Effects of Tai Chi on Postural Stability and Balance in Parkinson's Disease

Year 2024, Volume: 10 Issue: 2, 24 - 31, 18.07.2024

Demet Biçki , Hayriye Damla Dinçel

Abstract

Parkinson's disease is a physically restrictive and progressive disease. It challenges patients greatly due to its symptoms. It negatively affects walking, balance, and postural stability. Patients, on the other hand, turn to various treatment approaches in order to prevent this. Tai Chi exercises are a type of exercise known for their positive effects on lower extremity control and balance. Tai Chi comes to the forefront at this point. Tai Chi is a safe form of exercise that is good for Parkinson's disease, which is mostly seen in geriatric individuals, by providing the necessary flexibility and muscle strength at a moderate and light pace. In this study, we talk about the benefits of Tai Chi exercises and their effects on the restrictive symptoms of Parkinson's disease.

Keywords

Parkinson’s Disease, Tai Chi, Balance, Postural Stability, Parkinson’s Symptoms

References

• 1) Shao, Y. L. (2019). Recent advances and perspectives of metabolomicsbased investigations in Parkinson’s disease. . Mol Neurodegener. (2019) 14:3.
• 2) Kalia, L. V. (2015). Parkinson’s disease. Lancet 2015;386:896–912.
• 3) Engelender, S. I. (2017). The threshold theory for Parkinson’s disease. Trends Neurosci. (2017) 40:4–14.
• 4) Przedborski, S. (2017). The two-century journey of Parkinson disease research. Nat Rev Neurosci. (2017) 18:251–9.
• 5) Macchi, Z. A. (2020). Patient and caregiver characteristics associated with caregiver burden in Parkinson’s disease: a palliative care approach. . Ann Palliat Med. (2020) 9(Suppl. 1):S24–S33.
• 6) Li, Q. L. (2020). Tai Chi versus routine exercise in patients with early- or mild-stage Parkinson's disease: a retrospective cohort analysis. Braz J Med Biol Res. 2020 Feb 10;53(2):e9171.
• 7) Hackney, M. E. (2008). Tai Chi improves balance and mobility in people with Parkinson disease. Gait Posture 2008;28:456-60. 30
• 8) Winser, S. J. (2018). Does Tai Chi improve balance and reduce falls incidence in neurological disorders? A systematic review and meta-analysis. . Clin Rehabil. (2018) 32:1157– 68.
• 9) Balestrino R, S. A. (2020). Parkinson disease. Eur J Neurol. 2020;27(1):27–42.
• 10) Ayvat, E. A. (2024). Parkinson Hastalığında Gövde Bozukluğu. H.Ü. Sağlık Bilimleri Fakültesi Dergisi Cilt:11, Sayı:1, 2024.
• 11) Ertan, S. (2005). Parkinson hastalığının klinik özellikleri. Cerrahpaşa Tıp Fakültesi sürekli tıp eğitimi etkinlikleri, 2005;42: 249-254.
• 12) Koller, W. W. (1989). Posttraumatic movement disorders: a review. Mov Disord 1989;4:20-36.
• 13) Akbostancı, M. (2008). Parkinson hastalığının değerlendirilmesinde kullanılan ölçekler ve yeni UPDRS. Türkiye klinikleri nöroloji özel sayısı 1(4):115-117.
• 14) Altun, A. M. (2013). Parkinson Hastalığında Yürüme ve Dengenin Değerlendirilmesi. Parkinson Hastalığı ve Hareket Bozuklukları Dergisi 2013;16(1-2):1-8.
• 15) Göz, E. D. (2021). Erken Dönem Parkinson Hastalarında Pilates ve Elastik Bantlama Uygulamalarının Denge ve Postüral Kontrol Üzerine Etkisi: Randomize Kontrollü Pilot Çalışma. Arch Neuropsychiatry 2021;58:308−313.
• 16) Geroin, C. S. (2015). Does the Pisa syndrome affect postural control, balance, and gait in patients with Parkinson’s disease? An observational cross-sectional study. Parkinsonism Relat Disord 2015;21:736–741.
• 17) Oğuz, S. D. (2003). Parkinson Hastalarında Solunum Egzersizlerinin Etkinliği. Akciğer Arşivi: 2003; 4: 129-133.
• 18) Şahin, O. Ş. (2008). Parkinson Hastalığı Rehabilitasyonu. Turkish Journal of Geriatrics 2008; 12 (1): 36-48.
• 19) Doğan, M. C. (2019). Parkinson Hastalığında Ölçme ve Değerlendirme. P. D. Doç. Dr. Muhammed KILINÇ içinde, Nörolojik Fizyoterapi ve Rehabilitasyonda Ölçme ve Değerlendirme (s. 46-50). Ankara: 1. Baskı, Vize Yayıncılık.
• 20) Hong, Y. L. (2000). Balance control, flexibility, and cardiorespiratory fitness among older Tai Chi practitioners. Br J Sports Med. 2000 Feb;34(1):29-34.
• 21) Lan, C. J. (1998). 12-month Tai Chi training in the elderly: its effect on health fitness. Med. Sci. Sports Exerc. 30:345–351.
• 22) Tsang, W. W.-C. (2004). Tai Chi improves standing balance control under reduced or conflicting sensory conditions. Arch. Phys. Med. Rehabil. 85:129–137.
• 23) Gatts, S. (2008). A Tai Chi Chuan Training Model to Improve Balance Control in Older Adults. Curr Aging Sci 2008; 1: 68-70.
• 24) Wolf, S. L. (1996). Reducing frailty and falls in older persons: an investigation of Tai Chi and computerized balance training. J. Am. Geriatr. Soc. 44:487–497.
• 25) Klein, P. A. (2004). Comprehensive therapeutic benefits of Taiji: a critical review. . Am J Phys Med Rehabil 2004;83:735-45.
• 26) Tse, S. K. (1992). Tai Chi and postural control in the well elderly. . Am. J. Occup. Ther. 46:295–300, 1992.
• 27) Lan, C. W. (2013). Tai chi exercise in medicine and health promotion. Evid Based Complement Alternat Med 2013:298768.
• 28) Lu, X. H.-C. (2013). Effects of Tai Chi training on arterial compliance and muscle strength in female seniors: a randomized clinical trial. Eur J Prev Cardiol 2013;20:238-45.
• 29) Jancewicz, A. (2001). Tai Chi Chuan's role in maintaining independence in ageing people with chronic disease. J Bodyw Mov Ther 2001; 5(1): 70-77.
• 30) Wu, G. H. (2005). Ground contact characteristics of Tai Chi gait. . Gait Posture 2005;22: 32– 39.
• 31) Jiménez-Martin, P. M.-O. (2013). A review of Tai Chi Chuan and parameters related to balance. Eur J Integr Med 2013, 5(6): 469-475.
• 32) Wu, G. Z. (2002). Improvement of isokinetic knee extensor strength and reduction of postural sway in the elderly from long-term Tai Chi exercise. Arch Phys Med Rehabil 2002;83:1364- 9.
• 33) Gregory, H. W. (2009). The effectiveness of Tai Chi as a fall prevention intervention for older adults: A systematic review. Int J Health Promot Educ 2009;47:94-100.
• 34) Onat, Ş. K. (2008). Parkinson hastalığı rehabilitasyonu. . Turkish Journal of Geriatrics 2008;12:36-48.
• 35) Li, F. H. (2012). Tai chi and postural stability in patients with Parkinson’s disease. N Engl J Med 2012;366:511-9.
• 36) Cantürk, İ. (2020). Parkinson Hastalığının Derecesi ile Yürüyüş Değişkenliği Arasındaki İlişkinin Bulanık Tekrarlılık Grafiğine Göre Araştırılması. Avrupa Bilim ve Teknoloji Dergisi Sayı 19, S. 410-419, Ağustos 2020.
• 37) Li, G. H. (2024). Effect of long-term Tai Chi training on Parkinson’s disease: a 3.5-year follow-up cohort study. J Neurol Neurosurg Psychiatry. 2024 Feb 14;95(3):222-228.
• 38) Karataş, Y. (2005). PARKİNSON HASTALIĞININ TEDAVİSİ. Türkiye Klinikleri J Int Med Sci. 2005;1(44):67-75.
• 39) Mancioppi, G. C. (2023). A wearable inertial system to evaluate Tai Chi training motor effects in patients with Parkinson's disease. Annu Int Conf IEEE Eng Med Biol Soc . 2023 Jul:2023:1-4.
• 40) Law, N. L. (2023). Effects of a 12-week online Tai Chi intervention on gait and postural stability in individuals with Parkinson’s disease. Sports Medicine and Health Science 5 (2023) 239–244.
• 41) Toloraia, K. G. (2024). High-frequency multimodal training with a focus on Tai Chi in people with Parkinson’s disease: a pilot study. Front. Aging Neurosci., Volume 16 - 2024.
• 42) Li, G. H. (2022). Mechanisms of motor symptom improvement by long-term Tai Chi training in Parkinson’s disease patients. Translational Neurodegeneration (2022) 11:6