Get access

The effects of Tai-Chi in conjunction with thera-band resistance exercise on functional fitness and muscle strength among community-based older people

Authors

  • Shu-Fen Lin RN, MSN,

    PhD Candidate, Lecturer
    1. Institute of Medical Sciences, Tzu Chi University, Hualien, Taiwan
    2. Department of Nursing, Tzu Chi College of Technology, Hualien, Taiwan
    Search for more papers by this author
  • Huei-Chuan Sung RN, PhD,

    Associate Professor, Director, Corresponding author
    1. Department of Nursing, Tzu Chi College of Technology & Institute of Medical Sciences, Tzu Chi University, Hualien, Taiwan
    2. Taiwanese Center for Evidence-based Health Care, Hualien, Taiwan
    • Correspondence: Huei-Chuan Sung, Associate professor, Department of Nursing, Tzu Chi College of Technology & Institute of Medical Sciences, Tzu Chi University, No. 880, section 2, Chien-Kou Road, Hualien, 970 Hualien, Taiwan. Telephone: +886 385 72158 ext. 2435.

      E-mail: sunghc@mail.tcu.edu.tw

    Search for more papers by this author
  • Tzai-Li Li PhD,

    Professor
    1. Department of Sport Promotion, National Taiwan Sport University, Taoyuan, Taiwan
    Search for more papers by this author
  • Tsung-Cheng Hsieh PhD,

    Assistant Professor
    1. Institute of Medical Sciences, Tzu Chi University, Hualien, Taiwan
    Search for more papers by this author
  • Hsiao-Chin Lan EdD,

    Professor
    1. Department of Tourism & Hospitality, Kainan University, Taoyuan, Taiwan
    Search for more papers by this author
  • Shoa-Jen Perng RN, PhD,

    Associate Professor
    1. Department of Nursing, Tzu Chi College of Technology, Hualien, Taiwan
    Search for more papers by this author
  • Graeme D. Smith BA, PhD, RGN

    Professor
    1. School of Nursing, Edinburgh Napier University, Edinburgh, UK
    Search for more papers by this author

Abstract

Aims and objectives

The aim of this study was to investigate the effects of Tai-Chi in conjunction with thera-band resistance exercise on functional fitness and muscle strength in community-based older people.

Background

Tai-Chi is known to improve functional fitness in older people. Tai-Chi is usually performed with free hands without resistance training and usually focuses on training lower limbs. To date, no study has examined the use of Tai-Chi in conjunction with thera-band resistance exercise in this population.

Design

Cluster randomised trial design.

Methods

Older people at six senior day care centres in Taiwan were assigned to thera-band resistance exercise or control group using a cluster randomisation. The thera-band resistance exercise group (n = 48) received sixty minute thera-band resistance exercise twice weekly for a period of 16 weeks. The control group (n = 47) underwent routine activities in the day care centre, receiving no Tai-Chi or resistance exercise.

Results

After receiving the thera-band resistance exercise, intervention participants displayed a significant increase in muscle strength of upper and lower extremities. Significant improvements were recorded on most measures of the Senior Fitness Test, with the exception of the chair-stand and back-scratch test.

Conclusion

Thera-band resistance exercise has the potential to improve functional fitness and muscle strength in community-based older people.

Relevance to clinical practice

Thera-band resistance exercise potentially offers a safe and appropriate form of physical activity that nursing staff can easily incorporate into the daily routine of older people in day care centres, potentially improving functional performance and muscle strength.

Ancillary