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Tai Chi helps prevent falls in elderly

Massey News, August 8, 2003

Tai Chi, a martial art form that enhances balance and body awareness through slow, graceful and precise body movements, can significantly reduce the risk of falls among older people, says visiting American specialist Dr Steven Wolf.

Dr Wolf is professor, Department of Rehabilitation Medicine at Emory University in Atlanta and also director of a programme in restorative neurology. Speaking to an invited audience on the Wellington campus, he said older people taking part in Tai Chi programmes could reduce their risk of falling by up to 47.5 percent.

Research from American trials has demonstrated the value and cost-effectiveness of targeted fall-prevention programmes and indicated the benefits of integrated balance, coordination, and strength training for the elderly. It is estimated that each year, falls are responsible for costs of more than $12 billion in the United States.

Dr Wolf said in multi-centre fall prevention trials in the US, elderly people were asked what they were thinking of when they fell. “Repeatedly we were told they didn’t know why they fell – they saw it happening but they didn’t accept liability,” he said.

“ So perhaps an exercise form such as Tai Chi – which is so embedded in visual imagery, which has this natural tie between the movement forms and how they are engaged – can help people understand this very important linkage of how they move, and how they position themselves. That’s the hypothesis.”

Tai Chi could be seen as a “powerful preventative medicine tool” for people as they became older. Movements such as trunk and body rotation were improved. Stability and balance were boosted. Tai Chi students had a greatly improved sense of control over their own health, building the confidence that led to more independent, and thus more fulfilling lives.

Dr Wolf was visiting Wellington en route to the X1Xth Congress of the International Society of Biomechanics in Dunedin, for which Dr Alan Walmsley, of the Institute of Food, Nutrition and Human Health in Wellington, was co-convenor of the Organising Committee.

His visit to New Zealand was also sponsored by the ACC, whose programme manager, Alistair MacDonald, says Tai Chi is one part of an expanding portfolio of evidence-based older adult fall prevention initiatives being developed by ACC in partnership with the relevant stakeholder agencies.

Mr MacDonald says falls are the most common cause of injury for older adults, a sector of the New Zealand population that will double in size before the middle of this century. Falls cost both ACC and Vote Health hundreds of millions of dollars each year.

They are the leading cause of injury-related hospitalisation in the over-65-year-old population and account for about 4 percent of all hospital admissions in this age group.

ACC-funded Modified Tai Chi Fall Prevention programmes have been in operation in New Zealand for more than four years and are set to expand. Programmes are operating, being set up or are under negotiation in Northland, Auckland, Tauranga, Bay of Plenty, Hawke’s Bay, Wairarapa, Horowhenua, Nelson, Blenheim, Stoke, Richmond, Rangiora, Christchurch, Otago and Southland.


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