Skip to main content
British Journal of Sports Medicine logoLink to British Journal of Sports Medicine
. 2000 Feb;34(1):29–34. doi: 10.1136/bjsm.34.1.29

Balance control, flexibility, and cardiorespiratory fitness among older Tai Chi practitioners

Y Hong 1, J X Li 1, P Robinson 1
PMCID: PMC1724150  PMID: 10690447

Abstract

Background—Tai Chi Chuan (TTC) exercise has beneficial effects on the components of physical condition and can produce a substantial reduction in the risk of multiple falls. Previous studies have shown that short term TCC exercise did not improve the scores in the single leg stance test with eyes closed and the sit and reach test. There has apparently been no research into the effects of TCC on total body rotation flexibility and heart rate responses at rest and after a three minute step test.

Methods—In this cross sectional study, 28 male TCC practitioners with an average age of 67.5 years old and 13.2 years of TCC exercise experience were recruited to form the TCC group. Another 30 sedentary men aged 66.2 were selected to serve as the control group. Measurements included resting heart rate, left and right single leg stance with eyes closed, modified sit and reach test, total body rotation test (left and right), and a three minute step test.

Results—Compared with the sedentary group, the TCC group had significantly better scores in resting heart rate, three minute step test heart rate, modified sit and reach, total body rotation test on both right and left side (p<0.01), and both right and left leg standing with eyes closed (p<0.05). According to the American Fitness Standards, the TCC group attained the 90th percentile rank for sit and reach and total body rotation test, right and left.

Conclusion—Long term regular TCC exercise has favourable effects on the promotion of balance control, flexibility, and cardiovascular fitness in older adults.

Key Words: Tai Chi; balance; falls; flexibility; cardiovascular fitness; aged

Full Text

The Full Text of this article is available as a PDF (109.9 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aniansson A., Ljungberg P., Rundgren A., Wetterqvist H. Effect of a training programme for pensioners on condition and muscular strength. Arch Gerontol Geriatr. 1984 Oct;3(3):229–241. doi: 10.1016/0167-4943(84)90024-4. [DOI] [PubMed] [Google Scholar]
  2. Bortz W. M., 2nd Disuse and aging. JAMA. 1982 Sep 10;248(10):1203–1208. [PubMed] [Google Scholar]
  3. Frekany G. A., Leslie D. K. Effects of an exercise program on selected flexibility measurements of senior citizens. Gerontologist. 1975 Apr;15(2):182–183. doi: 10.1093/geront/15.2.182. [DOI] [PubMed] [Google Scholar]
  4. Jacobson B. H., Chen H. C., Cashel C., Guerrero L. The effect of T'ai Chi Chuan training on balance, kinesthetic sense, and strength. Percept Mot Skills. 1997 Feb;84(1):27–33. doi: 10.2466/pms.1997.84.1.27. [DOI] [PubMed] [Google Scholar]
  5. Lai J. S., Lan C., Wong M. K., Teng S. H. Two-year trends in cardiorespiratory function among older Tai Chi Chuan practitioners and sedentary subjects. J Am Geriatr Soc. 1995 Nov;43(11):1222–1227. doi: 10.1111/j.1532-5415.1995.tb07397.x. [DOI] [PubMed] [Google Scholar]
  6. Lan C., Lai J. S., Wong M. K., Yu M. L. Cardiorespiratory function, flexibility, and body composition among geriatric Tai Chi Chuan practitioners. Arch Phys Med Rehabil. 1996 Jun;77(6):612–616. doi: 10.1016/s0003-9993(96)90305-6. [DOI] [PubMed] [Google Scholar]
  7. Lord S. R., Castell S. Physical activity program for older persons: effect on balance, strength, neuromuscular control, and reaction time. Arch Phys Med Rehabil. 1994 Jun;75(6):648–652. doi: 10.1016/0003-9993(94)90187-2. [DOI] [PubMed] [Google Scholar]
  8. Lord S. R., Clark R. D., Webster I. W. Physiological factors associated with falls in an elderly population. J Am Geriatr Soc. 1991 Dec;39(12):1194–1200. doi: 10.1111/j.1532-5415.1991.tb03574.x. [DOI] [PubMed] [Google Scholar]
  9. Nickens H. Intrinsic factors in falling among the elderly. Arch Intern Med. 1985 Jun;145(6):1089–1093. [PubMed] [Google Scholar]
  10. Overstall P. W., Johnson A. L., Exton-Smith A. N. Instability and falls in the elderly. Age Ageing. 1978;Suppl:92–96. doi: 10.1093/ageing/7.suppl.92. [DOI] [PubMed] [Google Scholar]
  11. Perry B. C. Falls among the elderly: a review of the methods and conclusions of epidemiologic studies. J Am Geriatr Soc. 1982 Jun;30(6):367–371. doi: 10.1111/j.1532-5415.1982.tb02833.x. [DOI] [PubMed] [Google Scholar]
  12. Pescatello L. S., DiPietro L. Physical activity in older adults. An overview of health benefits. Sports Med. 1993 Jun;15(6):353–364. doi: 10.2165/00007256-199315060-00001. [DOI] [PubMed] [Google Scholar]
  13. Rikli R. E., Edwards D. J. Effects of a three-year exercise program on motor function and cognitive processing speed in older women. Res Q Exerc Sport. 1991 Mar;62(1):61–67. doi: 10.1080/02701367.1991.10607519. [DOI] [PubMed] [Google Scholar]
  14. Schaller K. J. Tai Chi Chih: an exercise option for older adults. J Gerontol Nurs. 1996 Oct;22(10):12–17. doi: 10.3928/0098-9134-19961001-11. [DOI] [PubMed] [Google Scholar]
  15. Shephard R. J., Berridge M., Montelpare W. On the generality of the "sit and reach" test: an analysis of flexibility data for an aging population. Res Q Exerc Sport. 1990 Dec;61(4):326–330. doi: 10.1080/02701367.1990.10607495. [DOI] [PubMed] [Google Scholar]
  16. Skelton D. A., Young A., Greig C. A., Malbut K. E. Effects of resistance training on strength, power, and selected functional abilities of women aged 75 and older. J Am Geriatr Soc. 1995 Oct;43(10):1081–1087. doi: 10.1111/j.1532-5415.1995.tb07004.x. [DOI] [PubMed] [Google Scholar]
  17. Tse S. K., Bailey D. M. T'ai chi and postural control in the well elderly. Am J Occup Ther. 1992 Apr;46(4):295–300. doi: 10.5014/ajot.46.4.295. [DOI] [PubMed] [Google Scholar]
  18. Wolf S. L., Barnhart H. X., Kutner N. G., McNeely E., Coogler C., Xu T. Reducing frailty and falls in older persons: an investigation of Tai Chi and computerized balance training. Atlanta FICSIT Group. Frailty and Injuries: Cooperative Studies of Intervention Techniques. J Am Geriatr Soc. 1996 May;44(5):489–497. doi: 10.1111/j.1532-5415.1996.tb01432.x. [DOI] [PubMed] [Google Scholar]
  19. Wolf S. L., Kutner N. G., Green R. C., McNeely E. The Atlanta FICSIT study: two exercise interventions to reduce frailty in elders. J Am Geriatr Soc. 1993 Mar;41(3):329–332. doi: 10.1111/j.1532-5415.1993.tb06713.x. [DOI] [PubMed] [Google Scholar]
  20. Wolfson L., Whipple R., Derby C., Judge J., King M., Amerman P., Schmidt J., Smyers D. Balance and strength training in older adults: intervention gains and Tai Chi maintenance. J Am Geriatr Soc. 1996 May;44(5):498–506. doi: 10.1111/j.1532-5415.1996.tb01433.x. [DOI] [PubMed] [Google Scholar]

Articles from British Journal of Sports Medicine are provided here courtesy of BMJ Publishing Group

RESOURCES