낙상 위험요인에 대한 타이치 운동 효과의 메타분석 = Effects of Tai Chi on Fall Risk Factors: A Meta-Analysis

다국어 초록 (Multilingual Abstract)

Purpose: This study was done to analyze the effects of Tai Chi on fall-related risk factors through meta-analysis of randomized clinical trials published in English and Korean between 2000 and 2010. Methods: Using health related database and hand search of references and Google, 28 randomized studies were collected from doctoral dissertation and published peer reviewed articles. The Comprehensive Meta-analysis version 2.0 was used for the analysis. Results: The effect sizes for Tai Chi for 3 months were significant with ES=0.54 for static balance, ES=0.24 for dynamic balance, ES=0.69 for balance measured by scale, and ES=0.40 for flexibility, ES=0.48 for muscle strength, ES=0.71 for ADL, and ES=0.37 for fear of falling. Also, the effect sizes of Tai Chi for 6 months were significant for most fall-related variables. The 6 month data for flexibility was not analyzed since only one study was published. Conclusion: The analysis of studies of randomized clinical trials indicate that Tai Chi is effective in improving balance, flexibility, muscle strength, activities of daily living, and fear of falling when applied for 3 or 6 months. The findings provide the objective evidence to apply Tai Chi as a fall preventive intervention.

참고문헌 (Reference)

1 Stump, T. E., "The structure of health status among Hispanic, African American, and white older adults" 52 : 49-60, 1997

2 Logghe, I. H, "The effects of Tai Chi on fall prevention, fear of falling and balance in older people: A meta-analysis" 51 (51): 222-227, 2010

3 Lee, Y. J., "The effects of Tai Chi exercise program using transtheoretical model applied to degressive arthritis patients" Hanyang University 2008

4 Cohen, J., "Statistical power analysis for the behavioral sciences" Academic Press 1977

5 Scottish Intercollegiate Guidelines Network, "SIGN 50; A guideline developer’s handbook"

6 Rothstein, H. R., "Publication bias in meta-analysis, prevention, assessment and adjustments" John Wiley and Sons Ltd 2005

7 Glass, G. V., "Primary, secondary, and meta-analysis of research" 5 (5): 3-8, 1976

8 Moher, D., "Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement" 6 (6): e1000097-, 2009

9 Fransen, M, "Physical activity for osteoarthritis management: A randomized controlled clinical trial evaluating hydrotherapy or Tai Chi classes" 57 (57): 407-414, 2007

10 Borenstein, M., "Introduction to meta-analysis" Wiley 2009

11 Gillespie, L. D, "Interventions for preventing falls in older people living in the community" 9 : CD007146-, 2012

12 Rand, D, "Interventions for addressing low balance confidence in older adults: A systematic review and meta-analysis" 40 (40): 297-306, 2011

13 American Geriatrics Society, "Guideline for the prevention of falls in older persons" 49 (49): 664-672, 2001

14 Menz, H. B., "Foot and ankle risk factors for falls in older people: A prospective study" 61 (61): 866-870, 2006

15 Scheffer, A. C, "Fear of falling: Measurement strategy, prevalence, risk factors and consequences among older persons" 37 (37): 19-24, 2008

16 Tideiksaar, R., "Falls in older people: Prevention and management" Health Professions Press 2002

17 World Health Organization, "Falls"

18 Carter, N. D., "Exercise in the prevention of falls in older people : A systematic literature review examining the rationale and the evidence" 31 (31): 427-438, 2001

19 Sutton, A. J., "Empirical assessment of effect of publication bias on meta-analyses" 320 (320): 1574-1577, 2000

20 Liu, B., "Effects of tai chi on lower-limb myodynamia in the elderly people: A meta-analysis" 31 (31): 141-146, 2011

21 Song, R., "Effects of tai chi exercise on pain, balance, muscle strength, and perceived difficulties in physical functioning in older women with osteoarthritis: A randomized clinical trial" 30 (30): 2039-2044, 2003

22 Erim, Z., "Effects of aging on motor-unit control properties" 82 (82): 2081-2091, 1999

23 Higgins, J. P. T., "Cochrane handbook for systematic reviews of interventions: Cochrane book series" John Wiley & Sons Ltd 2008

24 Choi, J. H., "Analysis of the effects of Tai Chi on muscle strength and flexibility" 12 (12): 69-80, 2005

25 Wooton, A. C, "An integrative review of Tai Chi research: An alternative form of physical activity to improve balance and prevent falls in older adults" 29 (29): 108-116, 2010

26 Harling, A., "A systematic review to determine the effectiveness of Tai Chi in reducing falls and fear of falling in older adults" 13 (13): 237-248, 2008

27 Low, S, "A systematic review of the effectiveness of Tai Chi on fall reduction among the elderly" 48 (48): 325-331, 2009

28 Lam, P., "A handbook for Tai Chi for arthritis" East Acton Publishing 2000

29 Orwin, R. G., "A fail-safe N for effect size in meta-analysis" 8 (8): 157-159, 1983

30 Health Insurance Review, "2011 statistics indicators of medical expenses"