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Falls and Fall-Related Injuries in an Evidence-Based Tai Ji Quan Intervention in Rural West Virginia Churches.

Dina L Jones1, Terry Kit Selfe2, Sara Wilcox3

  • 1Department of Orthopaedics, Division of Physical Therapy, and Injury Control Research Center, West Virginia University, Morgantown, WV.

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Summary

This study identified key fall predictors in older adults participating in Tai Ji Quan: Moving for Better Balance® (TJQMBB). Low back pain and activity-limiting pain increased fall risk, while better gait speed reduced it.

Keywords:
Tai ChiTai Ji Quanbalanceexercisefall preventioninjuriesphysical activity

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Area of Science:

  • Gerontology
  • Public Health
  • Kinesiology

Background:

  • Implementation study of Tai Ji Quan: Moving for Better Balance® (TJQMBB) in older adults.
  • Focus on rural West Virginia churches.

Purpose of the Study:

  • Identify independent predictors of falls.
  • Understand fall risk profiles in older adults.
  • Inform tailored fall-prevention strategies.

Main Methods:

  • Falls and injuries tracked using calendars, questionnaires, and verbal reports.
  • Analysis of data from an implementation study of TJQMBB.

Main Results:

  • Independent fall predictors identified: gait speed (OR 0.27), low back pain (OR 8.04), and activity-limiting pain/stiffness/swelling (OR 2.44).
  • Gait speed was protective against falls.
  • Low back pain and activity limitations significantly increased fall risk.

Conclusions:

  • Distinguishing fallers from non-fallers aids in identifying diverse fall risk profiles.
  • Personalized fall-prevention programs can be developed based on individual risk factors.
  • Findings support the need for targeted interventions within community-based balance programs.