Author:
Bill Douglas
In a special
to CNN, the Mayo Clinic\'s mayoclinic.com reported that, 'Parkinson\'s
disease is progressive, meaning the signs and symptoms become
worse over time. But although Parkinson\'s may eventually be
disabling, the disease often progresses gradually, and most
people have many years of productive living after a diagnosis.'
This would indicate that there may be effective interventions
that could perhaps slow the progress of the disease. When we
get such a diagnosis, our first reaction might be to withdraw
and give up. However, the old adage 'use it or lose it' tells
us that just the opposite is true. If you have Parkinson\'s,
you\'d likely be best off to use everything your body is, every
which way, on a regular basis.
Tai Chi
movement\'s gentle balance enhancing motions can obviously help
the Parkinson\'s patient by helping to reduce the gradual loss
of balance that Parkinson\'s sufferers often experience. However,
there may be much more it offers. For example, Tai Chi movements
rotate the human body in about 95of the ways the body can move,
when a long form is practiced. This is far beyond what other
exercise offers, and in fact the closest would be several swimming
strokes, which together would only rotate the body in about
65of the ways it can move. For Parkinson\'s sufferers, or anyone
for that matter, this would indicate that by 'using' 95of the
body\'s possible motion several times a week, the possibility
of 'losing' the ability to do so diminishes accordingly. This
isn\'t rocket science, but simple common sense.
Yet, perhaps
Parkinson\'s patients have even more to gain from Tai Chi. A
few years ago I taught several classes at local medical centers.
I was continually frustrated because although I\'d seen emerging
reports that Tai Chi was beneficial to people with Parkinson\'s
Disease, or arthritis, or chronic hypertension, etc., even though
the departments that specialized in those conditions were often
just down the hall from my Tai Chi class . . . they might as
well have been a million miles away. Because the physicians
who ran those departments were either ignorant of or unwilling
to refer their patients to the possibilities that Tai Chi offered
their lives.
I remember
though, that at one medical center a visionary neurologist began
to refer patients with balance disorders to my Tai Chi classes
and the result was very beneficial for his patients. Another
physician actually wrote prescriptions for my Tai Chi classes
to treat the chronic hypertension of his patients, who\'d seen
a significant drop in their blood pressure since beginning the
classes weeks before. A clinical psychologist brought me in
to teach Qigong (Chi Kung) meditation and Tai Chi to her patient
group to enhance their sense of well being and provide effective
stress management training. So, even back then some physicians
were seeing the potential Tai Chi offered their clients, and
even more are now, but the number of physicians who are still
not informing their patients of Tai Chi\'s direct therapeutic
or at the least adjunct therapy benefits to their patient\'s
efforts to deal with their conditions and life, is increasingly
indefensible in this day and age. Given the research that has
exposed the many physical, mental, and emotional benefits Tai
Chi offers, for physicians to not educate themselves on this
and share their knowledge with each and every patient is tantamount
to mal-practice. Health educators should likewise be making
such therapies part of their medical student education programs
as well.
Tai Chi
for Parkinson\'s is being recommended increasingly by support
groups and some progressive medical centers, but until everyone
that has Parkinson\'s knows about it, then our work at World
Tai Chi & Qigong Day is not done, nor is the medical community\'s.
There are many obvious reasons everyone with Parkinson\'s should
be doing Tai Chi, but it\'s the ones that are not yet obvious
that may be the most intriguing. One obvious reason is that
Tai Chi is the most powerful balance and coordination enhancing
exercise known. In many studies at major universities Tai Chi
was found to be TWICE as effective in reducing falls as the
other balance enhancing exercises being studied. For people
with Parkinson\'s, who often see their balance deteriorate as
their condition progresses, it is unforgivable for them to not
be informed of Tai Chi\'s potential benefits at the earliest
stage possible while their balance is still good.
Now, regarding
the less obvious reasons Tai Chi may benefit Parkinson\'s patients.
Both my wife and daughter, who co-taught a Tai Chi class together
noticed that a young man with severe Parkinson\'s tremors .
. . completely lost his tremors once he joined the class in
flowing through the Tai Chi movements in class. In another class
I was teaching an older man with advanced Parkinson\'s attended
my classes for many months, and he always came in very slow
with his walker. Once we began the Tai Chi movements he no longer
used his walker, and had learned the entire long form of Tai
Chi I taught, which was over 15 minutes of continuous changing
forms. His form was unique and tailored for his limitations,
but nonetheless a challenging set of exercises he was able to
accomplish without the use of his walker. What do these anecdotal
experiences portend for others with Parkinson\'s? I don\'t know,
but there should be massive research dollars coming from the
National Institutes of Health to find out. Given the promise
Tai Chi seems to offer people on so many profound physical,
emotional, and mental fronts from preliminary research, the
current total research money earmarked for complimentary and
alternative medicine\'s (CAM) is a mere pittance.
The National
Center for Complementary and Alternative Medicine (NCCAM), now
in its sixth year, supports more than 300 research projects
and has an estimated budget of over $120 million for 2005 (up
from $50 million in 1999). Total spending on CAM by all NIH
institutes and centers is expanding as well, and is expected
to reach $315 million by 2005.
Sounds like
a lot? However, $120 million is less than 'one half of one percent'
of the total NIH FY2005 budget. According to the Association
of American Medical Colleges the NIH\'s total annual budget
for FY 2005 is $28.8 billion (http://www.aaas.org/spp/rd/05pch8.htm).
Remember, we are talking about only spending much much less
than one half of one percent to study an exercise that preliminary
research has shown to: n Lower High Blood Pressure (about 1/3
of Americans have hypertension - roughly over 90 million Americans)
n Boost Immune Function profoundly (a study sited at drkoop.com
indicates that a Tai Chi practicing group was TWICE as resistant
to the shingles virus, and researchers believed this would carry
over to other viral resistance as well.) n Dramatically reduce
falling injuries by about half (complications from falling injuries
in older Americans is the 6th leading cause of death for seniors
in America)
If Tai Chi
only addressed this chronic condition affecting 1/3 of Americans,
while boosting the immune system of all practitioners profoundly,
and cutting in half the sixth leading cause of death for seniors,
without any negative side effects, that would seem to be, for
the rational person a reason for pouring massive resources into
researching it further. However, Tai Chi\'s benefits only begin
with the above preliminary findings. We also know that it may
very well relieve depression, anxiety, and mood disturbance,
as well as reduce ADHD symptoms in teenagers diagnosed with
Attention Deficit and Hyperactivity Disorder. There are indications
that Tai Chi may greatly reduce or even eliminate chronic pain
conditions, and lessen allergic and asthmatic reactions, and
improve overall respiratory function.
My point
is, 'where is the massive attention this would garner on talk
shows, and in health newspaper sections, if this were a drug
or surgery that could provide such a seemingly massive breakthrough
in health treatment?' Peter Chowka, in a brilliant two part
series for Natural Health Line, entitled 'Complementary & Alternative
Medicine in 2000,' wrote, 'Conflicts of interest are not uncommon
in most aspects of life. But in medicine, the biggest business
in the U.S. (over $1.5 trillion a year constituting over 14
percent of the Gross Domestic Product, according to the National
Academy of Science\'s Institute of Medicine report issued January
10, 2001), serious conflicts are particularly well entrenched.'
Mr. Chowka wrote of physicians like Dr. Marcia Angell voicing
concerns of the 'troubling' result massive research money from
drug and medical-equipment companies was having on the scientific
process. In the New England Journal of Medicine\'s May 18, 2000
issue, Dr. Angel wrote an editorial entitled, 'Is Academic Medicine
for Sale?' She wrote, 'As we spoke with research psychiatrists
about writing an editorial on the treatment of depression .
. . we found very few who did not have financial ties to drug
companies that make antidepressants. . .The problem is by no
means unique to psychiatry. We routinely encounter similar difficulties
in finding editorialists in other specialties, particularly
those that involve the heavy use of expensive drugs and devices.'
So, who
can make a multi-billion dollar fortune teaching Tai Chi to
people? No one can. Tai Chi cannot be bottled, or mass marketed.
It is a decentralized labor intensive industry that employees
many people, but keeps the profits small and local. Yes, there
are videos and DVDs that teach Tai Chi effectively, but ultimately
even those who utilize videos are drawn to live class like structures.
As I mentioned before with the 'anecdotal' experiences of my
students with Parkinson\'s, Tai Chi seems to offer something
profoundly beneficial to the quality of life of Parkinson\'s
sufferers. It needs further study. We are in a catch 22, where
many health professionals feel they cannot recommend Tai Chi
because too much of the preliminary research is anecdotal. However,
when Tai Chi is jockeying for position to get a crumb of the
.5of total NIH money going to ALL complimentary and alternative
medical therapies . . . the result will be many long years of
millions of people suffering needlessly from conditions or symptoms
of those conditions that Tai Chi could likely safely lessen
or even eliminate.
WHAT DO
WE KNOW ABOUT TAI CHI AND PARKINSONS?
Tai Chi
is being recommended by some forward thinking medical institutions
already. The Cleveland Clinic of Neuroscience Center encourages
Parkinson\'s Disease patients to seek out a hobby or activity
they can enjoy and stick with such as 'Tai Chi' and other activities.
The Alexian Neurosciences Institute in Illinois offers a course
in their The Parkinson\'s Disease and Movement Disorders Center.
Also, the American Parkinson\'s Disease Association at Stanford
University Medical Center, in it\'s 'Beyond Pills.... Alternative
Approaches to Coping with Parkinson\'s Disease' program, offered
'Tai Chi, The Art for Living with Parkinson\'s' by Mwezo & Jane
of Kujiweza Healing Arts. (Learn more at: http://parkinsons.stanford.edu/symposium.html).
The Parkinson\'s Society of Canada recommends Tai Chi for Parkinson\'s
patients, suggesting 'Tai Chi may prevent or at least slow down
the onset of degenerative diseases; in the long run, it can
reduce need for rehabilitative care.' (http://www.parkinsons.ca/managing.html#taichi)
In the United
Kingdom a Parkinson\'s Tai Chi study was conducted at Camborne
Redruth Community Hospital, Cornwall. Their conclusion of the
study was such, 'Tai Chi training was well tolerated by PD patients
in this study, but had no measurable effect on motor performance
using UPDRS score or GAG time. There was a non-significant improvement
in quality of life scores (PDQ 39). Larger studies would be
needed fully to evaluate the value and efficacy of Tai Chi.
However our results are encouraging, and provide evidence for
its safety and tolerability and would support the feasibility
of further study.' (http://www.pdcornwall.org.uk/showarticle.pl?n=30&id=81)
WCHS TV
during a news report focusing on Tai Chi\'s ability to boost
immune system function, also reported that 'Tai Chi has also
been shown to help illnesses such as Parkinson\'s disease, multiple
sclerosis, fibromyalgia and arthritis.' (http://www.wchstv.com/newsroom/healthyforlife/2177.shtml)
The Neurology
Channel reported, 'The slow flowing movements of Tai Chi help
maintain flexibility, balance, and relaxation. The Struthers
Parkinson\'s Center in Minneapolis, which teaches a modified
form of Tai Chi, consistently reports benefits achieved by patients
in all stages of Parkinson\'s.' (http://www.neurologychannel.com/parkinsonsdisease/surgery.s
html)
Physicians
at the Mayo Clinic recommend Tai Chi for Parkinson\'s therapy,
under their Parkinson\'s 'self-care' section for avoiding falls,
where they suggest you 'Ask your doctor or physical therapist
about exercises that improve balance, especially tai chi. Originally
developed in China more than 1,000 years ago, tai chi uses slow,
graceful movements to relax and strengthen muscles and joints.
'
At a popular
health website called 'RemedyFind.com' viewers can vote on therapies
they\'ve found benefited their condition, or didn\'t benefit
it. The rating there for Tai Chi as a Parkinson\'s therapy received
a rating of 9.8 out of a possible 10. (http://remedyfind.com/rem.asp?ID=13945)
A Study
at the University of Florida in Jacksonville found that patients
who attended Tai Chi classes for one hour each week for 12-weeks
were less likely than a group of control patients to experience
an increase in the severity of their condition and a decrease
in motor function. . . ..[of alternative therapies] the most
popular therapies being Tai Chi, yoga, and acupuncture. (http://www.worldhealth.net/p/275,1526.html),
(SOURCE/REFERENCE: Reported by www.reutershealth.com on the
13th November 2002)
The Atlanta
Journal Constitution reported, 'Parkinson\'s Meets It\'s Match
in Tai Chi.' In this article they write that Dr. Mark Guttman,
director of the Centre for Movement Disorders in Markham, Ontario,
recommends people with Parkinson\'s do exercises that involve
a lot of stretching, similar to the movements of tai chi.
'Tai chi
is wonderful; it can help people with disabilities as well as
people with Parkinson\'s,' he says. He added that studies on
animals show exercise induces a change in the brain that prevents
the symptom\'s of Parkinson\'s from emerging.
The Tai
Chi teacher for this program, Ms. Embree, spoke of how people
with fibromyalgia, multiple sclerosis, cystic fibrosis, and
Parkinson\'s often attend her classes . . . 'Doctors are now
sending people here,' adds Ms Embree. (for the entire article,
go to: PARKINSON\'S MEETING IT\'S MATCH IN TAI CHI, April, 13,
2005, http://www.ajc.com/health/content/health/0304/lvtaichi7.html
)
At the National
Parkinson\'s Foundation site, Melanie M. Brandabur, MD NPF Center
of Excellence, University of Illinois at Chicago and Jill Marjama-Lyons,
MD NPF Center of Excellence, Shands Jacksonville, wrote, 'Most
patients derive a great deal of benefit from today\'s medications
and surgical therapies for Parkinson\'s Disease . . . However,
benefits of these therapies can be limited. As time goes by,
the medications may not seem as effective as they once were.
Side effects or unpredictable response may develop. Surgical
therapies are not curative and often treat only selected aspects
of Parkinson\'s Disease. For these reasons, patients may decide
to explore other modalities, such as massage therapy, Tai Chi,
yoga, or herbal preparations to augment their Parkinson\'s medication
. . . Many patients with Parkinson\'s Disease have become interested
in complementary therapies to supplement medications and other
traditional PD treatments. These physicians also suggest that
as Tai Chi and other modalities benefits are exposed by clinical
research, physicians will advocate their use more widely. (http://www.parkinson.org/site/pp.asp?c=9dJFJLPwB&b=238635)
World Tai
Chi & Qigong Day joins a growing number of health professionals
specializing in fields like Parkinson\'s who believe that much
more research needs to be done to illuminate the full spectrum
of benefits Tai Chi offers all people as well as those specifically
with chronic conditions. This will enable more physicians to
make Tai Chi a regular prescription written as therapy or adjunct
therapy for a host of maladies many are already enjoying the
benefits of for their condition, but paying out of pocket for.
Ultimately more and more health insurance plans should and will
make Tai Chi classes a deductible medical expense for their
clients. The end result of this shift may portend the savings
of hundreds of billions of dollars annually in saved health
care costs as patients are better trained in self care techniques,
training the great visionary Thomas Edison referred to as 'the
care and maintenance of the human frame,' which Edison envisioned
would more and more reduce the need for expensive surgeries
and life long dependence on medications as human beings maximized
their own self healing abilities. Traditional Chinese Medicine
has spent centuries developing and evolving self healing technologies
like Tai Chi. Now the west can learn about their results, and
physicians can prescribe them to their patients and our entire
society will be healthier and more abundant for it.
Article
Source: http://www.articlesbase.com/health-articles/parkinsons-disease-tai-chi-therapy-6506.html
About
the Author
Bill Douglas is the Tai Chi Expert at DrWeil.com, Founder of World
T\'ai Chi & Qigong Day (held in 50 nations each year), and has
authored and co-authored several books including a #1 best selling
Tai Chi book 'The Complete Idiot\'s Guide to T\'ai Chi & Qigong.'
Bill\'s been a Tai Chi source for The Wall Street Journal, New
York Times, etc. You can learn more about Tai Chi & Qigong, and
also contact Bill Douglas at http://www.worldtaichiday.org.