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The Effect of Tai Chi On 24 4 59
The Effect of Tai Chi On 24 4 59
The Effect of Tai Chi On 24 4 59
Background and
Rational
Gap of Knowledge
Many studies have shown that Tai Chi has beneficial
effects on balance, falls, and non-vertebral
fractures, depression and anxiety but in Thailand do
esn't have study yet.
Many studies have investigated methods to prevent
dementia symptoms, but few have investigated the
effect of Tai Chi on dementia patient.
Importantly the evaluation of the health status of
dementia in this study implemented three methods,
namely Ham-D, Ham-A and berg Balance slcae (BBS
) which are still rare to be used simultaneously to e
valuate the effect of Tai-chi toward the cognitive im
provement of the mild Alzheimer patients.
6
Research Question
Does Tai Chi intervention treatment is able to
reduce Anxiety, Depression and improve
Balance for Mild AD.?
Research Objectives
General Objective
To study effectiveness of Tai Chi practice model on
anxiety, depression and balance in mild Alzheimers
patients
Specific Objectives
To measure Anxiety, Depression and Balance before
and after experiment of control and trial groups.
To compare Anxiety, Depression and Balance
between control and trial groups before and after
experiment.
Research Hypothesis
The Tai-chi practice significantly affects to
ameliorate the Anxiety, Depression and
Balance after experiment.
There is significant different anxiety score ,
Depression score ,Balance score between
intervention and control group after Tai chi pr
actice. (t-test)
Tai-chi practice affects significantly to
ameliorate the Anxiety, Depression and
Balance on trail group after Tai chi program.
(pair t-test)
Conceptual Framework
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Literature Review
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Literature Review
Alzheimers disease can be divided in to
three phases
Mild-Stage Alzheimers disease
Moderate
Moderate servere
Diagnose
physical examination
mental and behavior examinations
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Literature Review
AD detection
Positron emission tomography (PET),
Computed tomography (CT) and
Magnetic resonance imaging (MRI)
scans
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Literature Review
Tai chi
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Frye, Scheinthal,
Kemarskaya, &
Pruchno, 2007
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Research Methodology
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Research Design
This is an pre-experimental research study, two groups,
pre-test - post-test design.
X
E
Q1
Q2
Follow up 12 weeks
Follow up 24 weeks
E = Experimental
group
C = Control group
Q1
Q2
Follow up 12 weeks
Follow up 24 weeks
Q1 = Pre-study
measurement
Q2 = Post study
measurement
X = Tai - chi
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Exclusion criteria
19
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Sample selection
the 84 participants were randomly by
using the excel program from all ad
patient.
Subjects are allocated a set a
number from 1 to 84. Those who get
odds number will be assigned as
intervention group and other as contr
ol group.
21
Research tool
Hamilton anxiety ratting scale
(HAM-A)
Hamilton depression scale
(HAM-D)
Berg balance scale (BBS)
Tai chi practice program
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24
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Tai-chi Intervention
The intervention group undertook a Tai-Chi
practice protocol, while a control group
received usual care.
The TC sessions will involve group practice
with instruction given in both verbal and
visual form to demonstrate both the movem
ents and the basic theory behind each actio
n.
Each TC session will consist of 5 minutes of
warm up, 25 minutes of TC practice and 10
minutes of cooling down. The TC will be led
by a skilled instructor who has been practici
ng TC and have TC instructor certificate.
27
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Data Collection
Baseline data for all participants was
collected by the researcher and the
research assistant employ:
the Hamilton rating scale for anxiety
(HAM-A),
Hamilton rating scale for depression
(HAM-D),
Berg balance scale (BBS) instrument.
Outcome assessment data was
collected at week before 12week, after
12 week and after 24 week.
29
Data Analysis
Personal data , HamA, HamD and BBS score
were analysis by descriptive statistics in
frequency, percentage, mean and standard devi
ation
Compare personal data and symptom of
anxiety, depression and balance score will be
analyzed by Chi-square test, fishers exact test.
To compare the different between experimentcontrol and before and after, the student t-test
will be applied
30
Data Analysis
To compare the different between
before and after apply tai-chi
program in experiment group by
using pair t-test
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Ethical Consideration
For ethical consideration, the proposal will
be submitted for approval from Golden
Jubilee Medical Center, Mahidol University.
Participants will receive both written and
verbal information before they agreed to
participate.
Informed signed consent
They have to right to refuse to participate in
the study.
Have freedom to withdrawal
Their information will be kept confidentially,
and not used for other purpose.
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Limitation
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Research schedule
Months
Activities
from
Data collection
Data analysis
Elaborate
proposal
and
literature
review
Explore site visit for Alzheimer
Tool development
Ethical committee
and
approval
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Budget
Description
1
10,000
10,000
10,000
30,000
3,000
23,000
Expertise Consultation
Questionnaires validity and reliability
Sub-total
30,000
Sub-total
15,000
15,000
Productions
Report (Proposal, Progress and Complete paper)
1000
3,000
Sub-total
4,000
THANK YOU
FOR YOUR ATTENTION