Research progress of effect of Tai Chi on cognitive function in the elderly based on neuroelectrophysiological techniques and brain imaging techniques_Journal of Biomedical Engineering

Authors：

XUE Chen ^1,2 , LI Yuxi ¹ , ZHONG Dongling ¹ , LI Juan ¹ ,  ZHENG Zhong ² ,  JIN Rongjiang ¹

1. Institution of Health and Rehabilitation, Chengdu University of TCM, Chengdu 610075, P. R. China;
2. Center for Neurobiological Detection, West China Hospital of Sichuan University, Chengdu 610041, P. R. China;

Corresponding?author：

Keywords：

Tai Chi; The elderly; Cognitive function; Neuroelectrophysiological techniques; Brain imaging technique

DOI：

10.7507/1001-5515.202105003

Video：

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Abstract Full text Figures/Tables Video References Cited by

With the increasing prominence of population aging, the cognitive decline of the elderly has gradually become a hotspot of clinical research. As a traditional rehabilitation exercise, Tai Chi has been proved to have a positive effect on improving cognitive function and delaying cognitive decline in the elderly. However, the related brain function mechanism is still unclear. In this paper, we collected studies which observed the changes of Tai Chi on brain regions related to cognitive function in the elderly using magnetic resonance imaging (MRI), electroencephalogram (EEG) and functional near-infrared spectroscopy (fNIRS). We summarized relevant studies from perspective of structural and functional changes in the brain. The results showed that Tai Chi may delay and improve cognitive decline in the elderly by reshaping the structure and function of brain regions related to cognitive function such as memory, attention and execution. The effect of Tai Chi for cognitive function may be associated with positive regulation of cardiovascular function, emotion and meditation level of the elderly. In addition, the improvement of cognitive function further enhances the balance of the elderly. We also found that practice time, frequency and intensity of Tai Chi could be factors influencing the improvement of cognitive function and brain function in the elderly.

Citation： XUE Chen, LI Yuxi, ZHONG Dongling, LI Juan, ZHENG Zhong, JIN Rongjiang. Research progress of effect of Tai Chi on cognitive function in the elderly based on neuroelectrophysiological techniques and brain imaging techniques. Journal of Biomedical Engineering, 2022, 39(4): 826-832. doi: 10.7507/1001-5515.202105003 Copy

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1. 郭曉征, 王興. 基于近紅外光譜分析技術評價運動對老年人認知功能改善的作用. 中國組織工程研究, 2020, 24(11): 1790-1796.
2. 張惠玲, 鐘冬靈, 李涓, 等. 中國老年輕度認知障礙患病率的系統評價. 中國循證醫學雜志, 2020, 20(1): 17-25.
3. 陶雪琴, 廖雄, 李夢倩, 等. 社區老年人輕度認知功能障礙的流行病學調查. 中國老年學雜志, 2016, 36(13): 3283-3286.
4. Livingston G, Huntley J, Sommerlad A, et al. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. Lancet, 2020, 396(10248): 413-446.
5. Petersen R C, Lopez O, Armstrong M J, et al. Practice guideline update summary: mild cognitive impairment: report of the guideline development, dissemination, and implementation subcommittee of the American Academy of Neurology. Neurology, 2018, 90(3): 126-135.
6. 朱自強, 趙夢娟, 趙春善. 傳統有氧康復運動對輕度認知障礙老年人認知功能影響的Meta分析. 中醫藥導報, 2020, 26(10): 154-158, 170.
7. Nguyen M H, Kruse A. A randomized controlled trial of Tai Chi for balance, sleep quality and cognitive performance in elderly Vietnamese. Clin Interv Aging, 2012, 7: 185-190.
8. Sungkarat S, Boripuntakul S, Chattipakorn N, et al. Effects of Tai Chi on cognition and fall risk in older adults with mild cognitive impairment: a randomized controlled trial. J Am Geriatr Soc, 2017, 65(4): 721-727.
9. Wu M T, Tang P F, Goh J O S, et al. Task-switching performance improvements after Tai Chi Chuan training are associated with greater prefrontal activation in older adults. Front Aging Neurosci, 2018, 10: 280.
10. 張琪, 宋慧敏, 曹睿, 等. 太極拳對輕度認知障礙老年人認知功能干預效果的Meta分析. 中國護理管理, 2020, 20(6): 865-871.
11. Roche R A, Mullally S L, McNulty J P, et al. Prolonged rote learning produces delayed memory facilitation and metabolic changes in the hippocampus of the ageing human brain. BMC Neurosci, 2009, 10: 136.
12. Yue C, Yu Q, Zhang Y, et al. Regular Tai Chi practice is associated with improved memory as well as structural and functional alterations of the hippocampus in the elderly. Front Aging Neurosci, 2020, 12: 586770.
13. Tao J, Liu J, Liu W, et al. Tai Chi Chuan and Baduanjin increase grey matter volume in older adults: a brain imaging study. J Alzheimers Dis, 2017, 60(2): 389-400.
14. 董國昭, 錢天翼, 盧潔. 靜息態功能磁共振腦功能連接個體差異的研究進展. 中華老年心腦血管病雜志, 2017, 19(1): 106-107.
15. Tao J, Liu J, Egorova N, et al. Increased hippocampus-medial prefrontal cortex resting-state functional connectivity and memory function after Tai Chi Chuan practice in elder adults. Front Aging Neurosci, 2016, 8: 25.
16. Zang Y, Jiang T, Lu Y, et al. Regional homogeneity approach to fMRI data analysis. Neuroimage, 2004, 22(1): 394-400.
17. Tao J, Chen X, Liu J, et al. Tai Chi Chuan and Baduanjin mind-body training changes resting-state low-frequency fluctuations in the frontal lobe of older adults: a resting-state fMRI study. Front Hum Neurosci, 2017, 11: 514.
18. Miller E K, Cohen J D. An integrative theory of prefrontal cortex function. Annu Rev Neurosci, 2001, 24: 167-202.
19. Takehara-Nishiuchi K, McNaughton B L. Spontaneous changes of neocortical code for associative memory during consolidation. Science, 2008, 322(5903): 960-963.
20. Alvarez J A, Emory E. Executive function and the frontal lobes: a meta-analytic review. Neuropsychol Rev, 2006, 16(1): 17-42.
21. Nyberg L, Salami A, Andersson M, et al. Longitudinal evidence for diminished frontal cortex function in aging. Proc Natl Acad Sci USA, 2010, 107(52): 22682-22686.
22. 杜凱. 太極拳運動對老年人注意轉換功能的影響及fMRI研究. 上海: 上海體育學院, 2019.
23. 陳爽. 太極拳和步行鍛煉對老年人任務轉換功能影響的比較研究. 蘇州: 蘇州大學, 2020.
24. Wei G X, Xu T, Fan F M, et al. Can Taichi reshape the brain? a brain morphometry study. Plos One, 2013, 8(4): e61038.
25. Xu D, Hong Y, Li J, et al. Effect of Tai Chi exercise on proprioception of ankle and knee joints in old people. Br J Sports Med, 2004, 38(1): 50-54.
26. Papegaaij S, Hortobágyi T, Godde B, et al. Neural correlates of motor-cognitive dual-tasking in young and old adults. Plos One, 2017, 12(12): e0189025.
27. 梅劍. 基于多模態磁共振的習練太極拳者腦網絡研究. 蘇州: 蘇州大學, 2019.
28. Hillman C H, Erickson K I, Kramer A F. Be smart, exercise your heart: exercise effects on brain and cognition. Nat Rev Neurosci, 2008, 9(1): 58-65.
29. Cavanna A E, Trimble M R. The precuneus: a review of its functional anatomy and behavioural correlates. Brain, 2006, 129(3): 564-583.
30. Wang S, Blazer D G. Depression and cognition in the elderly. Annu Rev Clin Psychol, 2015, 11: 331-360.
31. Tao J, Chen X, Egorova N, et al. Tai Chi Chuan and Baduanjin practice modulates functional connectivity of the cognitive control network in older adults. Sci Rep, 2017, 7: 41581.
32. Critchley H D, Wiens S, Rotshtein P, et al. Neural systems supporting interoceptive awareness. Nat Neurosci, 2004, 7(2): 189-195.
33. Wang Y, Liao C, Shangguan C, et al. Individual differences in emotion differentiation modulate electrocortical dynamics of cognitive reappraisal. Psychophysiology, 2020, 57(12): e13690.
34. 謝平, 楊芳梅, 李欣欣, 等. 基于變分模態分解-傳遞熵的腦肌電信號耦合分析. 物理學報, 2016, 65(11): 285-293.
35. 李昕, 謝佳利, 侯永捷, 等. 腦電特征分析在阿爾茨海默癥臨床研究中的應用. 中國生物醫學工程學報, 2016, 35(2): 234-240.
36. 侯曉玲, 陳志華, 趙力. 腦電圖數據中α波功率譜分布特性的研究. 現代生物醫學進展, 2008(10): 1864-1865, 1896.
37. 魏璐璐. 健身氣功八段錦對腦電信號影響的研究. 廣州: 廣州體育學院, 2019.
38. 肖英霞. P300與認知加工: 方法、機制和應用. 中國健康心理學雜志, 2015, 23(9): 1425-1430.
39. 李章平. 老化及運動對女性老年人執行功能的影響——來自太極拳和廣場舞運動的證據. 蘇州: 蘇州大學, 2019.
40. 呂墨竹, 郭峰. 基于sLORETA腦成像技術探究太極拳運動對中老年人安靜狀態下腦波影響的研究. 沈陽體育學院學報, 2019, 38(2): 130-139.
41. Liu Y, Mimura K, Wang L, et al. Physiological benefits of 24-style Taijiquan exercise in middle-aged women. J Physiol Anthropol Appl Human Sci, 2003, 22(5): 219-225.
42. Kawano K. EEG and topography during Chinese 'Qigong' training. Neurosciences, 1990, 16: 503-508.
43. Fong D Y, Chi L K, Li F, et al. The benefits of endurance exercise and Tai Chi Chuan for the task-switching aspect of executive function in older adults: an ERP study. Front Aging Neurosci, 2014, 6: 295.
44. 楊子燚. 太極拳和廣場舞鍛煉對女性老年人工作記憶影響的ERP研究. 蘇州: 蘇州大學, 2019.
45. Wu C H, Karageorghis C I, Wang C C, et al. Effects of acute aerobic and resistance exercise on executive function: an ERP study. J Sci Med Sport, 2019, 22(12): 1367-1372.
46. 崔永勝, 楊慧馨. 太極拳與快走鍛煉對輕度認知功能障礙老年人認知功能的影響. 哈爾濱體育學院學報, 2019, 37(5): 17-22.
47. 紀之光. 高認知要求運動改善老年人抑制功能的特征及其機制. 上海: 上海體育學院, 2018.
48. Chen C Y, Muggleton N G. Electrophysiological investigation of the effects of Tai Chi on inhibitory control in older individuals. Prog Brain Res, 2020, 253: 229-242.
49. Hawkes T D, Manselle W, Woollacott M H. Tai Chi and meditation-plus-exercise benefit neural substrates of executive function: a cross-sectional, controlled study. J Complement Integr Med, 2014, 11(4): 279-288.
50. Cheung T C Y, Liu K P Y, Wong J Y H, et al. Acute effects of Tai Chi training on cognitive and cardiovascular responses in late middle-aged adults: a pilot study. Evid Based Complement Alternat Med, 2018, 2018: 7575123.
51. Walhovd K B, Fjell A M. The relationship between P3 and neuropsychological function in an adult life span sample. Biol Psychol, 2003, 62(1): 65-87.
52. Riis J L, Chong H, Ryan K K, et al. Compensatory neural activity distinguishes different patterns of normal cognitive aging. Neuroimage, 2008, 39(1): 441-454.
53. Bunce S C, Izzetoglu M, Izzetoglu K, et al. Functional near-infrared spectroscopy. IEEE Eng Med Biol Mag, 2006, 25(4): 54-62.
54. 關碩. 太極拳對老年人認知功能的影響: fNIRS研究. 大連: 大連理工大學, 2020.
55. Morawetz C, Bode S, Derntl B, et al. The effect of strategies, goals and stimulus material on the neural mechanisms of emotion regulation: a meta-analysis of fMRI studies. Neurosci Biobehav Rev, 2017, 72: 111-128.
56. 楊源. 8周太極拳運動對社區老年人認知控制與工作記憶能力的影響. 北京: 首都體育學院, 2019.
57. Tsang W W N, Chan K K, Cheng C N, et al. Tai Chi practice on prefrontal oxygenation levels in older adults: a pilot study. Complement Ther Med, 2019, 42: 132-136.
58. 謝暉. 基于近紅外光譜法的太極拳訓練對腦功能影響實驗研究. 濟南: 山東大學, 2018.
59. 許磊. 基于近紅外光譜法的太極拳練習對腦功能連接的急性運動影響分析. 濟南: 山東大學, 2018.
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Journal of Biomedical Engineering

Research progress of effect of Tai Chi on cognitive function in the elderly based on neuroelectrophysiological techniques and brain imaging techniques

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