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

Author: Dina L Jones1, Terry Kit Selfe2, Sara Wilcox3, Clinton Tyler Cosner4, Justin Mitchell5, Benjamin D Ray6, Craig Stipec7, David Switay8, Corrie A Mancinelli9
Affiliation:
1 Department of Orthopaedics, Division of Physical Therapy, and Injury Control Research Center, West Virginia University, Morgantown, WV.
2 Academic Research Consulting & Services, Health Science Center Libraries, University of Florida, Gainesville, FL.
3 Department of Exercise Science and Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC.
4 Elkins Physical Therapy Service, Valley Bend, WV.
5 Wake Forest Physical Therapy, Wake Forest, NC.
6 Mountain State Physical Therapy, Weston, WV.
7 HealthWorks, Morgantown, WV.
8 JAG-ONE Physical Therapy, Bridgewater, NJ.
9 Division of Physical Therapy, West Virginia University, Morgantown, WV.
Conference/Journal: Top Geriatr Rehabil
Date published: 2023 Jul-Sep
Other: Volume ID: 39 , Issue ID: 3 , Pages: 170-178 , Special Notes: doi: 10.1097/TGR.0000000000000398. , Word Count: 110


Background:
This paper identifies the independent predictors of falls in an implementation study of Tai Ji Quan: Moving for Better BalanceĀ® (TJQMBB) in older adults in rural West Virginia churches.

Methods:
Falls and injuries were identified via calendars, questionnaire, and verbal reports.

Results:
Fall predictors were gait speed (OR 0.27; 95% CI 0.08, 0.90); low back pain (OR 8.04; 95% CI 1.71, 37.79); and pain, stiffness, or swelling limiting activity (OR 2.44; 95% CI 1.09, 5.45).

Conclusions:
Determining differences between fallers and non-fallers may identify people with different fall risk profiles and ultimately better tailor fall-prevention programming to individual needs.

Keywords: Tai Chi; Tai Ji Quan; balance; exercise; fall prevention; injuries; physical activity.

PMID: 37605786 PMCID: PMC10440152 (available on 2024-07-01) DOI: 10.1097/TGR.0000000000000398

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