Tai Chi for older adults with chronic multisite pain: a randomized controlled pilot study
Chronic pain is associated with poorer cognition and mobility, and fall risk in older adults.
To investigate the feasibility of a randomized controlled trial of mind-body exercise (Tai Chi) versus light physical exercise in older adults with multisite pain.
Adults aged ≥ 65 years with multisite pain who reported falling in the past year or current use of an assistive device were recruited from Boston area communities. Participants were randomized to either a Tai Chi or a light physical exercise program, offered twice weekly for 12 weeks. The primary outcomes were feasibility and acceptability. Secondary outcomes included pain characteristics, cognition, physical function, gait mobility, fear of falling, and fall rate.
Of 176 adults screened, 85 were eligible, and 54 consented and enrolled (average age 75 ± 8 years; 96.30% white; 75.93% female). The dropout rate was 18% for Tai Chi and 12% for light physical exercise. For those completing the study, exercise class attendance rate was 76% for Tai Chi and 82% for light physical exercise. There were no significant group differences in most secondary outcomes. Tai Chi significantly lowered pain severity (4.58 ± 1.73 to 3.73 ± 1.79, p < 0.01) and pain interference (4.20 ± 2.53 to 3.16 ± 2.28, p < 0.05), reduced fear of falling (90.82 ± 9.59 to 96.84 ± 10.67, p < 0.05), and improved several single-task and dual-task gait variables, while light physical exercise did not change these measures.
Discussion and conclusions
This study demonstrated the feasibility and acceptability of conducting a larger randomized controlled trial in older adults with multisite pain. Study findings and challenges encountered will inform future research.
KeywordsChronic pain Mind-body exercise Mobility Falls Feasibility
We thank HELP study participants for their engagement in this research. In addition, we thank the directors and staff of the University of Massachusetts Boston Health Services and community agencies who provided valuable support to our project. We thank all research assistants and students who worked on this project.
This work was supported by the National Institute of Health (R21 AG043883).
Compliance with ethical standards
Conflict of interest
Peter Wayne, one of our research consultants, is the founder and owner of the Tree of Life Tai Chi Center. He was consulted on Tai Chi design and manuscript preparation. The authors declare no other conflicts of interest.
Statement of human and animal rights
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- 15.Wolf SL, Barnhart HX, Kutner NG et al (1996) Reducing frailty and falls in older persons: an investigation of Tai Chi and computerized balance training. Atlanta FICSIT Group. Frailty and injuries: cooperative studies of intervention techniques. J Am Geriatr Soc 44:489–497CrossRefPubMedGoogle Scholar
- 19.Guralnik JM, Fried LP, Simonsick EM et al (1995) The Women’s Health and Aging Study: health and social characteristics of older women with disability. National Institute of Aging, BethesdaGoogle Scholar
- 31.Paleacu D, Shutzman A, Giladi N et al (2007) Effects of pharmacological therapy on gait and cognitive function in depressed patients. Clin Neuropharmacol 30:63–71. https://doi.org/10.1097/01.wnf.0000240949.41691.95 CrossRefPubMedGoogle Scholar