Kasai Juliana Yumi Tizon, Busse Alexandre Leopold, Magaldi Regina Miksian, Soci Maria Angela, Rosa Priscilla de Moraes, Curiati José Antônio Esper, Jacob Filho Wilson
Department of Geriatrics, Hospital das Clínicas of Faculdade de Medicina, Universidade de São Paulo - USP, São Paulo, SP, Brazil.
Department of Geriatrics, Faculdade de Medicina, Universidade de São Paulo - USP, São Paulo, SP, Brazil.
Einstein (Sao Paulo). 2010 Mar;8(1):40-5. doi: 10.1590/S1679-45082010AO1470.
To detect the effects of Tai Chi Chuan practice on the cognition of elderly subjects with Mild Cognitive Impairment.
This is a pilot study with 26 elderly patients (mean age of 74 years) with Mild Cognitive Impairment. The evaluation instruments were Subjective Memory Complaint Scale (SMC), Rivermead Behavioral Memory Test (RBMT) and Digit Span Forward and Backward (DSF and DSB) from the Wechsler Adult Intelligence Scale (WAIS). One group of 13 patients received two weekly 60-minute classes of Tai Chi Chuan (Yang style) for 6 consecutive months, and the rest formed the Control Group. The Tai Chi Chuan Group was also evaluated as to learning of the Tai Chi Chuan practical exercises by means of a Specific Learning Test applied after three months of intervention.
After six months of intervention, the TCC Group showed significant improvement on the RBMT and the SMC (p = 0.007 and p = 0.023, respectively). The Control Group showed no significant differences in the cognitive tests during the study. There was a significant correlation between the Tai Chi Chuan Learning Test and RBMT (p = 0.008), showing that patients with a better performance in exercising TCC also showed a better performance in memory.
In this study, a six-month program of Tai Chi Chuan afforded a significant improvement of the performance of memory complaints in the elderly with Mild Cognitive Impairment. Additional randomized studies with larger samples and more prolonged follow-up are needed to confirm these benefits.
检测太极拳练习对轻度认知障碍老年受试者认知功能的影响。
这是一项针对26名轻度认知障碍老年患者(平均年龄74岁)的试点研究。评估工具包括主观记忆抱怨量表(SMC)、里弗米德行为记忆测试(RBMT)以及韦氏成人智力量表(WAIS)中的数字广度顺背和倒背(DSF和DSB)。一组13名患者连续6个月每周接受两次60分钟的杨氏太极拳课程,其余患者组成对照组。在干预三个月后,通过一项特定学习测试对太极拳组的太极拳练习学习情况进行评估。
干预六个月后,太极拳组在RBMT和SMC上有显著改善(分别为p = 0.007和p = 0.023)。对照组在研究期间的认知测试中无显著差异。太极拳学习测试与RBMT之间存在显著相关性(p = 0.008),表明太极拳练习表现较好的患者在记忆方面也表现较好。
在本研究中,为期六个月的太极拳课程使轻度认知障碍老年人的记忆抱怨表现有显著改善。需要更多样本量更大、随访时间更长的随机研究来证实这些益处。