Group Activity Therapy-Based Tai Chi Exercises on Improving Muscle Strength in Older Adults
DOI:
https://doi.org/10.36590/kepo.v7i1.2023Keywords:
elderly, muscles, tai chi, therapyAbstract
Older adults experience a decline in muscle strength due to the aging process, which leads to limitations in physical activity and an increased risk of dependency. Among the interventions that can be implemented is Tai Chi exercise based on Group Activity Therapy (GAT), which involves physical exercises with slow, controlled movements performed in a group setting to improve physical function and motivation in older adults. This study aimed to determine the effectiveness of Group Activity Therapy (GAT)-based Tai Chi exercises on improving muscle strength in older adults before and after the intervention. This study employed a One-Group Pre-Post Test Design involving 10 older adults at the Tresna Werdha Budi Luhur Social Service Center in Yogyakarta. Muscle strength assessments were conducted before and after the intervention using a manual muscle strength test. The data were analyzed using the Wilcoxon Signed-Rank Test, and the results showed a p-value of 0.003, which is less than 0.05 (p = 0.003 < 0.05). The results indicated a significant difference in muscle strength before and after the intervention, suggesting that group activity therapy-based Tai Chi exercises had a significant effect on improving muscle strength in older adults. Therefore, this intervention may serve as an effective non-pharmacological therapy to support independence and improve muscle strength in older adults.
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Amlak, B.T., Getinet, M., Getie, A., Kebede, W.M., Tarekegn, T.T., Belay, D.G., 2025. Functional Disability in Basic and Instrumental Activities of Daily Living Among Older Adults Globally: A Systematic Review and Meta-Analysis. BMC Geriatrics 25(413), 1-20. https://doi.org/10.1186/s12877-025-06056-8
Bishop, D.J., Beck, B., Biddle, S.J.H., Denay, K.L., Ferri, A., Gibala, M.J., Headley, S., Jo, A.M., Jung, M., Lee, M.J., Moholdt, T., Newton, R.U., Nimphius, S., Pescatello, L.S., Saner, N.J., Tzarimas, C., 2025. Physical Activity and Exercise Intensity Terminology: A Joint American College of Sports Medicine (ACSM) Expert Statement and Exercise and Sport Science Australia (ESSA) Consensus Statement. Journal of Science and Medicine in Sport 28(12), 980–991. https://doi.org/10.1016/j.jsams.2024.11.004
Brogno, B., 2025. Aging with Strength: Functional Training to Support Independence and Quality of Life. Sage Journals 62, 1-16. https://doi.org/10.1177/00469580251348133
Creighton, R.M., Paradis, K.F., Blackburn, N.E., Tully, M.A., 2022. Group-Based Physical Activity Interventions Targeting Enjoyment in Older Adults: A Systematic Review. Journal of Ageing Longevity 2(2), 113–129. https://www.mdpi.com/2673-9259/2/2/11
Cruz-Jentoft, A.J., Bahat, G., Bauer, J., Boirie, Y., Bruyère, O., Cederholm, T., Cooper, C., Landi, F., Rolland, Y., Sayer, A.A., Schneider, S.M., Sieber, C.C., Topinkova, E., Vandewoude, M., Visser, M., Zamboni, M., Bautmans, I., Baeyens, J.P., Cesari, M., Schols, J., 2021. Sarcopenia: Revised European Consensus on Definition and Diagnosis. Age and Ageing 48(1), 16–31. https://doi.org/10.1093/ageing/afy169
Di Lorito, C., Long, A., Byrne, A., Harwood, R.H., Gladman, J.R.F., Schneider, S., Logan, P., Bosco, A., Wardt, V., 2021. Exercise Interventions for Older Adults: A Systematic Review of Meta-Analyses. Journal of Sport and Health Science 10(1), 29–47. https://doi.org/10.1016/j.jshs.2020.06.003
Elhag, S., Niechcial, M.A., Potter, L., Gow, A.J., 2025. Exploring the Impact of Community-Based Interventions on Healthy Older Adults’ Physical Health, Psychological Wellbeing, and Social Connections: A Systematic Review. Ageing Research Reviews 111, 1-39. https://doi.org/10.1016/j.arr.2025.102784
Evangelista, R.A.G., Evangelista, A.L., Ernandes, R.C., Brech, G.C., Silva, R.N., Lino, M.H.S., Bocalini, D.S., Graaf, M., Mochizuki, L., Soares-Junior, J.M., Baracat, E.C., Greve, J.M.D.A., Garcez-Leme, L.E., Alonso, A.C., 2024. Importance of Muscle Strength to Maintain Mobility, But Not to Maintain Postural Balance in Older Women: Cross-Sectional Study. Clinics 79, 1-5. https://doi.org/10.1016/j.clinsp.2024.100504
Ferreira, Ó.R., Baixinho, C.L., Ferreira, O.R., Nunes, A.C., Mestre, T., Sousa, L., 2022. Health Promotion and Disease Prevention in the Elderly : The Perspective of Nursing Students. Journal of Personalized Medicine 12(2), 1–14. https://doi.org/10.3390/jpm12020306
Huang, J., Wang, D., Wang, J., 2021. Clinical Evidence of Tai Chi Exercise Prescriptions: A Systematic Review. Evidence-Based Complementary and Alternative Medicine 10, 1-22. https://pubmed.ncbi.nlm.nih.gov/33777155/
Khan, H.T.A., Addo, K.M., Findlay, H., 2024. Public Health Challenges and Responses to the Growing Ageing Populations. Public Health Challenges 3(3), 1–9. https://doi.org/10.1002/puh2.213
Kim, D., Morikawa, S., Miyawaki, M., Nakagawa, T., Ogawa, S., Kase, Y., 2025. Sarcopenia Prevention in Older Adults: Effectiveness and Limitations of Non-Pharmacological Interventions. Osteoporosis and Sarcopenia 11(2), 65–72. https://doi.org/10.1016/j.afos.2025.05.005
Li, L., Guo, S., Ding, B., Zhang, J., 2024. Effectiveness of Tai Chi Exercise on Balance, Falls, and Motor Function in Older Adults: A Meta-Analysis. Frontiers 11, 1–13. https://doi.org/10.3389/fmed.2024.1486746
Nan, L., Grunberg, D., De Silva, S., Sivaramakrishnan, D., 2024. Evaluating The Effectiveness of Tai Chi in Short-Term, Medium-Term, and Long-Term on Balance and Strength Among the Elderly: A Systematic Review and Meta-Analysis. Archives of Gerontology and Geriatrics Plus 1(4), 1-17. https://doi.org/10.1016/j.aggp.2024.100080
Pilastri, F.B., Lopez, J.F., Boateng, E.N., Marques, N.R., 2025. What to Know About Falls in Older Adults? Risk Factors, Predictors, and Therapeutic Interventions. International Journal of Environmental Research and Public Health 22(12), 1–16. https://doi.org/10.3390/ijerph22121863
Sayer, A.A., Cruz-Jentoft, A., 2022. Sarcopenia Definition, Diagnosis and Treatment: Consensus is Growing. Age and Ageing 51(10), 1–5. https://doi.org/10.1093/ageing/afac220
Wang, H., Liu, Y., Pei, Z., Liang, J., Ding, X., 2023. The Influence of Tai Chi Exercise on the Subjective Well-Being in the Aged: The Mediating Role of Physical Fitness and Cognitive Function. BMC Geriatrics 23(636), 1–10. https://pmc.ncbi.nlm.nih.gov/articles/PMC10563265/
Wang, K., Wang, X., Wang, Y., 2024. Factors, Mechanisms and Improvement Methods of Muscle Strength Loss. Frontiers in Cell and Developmental Biology 12, 1–13. https://doi.org/10.3389/fcell.2024.1509519
Wehner, C., Blank, C., Arvandi, M., Wehner, C., Schobersberger, W., 2021. Effect of Tai Chi on Muscle Strength, Physical Endurance, Postural Balance and Flexibility: A Systematic Review and Meta-Analysis. BMJ Open Sport and Exercise Medicine 7(1), 1-9. https://doi.org/10.1136/bmjsem-2020-000817
Wijoyo, E.B., Daulima, N.H.C., Wardani, I.Y., Rosyad, H.R., 2023. The Impact of Therapeutic Group Therapy on the Life Purpose of Elderly People Suffering from Loneliness. International Journal of Public Health Science 12(3), 1209–1217. https://doi.org/10.11591/ijphs.v12i3.22464
Yang, F.C., Desai, A.B., Esfahani, P., Sokolovskaya, T.V., Bartlett, D.J., 2022. Effectiveness of Tai Chi for Health Promotion of Older Adults: A Scoping Review of Meta-Analyses. American Journal of Lifestyle Medicine 16(6), 700–716. https://doi.org/10.1177/15598276211001291
Yeh, G.Y., Wayne, P.M., Mehta, D.H., 2023. Tai Chi and Whole-Person Health. Journal Of Integrative and Complementary Medicine 29(9), 531–535. https://doi.org/10.1089/jicm.2023.0426
