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Ezy Tai Chi:

a simpler
practice
for seniors

Practicing tai chi


provides older adults
with benefits in mental
and physical health,
mobility, and strength.
This modified version
offers a programming
alternative

by K. John Fisher, Ph.D.;


Fuzhong Li, Ph.D.; and
Machiko Shirai, M.S.

18 The Journal on Active Aging May June 2004


This article provides an overview of an the flow of qi and control body balance simplified tai chi.11 This 8-form version
8-form tai chi. This simpler practice was mechanisms through the constant follows a gradual, simple-to-difficult
modified from the contemporary 24-form interplay of yin and yang. progression. The movement execution
version by Fuzhong Li, one of the authors begins with upper-body motion
of this article. The work presented in this Yin (inactivity) and yang (activity) are (involving arm, shoulder and trunk
article is based on the authors practical opposite, but complementary, forces of movements) and minimal demands
and research experiences in tai chi nature that need to be in balance for for postural control, then moves to
covering two decades, and from discussions optimal functioning (e.g. male/female, forms with increasing postural
with tai chi masters, specialists and static/moving, active/passive, tension/ demands involving whole body-limb
practitioners in China and the United relaxation, or forceful/yielding). The coordination. (To view illustrated Ezy
States. dynamic relationship between yin and Tai Chi instructions, go to page 22.)
yang underpins all movements of
As a form of exercise, tai chi tai chi. As in all forms of tai chi, breathing is
increasingly appeals to the growing important and linked closely with the
proportion of older adults that looks for Shifting body weight creates a movements (e.g. inhaling when raising
alternative and convenient ways to continuous reciprocity of yin and arms and exhaling when pressing arms
exercise for health. Originally developed yang states in tai chi. The resulting down). This sinks the qi to the dantian
for martial arts purposes in China more equilibrium of yin and yang through (pronounced dan-tee-ann), or energy
than 300 hundred years ago,1 this the integration of qi and controlled center located in the lower abdomen
practice has been used as a traditional movement is said to sustain health, slightly below the navel. Breathing
exercise to improve fitness, health and prolong life and bring about emotional during Ezy Tai Chi should be natural,
longevity2 for individuals of all ages. Tai healing.8 rhythmic and full, but not forced.
chis low-to-moderate intensity and Breaths should originate from the
beneficial effects on strength, flexibility, Shown to produce health benefits, tai diaphragm, and the inhale-exhale
breathing and balance3,4,5 make it chi is gaining popularity among older rhythm should comfortably coordinate
especially attractive to mature adults. adults.9 Yet few tai chi programs have with the flow of movements.
been modified to suit the physical and
Basically, tai chi is a series of individual mental needs of this populationmany Although preferably done while
movements, or forms, linked together to of whom face the challenge of declining standing, Ezy Tai Chi can also be
flow smoothly from one to another. physical function. In addition, little performed in a chair by participants who
When performed with continuity, these attention has been paid to issues have a problem with standing or who
movements involve body and trunk associated with facilitating the delivery depend on ambulatory supports (i.e.
rotation, flexion and extension of the and instruction of tai chi to populations walker, cane or wheelchair). When
hips and knees, weight shifting, postural of most need. To address these performed in a seated position, these
control and alignment, with and problems, scientists from the Oregon movements work the full range of
without arm coordination.6 Research Institute in Eugene, Oregon, motion for the arms, shoulders and
have introduced a simpler version: Ezy torso. For example, individuals with
Some synchronization of diaphragmatic Tai Chi. standing difficulty may still benefit by
breathing and mental concentration is engaging in upper-body-based
also integral to tai chi. This element is Simplified tai chi movements such as curving back arms,
purported to promote harmony between Several styles of tai chi exist, some which focuses on upper limbs and trunk
body and mind. So tai chi involves historic/traditional and some of more rotation, and even lower-limb
training the mind, as well as the body, recent origin. Today, the yang style is movements, such as lifting legs (similar
which is why it is often referred to as probably the most popular.6,10 Ezy Tai to that of standing on one leg), which
moving meditation.7 Chi reduces the number and complexity works on hip flexion and stable postural
of the 24-form yang style1 of tai chi to alignment.
In addition to the physical movement just eight forms. These movements
and meditational features of its practice, contain all the natural characteristics of The Ezy Tai Chi sequence can take less
tai chi is intended to cultivate qi the conventional 24-form, but with the than three minutes to complete,
(pronounced chee), an internal force or advantages of a less complex movement depending on an individuals mobility
vital energythe nature of which is not sequence for ease of performance and level. Compared to the 10-form,12 20-
fully understood. According to Chinese recall. (See Table 1 on page 24 for the form,13 and the contemporary 24-form
medical theory, tai chi movements allow names of these movements.) tai chi, this modified version lends itself
qi to circulate throughout the body via to being adapted to underserved
channels or meridians. These energy Ezy Tai Chi consists of six postures plus populations, such as those who are
pathways connect organs, joints and commencing and closing forms, all
muscle groups. Along meridians are derived from the contemporary 24-form
points used in tai chi as foci to direct Continued on page 20

The Journal on Active Aging May June 2004 19


Ezy Tai Chi: a simpler practice
for seniors Continued from page 19
physically or functionally challenged alignment and weight centering. strength through static and moving
and for whom a lengthy learning period Following this preliminary session, exercises, while addressing the need to
would be problematic. The fewer, participants may move onto performing control balance over a dynamically
simpler movements and shorter each single moving exercise. changing base of support. This
sequence likely make the learning practice also improves balance by
experience less demanding on older Moving practice increases selective involving interlimb coordination and
adultsand potentially more enjoyable. attention and allows individuals to coordination between lower-extremity
experience appropriate alignment for and upper-body movements. In
From a teaching standpoint, instructors balance and to coordinate rotations of addition, the training may increase the
of Ezy Tai Chi avoid the need to limb and trunk. During this element, balance response repertoires older adults
simplify the lengthy routines of many participants perform 810 repetitions of can use in balance-challenging
other tai chi forms. Movements from each movement under a slow, self- situations.
this modified version can be taught controlled speed. After some successful
and performed as single movements, or initial practice of these static and To provide preliminary evidence of the
in combination (e.g. two or three moving movements, participants should efficacy and utility of Ezy Tai Chi,
movements), before participants practice be ready to start linking each of the Ezy scientists at the Oregon Research
them as a complete routine. As a result, Tai Chi postures in a sequential, Institute analyzed data from a subset of
instructors can focus more on teaching continuous manner. Each daily session individuals in a tai chi intervention
trial. For this study, the 8-form Ezy Tai
basic fundamental movements, should consist of a minimum of five sets
Chi was implemented and compared to
including footwork, body position, of Ezy Tai Chi, along with repeated a conventional low-stress stretching
eye-hand coordination, and breathing. practice of each movement. exercise program.15 Participants were
randomly assigned to one of the two
All these characteristics of Ezy Tai Chi Participants may practice tai chi in a experimental conditions. These subjects
are likely to encourage learners to persist high, medium or low stance, depending engaged in an exercise intervention
in practicing these movements and on their age, physical limitations and three times per week for three months.
enhance their commitment to tai chi as training purposes.11,14 With a low stance,
a lifelong exercise. the body is in a semi-squatting position, Compared to the low-stress exercise
with knees bent almost 90, which control group, tai chi participants
Ezy Tai Chi session format places most demand upon the large experienced significant improvements
A general plan for an in-class practice muscle groups of the thighs. With a on the self-reported mental and physical
session of Ezy Tai Chi may involve the high stance, the knees are bent at an health measures, activities of daily
following components: a 10-minute angle of only slight discomfort. For living (IADLs), and in the physical
warm-up, 2530 minutes of practicing older adults, a high stance is performance measures of one-leg
movements/postures, and a 5-minute recommended for two reasons: balance, 50-foot walking speed, and
cool down. Also recommended, five- time to rise from a chair. Although
minute breaks between practice sessions It does not impose extraneous body preliminary, these results collectively
allow learners to rest and interact weight on the lower extremities; and suggest Ezy Tai Chi may be potentially
socially. It facilitates both anatomic alignment as effective in enhancing functional
and flexibility for posture maneuvers. ability and health status in older
After their warm-up, participants in a individuals as the more complex
preliminary session can practice single In contrast, the low stance imposes 24-form version.
static positions. This involves holding more body weight on the legsthe
each single movement listed in Table 1 knees, in particular. This stance is also Specific program benefits
(see page 24) for a period of 510 physically demanding on the quadriceps Ezy Tai Chi is suitable as a home-based
seconds. The static movement practice for older adults and others who have activity for older adults or as a
has the lowest attention demand for weak lower-limb muscle strength programming option for those health
postural control and fewest between- and/or physical impairment (e.g. hip and wellness organizations that serve the
limbs movement coordination tasks for replacement). mature market. As a home-based
beginners, making it easier to perform. exercise program, Ezy Tai Chi allows
This static practice also enables the Ezy Tai Chi: health benefits older people to experience success and
participants to get the idea of setting a The 8-form Ezy Tai Chi provides move toward achieving mastery in their
correct posture and a sense of body training likely to improve muscle own living environment. Home practice

20 The Journal on Active Aging May June 2004


also removes the transportation/travel Preparation of this manuscript was
barrier of coming to a class and allows Resources supported by Grant No. MH 62327 from
participants to work on routines in their the National Institute of Mental Health,
own time, which potentially increases A video clip of the full set of Ezy Tai and in part by Grant No. AG18394 from
exercise adherence. But older adults Chi forms can be viewed through the the National Institute on Aging.
should first take a class from a suitably
authors website at http://healthy
qualified and experienced instructor, so References
they are introduced to the initial aging.ori.org/easytaichi/eztaichi.html.
modeling and understanding of the This clip shows these movements 1. China Sports. Simplified Taijiquan.
pace, flow and transitions between Beijing, China: Foreign Language Printing
being performed in both standing House, 1980
movements. and sitting positions. A training 2. Hong, Y. and Lu, Y. Physical Activity and
Health Among Older Adults in China.
manual is also available on this
The modified 8-form tai chi can be Journal of Aging and Physical Activity
performed at any time or place after website. To download this link and 1999;7:247250
3. Lan, C.; Lai, J.S.; and Chen, S.Y. Tai Chi
initial training, and it requires no view the clip, you will need Chuan: An Ancient Wisdom on Exercise and
special equipment, clothing or footwear. considerable broadband width. Health Promotion. Sports Medicine
Instructors can modify this activity to 2002;32:217224
accommodate the functional level of 4. Levandoski, L.J. and Leyshon, G.A. Tai Chi
A video of Ezy 8-Form Tai Chi Exercise and the Elderly. Clinical Kinesiology
older adults, including individuals in 1990;44:3942
wheelchairs, those with restricted (VHS or DVD format) will soon be 5. Li, J.; Hong, Y.; and Chan, K.M. Tai Chi:
levels of physical activity, and those who available from Oregon Research Physiological Characteristics and Beneficial
may be recovering from injury or Effects on Health. British Journal of Sports
Institute, c/o Ms. K. Bangle, 1715 Medicine 2001;35:148156
previously debilitating illnesses. In fact, 6. Swaim, L.; Fu Zhongwen. Mastering yang
Franklin Boulevard, Eugene OR
modifications can be made (in whole or style Taijiquan. Berkeley CA: North Atlantic
in part) to fit a variety of rehabilitative 97403. The cost is US$15. Checks Books, 1999
endeavorsfrom assisting an individual only, please. Price includes shipping 7. Reid, D. A complete guide to Chi-Gung.
Boston MA: Shambhala Publications, 1998
who has experienced a cerebrovascular and handling. 8. Liang, S-Y. and Wu, W-C. Tai Chi Chuan:
accident (CVA) or traumatic brain 24 and 48 postures with martial
injury, to working with someone with applications. Roslindale MA: YMAA
an orthopedic impairment or Publication, 1996
9. Yan, J.H. and Downing, J.H. Tai Chi: An
cardiorespiratory decline. prevention in refereed journals. He can be
Alternative Exercise Form for Seniors.
reached by phone at 541-484-2123, or by Journal of Aging and Physical Activity
Most of the tai chi postures provide email at johnf@ori.org. 1998;6:350362
enough flexibility to allow individuals to 10. Yu, T. and Johnson, J. Tai Chi
fundamentals for health care professionals and
perform to their potential. And the Fuzhong Li, Ph.D., is a research scientist
instructors: a simplified approach for
simplified 8-form version is appropriate at the Oregon Research Institute in mastering Tai Chi basics. Madison WI:
for older adults whose motor abilities Eugene, Oregon. A native of China, he Uncharted Country Publishing, 1999
may be compromised or who find has been researching the therapeutic 11. Li, F.; Fisher, K.J.; Harmer, P.; and Shirai, M.
A Simpler 8-Form Easy Tai Chi for elderly
existing tai chi forms or similar modes benefits of low to moderate impact physical
persons. Journal of Aging and Physical Activity
of exercise difficult or unappealing. exercise such as tai chi for more than two 2003;11:217229
decades. He is the principal investigator of 12. Wolf, S.L.; Coogler, C.; and Xu, T.
Tai chi enhances both the physical and several randomized controlled trials Exploring the Basis for Tai Chi Chuan As a
Therapeutic Exercise Approach. Archives of
mental health of people who practice it. investigating the influences of tai chi on
Physical Medicine and Rehabilitation
Ezy Tai Chis easy-to-perform, soft and various aspects of the health of older 1997;78:886892
fluid movements make this simplified adults. He can be reached by phone at 13. Chen, S. A Modified Tai Chi Program for
form an ideal programming option for 541-484-2123, or by email at Individuals With Physical Disabilities.
Palaestra 2002;18(2):4347
older adults, regardless of their exercise fuzhongl@ori.org.
14. Yang, Z. Yang style Taijiquan. Beijing,
experience. China: Morning Glory, 1991
Machiko Shirai, M.S., has a masters 15. Li, F.; Fisher, K.J.; Harmer, P.; Irbe, D.;
K. John Fisher, Ph.D., is a behavioral degree in Gerontology and more than 15 Tearse, R.G.; and Weimer, C. Tai Chi and
self-rated quality of sleep and daytime
scientist with the Healthy Aging Group at years of tai chi teaching experience. She
sleepiness in older adults: A randomized
the Oregon Research Institute in Eugene, learned her craft from a tai chi master in controlled trial. Journal of the American
Oregon. He has held positions as a teacher, her native Japan, and has won Olympic- Geriatrics Society (in press)
instructor, professor and researcher in level awards in tai chi in the United
health and physical activity for more than States and China. She is an instructor at
20 years, and has published in excess of 50 Lane Community College in Eugene, and
articles on health promotion and disease at Oregon Research Institute.
Continued on page 22

The Journal on Active Aging May June 2004 21


Ezy Tai Chi:
principles and practice
T h e
Form 1:
The core part of tai chi training or The eight forms
practice follows a set of 10 essential
principles:1 Form 1: Commencing form

1. Keep the head still and upright. Pre-commencing stance: feet together
2. Focus eyes in direction of primary with both knees unlocked, arms at sides,
limb. facing forward.
3. Close the mouth (tongue can touch Commencing form
the roof of the mouth). Step 1: with a slight weight-shift to the
4. Body is centered and upright. right, left foot takes a half-step to the Form 2:
5. Arch the chest and slightly round left, so that the feet are at shoulders
the back. width apart. Toes point forward and
6. Loosen tension around the waist arms hang naturally alongside the body.
and hips.
7. Sink the shoulders and drop the Step 2: slowly raise both arms up,
elbows. elbows unlocked, to shoulder level,
8. Extend the fingers and settle the keeping the palms facing downward.
wrists. Repulse Monkey Repulse Monkey
9. Distinguish insubstantial from Transitional movement: slightly lower (right) (left)
substantial (explained below). both arms while bending legs.
Form 3: (left)
10. Upper and lower body follow each
other. Form 2: Repulse Monkey

Based on these 10 essentials, the Step 1: from the transitional movement


following training guidelines may be described above, move the right hand
followed: downward in a semicircle to shoulder
level with the palm facing up. The left
Complete body and mind relaxation: arm remains in position, but the left Transition to Grasp Peacocks Tail
tai chi practice requires the practitioner wrist now twists slightly so that the Form 3 (Ward-off; left)
to eliminate all other thoughts and to palm faces up. Shift the body weight
focus on movement, breathing, gradually to the left foot as the arm
relaxation, and distribution of weight. movements are being executed.

Balancing weight: tai chi emphasizes Step 2: Now push the right hand
alternating ones balance between a forward with the body weight
weight-bearing (solid) leg and a non- simultaneously shifting to the right side
weight-bearing (hollow) leg. In tai chi, while the left arm lowers in a downward
this is referred to as the substantial and arch, passing the left hip and ending at
insubstantial of weight-balancing. the shoulder level. Grasp Peacocks Tail Grasp Peacocks Tail
(Pull back; left) (Press; left)
Breathing: breathing must be smooth, Repeat these movements twice on each
regular and coordinated with the side.
movements.
Transitional movement: the Repulse
Movement continuity/flow: all Monkey form finishes up in a ball-
movements are done slowly with no holding position with hands on the
pauses or breaks; that is, the postures right side.
should flow evenly from start to finish. Grasp Peacocks Tail
In essence, all movements are slow, (Push; left)
continuous, even, circular and smooth.
There should be no feeling of tightness
or stiffness in the muscles or joints. Continued on page 24

22 The Journal on Active Aging May June 2004


e i g h t f o r m s
Form 3: (right) Form 7:

Transition to the Grasp Peacocks Tail Move Hands like Transition to Brush Knees and
right (Ward-off; right) Moving Clouds (left) Form 7 Twist Steps (left)
Form 5:

Grasp Peacocks Tail Grasp Peacocks Tail Transition to Fair Lady Works at Transition to the Brush Knees and
(Pull back; right) (Press; right) Form 5 Shuttles (left) right Twist Steps (right)
Form 8:

Grasp Peacocks Tail Transition to the Fair Lady Works at Closing form Closing form
(Push; right) right Shuttles (right)
Form 4: Form 6:

Transition to Transition to Transition to Golden Cock Stands Closing form


Form 4 Form 4 Form 6 on One Leg (left)

Transition to Move Hands like Golden Cock Stands


Form 4 Moving Clouds (left) on One Leg (right)

The Journal on Active Aging May June 2004 23


Ezy Tai Chi:
principles and practice Continued from page 22

Form 3: Grasp Peacocks Tail Step 2: turn torso slightly to left while Step 4: at the end of Press, extend both
moving the right hand forward to hands and palms outward and forward.
This form consists of four parts: almost meet the extended left hand. This completes Push.
Then, pull both hands down in a curve
1. Ward-off; past the abdomen, until right hand is Repeat all four mini-forms on the right
2. Pull back; extended sideways at shoulder level with side.
3. Press; and the elbow bend upward; the right hand
4. Push. then joins the left hand in front of the Form 4: Move Hands like Moving
chest. This completes Pull back. Clouds (left side only)
Step 1: from the above ball-holding
position, turn the left foot away from Step 3: with the weight seated on the Step 1: from the end of Form 3, move
the midline of the body (towards left (rear) right foot, pull both hands both arms (45) to the left side and
side), then turn the upper body 45 to downward to abdomen, then push simultaneously shift the weight into the
the left. Move the left hand forward forward both hands with shoulders left leg. Then, move right hand in an
arriving at eye level while pressing the relaxed and elbows dropped. This arc past ones face with palm facing the
right hand down obliquely to the side completes Press. body, while left hand moves downward.
of the right hip with the palm facing
downward. This completes Ward-off. Step 2: turn torso gradually to the left
with the weight shifting onto left leg.
Simultaneously, move left hand upward
Table 1. with the palm facing the body, to pass
Names of Ezy Tai Chi forms the left shoulder. The right hand twists
and starts its swing downward (palm
faces the body), following the direction
Form Movement direction/number of the left hand. The right leg joins the
of repetitions left leg.

Repeat this movement three times.


1. Commencing form Both hands rise to shoulder level
2. Curving back arms Right, left; two times each side Transitional movement: the Move
(Repulse Monkey) Hands like Moving Clouds form
finishes with a ball-holding position of
3. Stepping side and moving arms To the left, then to the right
hands on the right side (near the hip).
(Grasp Peacocks Tail: Ward-off,
Pull back, Press, Push) Form 5: Fair Lady Works at Shuttles
4. Moving hands (Move Hands Like Left side leads; three times
Step 1: from the end of Form 4, step
Moving Clouds) out (45 to the left) with left foot. Left
5. Diagonal strides (Fair Lady Works Left, then right hand moves upward to block (an
at Shuttles) opponent) while the right hand and
right palm pushes forward and outward.
6. Standing on one leg Right, then left
(Golden Cock Stands on One Leg) Step 2: Now drop the right hand. Step
7. Stepping and pushing (Brush Knees Left, then right out (45 to the right). Right hand
and Twist Steps) moves upward to block (an opponent)
while the left hand pushes forward and
8. Closing form Both hands fall to the side, left leg outward.
drawn to the right

Note. Interim transitional movements are not included. Names in the parentheses
are the standard tai chi names.

24 The Journal on Active Aging May June 2004


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Physiological Characteristics and Beneficial
Effects on Health. British Journal of Sports
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Form 6: Golden Cock Stands on One well documented.1,2,3,4,5,6,7 Studies using Elderly. Journal of Gerontological Nursing
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Step 1: drop the left and right hands Gerontological Nursing 1996;22:1217
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Continued on page 26

The Journal on Active Aging May June 2004 25


Ezy Tai Chi: a simpler practice for seniors
Continued from page 25

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Effects of TAi Chi Training on Function Harmer, P. Enhancing the Psychological
and Quality of Life Indicators in Older Well-Being of Elderly Individuals Through
Adults With Osteoarthritis. Journal of Tai Chi Exercise: A Latent Growth Curve
American Geriatrics Society Analysis. Structural Equation Modeling
2000;48:15531559 2001;8(1):5383

Keeping people healthy and fit


Cooper Ventures, a division of the renowned Cooper Aerobics
Center, is your best resource for keeping people healthy and
productive. We plan and operate health, fitness, and preventive
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Consulting Management
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Equipment recommendations Management consulting
Program evaluation Program development

Call 972-716-7086 or 800-444-5764


www.cooperaerobics.com

12200 Preston Road Dallas 75230

26 The Journal on Active Aging May June 2004

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