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Not yet recruiting NCT06876012

Impact of Tai Chi in Cervical Myelopathy

No phase Interventional Cervical Myelopathy Balance Assessment Fall Risk

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Tai Chi Program.
Who it may be relevant to
Registry conditions: Cervical Myelopathy, Balance Assessment, Fall Risk. Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Center list to be confirmed — check the primary protocol.
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Official title

Impact of Tai Chi on Balance and Fall Risk in Patients With Cervical Myelopathy

Overview

The goal of this observational study is to determine if patients with cervical myelopathy who participate in a Tai Chi program will demonstrate improved gait and balance compared to patients who undergo usual care. Participants must be 18 years or older and have a diagnosis of cervical myelopathy.

Detailed description

Patients who meet inclusion criteria and choose to participate will be randomized to either participate in a Tai Chi falls-prevention program or continue with usual care. Those in the Tai Chi program will attend a pre-determined number of Tai Chi classes for a period of approximately 6-8 weeks. Investigators will assess their gait and balance at the time of enrollment and at several timepoints after they have participated in the class (similar timepoints for those randomized to usual care).

Interventions

  • Other Tai Chi Program
    Twelve sessions (six weeks) of a Tai Chi Program to assist with balance and fall risk.

Primary outcome measures

  • Timed Up and Go Test - Baseline [Time frame: Baseline]
  • Timed Up and Go Test - 6 weeks [Time frame: 6 weeks post-operatively]
  • Timed Up and Go Test - 3 months [Time frame: 3 months post-operatively]
  • Timed Up and Go Test - 6 months [Time frame: 6 months post-operatively]
  • Timed Up and Go Test - 12 months [Time frame: 12 months post-operatively]
Secondary outcome measures (5)
  • 10-Step Tandem Gait Test - Baseline [Time frame: Baseline]
  • 10-Step Tandem Gait Test - 6 weeks [Time frame: 6 weeks post-operatively]
  • 10-Step Tandem Gait Test - 3 months [Time frame: 3 months post-operatively]
  • 10-Step Tandem Gait Test - 6 months [Time frame: 6 months post-operatively]
  • 10-Step Tandem Gait Test - 12 Month [Time frame: 12 months post-operatively]

Eligibility criteria

Inclusion criteria

  • Diagnosis of Cervical Myelopathy with planned surgery
  • 18 years of age or older
  • Able to participate in intervention (attend and participate in classes)

Exclusion criteria

  • Wheelchair bound at initial visit
  • Other verified potential cause of gait instability/balance problems
  • Unable to participate in intervention (unable to attend/participate in classes)

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Single blind
Primary purpose
Prevention

Study locations

Center list to be confirmed — check the primary protocol.

Publications

  • Chen Y, Wan A, Mao M, Sun W, Song Q, Mao D. Tai Chi practice enables prefrontal cortex bilateral activation and gait performance prioritization during dual-task negotiating obstacle in older adults. Front Aging Neurosci. 2022 Nov 18;14:1000427. doi: 10.3389/fnagi.2022.1000427. eCollection 2022. PMID 36466597
  • Zu Y, Luo L, Chen X, Xie H, Yang CR, Qi Y, Niu W. Characteristics of corticomuscular coupling during wheelchair Tai Chi in patients with spinal cord injury. J Neuroeng Rehabil. 2023 Jun 17;20(1):79. doi: 10.1186/s12984-023-01203-x. PMID 37330516
  • Tsang WW, Gao KL, Chan KM, Purves S, Macfarlane DJ, Fong SS. Sitting tai chi improves the balance control and muscle strength of community-dwelling persons with spinal cord injuries: a pilot study. Evid Based Complement Alternat Med. 2015;2015:523852. doi: 10.1155/2015/523852. Epub 2015 Jan 21. PMID 25688276
  • Qi Y, Zhang X, Zhao Y, Xie H, Shen X, Niu W, Wang Y. The effect of wheelchair Tai Chi on balance control and quality of life among survivors of spinal cord injuries: A randomized controlled trial. Complement Ther Clin Pract. 2018 Nov;33:7-11. doi: 10.1016/j.ctcp.2018.07.004. Epub 2018 Jul 20. PMID 30396629
  • Chen W, Li M, Li H, Lin Y, Feng Z. Tai Chi for fall prevention and balance improvement in older adults: a systematic review and meta-analysis of randomized controlled trials. Front Public Health. 2023 Sep 1;11:1236050. doi: 10.3389/fpubh.2023.1236050. eCollection 2023. PMID 37736087
  • Voukelatos A, Cumming RG, Lord SR, Rissel C. A randomized, controlled trial of tai chi for the prevention of falls: the Central Sydney tai chi trial. J Am Geriatr Soc. 2007 Aug;55(8):1185-91. doi: 10.1111/j.1532-5415.2007.01244.x. PMID 17661956

Identifiers

NCT: NCT06876012 · 2409042637

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗