21 Tai Chi, Qi Gong, and Other Complementary Alternative Therapies for Treatment of the Aging Spine and Chronic Pain
KEY POINTS
Tai Chi
There are five main styles of Tai Chi: Chen, Yang, Wu (or Hao), Wu, and Sun. Although each style has different speeds and forms of movements, practicing any style of Tai Chi requires similar fundamentals, including (1) concentration with internal stillness and quick reaction time, (2) deep breathing skills to enhance its aerobic component, (3) strong leg support and good balance for constant body weight shifting during movements, (4) correct posture and spine alignment with relaxed muscles to maintain stability without unnecessary muscle tension, and (5) an agile torso (lumbar spine) with coordination among all body parts to perform the movements gracefully. Masters of Tai Chi build up internal energy that gives them not only the power needed during combat, but also health and longevity. The latter is the main reason why Tai Chi is widespread in the world, with many participants being attracted to it not for its combative content but for its health benefits. When it is performed for health reasons, the movements can be slow and deliberate with low exercise impact and, therefore, can be tolerated well by the elderly (Figure 21-1).
Even with simplified Tai Chi exercises, studies have demonstrated improvement in balance, reduced fear of falling, and decreased risk of falls in older adults.1 Tai Chi, like other forms of exercise, can also reduce blood pressure, improve heart failure, normalize blood lipids and glucose levels,2 and positively affect bone mineral density in postmenopausal women.3 In the older population, when compared to age and body size-matched sedentary controls, Tai Chi practitioners have higher oxygen uptake, greater flexibility, and a lower percentage of body fat.4
From Qi Gong to Energy-Based Therapies
Besides Qi Gong, other main types of energy-based therapies include Reiki (Japanese), Breema (American), and therapeutic touch (American). Some of these are critically questioned by the research community. For instance, in therapeutic touch, practitioners with their hands placed several inches to feet away from a patient claim that they can feel the energy field emanated by a human body and detect certain patterns of disruption; however, in one clinical investigation, they could correctly detect only 44% of the time (less than chance) the position of a child’s hand.5 Although this illustrates certain doubts on energy-based therapies for their bioenergy base, we are not rejecting their clinical effects as the possible effects may be achieved in other ways.