Tai Chi for Therapy Instructor's Guide: Evidence Based Tai Chi Exercise Program

Tai Chi Mastery is simply the ability to reliably repeat each element of each Tai Chi exercise. Tai Chi exercise in research has been shown to be widely variable, but there is a movement towards standardizing the activity somewhat. So far that movement has been towards the reduction in the number of exercises included in a protocol, to make learning easier and faster: Quantity of exercises is sacrificed to prefer quality of exercise. Learning tools such as video and pictures in manuals enhance learning to a point, but often do not provide sufficient information for mastery. Elements and sub-elements of each exercise are identified which can be analyzed by the observer (analysis is calibrated in initial training) and scored, with the scores and compared with a standard score representing success for the activity. The assessment is the narrative by which the training will most quickly result in mastery. Focusing on the correct performance of the elements of exercise is the surest way for the student to guide personal practice to mastery and the desirable reliable outcome. Getting the Assessment Right There will be disagreement with certain parts of this assessment tool. Different Tai Chi styles and experiences will call for some variation, for example weight distribution. Some experience calls for a 70/30 split, some 100/0, or 50/50. The key to standardization is that all who use one tool use the one tool in the same manner. In addition to teaching a tai chi fall prevention protocol that has its own evidence base (Published in the Journal of Geriatric Physical Therapy in late 2017), this instructors guide proposes the final step in a complete tai chi protocol. In addition to a "set" of exercises, a duration of time needed for "therapeutic" effect, and a frequency of practice required for results, we offer a means to standardize exercise performance. This performance "tool" does not go far from what are generally considered Core Tai Chi Principals Read more