Balance, General Cognition and Lower Motoric Strength in Elderly: Tai Chi Versus Brisk Walking
Abstract
Background: The number of elderly in Indonesia continues to increase. A better quality of life can be achieved by preventing reduction of elderly’s cognition, balance and strength of the lower extremities. Tai Chi has been suggested as one of the sports to maintain cognition, balance and lower extremity strength for elder people. However, there are still few studies that compare Tai Chi to other exercises. The aim of this study was to compare the effects of practicing Tai Chi verrsus brisk walking.
Methods: The study design was observational, cross-sectional. Elderly who practiced Tai Chi and Brisk-walk in Tegalega sport field were chosen as the target population. The respondents must be at least 60 years old, no history of cardiovascular disease in the last 3 months, no musculoskeletal complaints, no obvious signs and symptoms of chronic diseases. Afterwards, the respondents were examined using Timed Up and Go (TUG) Test for balance, Montreal Cognitive Assessment (MoCA) for cognition and leg dynamometer for the lower extrimities strength. The collected data was analyzed using Mann-Whitney statistical test and Kolmogorov-Smirnov test.
Results: No significant difference was detected among the three parameters between Tai Chi group (TCG) and Brisk Walking group (BWG). Difference of 0.5 (p=0.314) and 0.6 (p=0.554) was found for TUG Test and MoCA Test between TCG and BWG using Mann Whitney. The leg dynamometer was tested using Kolmogorov-smirnov (p = 1.00).
Conclusions: Similar result of balance, cognition, and lower motor strength are found between TCG and BWG.
DOI: 10.15850/amj.v4n2.1063
Keywords
Full Text:
PDFReferences
Santika A. Lanjut usia dalam perspektif hukum dan HAM. Buletin Jendela Data dan Informasi Kesehatan. 2013;1:29–32.
Pusat Data dan Informasi Kementerian Kesehatan Republik Indonesia. Gambaran kesehatan lanjut usia di Indonesia. Buletin Jendela Data dan Informasi Kesehatan. 2013;1:1–18.
Misiaszek BC. Geriatric medicine survival handbook. Revised Ed. Hamilton, Ontario: Michael G. DeGroote School of Medicine McMaster University; 2008. p.26.
Alfieri FM, Riberto M, Gatz LS, Ribeiro CPC, Lopes JAF, Santarém JM, et al. Functional mobility and balance in community-dwelling elderly submitted to multisensory versus strength exercises. Clin Interv Aging. 2010;5:181–5.
Kuramoto AM. Therapeutic benefits of Tai Chi exercise: research review. Wis Med J. 2006;105(7):40–3.
Lam LC, Chau R, Wong BM, Fung AW, Tam CW, Leung GT, et al. A 1-year randomized controlled trial comparing mind body exercise (Tai Chi) with stretching and toning exercise on cognitive function in older Chinese adults at risk of cognitive decline. J Am Med Dir Assoc. 2012;13(6):568.e15-20.
Kasai JYT, Busse AL, Magaldi RM, Soci MA, de Moraes Rosa P, Curiati JAE, et al. Effects of Tai Chi Chuan on cognition of elderly women with mild cognitive impairment. Einstein (São Paulo). 2010;8(1):40-5.
Konig PR, Galarza E, Goulart NBA, Lanferdini FJ, Tiggeman CL, Dias CP. Effects of Tai Chi Chuan on the elderly balance: a semi-experimental study. Rev Bras Geriatr Gerontol. 2014;17(2):373– 81.
Husein N, Lumempouw S, Ramli Y, Hequtanto. Uji validitas dan reliabilitas Montreal Cognitive Assessment versi Indonesia (MoCA-Ina) untuk skrining gangguan fungsi kognitif. Neurona. 2010;27(4):15– 21.
Herman T, Giladi N, Hausdorff JM. Properties of the ‘timed up and go’test: more than meets the eye. Gerontology. 2011;57(3):203–10.
Koski L, Xie H, Finch L. Measuring cognition in a geriatric outpatient clinic: Rasch analysis of the Montreal Cognitive Assessment. J Geriatr Psychiatry Neurol. 2009;22(3):151– 60.
Li F, Harmer P, Fisher KJ, McAuley E, Chaumeton N, Eckstrom E, et al. Tai Chi and fall reductions in older adults: a randomized controlled trial. J Gerontol A Biol Sci Med Sci. 2005;60(2):187– 94.
Geake JG. The neurological basis of intelligence: A contrast with ‘brain-based’ education. EDUCATIOn-Line [Online Journal] 2006 [cited 2015 Jan 14]. Available from: http://www.leeds.ac.uk/educol/documents/156074.htm.
Tsang WW, Hui-Chan CW. Effects of exercise on joint sense and balance in elderly men: Tai Chi versus golf. Med Sci Sports Exerc. 2004;36(4):658– 67.
Zhang C, Sun W, Yu B, Song Q, Mao D. Effects of exercise on ankle proprioception in adult women during 16 weeks of training and eight weeks of detraining. Res Sports Med. 2015;23(1):102–13.
Taylor-Piliae RE, Newell KA, Cherin R, Lee MJ, King AC, Haskell WL. Effects of Tai Chi and Western exercise on physical and cognitive functioning in healthy community-dwelling older adults. J Aging Phys Act. 2010;18(3):261– 79.
Doerflinger DMC. Mental status assessment in older adults: Montreal Cognitive Assessment: MoCA version 7.1 (original version). try this: Best Practices in Nursing Care to Older Adults. New York: The Hartford Institute for Geriatric Nursing, New York University, College of Nursing; 2012. p.1.
DOI: https://doi.org/10.15850/amj.v4n2.1063
Article Metrics
Abstract view : 469 timesPDF - 331 times
This Journal indexed by
AMJ is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
View My Stats