linical Implications and Advantages of Tai Chi
Given the existing evidence, tai chi exercise may be a safe and effective alternative to conventional exercise programs. It may be appropriate for patients unable or unwilling to engage in other forms of physical activity or as a bridge to more rigorous activity in frail or deconditioned patients. Patients with borderline BPs may be reluctant to begin drug therapy and often welcome nonpharmacologic approaches. These lifestyle interventions have been recognized as important and effective strategies for both primary and secondary prevention, although they often require a high level of motivation from the patient.39 Patients with either prehypertension or established hypertension, who otherwise feel well, may find it difficult to engage in and maintain a regular conventional exercise regimen. Finding an appropriate, nonthreatening, easy-to-perform activity that patients will maintain is critical to therapeutic success. Clinical trials have reported excellent compliance with tai chi interventions and suggest that tai chi may promote exercise self-efficacy. Several studies mention better adherence to tai chi, as compared with standard exercise. Other studies have provided qualitative data to support meaningful changes in social functioning and well-being with tai chi.51,52