Pilot study of the effects of tai chi on elderly fall risks

Introduction: Falls in the elderly are a significant public health concern. Tai Chi has been shown to reduce falls in this population and increase muscle strength, balance, mood, confidence and sleep. Objectives: 1. Measure fall confidence in participants and non-participants of Tai Chi; 2. Identify barriers to participation at an integrative healthcare assisted-living facility. Methods: We completed a 30 minute interview with 9 of 14 residents (age > 60) of Living Well Residential Care Home (men, n = 3; women, n = 6). Interviews with Tai Chi participants included 7 demographic questions and 13 questions about sleep, mood, and confidence. Non-participants were asked 10 questions related to barriers to attending Tai Chi classes. All study participants completed the ABC scale for assessment of fear of falling. Results: Tai Chi participants were more confident in performing daily tasks without falling in 11/13 categories on the ABC scale, and reported increased confidence (80%) and balance (80%). Non-participants reported physical limitations and time of class as barriers to participation. Conclusions: Living Well's reported fall rate of 25% may be lower than the CDC's annual fall rate of 33% for seniors (age> 65). Tai Chi participants report high levels of balance and confidence. Accommodating physical limitations and offering varying class times may increase participation.