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Older people with knee pain may get help from tai chi

October 30, 2009 |  6:00 am
Knee pain from osteoarthritis is a common and often chronic ailment for older people. But a new study finds that practicing tai chi exercises may not only reduce osteoarthritis pain, but improve function as well.

Kp4dt4nc Tai chi is a Chinese martial art with a mind-body connection that emphasizes flexibility, balance and strength. Tai chi has been used in a number of research studies because of its health benefits. Many believe that practicing the slow, controlled movements reduces stress while enhancing muscle coordination and flexibility and increasing energy.

Forty people with knee osteoarthritis, average age 65, were recruited for the study by researchers from the Tufts University School of Medicine. Half were randomly placed in hour-long twice-weekly tai chi classes for three months. The classes included self-massage, tai chi movements, breathing techniques and relaxation. Participants were also asked to practice tai chi for at least 20 minutes a day at home while maintaining their usual physical routine.

The other 20 participants acted as the control group, attending twice-weekly hour-long sessions on osteoarthritis that included information on diet and nutrition, plus ways to treat the condition and how to handle stress. They also took part in full-body stretching exercises and were encouraged to stretch for 20 minutes a day at home and follow their regular physical regimen.

After the three months, those in the tai chi group saw a substantial drop in knee pain compared with the control group. The tai chi group also saw more improvements in function, depression and health status.

In the study, the authors wrote that though the exact mechanisms are not know for how tai chi may improve knee osteoarthritis, “synergy between its physical and mental components likely plays a major role. First, tai chi may enhance cardiovascular benefits, muscular strength, balance, coordination, and physical function. All of these are thought to be able to reduce joint pain.”

The study appears in the November issue of the journal Arthritis Care & Research.

-Jeannine Stein

Photo credit: Daniel Sorabji / AFP/Getty Images

More in: aging, fitness, pain

The Effect of Tai Chi on Health Outcomes in Patients With Chronic Conditions: A Systematic Review

What this study is saying is that Tai Chi can bring improvements in many chronic health situations, but mechanism that brings about change is not observed,ie; what specifically about tai chi does what, to what
Read the full Study Here (PDF)

The Effect of Tai Chi on Health Outcomes in Patients With Chronic Conditions

A Systematic Review

Chenchen Wang, MD, MSc; Jean Paul Collet, MD, PhD; Joseph Lau, MD

Arch Intern Med. 2004;164:493-501.

Objective To conduct a systematic review of reports on the physical and psychological effects of Tai Chi on various chronic medical conditions.

Data Sources Search of 11 computerized English and Chinese databases.

Study Selection Randomized controlled trials, nonrandomized controlled studies, and observational studies published in English or Chinese.

Data Extraction Data were extracted for the study objective, population characteristics, study setting, type of Tai Chi intervention, study design, outcome assessment, duration of follow-up, and key results.

Data Synthesis There were 9 randomized controlled trials, 23 nonrandomized controlled studies, and 15 observational studies in this review. Benefits were reported in balance and strength, cardiovascular and respiratory function, flexibility, immune system, symptoms of arthritis, muscular strength, and psychological effects.

Conclusions Tai Chi appears to have physiological and psychosocial benefits and also appears to be safe and effective in promoting balance control, flexibility, and cardiovascular fitness in older patients with chronic conditions. However, limitations or biases exist in most studies, and it is difficult to draw firm conclusions about the benefits reported. Most indications in which Tai Chi was applied lack a theoretical foundation concerning the mechanism of benefit. Well-designed studies are needed.

From the Center for Clinical Evidence Synthesis, Division of Clinical Care Research, Tufts-New England Medical Center, Boston, Mass (Drs Wang and Lau); and Center for Clinical Epidemiology and Community Studies, Jewish General Hospital, McGill University, Montreal, Quebec (Dr Collet). The authors have no relevant financial interest in this article.

via Arch Intern Med — Abstract: The Effect of Tai Chi on Health Outcomes in Patients With Chronic Conditions: A Systematic Review, March 8, 2004, Wang et al. 164 (5): 493.