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Comparative impacts of Tai Chi, balance training and a specially-designed yoga program on balance in older fallers |
Ni M, Mooney K, Richards L, Balachandran A, Sun M, Harriell K, Potiaumpai M, Signorile JF |
Archives of Physical Medicine and Rehabilitation 2014 Sep;95(9):1620-1628 |
clinical trial |
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; 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: To compare the effect of a custom-designed yoga program with two other balance training programs. DESIGN: Randomized controlled trial. SETTING: University neuromuscular research laboratory, Miami, US. PARTICIPANTS: A group of 39 older adults (74.15 +/- 6.99 years) with a history of falling. INTERVENTIONS: Three different exercise interventions, Tai Chi, standard balance training (SBEP) or yoga (BYOGA) were given for 12 weeks. MAIN OUTCOME MEASURES: Balance performance was examined during pretest and post-test using field tests including the 8-Foot Up and Go, One-Leg Stance, Functional Reach, usual and maximal walking speed. The static and dynamic balance was also assessed by postural sway and dynamic posturography, respectively. RESULTS: Training produced significant improvements in all field tests (p < 0.005), but no group difference or time x group interaction were detected. For postural sway, significant decreases in the area of center of pressure with eyes open (p = 0.001) and closed (p = 0.002) were detected after training. For eyes open, maximums medial-lateral velocity significantly decreased for the sample (p = 0.013). For eyes closed, medial-lateral displacement decreased for Tai Chi (p < 0.01). For dynamic posturography, significant improvements in overall score (p = 0.001), time on the test (p = 0.006) and two linear measures in lateral (p = 0.001) and anterior/posterior (p < 0.001) direction were seen for the sample. CONCLUSIONS: BYOGA was as effective as Tai Chi and SBEP for improving postural stability and may offer an alternative to more traditional programs.
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