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已发表论文
太极拳和罗力球运动对社区居住老年人平衡能力、行动能力和认知功能的影响：一项随机对照试验
Authors Yang Y , Li E, Hua Y, Yang X, Zhao Z, Zhu X, Li X, Tang J
Received 28 July 2025
Accepted for publication 22 October 2025
Published 12 November 2025 Volume 2025:20 Pages 1975—1992
DOI https://doi.org/10.2147/CIA.S556687
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Dr Maddalena Illario
Yikun Yang,1,2,* Enjing Li,1,2 Yugui Hua,1,2,* Xi Yang,1 Zhiwei Zhao,1 Xionghao Zhu,3 Xinyan Li,4 Jingwei Tang1
1School of Physical Education and Sports, Central China Normal University, Wuhan, Hubei Province, People’s Republic of China; 2Research Center for Roliball Sport Development, Central China Normal University, Wuhan, Hubei Province, People’s Republic of China; 3School of Physical Education, Wuhan University of Technology, Wuhan, Hubei Province, People’s Republic of China; 4College of Physical Education, Hunan University of Technology, Zhuzhou, Hunan Province, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Enjing Li, School of Physical Education, Central China Normal University, No. 152, Luoyu Road, Hongshan District, Wuhan, Hubei Province, People’s Republic of China, Tel +8615327199331, Email leeej@ccnu.edu.cn
Abstarct:
Objective: Falls are a major public health concern for older adults, and exercise is considered a key strategy for fall prevention. This study aimed to evaluate the efficacy of a novel combined intervention of Basic Tai Chi and Roliball on balance, mobility, and cognitive function in community-dwelling older adults, and to compare its effects with traditional Tai Chi programs, thereby providing a novel structured physical activity approach for localized fall prevention and control.
Patients and Methods: One hundred and thirty-five participants aged ≥ 60 years were divided equally into structured Basic Tai Chi combined with Roliball demonstration (TC+RB-D), Basic Taichi Chuan (TC) and 24-from simplified Tai Chi (24-TC). During the 12-week intervention period, participants attended three in-person sessions per week (90 minutes/session). All measures were assessed before and after the intervention.
Results: Compared with the 24-form Tai Chi group, the TC group and TC+RB-D group showed significant improvements in GS, TUG, BBS, and MoCA. The TC+RB-D group showed significant improvement on the mFES (β=0.463, 95% CI: 0.366– 0.561, p< 0.001). The TC group demonstrated a unique advantage on the EC-SLS (β = 2.705, 95% CI: 0.989– 4.421, p = 0.002). The TC+RB-D group was not inferior to the traditional 24-form simplified Tai Chi in functional fall risk testing and cognitive function assessment.
Conclusion: This study developed a structured physical activity program rooted in Tai Chi culture. This multimodal exercise approach may have significant benefits for older adults in maintaining balance, enhancing mobility, and preserving cognitive function.
Keywords: older, Tachi, Roliball, exercise, balance, cognitive, fall
1School of Physical Education and Sports, Central China Normal University, Wuhan, Hubei Province, People’s Republic of China; 2Research Center for Roliball Sport Development, Central China Normal University, Wuhan, Hubei Province, People’s Republic of China; 3School of Physical Education, Wuhan University of Technology, Wuhan, Hubei Province, People’s Republic of China; 4College of Physical Education, Hunan University of Technology, Zhuzhou, Hunan Province, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Enjing Li, School of Physical Education, Central China Normal University, No. 152, Luoyu Road, Hongshan District, Wuhan, Hubei Province, People’s Republic of China, Tel +8615327199331, Email leeej@ccnu.edu.cn
Abstarct:
Objective: Falls are a major public health concern for older adults, and exercise is considered a key strategy for fall prevention. This study aimed to evaluate the efficacy of a novel combined intervention of Basic Tai Chi and Roliball on balance, mobility, and cognitive function in community-dwelling older adults, and to compare its effects with traditional Tai Chi programs, thereby providing a novel structured physical activity approach for localized fall prevention and control.
Patients and Methods: One hundred and thirty-five participants aged ≥ 60 years were divided equally into structured Basic Tai Chi combined with Roliball demonstration (TC+RB-D), Basic Taichi Chuan (TC) and 24-from simplified Tai Chi (24-TC). During the 12-week intervention period, participants attended three in-person sessions per week (90 minutes/session). All measures were assessed before and after the intervention.
Results: Compared with the 24-form Tai Chi group, the TC group and TC+RB-D group showed significant improvements in GS, TUG, BBS, and MoCA. The TC+RB-D group showed significant improvement on the mFES (β=0.463, 95% CI: 0.366– 0.561, p< 0.001). The TC group demonstrated a unique advantage on the EC-SLS (β = 2.705, 95% CI: 0.989– 4.421, p = 0.002). The TC+RB-D group was not inferior to the traditional 24-form simplified Tai Chi in functional fall risk testing and cognitive function assessment.
Conclusion: This study developed a structured physical activity program rooted in Tai Chi culture. This multimodal exercise approach may have significant benefits for older adults in maintaining balance, enhancing mobility, and preserving cognitive function.
Keywords: older, Tachi, Roliball, exercise, balance, cognitive, fall