Tai Chi practice and neuropsychiatric aspects in elderly: systematic review
DOI:
https://doi.org/10.34024/rnc.2021.v29.11857Keywords:
tai chi, neuropsychiatric aspects, elderlyAbstract
Introduction. Tai Chi, a body-mind technique, has been indicated as a physical prectice for the elderlydue to its unique characteristics of exection, such as sloweness and cancentration. Objective.This study aims at evaluating the contributions of Tai Chi in neuropsychiatric aspects, based on a systematic review of literature. Method. In order to do so, different databases have been used such as LILACS, Pubmed, Psycinfo, Scielo, Embase and Science Direct. The articles were selected from January 2020 to February 2021, considering publications about elderly people for the last 10 years. Results.That sums up to a selection of twenty studies. Conclusion. According to the revised studies, Tai Chi may be beneficial to reduction in anxiety and depressive states, improvement in executive functions, balance and sleep quality, reduction of falling events, enhancement in quality of life, reduction of stress levels, etc. The analysis of punctuation on the PEDro scale has revealed methodological limitations, suggesting the importance of new studies controlling interference factors into neuropsychiatric aspects.
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References
Wayne PM, Fuerst M. The Harvard Medical School guide to Tai Chi: 12 weeks to a healthy body, strong heart, and sharp mind. Shambhala Publications; 2013.
Wong AM, Lin Y-C, Chou S-W, Tang F-T, Wong P-Y. Coordination exercise and postural stability in elderly people: effect of Tai Chi Chuan. Arch Phys Med Rehab 2001;82:608-12. http://doi.org/10.1053/apmr.2001.22615
Gomes L, Pereira MM, Assumpção LO. TAI CHI CHUAN: nova modalidade de exercício para idosos. Rev Bras Ciênc Mov 2008;12:89-94. http://dx.doi.org/10.18511/rbcm.v12i4.592
Hackney ME, Earhart GM. Tai Chi improves balance and mobility in people with Parkinson disease. Gait Post 2008;28:456-60. https://dx.doi.org/10.1016%2Fj.gaitpost.2008.02.005
Oliveira RF, Matsudo SM, Andrade DR, Matsudo VK. Efeitos do treinamento de Tai Chi Chuan na aptidão física de mulheres adultas e sedentárias. Rev Bras Ciênc Mov 2008;9:15–22. http://dx.doi.org/10.18511/rbcm.v9i3.389
Kong J, Wilson G, Park J, Pereira K, Walpole C, Yeung A. Treating depression with Tai Chi: state of the art and future perspectives. Front Psychiatr 2019;10:237. https://doi.org/10.3389/fpsyt.2019.00237
Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol 2009;62:e1–34. https://doi.org/10.1136/bmj.b2700
Shiwa SR, Costa LOP, Moser ADL, Aguiar IC, Oliveira LVF. PEDro: a base de dados de evidências em fisioterapia. Fisiot Mov 2011;24:523–33. https://doi.org/10.1590/S0103-51502011000300017
Sungkarat S, Boripuntakul S, Chattipakorn N, Watcharasaksilp K, Lord SR. Effects of Tai Chi on cognition and fall risk in older adults with mild cognitive impairment: a randomized controlled trial. J Am Geriatr Soc 2017;65:721–7. https://doi.org/10.1111/jgs.14594
Fogarty JN, Murphy KJ, McFarlane B, Montero-Odasso M, Wells J, Troyer AK, et al. Taoist Tai Chi® and memory intervention for individuals with mild cognitive impairment. J Aging Phys Activ 2016;24:169–80. http://dx.doi.org/10.1123/japa.2014-0062
Tsai P-F, Chang JY, Beck C, Kuo Y-F, Keefe FJ. A pilot cluster-randomized trial of a 20-week Tai Chi program in elders with cognitive impairment and osteoarthritic knee: effects on pain and other health outcomes. J Pain Sym Manag 2013;45:660–9. https://doi.org/10.1016/j.jpainsymman.2012.04.009
Cheng S-T, Chow PK, Song Y-Q, Edwin C, Chan AC, Lee TM, et al. Mental and physical activities delay cognitive decline in older persons with dementia. Am J Geriatr Psychiatr 2014;22:63–74. https://doi.org/10.1016/j.jagp.2013.01.060
Mortimer JA, Ding D, Borenstein AR, DeCarli C, Guo Q, Wu Y, et al. Changes in brain volume and cognition in a randomized trial of exercise and social interaction in a community-based sample of non-demented Chinese elders. J Alzheimers Dis 2012;30:757–66. https://doi.org/10.3233/JAD-2012-120079
Li R, Zhu X, Yin S, Niu Y, Zheng Z, Huang X, et al. Multimodal intervention in older adults improves resting-state functional connectivity between the medial prefrontal cortex and medial temporal lobe. Front Aging Neurosci 2014;6:39. https://doi.org/10.3389/fnagi.2014.00039
Zheng Z, Zhu X, Yin S, Wang B, Niu Y, Huang X, et al. Combined cognitive-psychological-physical intervention induces reorganization of intrinsic functional brain architecture in older adults. Neural Plast 2015;2015. https://doi.org/10.1155/2015/713104
Sungkarat S, Boripuntakul S, Kumfu S, Lord SR, Chattipakorn N. Tai Chi improves cognition and plasma BDNF in older adults with mild cognitive impairment: a randomized controlled trial. Neurorehab Neural Repair 2018;32:142–9. https://doi.org/10.1177/1545968317753682
Lavretsky H, Alstein LL, Olmstead RE, Ercoli LM, Riparetti-Brown M, Cyr NS, et al. Complementary use of tai chi chih augments escitalopram treatment of geriatric depression: a randomized controlled trial. Am J Geriatr Psychiatr 2011;19:839–50. https://doi.org/10.1097/JGP.0b013e31820ee9ef
Taylor-Piliae RE, Newell KA, Cherin R, Lee MJ, King AC, Haskell WL. Effects of Tai Chi and Western exercise on physical and cognitive functioning in healthy community-dwelling older adults. J Aging Phys Activ 2010;18:261–79. https://doi.org/10.1123/japa.18.3.261
Zhang X, Ni X, Chen P. Study about the effects of different fitness sports on cognitive function and emotion of the aged. Cell Biochem Biophys 2014;70:1591–6. https://doi.org/10.1007/s12013-014-0100-8
Wang W, Sawada M, Noriyama Y, Arita K, Ota T, Sadamatsu M, et al. Tai Chi exercise versus rehabilitation for the elderly with cerebral vascular disorder: a single-blinded randomized controlled trial. Psychogeriatrics 2010;10:160–6. http://dx.doi.org/10.1111/j.1479-8301.2010.00334.x
Chan AW, Yu DS, Choi K, Lee DT, Sit JW, Chan HY. Tai chi qigong as a means to improve night-time sleep quality among older adults with cognitive impairment: a pilot randomized controlled trial. Clin Intervent Aging 2016;11:1277. https://doi.org/10.2147/CIA.S111927
Nguyen MH, Kruse A. A randomized controlled trial of Tai chi for balance, sleep quality and cognitive performance in elderly Vietnamese. Clin Intervent Aging 2012;7:185. https://doi.org/10.2147/CIA.S32600
Zhou S, Zhang Y, Kong Z, Loprinzi PD, Hu Y, Ye J, et al. The effects of Tai Chi on markers of atherosclerosis, lower-limb physical function, and cognitive ability in adults aged over 60: A randomized controlled trial. Inter J Envir Res Public Health 2019;16:753. https://dx.doi.org/10.3390%2Fijerph16050753
Hwang H-F, Chen S-J, Lee-Hsieh J, Chien D-K, Chen C-Y, Lin M-R. Effects of home-based tai chi and lower extremity training and self-practice on falls and functional outcomes in older fallers from the emergency department—a randomized controlled trial. J Am Geriatr Soc 2016;64:518–25. https://doi.org/10.1111/jgs.13952
You T, Ogawa EF, Thapa S, Cai Y, Zhang H, Nagae S, et al. Tai Chi for older adults with chronic multisite pain: a randomized controlled pilot study. Aging Clin Exp Res 2018;30:1335–43. https://doi.org/10.1007/s40520-018-0922-0
Tsai P-F, Chang JY, Beck C, Kuo Y-F, Keefe FJ, Rosengren K. A supplemental report to a randomized cluster trial of a 20-week Sun-style Tai Chi for osteoarthritic knee pain in elders with cognitive impairment. Complem Therap Med 2015;23:570–6. https://doi.org/10.1016/j.ctim.2015.06.001
Dechamps A, Diolez P, Thiaudière E, Tulon A, Onifade C, Vuong T, et al. Effects of exercise programs to prevent decline in health-related quality of life in highly deconditioned institutionalized elderly persons: a randomized controlled trial. Arch Intern Med 2010;170:162–9. https://doi.org/10.1001/archinternmed.2009.489
Siu M, Lee DT. Effects of tai chi on cognition and instrumental activities of daily living in community dwelling older people with mild cognitive impairment. BMC Geriatric 2018;18:1–10. https://doi.org/10.1186/s12877-018-0720-8
Taylor-Piliae RE, Silva E, Sheremeta SP. Tai Chi as an adjunct physical activity for adults aged 45 years and older enrolled in phase III cardiac rehabilitation. Eur J Cardiovasc Nurs 2012;11:34–43. https://doi.org/10.1016/j.ejcnurse.2010.11.001
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Copyright (c) 2021 Flavio Herrmann, Wantuir Francisco Siqueira Jacini, Ruth Ferreira Galduróz

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Accepted 2021-07-27
Published 2021-10-20
