TRAINING SCHEDULES

TAI CHI

General Program Information

Tai Ji Quan: Moving for Better BalanceTM (TJQMBB; formally known as Tai Chi: Moving for Better Balance) is an evidence-based fall prevention program derived from a contemporary routine known as Simplified 24-Form Tai Ji Quan (pronounced tye gee chuwan). TJQMBB consists of an 8-form core with built-in practice variations and a subroutine of Tai Ji.  

 

Program Objectives

To improve strength, balance, mobility and daily functioning, and prevent falls in older adults and individuals with balance disorders.

Intended Target Population

  • The primary focus is on community-dwelling older adults and people with a history of falls, balance disorders, leg muscle weakness, abnormal gait or walking difficulty.

  • The program is able to accommodate people with a mild level of mobility difficulty (e.g., people who are occasional cane users).

Instructors

Background requirement: Experience working with and teaching physical activity to older adults is preferred. Knowledge or previous training/practice experience in Tai Ji Quan is not required.
Training content: Covers program objectives, core training protocols, and implementation topics.

Training curriculum: Offers both a 2-day training workshop (required) and three 1-day follow-up refresher courses, with the first being conducted within 2 months, the second within 4 months, and third within 6 months following the 2-day workshop (highly recommended).

Outcomes: At the end of the 2-day training workshop, trainees will have a functional understanding of the TJQMBB program, including its training components, and be familiar with forms/movements in both the core and sub-core protocols, and class teaching emphases and fidelity criteria. The trainees are expected to teach a class, as soon as practical, following the workshop to reinforce the knowledge and skills learned during the training program.

Certificate: A certificate is awarded to trainees to indicate successful completion of the training program.

 

Training Protocol

Class practice: Each class session consists of three parts: (1) brief Tai Ji Quan-based warm-up movements, (2) core practice emphasizing integration of individual forms, variation in forms, and mini therapeutic movements and (3) a brief period of breathing cool-down exercises.
Teaching emphasis: Self-initiated and coordinated movement sway around ankle and hip joints with control of the center of gravity, rotational weight shifting initiated by the trunk, and eye-head-hand coordination are key elements of the program.

 

Practice parameters: A full 60-minute class session conducted at least twice per week for 24 consecutive weeks or longer.
Teaching evaluation: TJQMBB instructors are expected to adhere to the program’s training protocol. Thus, a fidelity checklist is available to provide standardized, peer-to- peer instructor evaluation criteria.

Class Set Up


Space and equipment: A room with approximately 500 square feet, equipped with armless, slide-resistant chairs.
Recommended class size: 8-15 students.
Student clothing preference: Students are encouraged to wear loose, comfortable pants and top; flat-soled shoes.
Materials for students: A student version of the program DVD for home practice and reference is available upon request from ORI for a nominal fee – recommended for distribution 8-12 weeks after the first class session.

Program Materials

The following materials are available:

  • Instructor DVD (2 disks)

  • Student DVD (1 disk)

  • Other program and teaching materials are accessible to trained instructors at:

    tjqmbb.org (Registration is required)

Target Health Outcomes

Recommended measures: Timed Up&Go, Functional Reach, 50-foot speed walk, and number of falls.
Expected outcomes: Consistent class attendance (at least 70% of available class sessions) is expected to result in improvement in balance and mobility and reductions in the incidence of falls.

Program Costs

Instructor training costs: Currently the following two formats are available:

  • On-site group rate (≤15 trainees): the trainer fee ranges from $800 (for authorized

    trainers) to $1,500 (for training by the program developer) per day, plus travel-related

    expenses.

  • Individual rate (for classes conducted at ORI): $200 per day per trainee (training fee

    only; travel-related expenses for trainees are not included).
    Class implementation costs: Expenses include hourly instructor pay and room rental, if applicable.

Program Technical Support

Technical support is provided through following channels:

  • Materials available at the website (tjqmbb.org) are updated on a regular basis.

  •  Consultations with the program developer – Fuzhong Li, Ph.D., fuzhongl@ori.org and/or local authorized trainers.

Program Cost-Effectiveness

A preliminary study shows that Tai Ji Quan is potentially a very cost effective approach to preventing falls in people with Parkinson’s disease.