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Implementing Tai Chi Exercise in Long-Term Care to Reduce Falls.

Angela F Miles¹, David C Mulkey

¹Nursing Department, Georgia War Veterans Home, Milledgeville (Dr Miles); and College of Nursing and Health Care Professions, Grand Canyon University, Phoenix, Arizona (Dr Mulkey).

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|November 29, 2023

Summary

Implementing tai chi exercise significantly reduced falls by 32.3% in long-term care residents. This evidence-based program also decreased fall risk scores by 14%, improving resident safety.

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Area of Science:

Gerontology
Preventive Medicine
Exercise Science

Background:

Falls are a common and serious issue for older adults residing in long-term care facilities.
A notable increase in falls was observed, rising from 45% in 2021 to 68% in 2022 at this facility.
This trend highlights the urgent need for effective, evidence-based fall prevention strategies.

Purpose of the Study:

To evaluate the effectiveness of an evidence-based quality improvement initiative.
To pilot the Tai Ji Quan: Moving for Better Balance program as a fall prevention solution.
To assess the impact of tai chi on fall rates and fall risk in a long-term care setting.

Main Methods:

An evidence-based quality improvement framework was utilized.
Seventy-five residents participated in the 12-week Tai Ji Quan: Moving for Better Balance program.
Each 30-minute session included a 5-minute warm-up and a 5-minute cool-down period.

Main Results:

A statistically significant reduction in falls by 32.3% (P =.001) was achieved.
Participant fall risk scores showed a significant decrease of 14% (P < .001).
The program demonstrated a positive impact on resident fall occurrences and overall risk.

Conclusions:

Implementing tai chi exercise programs can effectively reduce falls in long-term care settings.
The Tai Ji Quan: Moving for Better Balance program shows promise in decreasing overall fall risk among older adults.
This study supports the use of tai chi as an evidence-based intervention for fall prevention in geriatric populations.