NIH – Study
Official Title
A Remotely Delivered Tai Ji Quan Intervention to Reduce Incidence of Falls in High Risk Community-Dwelling Older Adults
This is a randomized controlled trial aimed at determining the effectiveness of a virtual and home-based tai ji quan intervention vs. a virtual and home-based multimodal exercise intervention in reducing incidence of falls among community-dwelling older adults at high risk of falling.
Virtual Tai ji Quan Exercise to Prevent Falls in Older Adults
ClinicalTrials.gov ID NCT05822466
Sponsor Oregon Research Institute
Information provided by Oregon Research Institute (Responsible Party)
Last Update Posted 2024-01-09
Active Comparator: Virtual tai ji quan
Participants participating are intervened with practice and drills of tai ji quan forms and associated movements. Training focuses on lower-extremity strength, postural control, and mobility, with an emphasis on weight bearing and weight shifting, extending and controlling the body's center of mass over its base of support; self-induced movement perturbation; gait preparation, initiation, locomotion, and termination; and sensory integration. The exercise training also emphasizes connecting tai ji quan forms to transitional movements that are associated with performing daily activities. Each session includes brief movement-based warm-ups and light breathing cool-down exercises.
Active Comparator: Virtual multimodal exercise
Participants participating are intervened with a multicomponent exercise program that involves light walking, strength, postural control, and flexibility exercises. Walking exercises include amble forward and backward walk, long strides, heel-toe walking, narrow- and wide-base walking, and sidestepping. Strength training includes single- and multi-joint exercises such as semi-squats, lunging forward and sideways, and toe stands that involve exercising ankle dorsiflexors, knee extensors, and hip abductors. Balance training involves semi-tandem foot-standing, heel-toe and line walking, single-leg standing, alternation of the base of support, weight transfers, toe and heel movements, and various reaching and stretching movements away from the center of the base of support. Flexibility exercises include a static stretching routine of major upper and lower body muscle groups. Each session includes brief movement-based warm-ups and light breathing cool-down exercises.
Measurements
Montreal Cognitive Assessment
Reflects change in global cognitive function. This is measured by MoCA which measures cognitive function of multiple domains (attention/concentration, executive functions, short term memory, language, visuospatial abilities, orientation to time and place). MoCA has a total score that ranges from 0 to 30, with higher scores representing better cognitive functioning.
Full Listing
Short Physical Performance Battery (SPPB)
Timed up and Go (TUG)
30-second chair stand
Dual-task walking
Montreal Cognitive Assessment (MoCA)
Trail Making (A, B)
Category Fluency
Forward Digit Span
Backward Digit Span
Proportion of fallers
Activity-specific Balance Confidence (ABC)
Pittsburgh Sleep Quality Index
GDS
EuroQol EQ-5D
Frailty Questionnaire
International Physical Activity Questionnaire