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Tai Chi in Pain Medicine

  • Chapter
Integrative Pain Medicine

Part of the book series: Contemporary Pain Medicine ((CPM))

Summary

Tai Chi Chuan (TCC) was developed many centuries ago as one of many different styles of Chinese martial arts and continues to be enjoyed in a form true to its beginnings throughout the world. The name is derived from the Chinese characters that mean “The Great Ultimate,” indicating the high historic regard that exists for this physical art. On a philosophical level, the principles of TCC are founded on the teachings of Taoism and the writings of Lao Tzu (770–221 B.C.E.). The central method of achieving tranquility was to align oneself with the Tao, a term which has been translated as “the way” or “the path.” These philosophical roots point to the fact that Tai Chi practice places great emphasis on training both the mind and the body to reach spiritual unity. In this chapter, TCC will be introduced as a therapeutic exercise rather than a martial art. Information about the history and philosophy of TCC will also be provided with a detailed review of the scientific literature, particularly for pain management. Finally, two case examples of the practical application of TCC for painful conditions will be given.

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References

  1. Wile D. 1996. Lost Tai Chi Classics from the Late Ch’ing Dynasty.New York: SUNY Press.

    Google Scholar 

  2. Liang TT. 1977. T’ai Chi Ch’uan for Health and Self-Defense: Philosophy and Practice. New York: Vintage Books.

    Google Scholar 

  3. Goodrich LC. 1966. The Literary Inquisition of Ch’ien Lnug. New York: Paragon Books (Reprint), p 65, 247.

    Google Scholar 

  4. Cheng M-ci. 1981. Tai Chi Ch’uan: A Simplified Method of Calisthenics For Health and Self Defense. Berkely, CA: North Atlantic Books.

    Google Scholar 

  5. Gallagher B. Tai Chi Chuan and Qigong—Physical and mental practice for functional mobility. Top Geriatric Rehabil. 2003;19(3):172–182.

    Google Scholar 

  6. Wolf SL, Barnhart HX, Kutner NG, et al. Reducing frailty and falls in older persons: an investigation of Tai Chi and computerized balance training. J Am Geriatr Soc. 1996;44(5):489–497.

    CAS  Google Scholar 

  7. Hartman CA, Manos TM, Winter C, Hartman DM, Li B, Smith JC. Effects of T’ai Chi training on function and quality of life indicators in older adults with osteoarthritis. J Am Geriatr Soc. 2000;48(12):1553–1559.

    PubMed  CAS  Google Scholar 

  8. Blumenthal JA, Jiang W, Babyak MA, et al. Stress management and exercise training in cardiac patients with myocardial ischemia—Effects on prognosis and evaluation of mechanisms. Arch Int Med. 1997;157(19):2213–2223.

    Article  CAS  Google Scholar 

  9. Brown DR, Wang YD, Ward A, et al. Chronic psychological effects of exercise and exercise plus cognitive strategies. Med Sci Sports Exerc. 1995;27(5):765–775.

    PubMed  CAS  Google Scholar 

  10. Jin PT. Efficacy of Tai Chi, Brisk walking, meditation, and reading in reducing mental and emotional-stress. J Psychosom Res. 1992;36(4):361–370.

    Article  PubMed  CAS  Google Scholar 

  11. Chen K, Snyder M. A research-based use of Tai Chi/movement therapy as a nursing. J Holistic Nurs. 1999;17(3):267–79 (Sep. (33 ref)).

    Article  CAS  Google Scholar 

  12. Jin P. Changes in heart-rate, noradrenaline, cortisol and mood during Tai Chi. J Psychosom Res. 1989;33(2):197–206.

    Article  PubMed  CAS  Google Scholar 

  13. Mills N, Allen J. Mindfulness of movement as a coping strategy inmultiple sclerosis—a pilot study. Gen Hosp Psychiatry. 2000;22(6):425–431.

    Article  PubMed  CAS  Google Scholar 

  14. Yan JH, Downing JH. Tai Chi: an alternative exercise form for seniors. J Aging Phys Activity. 1998;6(4):350–362.

    Google Scholar 

  15. Kane RL, Ouslander JG, Abrass IB. 1994 Essentials of Clinical Geriatrics, 3rd edition. New York, NY: McGraw Hill.

    Google Scholar 

  16. Leveille SG, Fried L, Guralnik JM. Disabling symptoms—what do older women report? J Gen Int Med 2002;17(10):766–773.

    Article  Google Scholar 

  17. Scudds RJ, Robertson JM. Pain factors associated with physical disability in a sample of community-dwelling senior citizens. J Gerontol Ser A: Biol Sci Med Sci 2000;55(7):?M393–M399.

    CAS  Google Scholar 

  18. Scudds RJ, Robertson JM. Empirical evidence of the association between the presence of musculoskeletal pain and physical disability in community-dwelling senior citizens. Pain 1998;75(2–3): 229–235.

    Article  PubMed  CAS  Google Scholar 

  19. Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bull World Health Organ 2003;81(9):646–656.

    PubMed  Google Scholar 

  20. Leveille SG, Bean J, Bandeen-Roche K, Jones R, Hochberg M, Guralnik JM. Musculoskeletal pain and risk for falls in older disabled women living in the community. J Am Geriatr Soc 2002;50(4):671–678.

    Article  PubMed  Google Scholar 

  21. Ehrlich GE. Low back pain. Bull World Health Organ 2003;81(9):671–676.

    PubMed  Google Scholar 

  22. Lansbury G. 2000. Chronic pain management: a qualitative study of elderly people’s preferred coping strategies and barriers to management. DisabilRehabil 10–20;22(1–2):2–14.

    Google Scholar 

  23. Weiner DK, Hanlon JT, Studenski SA. Effects of central nervous system polypharmacy on falls liability in community-dwelling elderly. Gerontology 1998;44(4):217–221.

    Article  PubMed  CAS  Google Scholar 

  24. Eisenberg DM, Davis RB, Ettner SL, et al. Trends in alternative medicine use in the United States, 1990–1997: results of a follow-up national survey (comment). J Am Med Assoc 1998;280(18): 1569–1575.

    Article  CAS  Google Scholar 

  25. Najm W, Reinsch S, Hoehler F, Tobis J. Use of complementary and alternative medicine among the ethnic elderly. Alt Ther Health Med. 2003;9(3):50–57.

    Google Scholar 

  26. Wang G, Helmick CG, Macera C, Zhang P, Pratt M. Inactivity-associated medical costs among US adults with arthritis. Arthritis & Rheum 2001;45(5):439–445.

    Article  CAS  Google Scholar 

  27. Penninx BW, Messier SP, Rejeski WJ, et al. Physical exercise and the prevention of disability in activities of daily living in older persons with osteoarthritis. Arch Int Med 2001;161(19): 2309–2316.

    Article  CAS  Google Scholar 

  28. Schroll M. Physical activity in an ageing population. Scand J MedSci Sports 2003;13(1):63–69.

    Article  CAS  Google Scholar 

  29. Myers J, Prakash M, Froelicher V, Do D, Partington S, Atwood JE. Exercise capacity and mortality among men referred for exercise testing (comment). N Eng J Med 2002;346(11):793–801.

    Article  Google Scholar 

  30. Billman GE, Schwartz PJ, Stone HL. The effects of daily exercise on susceptibility to sudden cardiac death. Circulation 1984;69(6):1182–1189.

    PubMed  CAS  Google Scholar 

  31. Blair SN, Kohl HW III, Paffenbarger RS, Jr., Clark DG, Cooper KH, Gibbons LW. Physical fitness and all-cause mortality. A prospective study of healthy men and women (comment). J Am Med Assoc 1989;262(17):2395–2401.

    Article  CAS  Google Scholar 

  32. Erikssen G, Liestol K, Bjornholt J, Thaulow E, Sandvik L, Erikssen J. Changes in physical fitness and changes in mortality. Lancet 1998;352(9130):759–762.

    Article  PubMed  CAS  Google Scholar 

  33. Era P, Schroll M, Hagerup L, Jurgensen KSL. Changes in bicycle ergometer test performance and survival in men and women from 50 to 60 and from 70 to 80 years of age: two longitudinal studies in the Glostrup (Denmark) population. Gerontology. 2001;47(3):136–144.

    Article  PubMed  CAS  Google Scholar 

  34. Gulati M, Pandey DK, Arnsdorf MF, et al. Exercise capacity and the risk of death in women: the St James Women Take Heart Project (comment). Circulation. 2003;108(13):1554–1559.

    Article  PubMed  Google Scholar 

  35. Laukkanen JA, Lakka TA, Rauramaa R, et al. Cardiovascular fitness as a predictor of mortality in men. Arch Int Med 2001;161(6):825–831.

    Article  CAS  Google Scholar 

  36. Mora S, Redberg RF, Cui Y, et al. Ability of exercise testing to predict cardiovascular and all-cause death in asymptomatic women: a 20–year follow-up of the lipid research clinics prevalence study. J Am Med Assoc 2003;290(12):1600–1607.

    Article  CAS  Google Scholar 

  37. Prakash M, Myers J, Froelicher VF, et al. Clinical and exercise test predictors of all-cause mortality—results from >6,000 consecutive referred male patients. Chest. 2001;120(3):1003–1013.

    Google Scholar 

  38. Lissner L, Bengtsson C, Bjorkelund C, Wedel H. Physical activity levels and changes in relation to longevity—a prospective study of Swedish women. Am J Epidemiol 1996;143(1):54–62.

    PubMed  CAS  Google Scholar 

  39. Farrell SW, Braun L, Barlow CE, Cheng YJ, Blair SN. The relation of body mass index, cardiorespiratory fitness, and all-cause mortality in women. Obes Res 2002;10(6):417–423.

    PubMed  Google Scholar 

  40. Blair SN, Cheng Y, Holder JS. Is physical activity or physical fitness more important in defining health benefits? Med Sci Sports Exerc 2001;33(6 Suppl):S379–399 (discussion S419–320).

    Article  CAS  Google Scholar 

  41. Lee AP, Ice R, Blessey R, Sanmarco ME. Long-term effects of physical training on coronary patients with impaired ventricular function. Circulation. 1979;60(7):1519–1526.

    PubMed  CAS  Google Scholar 

  42. LaMonte MJ, Durstine JL, Addy CL, Irwin ML, Ainsworth BE. Physical activity, physical fitness, and Framingham 10-year risk score: the cross-cultural activity participation study (comment). J Cardiopulm Rehabil 2001;21(2):63–70.

    Article  PubMed  CAS  Google Scholar 

  43. Morey MC, Pieper CF, Crowley GM, Sullivan RJ, Puglisi CM. Exercise adherence and 10-year mortality in chronically ill older adults (comment). J Am Geriatr Soc 2002;50(12):1929–1933.

    Article  PubMed  Google Scholar 

  44. Talbot LA, Morrell CH, Metter EJ, Fleg JL. Comparison of cardiorespiratory fitness versus leisure time physical activity as predictors of coronary events in men aged < or = 65 years and > 65 years. Am J Cardiol 2002;89(10):1187–1192.

    Article  PubMed  Google Scholar 

  45. Sandvik L, Erikssen J, Thaulow E, Erikssen G, Mundal R, Rodahl K. Physical-fitness as a predictor of mortality among healthy, middle-aged Norwegian men. N Engl J Med 1993;328(8):533–537.

    Article  PubMed  CAS  Google Scholar 

  46. Kushi LH, Fee RM, Folsom AR, Mink PJ, Anderson KE, Sellers TA. Physical activity and mortality in postmenopausal women (comment). J Am Med Assoc 1997;277(16):1287–1292.

    Article  CAS  Google Scholar 

  47. Kaplan MS, Huguet N, Newsom JT, McFarland BH. Characteristics of physically inactive older adults with arthritis: results of a population-based study. Prev Med 2003;37(1):61–67.

    Article  PubMed  Google Scholar 

  48. Seals DR, Monahan KD, Bell C, Tanaka H, Jones PP. The aging cardiovascular system: changes in autonomic function at rest and in response to exercise. Int J Sport Nutr Exerc Metabol 2001;11: S189–S195.

    Google Scholar 

  49. Schuit AJ, van Amelsvoort L, Verheij TC, et al. Exercise training and heart rate variability in older people. Med Sci Sports Exerc 1999;31(6):816–821.

    Article  PubMed  CAS  Google Scholar 

  50. Dekker JM, Crow RS, Folsom AR, et al. Low heart rate variability in a 2-minute rhythm strip predicts risk of coronary heart disease and mortality from several causes—the ARIC study. Circulation 2000;102(11):1239–1244.

    PubMed  CAS  Google Scholar 

  51. Lauer MS, Francis GS, Okin PM, Pashkow FJ, Snader CE, Marwick TH. Impaired chronotropic response to exercise stress testing as a predictor of mortality (comment). J Am Med Assoc 1999;281(6):524–529.

    Article  CAS  Google Scholar 

  52. Heath GW, Hagberg JM, Ehsani AA, Holloszy JO. A physiological comparison of young and older endurance athletes. J Appl Physiol 1981;51(3):634–640.

    PubMed  CAS  Google Scholar 

  53. Denis C, Chatard JC, Dormois D, Linossier MT, Geyssant A, Lacour JR. Effects of endurance training on capillary supply of human skeletal–muscle on 2 age-groups (20 and 60 Years). J Physiol 1986;81(5):379–383.

    CAS  Google Scholar 

  54. De Meersman RE. Respiratory sinus arrhythmia alteration following training in endurance athletes. Eur J Appl Physiol Occup Physiol 1992;64(5):434–436.

    Article  PubMed  Google Scholar 

  55. De Meersman RE. Aging as a modulator of respiratory sinus arrhythmia. J Gerontol 1993;48(2): B74–78.

    PubMed  Google Scholar 

  56. Powell KE, Thompson PD, Caspersen CJ, Kendrick JS. Physical activity and the incidence of coronary heart disease. Ann Rev Public Health 1987;8:253–287.

    Article  CAS  Google Scholar 

  57. Wyatt HL, Mitchell J. Influences of physical conditioning and deconditioning on coronary vasculature of dogs. J Appl Physiol: Respir, Environ Exerc Physiol 1978;45(4):619–625.

    CAS  Google Scholar 

  58. Leon AS, Bloor CM. Effects of exercise and its cessation on the heart and its blood supply. J Appl Physiol 1968;24(4):485–490.

    PubMed  CAS  Google Scholar 

  59. Coats AJS, Adamopoulos S, Radaelli A, et al. Controlled trial of physical-training in chronic heart-failure—exercise performance, hemodynamics, ventilation, and autonomic function. Circulation 1992;85(6):2119–2131.

    PubMed  CAS  Google Scholar 

  60. Gregoire J, Tuck S, Yamamoto Y, Hughson RL. Heart rate variability at rest and exercise: influence of age, gender, and physical training. Can J Appl Physiol 1996;21(6):455–470.

    PubMed  CAS  Google Scholar 

  61. Yocum DE, Castro WL, Cornett M. Exercise, education, and behavioral modification as alternative therapy for pain and stress in rheumatic disease. Rheum Dis Clin North Am 2000;26(1):145 and more pages.

    Article  PubMed  CAS  Google Scholar 

  62. Lam P. Tai Chi for older adults and for arthritis. J Aging Phys Activity 1999;7(3):302–304.

    Google Scholar 

  63. Kirsteins AE, Dietz F, Hwang SM. Evaluating the safety and potential use of a weight-bearing exercise, Tai-Chi Chuan, for rheumatoid-arthritis patients. Am Jof Phys Med Rehabil 1991;70(3):136–141.

    Article  CAS  Google Scholar 

  64. Song R, Lee EO, Lam P, Bae SC. Effects of tai chi exercise on pain, balance, muscle strength, and perceived difficulties in physical functioning in older women with osteoarthritis: a randomized clinical trial. J Rheumatol 2003;30(9):2039–2044.

    PubMed  Google Scholar 

  65. Wolf SL, Coogler C, Xu TS. Exploring the basis for Tai Chi Chuan as a therapeutic exercise approach. Arch Phys Med Rehabil 1997;78(8):886–892.

    Article  PubMed  CAS  Google Scholar 

  66. Wolf SL, Sattin RW, O’Grady M, et al. A study design to investigate the effect of intense Tai Chi in reducing falls among older adults transitioning to frailty. Control Clin Trials 2001;22(6):689–704.

    Article  PubMed  CAS  Google Scholar 

  67. Wu G. Evaluation of the effectiveness of Tai Chi for improving balance and preventing falls in the older population—a review. J Am Geriatr Soc 2002;50(4):746–754.

    Article  PubMed  Google Scholar 

  68. Wayne PM, Krebs DE, Wolf SL, et al. Can Tai Chi improve vestibulopathic postural control? Arch Phys Med Rehabil 2004;85(1):142–152.

    Article  PubMed  Google Scholar 

  69. Li JX, Hong Y, Chan KM. Tai chi: physiological characteristics and beneficial effects on health. Br J Sports Med 2001;35(3):148–156.

    Article  PubMed  CAS  Google Scholar 

  70. Lan C, Lai JS, Wong MK, Yu ML. Cardiorespiratory function, flexibility, and body composition among geriatric Tai Chi Chuan practitioners. Arch Phys Med Rehabil 1996;77(6):612–616.

    Article  PubMed  CAS  Google Scholar 

  71. Lan C, Lai JS, Chen SY, Wong MK. 12-month Tai Chi training in the elderly: its effect on health fitness. Med Sci Sports Exerc 1998;30(3):345–351.

    PubMed  CAS  Google Scholar 

  72. Lan C, Chen SY, Lai JS, Wong MK. The effect of Tai Chi on cardiorespiratory function in patients with coronary artery bypass surgery. Med Sci Sports Exerc 1999;31(5):634–638.

    Article  PubMed  CAS  Google Scholar 

  73. Lan C, Lai JS, Chen SY, Wong MK. Tai Chi Chuan to improve muscular strength and endurance in elderly individuals: a pilot study. Arch Phys Med Rehabil 2000;81(5):604–607.

    Article  PubMed  CAS  Google Scholar 

  74. Lan C, Chen SY, Lai JS, Wong MK. Heart rate responses and oxygen consumption during Tai Chi Chuan practice. Am J Chin Med 2001;29(3–4):403–410.

    PubMed  CAS  Google Scholar 

  75. Young DR, Appel LJ, Jee SH. The effects of aerobic exercise and Tai Chi on blood pressure in the elderly. Circulation 1998;97(8):828.

    Google Scholar 

  76. Lai JS, Lan C, Wong MK, Teng SH. 2-year trends in cardiorespiratory function among older Tai-Chi-Chuan practitioners and sedentary subjects. J Am Geriatr Soc 1995;43(11):1222–1227.

    PubMed  CAS  Google Scholar 

  77. Zhuo D, Shephard RJ, Plyley MJ, Davis GM. Cardiorespiratory and metabolic responses during Tai Chi Chuan exercise. Can J Appl Sport Sci (J Can Sci Appl Sport) 1984;9(1):7–10.

    CAS  Google Scholar 

  78. Fontana JA, Colella C, Wilson BR, Baas L. The energy costs of a modified form of T’ai Chi exercise. Nurs Res 2000;49(2):91–96.

    Article  PubMed  CAS  Google Scholar 

  79. Lee MS, Huh HJ, Kim BG, et al. Effects of Qi-training on heart rate variability. Am J Chin Med 2002;30(4):463–470.

    Article  PubMed  Google Scholar 

  80. Audette JF, Jin YS, Newcome R, Stein L, Duncan G, Frontera WF. Tai Chi versus brisk walking in elderly women. Age Ageing 2006;35(4):388–393.

    Article  PubMed  Google Scholar 

  81. Astin JA, Shapiro SL, Eisenberg DM, Forys KL. Mind-body medicine: state of the science, implications for practice. J Am Board Fam Pract 2003;16(2):131–147.

    Article  PubMed  Google Scholar 

  82. Tsang HWH, Cheung L, Lak DCC. Qigong as a psychosocial intervention for depressed elderly with chronic physical illnesses. Int J Geriatr Psychiatry 2002;17(12):1146–1154.

    Article  PubMed  Google Scholar 

  83. Luskin FM, Newell KA, Griffith M, et al. A review of mind/body therapies in the treatment of musculoskeletal disorders with implications for the elderly. Alt Ther Health Med 2000;6(2):46 and more pages.

    CAS  Google Scholar 

  84. Sakakibara M, Takeuchi S, Hayano J. Effect of relaxation training on cardiac parasympathetic tone. Psychophysiology 1994;31(3):223–228.

    Article  PubMed  CAS  Google Scholar 

  85. Vempati RP, Telles S. Yoga-based guided relaxation reduces sympathetic activity judged from baseline levels. Psychol Rep 2002;90(2):487–494.

    Article  PubMed  CAS  Google Scholar 

  86. Schaller KJ. Tai Chi Chih: an exercise option for older adults. J Gerontol Nurs 1996;22(10):12–17.

    PubMed  CAS  Google Scholar 

  87. Ross MC, Bohannon AS, Davis DC, Gurchiek L. The effects of a short-term exercise program on movement, pain, and mood in the elderly. Results of a pilot study. J Holistic Nurs 1999;17(2):139–147.

    Article  CAS  Google Scholar 

  88. Li FZ, McAuley E, Harmer P, Duncan TE, Chaumeton NR. Tai Chi enhances self-efficacy and exercise behavior in older adults. J Aging Phys Activity 2001;9(2):161–171.

    Google Scholar 

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  1. Joseph F. Audette
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Editors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Spaulding, Massachusetts

    Joseph F. Audette MA, MD

  2. Harvard Medical School, Boston, Massachusetts

    Allison Bailey MD

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Audette, J.F. (2008). Tai Chi in Pain Medicine. In: Audette, J.F., Bailey, A. (eds) Integrative Pain Medicine. Contemporary Pain Medicine. Humana Press. https://doi.org/10.1007/978-1-59745-344-8_12

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  • DOI: https://doi.org/10.1007/978-1-59745-344-8_12

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-786-0

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