An Evidence Based Tai Chi Fall Prevention Program:

The evidence based Tai Chi Fall prevention program approach targets functional training for bilateral and unilateral stance(and transition), stepping forward, stepping sideways, stepping backward,(gait and balance). This Tai Chi Moving for Better Balance program is one of 14 Fall Prevention programs recommended by the CDC, and the tai chi program protocol used in this training presentation.

This protocol “represents a significant enhancement of traditional Tai Chi transforming the purposeful movements into therapeutic training of balance.” The protocol consists of a standard set of tai chi exercises and movement practiced over a specified period of time (16 weeks), with a specific frequency (min 2x weekly), using pre and post testing of participants with functional tests.

Functional outcomes include better movement excursion and control, and consistent, steady walking patterns:

• improved postural stability
• improved control of body positioning
• improved gait initiation
• improved movement symmetry and coordination
• improved lower extremity strength

Why this program?

• Community-based clinical trial with older adults DONE
• Reduction in the risk of falling by 55% ESTABLISHED
• Community-based evaluation and dissemination DONE
• Recommended falls prevention program (one of the 14 programs by Centers for Disease Control and Prevention) DONE

Where do we go?

• Using (tai chi moving for better balance) for balance, strength, posture and gait training in the clinical setting, and (tai chi moving for better balance) fall prevention programming in the community setting.
• Establishing a usable standard for the both the community tai chi teacher and the allied health professional, extending the continuum of care beyond the initial therapeutic intervention into the rehabilitation, prevention, and wellness stages.
• Reducing the impact of the chronic (fall and related injury/illness) condition on peopleand cost.