribute to the decrease in falls is by improving postural control. This interesting speculation has not been previously investigated in older patients with peripheral neuropathy.

 

In today’s Research News article “Complexity-based measures inform Tai Chi’s impact on standing postural control in older adults with peripheral neuropathy.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3640896/), Manor and colleagues recruited older adults (average age 71 years) with peripheral neuropathy. They were provided 3 1-hour Tai Chi classes per week for 24 weeks. They were measured before and after training for foot sole sensation, leg strength, mobility, functional ability, and postural control, including measures of balance, speed, area under the curve, and complexity of postural control while standing.

 

They found that in comparison to baseline, after Tai Chi training there were significant improvements in foot sole sensation, leg strength, mobility, and physical function, including knee extension, walking, and speed. There was also a significant increase in postural control complexity. In addition, they found that the greater the increase in postural control complexity the greater the improvements in foot sole sensation, mobility, and functional ability.

 

This study did not have a control condition so conclusions must be tempered with the understanding that the results may have been due to time-based confounding variables. Nevertheless, the results suggest that Tai Chi practice improves the physical condition and abilities of older adults with peripheral neuropathy. Aging is associated with a loss of motoric complexity. The improvement in postural complexity observed in the present study may then represent the ability of Tai Chi practice to restore this complexity and thereby help the older adults’ physical abilities.

 

So, improve physical function and postural control complexity in older adults with peripheral neuropathy with Tai Chi.

 

“We work to maintain great posture for a 60-120 minute class, reap the benefits, feel great, and then go home and try to emulate the posture in our natural environment.” – Scott

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Manor, B., Lipsitz, L. A., Wayne, P. M., Peng, C. K., & Li, L. (2013). Complexity-based measures inform Tai Chi’s impact on standing postural control in older adults with peripheral neuropathy. BMC complementary and alternative medicine, 13, 87. https://doi.org/10.1186/1472-6882-13-87

 

Abstract

Background

Tai Chi training enhances physical function and may reduce falls in older adults with and without balance disorders, yet its effect on postural control as quantified by the magnitude or speed of center-of-pressure (COP) excursions beneath the feet is less clear. We hypothesized that COP metrics derived from complex systems theory may better capture the multi-component stimulus that Tai Chi has on the postural control system, as compared with traditional COP measures.

Methods

We performed a secondary analysis of a pilot, non-controlled intervention study that examined the effects of Tai Chi on standing COP dynamics, plantar sensation, and physical function in 25 older adults with peripheral neuropathy. Tai Chi training was based on the Yang style and consisted of three, one-hour group sessions per week for 24 weeks. Standing postural control was assessed with a force platform at baseline, 6, 12, 18, and 24 weeks. The degree of COP complexity, as defined by the presence of fluctuations existing over multiple timescales, was calculated using multiscale entropy analysis. Traditional measures of COP speed and area were also calculated. Foot sole sensation, six-minute walk (6MW) and timed up-and-go (TUG) were also measured at each assessment.

Results

Traditional measures of postural control did not change from baseline. The COP complexity index (mean±SD) increased from baseline (4.1±0.5) to week 6 (4.5±0.4), and from week 6 to week 24 (4.7±0.4) (p=0.02). Increases in COP complexity—from baseline to week 24—correlated with improvements in foot sole sensation (p=0.01), the 6MW (p=0.001) and TUG (p=0.01).

Conclusions

Subjects of the Tai Chi program exhibited increased complexity of standing COP dynamics. These increases were associated with improved plantar sensation and physical function. Although more research is needed, results of this non-controlled pilot study suggest that complexity-based COP measures may inform the study of complex mind-body interventions, like Tai Chi, on postural control in those with peripheral neuropathy or other age-related balance disorders.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3640896/

 

Slow Age-Related Physical Decline with Tai Chi

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Slow Age-Related Physical Decline with Tai Chi

 

By John M. de Castro, Ph.D.

 

“This peaceful type of moving meditation is primarily used to improve strength, balance, flexibility and posture. Recent studies of Tai Chi shows that this mind-body practice is able to alleviate pain, improve mood, increase immunity and support heart health.” – World Health net

 

We celebrate the increasing longevity of the population. But, aging is a mixed blessing. The aging process involves a systematic progressive decline of the body and the brain. Every system in the body deteriorates including motor function with a decline in strength, flexibility, and balance. It is inevitable. In addition, many elderly experience withdrawal and isolation from social interactions. There is some hope as there is evidence that these declines can be slowed. For example, a healthy diet and a regular program of exercise can slow the physical decline of the body with aging. Also, contemplative practices such as meditation, yoga, and tai chi or qigong have all been shown to be beneficial in slowing or delaying physical and mental decline.

 

Tai Chi has been practiced for thousands of years with benefits for health and longevity. Tai Chi training is designed to enhance function and regulate the activities of the body through regulated breathing, mindful concentration, and gentle movements. Only recently though have the effects of Tai Chi practice been scrutinized with empirical research. But, it has been found to be effective for an array of physical and psychological issues. It appears to strengthen the immune system, reduce inflammation and increase the number of cancer killing cells in the bloodstream. Because Tai Chi is not strenuous, involving slow gentle movements, and is safe, having no appreciable side effects, it is appropriate for all ages including the elderly and for individuals with illnesses that limit their activities or range of motion. Tai Chi has been shown to help the elderly improve attention, balance, reducing falls, arthritis, cognitive function, memory, and reduce age related deterioration of the brain.

 

In today’s Research News article “Effect of Taichi Softball on Function-Related Outcomes in Older Adults: A Randomized Control Trial.” See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5397616/, Lou and colleagues recruited individuals from a senior living community (mean age 63 years) and randomly assigned them to either receive Tai Chi Softball Training for 7 weeks, four times a week, for 90 minutes each, or a no-treatment control group. Tai Chi Softball Training requires practitioners to hold a racket and control a softball on the surface of the racket while performing Tai Chi. Participants were measured before, at 7 weeks, and after training for lower limb strength and balance, and upper limb shoulder mobility, handgrip strength, and fine motor control.

 

They found that while the control group had deterioration in all measures, the participants in Tai Chi Softball Training had significant improvements in these same measures, including fine motor control, fine motor function, handgrip strength, hand and forearm strength, shoulder mobility, leg strength, and dynamic balance. The practice was found to be safe, as there were no significant adverse effects observed for participation in Tai Chi Softball Training.

 

These are wonderful results demonstrating that Tai Chi Softball Training is very effective in improving physical functional health in the elderly. This is particularly important as the progressive decline in motor ability in this group impacts their quality of life, health, and even their longevity. It would be interesting in future research to compare Tai Chi Softball Training to regular Tai Chi practice and other exercise programs to determine if one is superior to the others. Hence, Tai Chi because it is effective and gentle, is almost an ideal program for the elderly.

 

So, slow age-related physical decline with tai chi.

 

“tai chi may be an easier and more convenient than brisk walking as an anti-aging choice. Previous studies have shown tai chi also improves balance and may help boost brain functioning.” – Linda Melone

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Lou, L., Zou, L., Fang, Q., Wang, H., Liu, Y., Tian, Z., & Han, Y. (2017). Effect of Taichi Softball on Function-Related Outcomes in Older Adults: A Randomized Control Trial. Evidence-Based Complementary and Alternative Medicine : eCAM, 2017, 4585424. http://doi.org/10.1155/2017/4585424

 

Abstract

The purpose of this present study was to examine the effect of Taichi softball (TCSB) on physical function in Chinese older adults. Eighty Chinese older adults were randomly assigned into either an experimental group experiencing four 90-minute TCSB sessions weekly for seven consecutive weeks or a control group. At baseline and 7 weeks later, all participants were asked to perform physical functional tests for both lower and upper limbs. Multiple separate Analyses of Variance (ANOVA) with repeated measures were applied to evaluate the effects of TCSB on function-related outcomes between baseline and postintervention in the two groups. The findings indicate that a short-term and intensive TCSB training program does not only improve low limb-related physical function such as dynamic balance and leg strength, but also strengthen upper limb-related physical function (e.g., arm and forearm strength, shoulder mobility, fine motor control, handgrip strength, and fine motor function). Health professionals could take into account TCSB exercise as an alternative method to help maintain or alleviate the inevitable age-related physical function degeneration in healthy older adults. In addition, researchers could investigate the effect of TCSB exercise on physical function in special populations such as patients with different chronic diseases or neurological disorder (e.g., Parkinson’s disease).

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5397616/

Improve Health with Qigong

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Improve Health with Qigong

 

By John M. de Castro, Ph.D.

 

“Qigong is an ancient Chinese system of exercise and meditation that makes the mind and spirit tranquil, improves performance in sports, and cultivates health, well-being, and long life.” – Annie Bond

 

Qigong and Tai Chi have been practiced for thousands of years with benefits for health and longevity. Qigong and Tai Chi trainings are designed to enhance function and regulate the activities of the body through controlled breathing, mindful concentration, and gentle movements. Only recently though have the effects of these practices been scrutinized with empirical research. This research has found that they are effective for an array of physical and psychological issues. They appear to strengthen the immune system, reduce inflammation and increase the number of cancer killing cells in the bloodstream, improve cardiovascular health, reduce arthritis pain, improve balance and reduce falls. They also appear to improve attentional ability and relieve depression.

 

In today’s Research News article “A Systematic Review and Meta-Analysis Baduanjin Qigong for Health Benefits: Randomized Controlled Trials.” See summary below or view the full text of the study at:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5359459/

Zou and colleagues review the published research literature on the effects of one particular Qigong practice, Baduanjin Qigong, on health.  Baduanjin Qigong involves only 8 simple movements and “is characterized by interplay between symmetrical physical postures and movements, mind, and breathing exercise in a harmonious manner.” They discovered 19 published randomized controlled trials employing adults. About 1/3 of the participants were healthy and 2/3 were ill with a variety of diseases including “type 2 diabetes mellitus, cancer, Parkinson’s disease, hypertension, knee osteoarthritis, and chronic fatigue syndrome-like illness.”

 

The published research revealed that Baduanjin Qigong produced significant improvements in quality of life (6 studies), sleep quality (6 studies), balance (6 studies), handgrip strength (5 studies), trunk and hip flexibility (4 studies), leg power (2 studies), walking performance (2 studies), systolic and diastolic blood pressures (9 studies), respiratory efficiency (6 studies), and cardiorespiratory endurance (4 studies). The small number of studies (2) that measured leg power and walking performance makes conclusions about these improvements tentative. But, the rest of the improvements would appear to be solid findings of a magnitude to be considered of clinical significance.

 

These are exciting results. The range of different areas of physical improvement produced by Baduanjin Qigong and the range of illnesses improved are impressive. Since, this ancient gentle practice is completely safe, can be used with the elderly and sickly, is inexpensive to administer, can be performed in groups or alone, at home or in a facility or even public park, and can be quickly learned as only 8 movements are involved, it would appear to be an excellent treatment for sickly individuals, especially the elderly. It remains to be seen how effective Baduanjin Qigong might be for mental and emotional problems.

 

So, improve health with qigong.

 

“Sometimes Qigong and Tai Chi are called a moving meditation in which the mind and body are led to a state of balance and equilibrium also known as homeostasis. A Harvard medical publication said it should also be called “moving medication.” The advantages of improving strength, flexibility and balance are pretty obvious but the advantages of peace that comes from the moving flowing meditative aspect of Qigong and Tai Chi are equally important.” – Denise Nagel

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

Zou, L., SasaKi, J. E., Wang, H., Xiao, Z., Fang, Q., & Zhang, M. (2017). A Systematic Review and Meta-Analysis Baduanjin Qigong for Health Benefits: Randomized Controlled Trials. Evidence-Based Complementary and Alternative Medicine : eCAM, 2017, 4548706. http://doi.org/10.1155/2017/4548706

 

Abstract

Objective. To investigate the effects of practicing Baduanjin Qigong on different health outcomes. Methods. Six electronic databases were used for literature search through entering the following key words: Baduanjin Qigong, quality of life, sleep quality, and health-related outcomes. Results. Nineteen randomized controlled trials were used for meta-analysis. The aggregated results from this systematic review have shown significant benefits in favour of Baduanjin Qigong on quality of life (SMD, −0.75; 95% CI −1.26 to −0.24; P = 0.004), sleep quality (SMD, −0.55; 95% CI −0.97 to −0.12; P = 0.01), balance (SMD, −0.94; 95% CI −1.59 to 0.30; P = 0.004), handgrip strength (SMD, −0.69; 95% CI −1.2 to −0.19; P = 0.007), trunk flexibility (SMD, −0.66; 95% CI −1.13 to −0.19; P = 0.006), systolic (SMD, −0.60; 95% CI −0.94 to −0.27; P = 0.0004) and diastolic blood pressure (SMD, −0.46; 95% CI −0.73 to −0.20; P = 0.0005), and resting heart rate (SMD, −0.87; 95% CI −1.47 to −0.27; P = 0.005). The aggregated results of meta-analyses examining the effect of Baduanjin Qigong on leg power, cardiopulmonary endurance, and pulmonary function remain unclear because of a small number of studies. Conclusions. The aggregated results from this systematic review show that Baduanjin Qigong practice is beneficial for quality of life, sleep quality, balance, handgrip strength, trunk flexibility, systolic and diastolic blood pressure, and resting heart rate. Further studies are necessary to confirm the effects of Baduanjin Qigong on leg power, cardiopulmonary endurance, and pulmonary function (e.g., vital capacity), while considering a long-term follow-up.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5359459/

Yoga Helps the Blind Maintain Balance

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“One of the many misconceptions about the blind is that they have greater hearing, sense of smell and sense of touch than sighted people. This is not strictly true. Their blindness simply forces them to recognize gifts they always had but had heretofore largely ignored.” – Rosemary Mahoney
Falls are a standard of slapstick comedy and Americas Funniest Home Videos. But, falls are far from funny. They can cause serious injury and even death. “One out of five falls causes a serious injury such as broken bones or a head injury. Each year, 2.5 million older people are treated in emergency departments for fall injuries. Over 700,000 patients a year are hospitalized because of a fall injury, most often because of a head injury or hip fracture. Each year at least 250,000 older people are hospitalized for hip fractures. More than 95% of hip fractures are caused by falling,6 usually by falling sideways. Falls are the most common cause of traumatic brain injuries (TBI). Adjusted for inflation, the direct medical costs for fall injuries are $34 billion annually.” (Centers for Disease Control). Approximately 9,500 deaths in older Americans are associated with falls each year, making falls the leading cause of death from injury among people 65 and older.

 

Physical and sensory fitness and balance are important for the prevention of falls. The visual system is particularly important for maintaining balance and avoiding obstacles. Hence, it is not surprising that the visually impaired are 1.7 times more likely to have a fall and 1.9 times more likely to have multiple falls compared with fully sighted populations. The odds of a hip fracture are between 1.3 and 1.9 times greater for those with reduced visual acuity. So, finding methods to improve balance in the visually impaired may greatly reduce falls and subsequent injury.

 

Yoga has been shown to improve muscular strength, endurance, and flexibility (see http://contemplative-studies.org/wp/index.php/2015/08/11/improve-physical-health-with-yoga/) and to improve balance (see http://contemplative-studies.org/wp/index.php/2015/12/26/improve-physical-well-being-with-bikram-yoga/). So, it would seem reasonable to predict that yoga training may improve coordination, flexibility, and balance in the visually impaired and as a result reduce injuries.

 

In today’s Research News article “Ashtanga-Based Yoga Therapy Increases the Sensory Contribution to Postural Stability in Visually-Impaired Persons at Risk for Falls as Measured by the Wii Balance Board: A Pilot Randomized Controlled Trial”

https://www.facebook.com/ContemplativeStudiesCenter/photos/a.628903887133541.1073741828.627681673922429/1159236467433611/?type=3&theater

http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0129646

Jeter and colleagues developed and pilot tested a yoga program for the legally blind and compared the results to those obtained from a wait-list control group. The participants practiced yoga once a week with an instructor and twice a week at home for eight weeks. As expected yoga produced an increase in lower body strength and flexibility. Using a balance on an unstable platform test they found that after yoga training the blind participants were better able to use somatosensory and vestibular information to maintain balance.

 

These findings suggest that yoga improves blind individuals physically and increases their balance by making them more sensitive to the information provided by touch and by the balance (vestibular) system. There was no direct test of propensity to fall, but the results suggest that the yoga training would improve balance and thereby lower the likelihood of a fall. It will take further research to directly test this conclusion.

 

It is clear, however, that yoga can improve sensitivity of the tactile and vestibular stimuli that are important for balance. So, practice yoga to improve balance in the blind.
“To be blind is not miserable; not to be able to bear blindness, that is miserable.”

John Milton
CMCS – Center for Mindfulness and Contemplative Studies