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Seated Tai Chi versus usual activities in older people using wheelchairs: a randomized controlled trial
Hsu C-Y, Moyle W, Cooke M, Jones C
Complementary Therapies in Medicine 2016 Feb;24:1-6
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: Compare the effect of seated Tai Chi exercise (intervention) to usual activities on quality of life and depression symptoms in older people using wheelchairs. DESIGN: Randomized controlled trial. SETTING: One long-term care facility in Taiwan. PARTICIPANTS: 86 long-term care residents were screened; 60 were eligible and randomized to Tai Chi group (n = 30), or usual activity (n = 30). INTERVENTION: One certified trainer provided the intervention group with 40min of seated Tai Chi exercise, three times a week for 26 weeks. Trial registration ACTRN12613000029796. MAIN OUTCOME MEASURES: Quality of Life (WHOQOL (BREF)); depression symptoms (GDS-SF) RESULTS: Participants in the Tai Chi group (mean 3.76, SD 3.65) recorded significantly lower GDS-SF scores than participants in the control (mean 7.76, SD 5.15) and the Tai Chi group registered significantly higher scores across overall QOL (p = 0.03), general health (p = 0.04), and the associated domains: physical health (p = 0.00), psychological health (p = 0.02), social relations (p = 0.00), and environment (p = 0.00). CONCLUSIONS: The findings highlight the importance of Tai Chi in improving QOL and depression in this population.

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