Otherapy Case Studies

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Brismée, J.-M., Paige, R. L., Chyu, M.-C., Boatright, J. D., Hagar, J. M., McCaleb, J. a, … Shen, C.-L. (2007). Group and home-based tai chi in elderly subjects with knee osteoarthritis: A randomized controlled trial. Clinical Rehabilitation, 21(2), 99–111. doi:10.1177/0269215506070505 A randomized comparative study to evaluate effects of tai chi in participants with knee osteoarthritis. In a general community setting, participants were recruited from local TV, newspaper, advertisements and flyers in provider offices. Participants screened for the following inclusion/exclusion criteria. Inclusion included: > 50 years old, osteoarthritis confirmed by classification criteria of American Rheumatism Association for Osteoarthritis of knee, English …show more content…
Hydrotherapy had statistical improvement in all three physical performance outcomes.
There was no change in use of daily analgesic in any intervention group post treatment.
The SF12 health survey showed significant results in improvement for both hydrotherapy and tai chi in the self-perception of physical function where SRM= 0.34 and 0.25.
In follow up assessment, both Tai Chi and hydrotherapy demonstrated sustained improvements beyond 12 weeks of the trial.
One participant from hydrotherapy and one from Tai Chi c/o lower back pain resulting in dropout. No other adverse events or relationship to the sessions occurred.
Measureable improvements- for predominately sedentary white older adults >60 years of age had sustained improvements after 12 weeks. Strengths
Rigorous randomization procedure at offsite location.
Registered physiotherapist utilized to decrease systemic error and add to validity
Study protocol to the 24 sequences designed by a senior physiotherapist conducted in Tai Chi group.
Study manager was blinded to participant’s treatment group and carried out all outcome
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Providers screened the patient for the following inclusion/exclusion criteria.
Inclusion included: female, >55 YO, consent, radiographic evidence, no chronic disease or disability such as heart attack to interfere with study completion, and no physical activity regimen for >1 year. This inclusion/exclusion lead to N= 72 participants. 72 participants were randomized to either experimental group (N=38) or control (N=34).
Mean age of participants was 78 years old. High dropout rate of 31 were due to readmission for hospitalization for surgery, travel or personal reasons. In this RCT, the experimental group consisted of 12 tai chi movements over 20 minutes three times per week over a 12-week duration. Participants were supervised in the first two weeks by group session then encouraged to continue with an at home regimen. Researchers followed up during those 10 weeks by phone call and exercise log results. The control group followed usual care in the outpatient clinic without participation in a structure exercise program during trial.
Data measured and collected was at baseline and post intervention at 12