systolic blood pressure after 10 weeks of a two hour weekly session. (Deschamps et al.,
2009) In addition, Tsai et al. (2003) found that after 12 weeks of Tai Chi training at three
times per week with a 10 minute warm up, thirty minutes of exercise and a 10 minute
cool down, both systolic and diastolic blood pressure was reduced. Few adaptations are
needed with those with high blood pressure, as Tai Chi is low impact and gentle. If
needed, a chair can be used. Range of motion can be modified and expanded as the
participants improve on technique. It should be stressed that all movements should be
slow and controlled and it is important to breathe at all times. It is important that practice
is weekly and consistent in order to achieve benefits.
Participants with fibromyalgia: Frequently individuals with fibromyalgia have fatigue,
pain and stiffness. A 2009 study at Tufts Medical Center in Boston found after 12 week
Tai Chi practice of twice a week for 60 minutes, patients with fibromyalgia scored lower
on the Fibromyalgia Impact Questionnaire, which indicated improvement. (Wang et al.,
2010) Improvements in pain, mood, quality of life, sleep, self-efficacy and exercise
capacity were reported which parallel other small studies of Tai Chi. (Yeh, Kaptchuk &
Shmerling, 2010) It is suggested that explaining the potential benefits to individuals with
fibromyalgia may elevate expectations and cause a placebo effect and Yeh, Kaptchuk &
Shmerling, 2010 imply that this could be a useful adaptation along with an enthusiastic
leader. Other adaptations include using a chair if the participant is too fatigued to stand
and limiting range of motion.
Adaptations References:
Dechamps, A., Gatta, B., Bourdel-Marchasson, I., Tabarin, A., & Roger, P. (2009). Pilot
Study of a 10-Week Multidisciplinary Tai Chi Intervention in Sedentary Obese Women.
Clinical Journal of Sport Medicine, 19(1), 49-53.
Tsai, J., Wang, W., Chan, P., Lin, L., Wang, C., Tomlinson, B., . . . Liu, J. (2003). The
Beneficial Effects of Tai Chi Chuan on Blood Pressure and Lipid Profile and Anxiety
Status in a Randomized Controlled Trial. The Journal of Alternative and Complementary
Medicine, 9(5), 747-754.
Wang, C., Schmid, C. H., Rones, R., Kalish, R., Yinh, J., Goldenberg, D. L., Lee, Y., &
McAlindon, T. (2010). A Randomized Trial of Tai Chi for Fibromyalgia. New England
Journal of Medicine N Engl J Med, 363(23), 2265-2267.
Yeh, G. Y., Kaptchuk, T. J., & Shmerling, R. H. (2010). Prescribing Tai Chi for
Fibromyalgia Are We There Yet? New England Journal of Medicine N Engl J Med,
363(8), 783-784.