Anna,
Regarding the reference list, I erased #1-3 because those were Evidence Based
Medicine related articles not related to Taichi. Just in case you'd like to
see, here they are.
---------------------------------------
1. Downs SH, Black N. The feasibility of creating a checklist for the
assessment of the methodological quality both of randomized and non-randomized
studies of health care interventions. J Epidemiol Community Health.
1998;52:377-384.
2. Sackett DL. et. al. Evidence-based Medicine: How to Practice and Teach
EBM. Churchill Livingstone. London, UK. 2000.
3. Evidence-Based Medicine Working Group. Evidence-based medicine. A new
approach to teaching the practice of medicine. JAMA 1992; 268:2420-5.
----------------------------------------
I certainly modified some fomrs and postures. For example, if the patient is
not ready, standing push arm forms by leaning back against a kitchen counter or
a wall instead of standing freely. Or stepping forward movement along the
kichen counter. Then if they are ready to perform alone, gradually wean off
from the support surface.
I used Berg for patients with CVA. I also used Tinetti balance/gait,
functional reach test for others. I am not convinced yet on which one to use
but you may be interested in to read ref.#39. I agree with you completely
about the successful therapy doesn't necessarily means utilizing one particlar
approach alone, so we never be able to say for sure what contributes most to
the individual's recovery.
Anna, could you spell out the abbreviation upper extremity "OOS" for me?
Thank you.
Sachiko Komagata
Anna wrote:
> Hello Sachiko,
>
> thank you for your generosity in sending your extensive reference list for
> Thai Chi. I will look forward to reading some of them. I noted that after
> the Chan reference, the next 1 started at number 5, were 1-4 missing from
> my posting?
>
> I was interested to see that you use Thai Chi with CVA and Parkinson's
> patients. do you modify
> the techniques/movements for the disability or do you allow them to perform
> the normal movements is best they can.
>
> what outcome measures do you use to determine the results that do not
> disappoint you. I have been using Thai Chi type movements in the upper body
> with some of my upper limb OOS clients, also with some success. However,
> because I and using several techniques and strategies together or added
> sequentially, I am unable to determine to what extent that Thai Chi segment
> affects the outcome apart from the clients subjective views.
>
> Cheers,
> Anna.
>
> Anna Lee
> Principal,
> Work Ready Industrial Athlete Centre
> Physiotherapist & Occupational Health Consultant
>
> Write to me at: [log in to unmask]
>
> Visit me at: www.workready.com.au
>
> Snail mail:
> Suite 3, 82 Enmore Road,
> Newtown NSW 2042
> Australia
>
> Phone: (612) 9519 7436
> Fax: (612) 9519 7439
> Mob: 0412 33 43 98
>
> ----- Original Message -----
> From: "Sachiko Komagata" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Saturday, February 17, 2001 2:08 AM
> Subject: Re: Chi-ward Conditioning & Therapy?
>
> > I did extensive lit search on Taichi's effect on balance improvement
> > reently.
> > The results of the review was consistent with Chan's findings that the
> > more
> > vigorous the study methodologies are, the less statistically significant
> >
> > effect
> > of Taichi on balance improvement. However, overall we would say there
> > is
> > moderate strength of evidence.(I am hoping to publish it soon:)
> >
> > I am glad that Dara mentioned about her own expereince. I think that it
> >
> > would
> > be very important to study how the Taichi participants perceive the
> > experience
> > to shed the light on why Taichi may be a good choice of therapy for
> > people with
> > balance disorder. (It might be a great qualitative research topic!)
> >
> > I have used Taichi forms for people with CVA, Parkinsons,s/p hip
> > fracture,and
> > various ideopathic dizziness. All anecdotal so far but the results
> > rarely
> > disappointed me. However, I am a physical therapist first and I see
> > more
> > commonality between PT interventions and Taichi forms rather than
> > differences.
> >
> > Sachiko Komagata
> >
> >
> > Chan WW, Bartlett DJ. Effectiveness of Tai Chi as a Therapeutic
> > Exercise in
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> > Evidence. W.B. Saunders. Philadelphia, PA. 1999
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> > elderly: its
> > effect on health fitness. Medicine and Science in Sports and Exercise.
> > 1997:345-351.
> >
> > Luskin FM, Newell KA, DiNucci E, et al. A review of mind/body therapies
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> > therapeutic exercise approach. Arch Phys Med Rehabil. 1997;78:886-892.
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