Revues systématiques et méta-analyses : Taijiqigong et Prévention des chutes chez les personnes âgées

307 vues 18/06/2009 14/11/2017 0






Nbre ECR/patients


Prévention des chutes

Revue systématique

The efficacy of Tai Chi Chuan in older adults: a systematic review.

Fam Pract.2004;21(1):107-13.

Verhagen AP. Immink M, Annemieke van der Meulen A. Bierma-Zeinstra SMA.


55 patients

Conclusions: There is limited evidence that TCC is effective in reducing falls and blood pressure in the elderly.

Department of General Practice, Erasmus Medical Centre Rotterdam, PO Box 1738, 3000 DR Rotterdam, The Netherlands; E-mail: a.verhagen@erasmusmc.nl


Prévention des chutes

Revue systématique et méta-analyse

Interventions for the prevention of falls in older adults : systematic review and meta-analysis of randomized clinical trials.

BMJ. 2004;328:680-7.

Chang JT. Morton SC. Rubenstein LZ. Mojica WA. Maglione M. Suttorp MJ. Roth EA. Shekelle PG.


40 ECR

365 femmes et 280 hommes

Conclusions: Interventions to prevent falls in older adults are effective in reducing both the risk of falling and the monthly rate of falling. The most effective intervention was a multifactorial falls risk assessment and management programme. Exercise programmes were also effective in reducing the risk of falling.

Centers for Medicare and Medicaid Services, United States Department of Health and Human Services to RAND Health.



Prévention des chutes

Revue systématique

Tai Chi and Falls prevention in older people.

Med Sport Sci. 2008;52:124–134.

Harmer PA. Fuzhong Li



3336 patients

Conclusions: There is no doubt that Tai Chi is effective in enhancing a wide range of physiological and psychological characteristics in older adults, including some, such as impaired balance and poor lower extremity strength, which have been identified as risk factors for falling. However, the research evidence on the efficacy of Tai Chi practice on fall-related outcomes is problematic. Currently, there are still too few randomized controlled trials, which are too fragmented, to gain a complete picture of the relationship between Tai Chi and falls prevention. To date, only Wolf et al. [3, 5] has attempted anything like an extension study, and only Li [6, 14, 15] has developed a research-to-practice translation of a successful Tai Chi intervention.

The fact that the existing studies have come from four continents indicates the widespread belief in the possibilities of Tai Chi in reducing fall-related risk in older adults and highlights the opportunity for collaborative research to identify the appropriate combination(s) of program features and participant characteristics for best outcomes [18]. Systematic, progressive explorations of features of the Tai Chi-falls relationship such as optimal style, frequency, duration, and intensity parameters for varying populations, and use of consistent, clinically relevant falls-related outcomes [19] are imperative if the full potential of Tai Chi to positively impact fall-related morbidity and mortality in older adults is to be realized.

Exercise Science, Sports Medicine, Willamette University, Salem, Oreg., and Oregon Research Institute, Eugene, Oreg., USA