Research Article
BibTex RIS Cite

The effects of Tai Chi exercise on motor functions in mild-to-moderate Parkinson’s disease

Year 2025, Volume: 7 Issue: 2, 140 - 145, 21.03.2025
https://doi.org/10.38053/acmj.1604432

Abstract

Aims: Motor symptoms of Parkinson's disease (PD) adversely impact patients' quality of life. Exercise and physical therapy are important in reducing disability and increasing the quality of life in patients. Data on which type of exercise is more effective in the management of the disease is controversial. We aimed to examine the effect of Tai Chi exercises on motor functions in patients with PD and compare them with classical stretching-strengthening exercises.
Methods: This study comprised 51 participants with PD. The patients were divided into 3 groups as the Tai Chi group, the strengthening-stretching exercises group, and the control group. The first 2 groups exercised for 50 minutes 3 days a week for 12 weeks. Berg Balance Scale (BBS), The Timed Up and Go test, The freezing of Gait Questionnaire and the 10-meters walk test (10 MWT) were applied to 3 groups at the beginning and end of the study.
Results: The mean BBS scores of the Tai Chi group were higher than those of the control group. The mean timed up and go test and 10 MWT scores of the Tai Chi group were lower than those of the control group.
Conclusion: Tai Chi exercises can be an adjunctive treatment method for improving motor functions in patients with PD, as they are easy to apply, have high patient compliance and do not show serious side effects.

References

  • Costa HN, Esteves AR, Empadinhas N, Cardoso SM. Parkinson’s disease: a multisystem disorder. Neurosci Bull. 2023;39(1):113-124. doi: 10.1007/s12264-022-00934-6
  • Li F, Harmer P, Fitzgerald K, et al. Tai Chi and postural stability in patients with Parkinson’s disease. N Engl J Med. 2012;366(6):511-519. doi:10.1056/NEJMoa1107911
  • Mak MK, Wong-Yu IS, Shen X, Chung CL. Long-term effects of exercise and physical therapy in people with Parkinson disease. Nat Rev Neurol. 2017;13(11):689-703. doi:10.1038/nrneurol.2017.128
  • Cheng FY, Yang YR, Chen LM, Wu YR, Cheng SJ, Wang RY. Positive effects of specific exercise and novel turning-based treadmill training on turning performance in individuals with Parkinson’s disease: a randomized controlled trial. Sci Rep. 2016;13(6):33242. doi:10.1038/srep 33242
  • Reynolds GO, Otto MW, Ellis TD, Cronin-Golomb A. The therapeutic potential of exercise to improve mood, cognition, and sleep in Parkinson’s disease. Mov Disord. 2016;31(1):23-38. doi:10.1002/mds.26484
  • Mak MKY, Wong-Yu ISK. Exercise for Parkinson's disease. Int Rev Neurobiol. 2019;147:1-44. doi:10.1016/bs.irn.2019.06.001
  • Ascherio A, Schwarzschild MA. The epidemiology of Parkinson’s disease: risk factors and prevention. Lancet Neurol. 2016;15(12):1257-1272. doi:10.1016/S1474-4422(16)30230-7
  • Boulos C, Yaghi N, El Hayeck R, Heraoui GN, Fakhoury-Sayegh N. Nutritional risk factors, microbiota and Parkinson’s disease: what is the current evidence? Nutrients. 2019;11(8):1896. doi:10.3390/nu11081896
  • Cardoso SM, Empadinhas N. The microbiome-mitochondria dance in prodromal Parkinson’s disease. Front Physiol. 2018;9(9):471. doi:10.3389/fphys.2018.00471
  • Xu X, Fu Z, Le W. Exercise and Parkinson’s disease. Int Rev Neurobiol. 2019;147:45-74. doi:10.1016/bs.irn.2019.06.003
  • Hashimoto H, Takabatake S, Miyaguchi H, Nakanishi H, Naitou Y. Effects of dance on motor functions, cognitive functions, and mental symptoms of Parkinson’s disease: a quasi-randomized pilot trial. Complement Ther Med. 2015;23(2):210-219. doi:10.1016/j.ctim.2015.01. 010
  • Kaya K, Ozel S. Parkinson hastalığı rehabilitasyonu. Turkish J Geriatr. 2008;12(1):36-48
  • Li G, Huang P, Cui SS, et al. Mechanisms of motor symptom improvement by long-term Tai Chi training in Parkinson’s disease patients. Transl Neurodegener. 2022;11(1):6. doi:10.1186/s40035-022-00280-7
  • Zhu M, Zhang Y, Pan J, Fu C, Wang Y. Effect of simplified Tai Chi exercise on relieving symptoms of patients with mild to moderate Parkinson's disease. J Sports Med Phys Fitness. 2020;60(2):282-288. doi: 10.23736/S0022-4707.19.10104-1
  • Hackney ME, Earhart GM. Tai Chi improves balance and mobility in people with Parkinson disease. Gait Posture. 2008;28(3):456-460. doi:10. 1016/j.gaitpost.2008.02.005
  • Yang Y, Hao YL, Tian WJ, et al. The effectiveness of Tai Chi for patients with Parkinson's disease: study protocol for a randomized controlled trial. Trials. 2015;16(1):111. doi:10.1186/s13063-015-0639-8
  • Li F, Harmer P, Liu Y, et al. A randomized controlled trial of patient-reported outcomes with Tai Chi exercise in Parkinson's disease. Mov Disord. 2014;29(4):539-545. doi:10.1002/mds.25787
  • Yazıcıoğlu Y, Erdoğan S. SPSS uygulamalı bilimsel araştırma yöntemleri. Ankara: Detay Yayıncılık; 2004.
  • Goetz CG, Poewe W, Rascol O, et al. Movement disorder society task force on rating scales for Parkinson's disease. Movement disorder society task force report on the Hoehn and Yahr staging scale: status and recommendations. Mov Disord. 2004;19(9):1020-1028. doi:10.1002/mds.20213
  • Sahin F, Yilmaz F, Ozmaden A, et al. Reliability and validity of the Turkish version of the Berg balance scale. J Geriatr Phys Ther. 2018;31(1): 32-37. doi:10.1007/s10882-017-9584-7
  • Podsiadlo D, Richardson S. The Timed Up and Go: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991; 39(2):142-148. doi:10.1111/j.1532-5415.1991.tb01616.x
  • Nocera JR, Stegemöller EL, Malaty IA, Okun MS, Marsiske M, Hass CJ. Using the Timed Up & Go test in a clinical setting to predict falling in Parkinson’s disease. Arch Phys Med Rehabil. 2013;94(7):1300-1305. doi: 10.1016/j.apmr.2013.02.020
  • Giladi N, Shabtai H, Simon ES, et al. Construction of freezing of gait questionnaire for patients with parkinsonism. Parkinsonism Relat Disord. 2000;6(3):165-170. doi:10.1016/s1353-8020(99)00062-0
  • Duncan RP, Combs-Miller SA, McNeely ME, et al. Are the average gait speeds during the 10 meter and 6 minute walk tests redundant in Parkinson disease? Gait Posture. 2017;52:178-182. doi:10.1016/j.gaitpost. 2016.11.033
  • Zhou M, Shao Y. A Powerful Test for Multivariate Normality. J Appl Stat. 2014;41(2):351-363. doi:10.1080/02664763.2013.839637
  • Yang F, Trolle Lagerros Y, Bellocco R, et al. Physical activity and risk of Parkinson’s disease in the Swedish National March Cohort. Brain. 2015; 138(2):269-275. doi:10.1093/brain/awu323
  • LaHue SC, Comella CL, Tanner CM. The best medicine? The influence of physical activity and inactivity on Parkinson’s disease. Mov Disord. 2016;31(10):1444-1454. doi:10.1002/mds.26728
  • Chen Y, Qin J, Tao L, et al. Effects of Tai Chi Chuan on Cognitive function in adults 60 years or older with type 2 diabetes and mild cognitive impairment in China: a randomized clinical trial. JAMA Netw Open. 2023;6(4):e237004. doi:10.1001/jamanetworkopen.2023.7004
  • Ernst M, Folkerts AK, Gollan R, et al. Physical exercise for people with Parkinson’s disease: a systematic review and network meta-analysis. Cochrane Database Syst Rev. 2023;1(1):CD013856. doi:10.1002/14651858.CD013856.pub2
  • Yu X, Wu X, Hou G, et al. The impact of Tai Chi on motor function, balance, and quality of life in Parkinson’s disease: a systematic review and meta-analysis. Evid Based Complement Alternat Med. 2021;2021: 6637612. doi:10.1155/2021/6637612
  • He G, Zhang X, Yan T, et al. The efficacy of Tai Chi for depression: a protocol for systematic review and meta-analysis. Medicine (Baltimore). 2022;101(5):e28330. doi:10.1097/MD.0000000000028330
There are 31 citations in total.

Details

Primary Language English
Subjects Central Nervous System, Physiotherapy, Health Management
Journal Section Research Articles
Authors

Esen Çiçekli 0000-0003-2352-8150

Canan Birimoglu Okuyan 0000-0002-7339-6072

Pakize Nurgül Sarı 0000-0002-0738-6191

Sena Gizem Arslan 0000-0003-3224-829X

Oğuzhan Bahadır Demir 0000-0002-1601-7486

Saadet Sayan 0000-0002-7628-560X

Publication Date March 21, 2025
Submission Date December 19, 2024
Acceptance Date January 28, 2025
Published in Issue Year 2025 Volume: 7 Issue: 2

Cite

AMA Çiçekli E, Birimoglu Okuyan C, Sarı PN, Arslan SG, Demir OB, Sayan S. The effects of Tai Chi exercise on motor functions in mild-to-moderate Parkinson’s disease. Anatolian Curr Med J / ACMJ / acmj. March 2025;7(2):140-145. doi:10.38053/acmj.1604432

TR DİZİN ULAKBİM and International Indexes (1b)

Interuniversity Board (UAK) Equivalency:  Article published in Ulakbim TR Index journal [10 POINTS], and Article published in other (excuding 1a, b, c) international indexed journal (1d) [5 POINTS]

Note: Our journal is not WOS indexed and therefore is not classified as Q.

You can download Council of Higher Education (CoHG) [Yüksek Öğretim Kurumu (YÖK)] Criteria) decisions about predatory/questionable journals and the author's clarification text and journal charge policy from your browser. https://dergipark.org.tr/tr/journal/3449/file/4924/show

Journal Indexes and Platforms: 

TR Dizin ULAKBİM, Google Scholar, Crossref, Worldcat (OCLC), DRJI, EuroPub, OpenAIRE, Turkiye Citation Index, Turk Medline, ROAD, ICI World of Journal's, Index Copernicus, ASOS Index, General Impact Factor, Scilit.


The indexes of the journal's are;

18596


asos-index.png

f9ab67f.png

WorldCat_Logo_H_Color.png

      logo-large-explore.png

images?q=tbn:ANd9GcQgDnBwx0yUPRKuetgIurtELxYERFv20CPAUcPe4jYrrJiwXzac8rGXlzd57gl8iikb1Tk&usqp=CAU

index_copernicus.jpg


84039476_619085835534619_7808805634291269632_n.jpg





The platforms of the journal's are;

COPE.jpg

images?q=tbn:ANd9GcTbq2FM8NTdXECzlOUCeKQ1dvrISFL-LhxhC7zy1ZQeJk-GGKSx2XkWQvrsHxcfhtfHWxM&usqp=CAUicmje_1_orig.png

cc.logo.large.png

ncbi.png

ORCID_logo.pngimages?q=tbn:ANd9GcQlwX77nfpy3Bu9mpMBZa0miWT2sRt2zjAPJKg2V69ODTrjZM1nT1BbhWzTVPsTNKJMZzQ&usqp=CAU


images?q=tbn:ANd9GcTaWSousoprPWGwE-qxwxGH2y0ByZ_zdLMN-Oq93MsZpBVFOTfxi9uXV7tdr39qvyE-U0I&usqp=CAU






The
 
indexes/platforms of the journal are;

TR Dizin Ulakbim, Crossref (DOI), Google Scholar, EuroPub, Directory of Research Journal İndexing (DRJI), Worldcat (OCLC), OpenAIRE, ASOS Index, ROAD, Turkiye Citation Index, ICI World of Journal's, Index Copernicus, Turk Medline, General Impact Factor, Scilit 


EBSCO, DOAJ, OAJI is under evaluation.

Journal articles are evaluated as "Double-Blind Peer Review"