Does Instructor Experience Impact Balance and Health-Related Quality of Life in Healthy Older Adult Participants following a Tai Chi for Arthritis Program?

Prepandemic Feasibility of Tele-Exercise as an Alternative Delivery Mode for an Evidence-Based, Tai Ji Quan Fall-Prevention Intervention for Older Adults

There is a critical need for fall-prevention interventions to reach medically underserved, hard-to-reach, rural older adults. The evidence-based Tai Ji Quan: Moving for Better Balance (TJQMBB) program reduces falls in older adults. This pre-COVID-19 pandemic study assessed the feasibility and impact of a 16-week tele-TJQMBB intervention in older adults. Instructors led six tele-TJQMBB classes via Zoom for 52 older adults (mean age ± SD 68.5 ± 7.7 years) at one academic and four community sites. Nearly all (97%) planned sessions were delivered. Average attendance was 61%. There were no adverse events. Fidelity was fair to good (mean 67%). Forty-one percent of sessions experienced technical disruptions. Participants improved their gait speed, balance, lower-extremity strength, and body mass index. Tele-TJQMBB was feasible with a positive impact on outcomes. This study was the first step toward establishing an additional delivery mode that could potentially expand TJQMBB's reach and maintenance.

Effect of Tai Chi Combined with Mental Imagery on Cutaneous Microcirculatory Function and Blood Pressure in a Diabetic and Elderly Population

The purpose of this study was to investigate the effects of Tai Chi (TC) training combined with mental imagery (MI) on blood pressure and cutaneous microcirculatory function in individuals with diabetes and age-matched healthy subjects. All subjects participated in a one-hour Yang style TC exercise with MI twice per week for 8 weeks. An activities-specific balance confidence (ABC) measurement, a single-leg stance (SLS), a functional reach test (FRT), systolic and diastolic blood pressure, and skin blood flow were assessed. All functional outcomes were significantly improved in both groups, and systolic and diastolic blood pressures were lower in both groups after the TC training (p < 0.05), but there was no significant group effect. Skin blood flow decreased in the age-matched elderly group when heat and occlusion were applied (p < 0.05), but no difference was found in the diabetes group. Combining TC with MI showed an improvement in functional outcomes and blood pressure but cutaneous microcirculatory function did not improve. Combining TC intervention with MI theory showed an improvement in functional outcomes and blood pressure, which showed cardiovascular benefits not only in diabetes but in age-matched healthy subjects. However, cutaneous microcirculatory function was increased only in age-matched healthy subjects.