Skip to main content
British Journal of Sports Medicine logoLink to British Journal of Sports Medicine
. 2004 Feb;38(1):50–54. doi: 10.1136/bjsm.2002.003335

Effect of tai chi exercise on proprioception of ankle and knee joints in old people

D Xu 1, Y Hong 1, J Li 1, K Chan 1
PMCID: PMC1724726  PMID: 14751946

Abstract

Objectives: To assess if tai chi, a traditional Chinese form of exercise, could improve proprioception in old people and if the effects of tai chi on proprioception are more evident than other exercise forms in the elderly.

Methods: By detecting the threshold of passive movement, ankle and knee joint kinaesthesis was measured in 21 elderly long term tai chi practitioners (TC group), 20 elderly long term swimmers/runners (S/R group), and 27 elderly sedentary controls (control group).

Results: Ankle joint kinaesthesis differed significantly among the three groups (p = 0.001). Subjects in the TC group could detect a significantly smaller amount of motion than those in the S/R group (p = 0.022) and control group (p = 0.001). No significant difference was found between the S/R group and the control group (p = 0.701). The threshold for detection of passive motion was significantly different in knee extension and flexion. For knee flexion, the TC group showed a significantly lower mean threshold for detection of passive motion than the control group (p = 0.026). There were no significant differences between the S/R group and control group (p = 0.312), or between the TC group and S/R group (p = 0.533). For knee extension, no significant difference was noted among the three groups (p = 0.597).

Conclusions: The elderly people who regularly practiced tai chi not only showed better proprioception at the ankle and knee joints than sedentary controls, but also better ankle kinaesthesis than swimmers/runners. The large benefits of tai chi exercise on proprioception may result in the maintenance of balance control in older people.

Full Text

The Full Text of this article is available as a PDF (243.7 KB).

Selected References

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

  1. Buchner D. M., Cress M. E., de Lateur B. J., Esselman P. C., Margherita A. J., Price R., Wagner E. H. The effect of strength and endurance training on gait, balance, fall risk, and health services use in community-living older adults. J Gerontol A Biol Sci Med Sci. 1997 Jul;52(4):M218–M224. doi: 10.1093/gerona/52a.4.m218. [DOI] [PubMed] [Google Scholar]
  2. Camicioli R., Panzer V. P., Kaye J. Balance in the healthy elderly: posturography and clinical assessment. Arch Neurol. 1997 Aug;54(8):976–981. doi: 10.1001/archneur.1997.00550200040008. [DOI] [PubMed] [Google Scholar]
  3. Colledge N. R., Cantley P., Peaston I., Brash H., Lewis S., Wilson J. A. Ageing and balance: the measurement of spontaneous sway by posturography. Gerontology. 1994;40(5):273–278. doi: 10.1159/000213596. [DOI] [PubMed] [Google Scholar]
  4. Gauchard G. C., Jeandel C., Tessier A., Perrin P. P. Beneficial effect of proprioceptive physical activities on balance control in elderly human subjects. Neurosci Lett. 1999 Oct 1;273(2):81–84. doi: 10.1016/s0304-3940(99)00615-1. [DOI] [PubMed] [Google Scholar]
  5. Hong Y., Li J. X., Robinson P. D. Balance control, flexibility, and cardiorespiratory fitness among older Tai Chi practitioners. Br J Sports Med. 2000 Feb;34(1):29–34. doi: 10.1136/bjsm.34.1.29. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. 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]
  7. 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]
  8. Lentell G., Baas B., Lopez D., McGuire L., Sarrels M., Snyder P. The contributions of proprioceptive deficits, muscle function, and anatomic laxity to functional instability of the ankle. J Orthop Sports Phys Ther. 1995 Apr;21(4):206–215. doi: 10.2519/jospt.1995.21.4.206. [DOI] [PubMed] [Google Scholar]
  9. Lephart S. M., Pincivero D. M., Giraldo J. L., Fu F. H. The role of proprioception in the management and rehabilitation of athletic injuries. Am J Sports Med. 1997 Jan-Feb;25(1):130–137. doi: 10.1177/036354659702500126. [DOI] [PubMed] [Google Scholar]
  10. Lord S. R., Rogers M. W., Howland A., Fitzpatrick R. Lateral stability, sensorimotor function and falls in older people. J Am Geriatr Soc. 1999 Sep;47(9):1077–1081. doi: 10.1111/j.1532-5415.1999.tb05230.x. [DOI] [PubMed] [Google Scholar]
  11. Manchester D., Woollacott M., Zederbauer-Hylton N., Marin O. Visual, vestibular and somatosensory contributions to balance control in the older adult. J Gerontol. 1989 Jul;44(4):M118–M127. doi: 10.1093/geronj/44.4.m118. [DOI] [PubMed] [Google Scholar]
  12. Mion L. C., Gregor S., Buettner M., Chwirchak D., Lee O., Paras W. Falls in the rehabilitation setting: incidence and characteristics. Rehabil Nurs. 1989 Jan-Feb;14(1):17–22. doi: 10.1002/j.2048-7940.1989.tb00667.x. [DOI] [PubMed] [Google Scholar]
  13. Okada S., Hirakawa K., Takada Y., Kinoshita H. Age-related differences in postural control in humans in response to a sudden deceleration generated by postural disturbance. Eur J Appl Physiol. 2001 Jul;85(1-2):10–18. doi: 10.1007/s004210100423. [DOI] [PubMed] [Google Scholar]
  14. Pai Y. C., Rymer W. Z., Chang R. W., Sharma L. Effect of age and osteoarthritis on knee proprioception. Arthritis Rheum. 1997 Dec;40(12):2260–2265. doi: 10.1002/art.1780401223. [DOI] [PubMed] [Google Scholar]
  15. Petrella R. J., Lattanzio P. J., Nelson M. G. Effect of age and activity on knee joint proprioception. Am J Phys Med Rehabil. 1997 May-Jun;76(3):235–241. doi: 10.1097/00002060-199705000-00015. [DOI] [PubMed] [Google Scholar]
  16. Robbins S., Waked E., McClaran J. Proprioception and stability: foot position awareness as a function of age and footwear. Age Ageing. 1995 Jan;24(1):67–72. doi: 10.1093/ageing/24.1.67. [DOI] [PubMed] [Google Scholar]
  17. Skinner H. B., Barrack R. L., Cook S. D. Age-related decline in proprioception. Clin Orthop Relat Res. 1984 Apr;(184):208–211. [PubMed] [Google Scholar]
  18. 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]
  19. 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]
  20. Wolfson L., Whipple R., Judge J., Amerman P., Derby C., King M. Training balance and strength in the elderly to improve function. J Am Geriatr Soc. 1993 Mar;41(3):341–343. doi: 10.1111/j.1532-5415.1993.tb06716.x. [DOI] [PubMed] [Google Scholar]
  21. Young D. R., Appel L. J., Jee S., Miller E. R., 3rd The effects of aerobic exercise and T'ai Chi on blood pressure in older people: results of a randomized trial. J Am Geriatr Soc. 1999 Mar;47(3):277–284. doi: 10.1111/j.1532-5415.1999.tb02989.x. [DOI] [PubMed] [Google Scholar]

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

RESOURCES