Bertolini Rafael, Vercelino Rafael, Ferreira Luis Fernando, Telles da Rosa Luis Henrique
Program in Rehabilitation Sciences, Federal University of Health Sciences of Porto Alegre, Porto Alegre, RS, Brazil.
Physiotherapy Department, Anhanguera University, Porto Alegre, RS, Brazil.
J Aging Phys Act. 2024 Sep 6;33(1):84-97. doi: 10.1123/japa.2023-0423. Print 2025 Feb 1.
Tai Chi Chuan (TCC) is considered a mind and body practice of Chinese origin, considered as an intangible cultural heritage of humanity by UNESCO, and recommended by the World Health Organization as a therapeutic approach to prevent falls.
To assess the effects of TCC on older adult's balance.
A systematic review of randomized clinical trials was conducted by two independent reviewers using the ROB2 tool to assess the risk of bias under the following databases: PubMed, SCOPUS, Web of Science, PEDro, Embase, Cochrane, CINAHL, and LILACS. A meta-analysis of the selected articles for the dynamic and static balance criteria was conducted in a population of older adults (over 65 years) with publications from 2010 to 2024.
Eighteen randomized clinical trials fulfilled the criteria. TCC improves dynamic balance in the timed up and go and gait speeds tests, and static balance in the single-leg test and functional reach test when compared with the control group in the meta-analysis. Adverse events were found in only one study, and the training parameters were heterogeneous.
TCC improves older adults with both dynamic and static balance. The results of the parameters indicate a direction in which TCC is prescribed for clinical practice with minimal or no risk of adverse effects.
太极拳是一种源自中国的身心锻炼方式，被联合国教科文组织视为人类非物质文化遗产，并被世界卫生组织推荐为预防跌倒的治疗方法。
评估太极拳对老年人平衡能力的影响。
由两名独立评审员对随机临床试验进行系统评价，使用ROB2工具在以下数据库中评估偏倚风险：PubMed、SCOPUS、科学网、PEDro、Embase、Cochrane、CINAHL和LILACS。对2010年至2024年发表的关于65岁以上老年人动态和静态平衡标准的选定文章进行荟萃分析。
18项随机临床试验符合标准。荟萃分析显示，与对照组相比，太极拳在计时起立行走和步态速度测试中可改善动态平衡，在单腿测试和功能性伸展测试中可改善静态平衡。仅在一项研究中发现了不良事件，且训练参数存在异质性。
太极拳可改善老年人的动态和静态平衡。参数结果为太极拳在临床实践中的应用指明了方向，其不良反应风险极小或无风险。
