Eficácia dos exercícios de Tai Chi Chuan na prevenção do risco de quedas em idosos
DOI:
https://doi.org/10.33233/fb.v7i2.1883Resumo
A prática dos exercícios de Tai Chi Chuan tem sido muito divulgada e inúmeras pesquisas buscam um melhor embasamento teórico-conceitual para a fundamentação de seus possíveis benefícios no controle postural e, conseqüentemente, na prevenção dos mecanismos de quedas em idosos. Por meio de revisão da literatura, verificou-se a relação existente entre a realização de tais atividades no equilíbrio e postura em idosos. Inúmeras pesquisas fornecem resultados significativos relacionados í redução dos episódios de quedas, de pessoas que se submeteram aos programas específicos envolvendo os exercícios de Tai Chi Chuan. Pode-se concluir que as atividades investigadas são benéficas para os idosos, particularmente no que se refere ao controle postural. Os exercícios de Tai Chi Chuan que envolvem equilíbrio, mobilidade e controle postural em idosos, devem ser específicos e respeitar as particularidades relacionadas ao nível de estabilidade funcional desses indivíduos.
Palavras-chave: Tai Chi Chuan, quedas, controle postural, idosos, reabilitação.
Referências
Baloh RW, Jacobson KM, Scoth TM. The effect of aging on visual vestÃbulo-ocular responses. Exp Brain Res 1993;95:509-16.
Johnsson LG, Hawkins JE. Sensory and neural degeneration with aging as seen in microdissection of the inner ear. Ann. Otol. Rhinol. Laryngol 1972;81:179-93.
Rosenhal U, Rubin W. Degenerative patterns in the aging human vestibular neuroepithelia. Acta Otolaryngol 1975;79:67-81.
Skinner HB, Barrack RL, Cook SD. Age-related decline in proprioception. Clin Orthop Relat Res 1984;184:208-11.
Brockelhurst JC, Robertson D, James-Gromm P. Clinical correlates of sway in old age-sensory modalities. Age Ageing 1982;11:1-10.
Miwa T, Miwa Y, Kanda K. Dynamic and static sensitivities of muscle spindle primary endings in aged rats to ramp stretch. Neurosci Lett 1995;201:179-82.
Lord SR, Clarck RD, Webster I. Postural stability and associated physiological factors in a population of aged persons. J Gerontol 1991;46:69-76.
Lord SR, Webster IW. Visual field dependence in elderly fallers and non-fallers. Int J Aging Hum Dev 1990;31:267-77.
Lord Sr, Tiedemann A, Chapman K, et al. The effect of an individualized fall prevention program on fall risk and falls in older people: a randomized, controlled trial. J Am Geriatr Soc 2005;53:1296-304.
Sherrington C, Lord SR, Finch CF. Physical activity interventions to prevent falls among older people: update of the evidence. J Sci Med Sport 2004;7:43-51.
Woollacott MH. Age- related changes in posture and movement. J Gerontol 1993; 48:56-66.
Furman JM, Redfern MS. Effect of aging on the otolith-ocular reflex. J Vestib Res 2001;11:91-103.
Yordanova J, Kolev V, Hohnsbein J, Falkenstein M. Sensorimotor slowing with ageing is mediated by a functional dysregulation of motor-generation processes: evidence from high-resolution event-related potentials. Brain 2004;127:351-62.
Muller NG, Knight RT. Age-related changes in fronto-parietal networks during spatial memory: an ERP study. Brain Res Cogn Brain Res 2002;m13:221-34.
Booth FW, Weeden SH, Tseng BS. Effect of aging on human skeletal muscle and motor function. Med Sci Sports Exerc 1994;26:556-560.
Fuzhong LI, Harmer P, Fisher E. Tai Chi: Improving functional balance and predicting subsequent falls in older persons. Med Sci Sports Exerc 2004;36:2046-52.
Hass C, Gregor R, Waddell, et al. The influence of Tai Chi training on the center of pressure trajectory during gait initiation in older adults. Arch Phys Med Rehabil 2004;85:1593-8.
Klein PJ, Adams WD. Comprehensive therapeutic benefits of Tai Chi: a critical review. Am J Phys Med Rehabil 2004;83:735-45.
Wayne PM, Scarborough DM, Krebs DE, et al. Tai Chi for vestibulopathic balance dysfunction: a case study. Altern Ther Health Med 2005;11:60-66.
Wolf L, Barnhart N, Kutner G, et al. Reducing frailty and falls in older persons: an investigation of Tai Chi and computerized balance training. J Am Geriatr Soc 1996; 44:489-97.
Parra K, Stevens A. Fall prevention programs for seniors. Atlanta: National Center for Injury Prevention and Control; 2000. p.195.
King MB, Tinetti ME. Falls in community-dwelling older persons. J Am Geriatr Soc 1995;43:1146-54.
O'Loughlin JL, Robitaille Y, Boivin NJF, Suissa S. Incidence of and risk factors for falls and injurious falls among the community-dwelling elderly. Am J Epidemiol 1993;137:342-54.
Tromp AM, Smit JH, Deeg LM, Bouter LM, Lips P. Predictors for falls and fractures in the longitudinal aging study Amsterdam. J Bone Miner Res 1998; 13:1932-9.
Aoyagi K, Ross PD, Davis JW, Wasnich RD, Hayashi T, Takemoto T. Falls among community-dwelling elderly in Japan. J Bone Miner Res 1998;13:1468-74.
Guideline for prevention of falls in older persons. American Geriatrics Society, British Geriatrics Society and American Academy of Orthopaedic Surgeons. Panel on falls prevention. J Am Geriatr Soc 2001;49:664-72.
Pereira S, Buksman S, Perracini M, et al. Quedas em idosos. Projeto Diretrizes. Associação Médica Brasileira e Conselho Federal de Medicina. Sociedade Brasileira de Geriatria e Gerontologia; 2001. p.2-9.
Lord SR, Rogers MW, Howland A, Fitzpatrick R. Lateral stability, sensoriomotor function and falls in older people. J Am Geriatr Soc 1999;47:1077-81.
Verschueren P, Brumagne S, Swinnen P. The effect of aging on dynamic position sense at the ankle. Behav Brain Res 2002;136:593-603.
Chang T, Murton Z, Robeinstein T, et al. Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomized clinical trials. BMJ 2004;328:680.
Gillespie D, Gillespie M, Robertson E, et al. Interventions for preventing falls in elderly people. New York: John Wiley & Soos; 2003. p.30-9.
Matsudo M, Barros NL. Impacto do envelhecimento nas variáveis antropométricas, neuro-motoras e metabólicas da aptidão fÃsica. Rev Bras Ciênc Mov 2000;8:21-32.
Wong M, Lin C, Chou W, et al. Coordination exercise and postural stability in elderly people: effect of Tai Chi Chuan. Arch Phys Med Rehabil 2001;82:608-12.
Taggart M. Effects of Tai Chi exercise on balance, functional mobility, and fear of falling among women. Appl Nurs Res 2002;15:235-42.
Li X, Hong Y, Chan M. Tai Chi: physiological characteristics and beneficial effects on health. Br J Sports Med 2001;35:148-56.
Lam P. Tai chi. Diabetes Self Manag 2004;21:7-10.
Qin L, Choy W, Leung K, Leung PC, et al. Beneficial effects of regular Tai Chi exercise on musculoskeletal system. J Bone Miner Metab 2005;23:186-90.
Tsang W, Christina W. Effects of exercise on joint sense and balance in elderly men: Tai Chi versus Golf. Med Sci Sports Exerc 2004;36:658-67.
Xu D, Hong Y, Li J, et al. Effect of Tai Chi exercise on proprioception of ankle and knee joints. Br J Sports Med 2004;38:50-5.
Bastos VHV, Alves HVD, Piedade RAM, Silva VF, Silva APRS. Alterações corticais produzidas em função de uma tarefa de datilografia. Fitness & Performance 2002;1:53-8.
Machado D, Bastos VH, Cunha M, Cagy M, Piedade R, Ribeiro P. Efeitos do Bromazepam observados pela eletrencefalografia quantitativa (EEGq) durante a prática de datilografia. Arq Neuropsiquiatr 2005;63:452-8.
Gardner M, Robertson M, Campbell J. Exercise in preventing falls and fall related injuries in older people: a review of randomised controlled trials. Br J Sports Med 2000;34:7-17.
Li F, Harmer P, Fisher J, et al. Tai Chi and fall reductions in older adults: a randomized controlled trial. J Gerontol A Biol Sci Med Sci 2005;60:187-94.
Robertson M, Campbell M, Gardner M. Preventing injuries in older people by preventing falls: a meta-analysis of individual-level data. J Am Geriatr Soc 2002; 50:905-11.
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