Singh (2025) Effectiveness of Ai Chi as Aquatic Intervention for Balance Impairments in Community dwelling Older Adults in India A Randomised Controlled Study

Ai Chi Aquatic Therapy Improves Balance and Prevents Falls in Indian Seniors

Introduction: The Growing Need for Fall Prevention in the Elderly

As people age, their ability to maintain balance declines due to changes in the central nervous system, muscle function, and sensory processing. In India, over 33% of people aged 60+ report a fear of falling (FOF), significantly impacting their mobility, independence, and quality of life. This study by Singh & Sarma (2025) evaluates the effectiveness of Ai Chi, a water-based exercise rooted in Tai Chi, in improving balance among community-dwelling older adults.

Study Design: Comparing Ai Chi with Conventional Aquatic Therapy

A total of 30 older adults aged 65–80 with confirmed balance impairments were randomized into two groups:

Ai Chi group: Received 40-minute sessions of structured Ai Chi aquatic therapy
Control group: Received standard aquatic exercises based on Halliwick principles

Both groups trained three times per week for eight weeks. Balance was assessed using the Berg Balance Scale (BBS), Timed Up and Go Test (TUGT), and Dynamic Gait Index (DGI) at three intervals.

Key Results: Ai Chi Shows Superior Improvements

Both groups improved, but the Ai Chi group showed greater gains in both static and dynamic balance:

BBS improved from 39.9 to 48.5
TUGT time reduced from 12.8 to 9.7 seconds
DGI improved from 15.9 to 18.5 points

These changes were statistically significant and exceeded clinically meaningful thresholds. The Ai Chi group also saw a sharper reduction in fall risk, dropping from 42% to 20%.

Conclusion: Ai Chi is a Promising Fall Prevention Strategy

Ai Chi was found to be a safe, effective, and enjoyable intervention that significantly enhances balance and reduces fall risk in older adults. Its slow, mindful movements in a supportive water environment promote physical and mental coordination, making it ideal for seniors hesitant to join land-based programs.