Can Tai Chi Help Slow The Progression Of Parkinsons?

Tai chi may help people with Parkinson’s disease maintain balance, mobility and quality of life. In a long-term observational study, twice-weekly practice was associated with slower worsening of motor and non-motor symptoms and smaller increases in Parkinson’s medication. However, this does not prove tai chi changes the underlying disease, so it should complement prescribed treatment and physiotherapy.  

Can Tai Chi Help Slow The Progression Of Parkinsons?
Medically reviewed

Dr. Chrysoula I. Liakou MD, PhD Google Scholar LinkedIn

Internal Medicine Specialist
Cancer Immunology Researcher

What Research Shows About Tai Chi for Parkinson’s Symptoms, Progression and Safety

Individuals living with Parkinson’s disease often experience impaired motor skills, including tremors, difficulty with balance, and problems with coordination.


Researchers are investigating whether engaging in physical activity can delay the onset of Parkinson's and alleviate its symptoms.


It has been discovered that tai chi can help to retard the advancement of ailments and reduce the amount of medications needed over time for those suffering from Parkinson’s disease.


Globally, over 10 million individuals are living with Parkinson’s disease, a neurological disorder.


Movement changes such as tremors, gait alterations, coordination difficulties, and balance difficulties are primary symptoms of Parkinson’s disease.


Research indicates that regular physical activity has the potential to delay the progression of the disease and maintain mobility for a more extended period.


The researchers have discovered that tai chi can potentially reduce the severity of Parkinson's Disease symptoms and may also allow patients to take lower doses of medications.

 

Tai Chi Twice A Week For Parkinson’s


A study monitored two groups of people with Parkinson’s disease over five years.


330 individuals participated in this study, with 143 attending a tai chi class twice weekly to improve their technique. The remaining 187 participants continued their standard medical care without additional tai chi instruction.


At the beginning of the study, all participants were assessed for the severity of their disease, and the development was monitored for five years, including any increases in the need for medications.


Compared to the control group, the tai chi group exhibited a slower rate of disease progression across all measured points, including overall symptoms, movement, and balance.


At the end of the five-year study, the tai chi group had a significantly lower number of participants who needed to increase their medication. However, the control group had a more significant increase in their levodopa equivalent daily dosage (LEDD) at each follow-up point, indicating that the tai chi group had more significant benefits in terms of medication usage.


By 2021, the control group took a daily dose of 436.7, more than double the 203.99 dose taken by the tai chi group. Cognitive function declined slower in the tai chi group than in the control group, and their sleep and quality of life also showed greater improvement.


The enduring positive effects of tai chi, considering that there is limited research exploring the long-term impact of sports on Parkinson's disease. Hence, medical professionals should emphasise the significance of physical activity, as it can postpone the need to increase antiparkinsonian treatments.


The research focused on early-stage patients who had not yet developed severe postural instability. Therefore, while tai chi may benefit early-stage patients, caution must be taken when applying it to late-stage patients due to the risk of falls.

 

Exercise Benefits Parkinson’s


Observing the trend of tai chi becoming an evidence-based intervention for those with Parkinson's, activities such as dance, boxing, and table tennis are recommended as neuromotor exercises to help with the condition. Such exercises involve coordination of the body and mind, which can benefit those with Parkinson's.


Tai chi is one of the few exercises for Parkinson's with a solid evidence base, which is encouraging. Most exercises prescribed for this condition may have a different level of scientific backing.


Currently, exercise is the only known treatment that can help to slow down the progression of Parkinson's disease. This has led to the development of intense exercise programs, such as Rock Steady Boxing and the use of the Theracycle, which are beneficial to Parkinson's patients. Tai chi, however, is a slower form of exercise that involves well-practised, gentle movements that focus on balance and attention to detail.


People with Parkinson's can now benefit from mindfulness exercises.


Being mindful of one's actions can help people with Parkinson's disease in everyday situations, such as when navigating the kitchen to complete daily tasks. This can be especially difficult for those who are living with the condition.

 

Exercises To Help Manage Parkinson’s Disease


Due to the destruction of dopamine molecules, which transmit signals between neurons, individuals with Parkinson's disease experience problems with movement.


Therefore, exercise is essential for keeping the strength, flexibility, and balance of the body in check, which can help to manage symptoms of Parkinson's disease.


Studies have demonstrated that engaging in regular physical activity can help reduce symptoms such as depression, fatigue, and apathy that are associated with the condition.


Regular exercise can help prevent cardiovascular disease and osteoporosis, as well as other health issues that can arise from a lack of physical activity.


It is suggested that people with Parkinson’s Disease should incorporate physical activity into their routine. This includes activities such as:

  • Brisk walking, running, cycling, swimming, or aerobics classes are all aerobic activities

  • Balance, agility, and multitasking exercises such as yoga, dance, boxing, and tai chi are recommended

  • Strength training from a trusted source

  • Stretching

 

Tai Chi’s Benefits

Tai Chi has been practised in China for over a thousand years.


Tai chi is a form of exercise that combines physical movement, meditation, and deep breathing. It uses a series of low-impact, slow-motion signals to create a state of mindfulness. This form of moving meditation has many physical and mental benefits, making it a popular choice.


Tai chi does not require any particular apparatus and can be done either alone or with a group, whether it is in the comforts of your own home or an outdoor setting.


Previous studies have demonstrated that practising tai chi can enhance flexibility and strength, improve coordination, and improve overall mood. Additionally, it has been shown to support better balance and cognitive functioning.


Exercising can be of great benefit to individuals suffering from chronic lower back pain and fibromyalgia, as it can help to reduce pain and discomfort.


Studies have suggested that tai chi can improve cognitive functioning in individuals with dementia. It is estimated that a proportion of 20-40% of people with Parkinson's disease also have dementia.

 

How Tai Chi May Help With Parkinson’s Disease


Although drug therapy is the most common way to treat motor symptoms associated with Parkinson's disease, both motor and non-motor complications can occur in the later stages of the condition.


According to the expert, drug therapies can have adverse effects that can cause symptoms to become worse, such as orthostatic hypotension. Dopamine-based treatments mainly target the lack of dopamine and can improve symptoms such as bradykinesia; however, they are not very effective in addressing balance and gait issues associated with Parkinson's disease.


Research has shown that people with Parkinson's disease can benefit from practising tai chi, as it helps to increase postural stability.


Studies suggest that engaging in sports, including tai chi, may help to alleviate non-motor symptoms and enhance the quality of life for those with Parkinson's disease. This is likely due to improvements in neural networks and metabolomics, as well as a reduction in neuroinflammation, which are all linked to increased neuroplasticity.

 

Tai Chi Vs. Other Conventional Exercises


Research has indicated that engaging in regular tai chi sessions could be a beneficial tool for individuals with Parkinson's disease. It may slow the disorder's progression, limit the requirement for medication, and advance both motor and non-motor symptoms, ultimately improving the quality of life for those afflicted.


Before beginning any exercise regimen, individuals with Parkinson's disease should consult a healthcare provider to determine the type and intensity of exercise that will be best for them. Research on exercise and Parkinson's disease has repeatedly shown positive effects, so it is essential to consider how exercise can benefit the individual patient.


Individuals may prefer tai chi or conventional exercises for physical fitness depending on their needs, physical conditions, and goals. In any case, a healthcare provider should be consulted to determine the best approach for the individual. Tai chi has the potential to improve balance and reduce the risk of falls, while conventional exercises offer a wide range of options for targeting various aspects of physical fitness.


The authors note that their study is observational and, as a result, cannot establish causation. To reduce any differences between the two groups, the authors matched them on disease severity and avoided selecting people as controls who were not motivated to practice tai chi. However, they advise that further randomised control trials are necessary to confirm any findings.



Tai Chi for Parkinson’s Disease: Benefits, Evidence and Safety FAQs

Tai chi was associated with slower clinical worsening in a long-term Parkinson’s study, but it has not been proven to alter the underlying neurodegenerative process. Participants who practised regularly experienced slower deterioration in motor and non-motor scores. Because the groups were not randomly assigned, tai chi should be viewed as supportive exercise rather than an established disease-modifying treatment.

The study found slower symptom progression among people who practised tai chi regularly. Researchers followed 330 people with Parkinson’s disease—143 in the tai chi group and 187 in a control group—and reported slower worsening of movement, balance and non-motor symptoms, alongside smaller medication increases. Its observational design means other differences between the groups could have influenced the results.

Research has commonly used supervised 60-minute tai chi sessions twice a week, although there is no universally proven schedule for every person with Parkinson’s disease. Shorter sessions may be more appropriate when fatigue, stiffness or reduced mobility is present. Regular practice and safe technique matter more than copying a study protocol exactly, and movements should be adapted to individual ability.

Tai chi appears most useful for balance, postural control, walking ability, flexibility and functional movement. Research has also reported potential benefits for cognition, sleep, mood and quality of life. Results vary between individuals, and tai chi may not improve every symptom, such as tremor. It works best as one part of a broader Parkinson’s exercise and rehabilitation programme.

Tai chi may reduce falls by improving weight shifting, postural stability and control of movement. In a randomised trial of 195 people with mild-to-moderate Parkinson’s disease, twice-weekly tai chi improved balance and produced fewer falls than stretching. Fall risk is not eliminated, particularly when freezing, dizziness or advanced balance problems are present, so some participants require supervision.

Regular tai chi was associated with smaller annual increases in levodopa-equivalent medication and a later need to intensify treatment in the long-term cohort. This does not mean tai chi can replace medication or that doses should be reduced independently. The study cannot prove tai chi directly caused the difference, and all Parkinson’s medication changes must be managed by the treating clinician.

Tai chi is generally a low-impact activity, but its safety depends on balance, mobility, cognition and Parkinson’s stage. People with freezing of gait, repeated falls, severe postural instability or dizziness may need modified movements, physical support and close supervision. The long-term study mainly involved people without severe postural instability, so its findings should be applied cautiously in advanced Parkinson’s disease.

Tai chi is not proven to be the best exercise for every person with Parkinson’s disease. It particularly targets balance, controlled weight shifting, coordination and attention, while aerobic exercise supports cardiovascular fitness and strength training helps preserve muscle and function. A varied programme combining balance, aerobic, resistance and flexibility exercises is often more useful than relying on one activity alone.

Start with a trained instructor or physiotherapist who understands Parkinson’s-related movement and balance problems. Beginners may benefit from shorter sessions, wider stances, slower transitions and access to a stable chair or support rail. Practising during a reliable medication “on” period may make movement easier. Repeated near-falls, marked dizziness, chest pain or sudden symptom deterioration should stop the session and prompt medical assessment.


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