Dr Lam's Tai Chi, Health & Lifestyle Newsletter - Issue Number 106, June 2010

In this issue:


Click on the title above to read the articles, this link to read all previous newsletters and here to subscribe.
 
 
There are many different aspects to consider when measuring the effectiveness of tai chi for health and wellness.Dr Paul Lam performing Roll Back Tai Chi movements at the original place of tai chi Wudangshan April 2010 One example is how to translate medical research to the community for health benefits. Most medical research isolates and measures one variance while holding everything else constant, i.e. all conditions to be set the same except for the variance we measure.
 
When translating to practical application of how tai chi can affect a person’s health, there are so many things to consider. To start with, at the stage of measuring research outcome: there are many ways to measure health. There is physical and mental health, self perception of health, spirit and happiness. How do we measure these accurately? If we have a good way to measure them, how can these be replicated in the community? There are so many other variances, such as medications taken at the time, emotional state, other people’s influence, community setting and interpersonal relationships. Then there are different tai chi contents, styles of teachers and methods of teaching. All these factors can significantly affect the measurement outcome.
 
For most people in the community their interest is the result, how much better will they feel. While for a governmental body, their concern will most likely be whether it is cost saving and/or popular. With these in mind, “qualitative research” which measures not so much the figures, rather the quality and perception can be very useful. In the 2010 January workshop in Sydney, we collected a qualitative survey from the majority of the participants. Their answers showed significant improvement in the quality of participants lives through using tai chi. Professor Patricia Davidson and Dr Michelle DiGiacomo are working on this project, I will let you know once it is completed; meanwhile let us look at how medical studies and medicine relate to tai chi.
 
Professor Rhayun Song, who has published a number of studies on tai chi, gave a talk at the January workshop onDr Paul Lam with friends at the original place of tai chi Wudangshan April 2010 the importance and relevance of medical research in Tai Chi for Health. In her article, Annemarie Groth-Juncker, an internist from the USA, talks about Eastern and Western medicine and tai chi, and Judy Stone-Herbert, who actively teaches tai chi to people at work, uses tai chi to overcome her own medical challenges sustained in a recent car accident.
 
There is ongoing new information and thoughts on this subject; it is a topic worth reviewing from time to time.
 
I have composed lesson by lesson outlines for research studies. You may find these helpful with your class especially using them in conjunction with the TCA 12 virtual lessons DVD. I will post this as an article under article/health. Feel free to download, adapt and utilise as appropriate.
 
In this newsletter:
 
  • For Professor Rhayun Song, it is not enough just knowing and accepting that tai chi is effective for health; it is essential to provide solid evidence for the health benefits of tai chi through medical research studies.
  • Dr. Annemarie Groth-Juncker shares her knowledge of how Eastern and Western medicine complement one another in the healing process. However the key to healing is the determination to get well. 
  • Judy Stone-Herbert demonstrates how tai chi has the physical and mental healing power to help overcome her injuries from an accident. In her reflecting words,” Enjoy your tai chi and do as much as you are able for you never know what tomorrow brings”. 
  •  Caroline Demoise gives a clear and insightful message. “When you use awareness and intention to articulate your tai chi goals and visualize them being a reality, you are using the power of your mind to improve your tai chi”.
 
This Month’s Special: 

  • Tai Chi for Health – Instructional DVD
  • Qigong for Health - Instructional DVD


Buy Tai Chi for Health DVD and receive Qigong for Health DVD at 50% discount, worth USD $12.50 or AUD $15.00
Limit to one order per person.  Click
here for more information or to place your order.

Upcoming workshops: by Dr Paul Lam

June 5 - June 6, 2010. Tacoma, WA, United States
Seated Tai Chi for Arthritis and Tai Chi @ Work Instructor Training

July 15 - July 16, 2010. Ponsonby, Auckland, New Zealand
Tai Chi 4 Kidz Instructor Training

July 17 - July 18, 2010. Ponsonby, Auckland, New Zealand
Exploring the Depth of Tai Chi for Arthritis

July 24 - July 25, 2010. Sydney, NSW, Australia
Tai Chi for Arthritis Instructor Training

July 24 - July 25, 2010. Sydney, NSW, Australia
Tai Chi for Diabetes Instructor Training
 
July 24 - July 25, 2010. Sydney, NSW, Australia
Tai Chi for Arthritis Part ll & Update

August 14 - August 15, 2010. Sydney, NSW, Australia
Exploring the Depth of Tai Chi for Arthritis
 
Many other workshops conducted by my authorised master trainers are listed in the
Workshop Calendar.

Yours in Tai Chi,
 
 
 
Paul Lam, M.D.
 
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Is Tai Chi Effective for Health?
Rhayun Song, Master Trainer, Associate Professor of Nursing, Chungnam National University, Korea.

This article is taken from Rhayun’s morning talk at the Sydney 2010 January Workshop.

Tai Chi, known as a Chinese martial art, is getting recognized among health professional as well as generalRhayun Song speaking at the One Week Tai Chi Workshop in Sydney January 2010 population for its health benefits. How do you know if tai chi is working for the health promotion?

The other day, I was talking to the director of primary health care centre, where I was planning to open a 3-month tai chi class for those with hypertension. The director was a doctor, and he was very curious about how tai chi can work for hypertension. Why tai chi is good for it? How is it different from other types of exercise?

Well, as a tai chi practitioner, we need to be able to answer to those questions. Tai Chi is effective to control hypertension, because “the research says so”.

Since 2000, hundreds of research has been conducted to explore the effectiveness of tai chi in variety of population. Unfortunately, although some studies show the positive effects of tai chi, others failed to show any effects. What is wrong? The good news is we can see a trend in this research. More and more research is leading towards the similar conclusion about the potential benefits of tai chi, however, to be able to say it clear and loud, we definitely need more “good research”.

Dr. Roberts just introduced how we can utilize policy into research activities. It also leads us to the good research. OK, what is the good research? There are two points we need to think about before opening the tai chi class to lead the sure effects on health… maybe I should make it three points, because that is what people can remember as a take home message.

They are:
“Who is the target population?”, “what is the outcome?”, and finally “how to keep them motivated?”

Who are the subjects? Are you teaching beginners? Is it an institutional for the elderly? A class of healthy young people? Do they have any chronic diseases? Arthritis, diabetes, or cardiac disease? This will determine what program you will be implementing. You may want to use the TCA program, a tai chi program designed specifically for those with arthritis, because it is supposed to be the safest form of the exercise to apply. Or you may want to use the TCD program for those with diabetes or heart problem to improve their cardiovascular health.

Secondly, what are you measuring? What outcome are you looking at?
If we are talking about elderly people with arthritis, we want to consider their symptoms, muscle strengths, balance, flexibility, and fall episode, I will use the Tai Chi for Arthritis program, at least for 12 weeks, and twice a week (minimum). Research shows that we need at least 8 weeks for symptom management such as pain and stiffness. If you are looking for muscle strength and fitness measures such as balance and flexibility, you want to continue for 12 weeks. For example, if you are looking at fall prevention, you need at least 3 months to improve the balance and muscle strengths, and at least 6 months to see any changes in fall prevention. One more factor relating to fall prevention is bone mineral density for osteoporosis. If you are looking at how bone density is improving…you need to apply tai chi for more than 6 months. That is why the general study period of fall prevention research goes for usually more than a year.

If you are applying tai chi to diabetics for glucose control, it also requires more than 3 months. HBA1C, and glucosylated haemoglobin, we usually measure to see the glucose control, since it’s the average glucose level over the past 3 months. Therefore, we need at least a 3 month period.

When you are listening to me now, you may think – OK! The longer the better! It is probably true, except the longer your tai chi class goes, the harder you keep them in your class. We all know exercise is good for our health. But most exercise classes have the 50% of dropout within 6 months. Tai Chi class cannot be the exception. How are you going to make the class enjoyable enough to have your participants be motivated? This is the final take home message. It’s up to the instructor. Dr. Lam’s Tai Chi for Health program is known to be enjoyable, because we are emphasizing “positive feedback and easy access, progressive learning to teach tai chi” which was never the case for the traditional tai chi learning environment. But because of its slow movements and slow music, some people may think it’s boring. How can you make the participants feel interested? This kind of motivation strategy is very important to reach the desired outcome.

We are the tai chi practitioners, and from the experience, we all agree that tai chi works for health promotion. However, if you want to promote tai chi class to broader population, we need to be aware of these three messages to provide enough evidence for the health benefits of tai chi.
Thanks.

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Eastern or Western Medicine: to where do we turn?
Annemarie Groth-Juncker M.D., Rochester NY, USA
 
“I bandaged the wounds, but God healed him”
Ambroise Pare, French surgeon to three kings, 16th century
 
There are two aspects to healing: external intervention and internal self healing.
Western medicine has perfected the external aspect in a remarkable way, mostly through surgical and chemicalAnne Marie practising tai chi intervention.  It has become the leader in the treatment of acute conditions such as infections. But despite 100 years of progress this remarkable success has not come to include many chronic conditions such as most ailments of the aging population.
 
Eastern medicine, or traditional Chinese medicine (TCM) with qigong, acupuncture and herbal medicine as well as some other alternative treatment approaches are concerned mostly with strengthening the body to do its own inner healing. They have shown success in just the areas where western medicine has not.

But western medicine is inquisitive!  Within it have arisen a number of research efforts trying to understand the body’s self-healing. A new field has formed called “psychoneuroimmunology”. It asserts that mind and emotion have an effect on the body’s immune system, on its ability to protect and heal us.
 
In another area, there is research on the “placebo effect”: how can a person experience the same effects or side effects from a sugar pill as from an active medication?  Studies have shown that if they expect to be healed and believe that they will be healed, 30 to 60% of patients will actually experience the beneficial effects of treatment without having received the active intervention.  It has also been shown that a trust relationship with one’s doctor and certain rituals in the treatment also contribute to healing.

Unfortunately today’s typical medical practice is under time constraint and tends to treat patients quickly according to pre-determined guidelines. Most western medicine treats diseases, often according to an algorithm, the same for every patient. But many of our problems are related to our own emotional states and our environment and respond poorly to a uniform set of rules.
On the other hand, the alternative medicine practitioner usually takes more time with the patient, creates a trust relationship, and may develop some healing rituals; all of which may contribute to healing.
 
Is eastern medicine’s success just a placebo effect?  Ted Kaptchuk OMD (doctor of oriental medicine) and professor at Harvard , has been quoted as saying informally: “I don’t know if it is me, my charisma, the placebo effect , the needles, or the herbs, but I don’t care, I have no problem with it.”
 
There now exists enough evidence of the beneficial healing effects of qigong, tai chi and acupuncture to suspect an effect in addition to the placebo effect. They improve balance; strengthen the immune system, lower blood pressure and more. We do not know how exactly this happens.
 
Western medicine in the last century worked on the assumption that the human being is a biochemical entity. This research has been highly successful. But it tended to neglect energy as an important aspect of the body’s functioning. In eastern thought for thousands of years, the human being has been seen as an “energetic being with a rapid communication system”. As our understanding of the body as matter and energy evolves, we will enter a new era of discovery how our body functions and heals itself. Maybe we will gain a new understanding of how acupuncture and qigong work and contribute to healing.
 
We are fortunate to have available both western and eastern medicine which can beautifully complement each other, one via external intervention, with the other strengthening inner healing.

Anything that can awaken in us the will and the determination to get well and be well is precious, for without it neither eastern nor western medicine can heal.
“It is part of the cure to wish to be cured”
Seneca, Roman philosopher 
 
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Healing with Tai Chi, Perseverance in 2010
Judy Stone-Herbert, Tai Chi Instructor, Crows Nest, NSW, Australia
 
Doesn’t the universe work in interesting ways? Somehow the right message appears for us just when we need it… all we have to do is remain alert. This is what I experienced when I read Dr Paul Lam’s newsletter in which heTai Chi has helped Judy recover from her dislocated shoulder wrote:

“Sometimes we hit rough patches in life and become distracted from practice."

The fact is, no matter what challenges life brings; tai chi will help us find inner peace and better health, which will help us overcome these obstacles more efficiently. I hope this is your year of perseverance for a better quality life.”
Wow, this must have been written just for me! How clever of Dr Lam to know that this was just what I needed to hear! Of course I’m joking, and this wise advice applies to everyone in their own way. Life did indeed bring me a significant challenge when I dislocated my shoulder, broke my arm and had surgery. This instantly had a significant impact on my life, let alone my tai chi and yes indeed this was a mighty distraction from my practice.
 
After feeling sore and sorry for myself I started to think about the long road to recovery with months of physiotherapy ahead and the gradual process of regaining my right arm and shoulder’s now incredibly restricted range of movement. We are adaptable creatures and having to learn how to be left-handed overnight, on reflection, was one of the easier challenges. Brushing my teeth was awkward but doing my hair, or using a knife was out of the question, as was washing and dressing without assistance. Everyday activities taken for granted suddenly had more value when out of reach.
 
As a tai chi instructor, I cannot tell you how many times I have talked about the importance of some kind of everyday exercise. “Use it or lose” comes to mind. Whether it be walking, swimming, dancing, tai chi, anything to keep moving is essential for good health. My favourite forms of exercise are tai chi and dancing and right now, sadly, I can do neither of those. Thinking about this positively I decided to do 2 things since I believe that what we focus on expands. These conscious decisions came about after I observed that as I was following medical advice, quite rightly, and doing the exercises given. But I was only doing those exercises. I realized that even though there was absolutely nothing wrong with my legs, by just focusing on my injuries, I was neglecting to do other things, like walking, waist, knee, ankle exercises and paying attention to correct posture. “Doh” as a famous cartoon character says!
 
Firstly, I decided not to focus all my attention on my injuries, but to remember to exercise the other parts of me that are still ok.

And secondly, I decided not to focus on what I can’t do, but to focus on what I can do. When doing the exercises, I decided not to be hard on myself because I could not do them well enough or extend far enough, I paid more attention to the fact that I was making progress in tiny ways, stretching that little bit further each time and being happy with those small steps. Like everyone else, I have a busy, varied life and I wouldn’t have it any other way. It was very easy to get on with other things and realize at the end of the day that I hadn’t done any exercise at all. That has changed now as exercise has become my top priority – after all, if I don’t do it, I will never regain full movement and that would be a disaster for me not to be able to do the thing I enjoy most. The outcome is well worth the effort!
 
Unfortunately the universe had to hit me with a big stick to make me remember something I already knew! Quite clearly, without our good health, everything we do is not so easy, enjoyable, rewarding or fun. Perhaps readers can use this as a reminder that the small amount of energy required to do some simple daily exercise is well worth the effort to maintain good health and therefore a more fulfilling life. This little reminder is a lot easier than a big stick – take my word for it.
 
So what else will I be doing as this New Year begins?
Firstly, taking Paul’s advice and persevering with my exercise and practice!
  • I will be able to do and teach the modified forms of Tai Chi @ Work and Tai Chi for Arthritis before too long, but no Yang style for a while.
  • Combining my business experience and personal success in using tai chi as a stress management tool over many years, I have been promoting Dr Paul Lam’s Tai Chi @ Work through my business, Refocus Tai Chi and will continue to do so with the assistance of other instructors.
  • I will be starting new classes on the Lower North Shore (not sure when).
  • As a challenge to myself, I am aiming to attend the next workshop – the question will be whether I can make it to Washington in June or Sydney in January? Let’s see what my surgeon has to say!
 
Enjoy your tai chi and do as much as you are able for you never know what tomorrow brings. Let’s hope that tomorrow brings good health and happiness.
 
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The Power of Your Mind
Caroline Demoise, Master Trainer, Chapel Hill, NC, USA
 
Western medicine has a long history with the placebo effect. In the 1800’s belief in your physician and in yourCaroline during the Tai Chi tour to China March 2010 treatment was the primary reason medical interventions worked. The power of your mind has been well documented in research studies. My favorite is a study that gave pregnant women who were experiencing persistent nausea and vomiting syrup of ipecac, which is given to induce vomiting, and told that it would stop the nausea. They believed their doctor and the outcome of the study was that the treatment worked. The power of their minds determined the outcome. Their belief activated a chemical cascade in their brain to make it happen. It’s that simple. The placebo effect demonstrates the power of faith. Belief creates results. Medical studies affirm this power of belief.
 
In every area of your life, your mind helps you become the person you desire to be by activating your prefrontal cortex, which is the executive part of your brain. The prefrontal cortex comprises 30% of your brain and these higher functions distinguish us from animals with an ability to plan, direct and focus. When your prefrontal cortex is healthy, you can make good decisions and take efficient actions to achieve your goal while staying focused on your objectives. Your mind is a powerful asset. Positive thinking influences the outcome of your life in the same way that negative thinking draws results to you. This is how universal law works, giving all thoughts equal opportunity to succeed.
 
What you believe is frequently the most important predictor of the outcome in both medicine and learning tai chi. When you expect that you will learn a form, you do. When you believe that you can improve with practice, you will. If you see yourself becoming more fluid during movement, you create that outcome over time. Knowing that you will do well in competition, believing that you becoming a better teacher and expecting your coordination to improve helps you achieve those goals.
 
Focusing your mind on tai chi unifies the movement from intention through completion of the choreographed sequence. When your mind directs tai chi movement, that intention sets energy flowing to guide your arms and legs to follow what you see in your mind. Energy always follows intention. Visualizing what you want to do, seeing it clearly and believing that you can do it is part of achieving success in learning tai chi. Monitoring your alignment as you move, maintaining awareness of being song, controlling speed and tempo and coordinating your breath with movement to deliver force all require focus. When you use awareness and intention to articulate your tai chi goals and visualize them being a reality, you are using the power of your mind to improve your tai chi.  
 
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Humour, Laughter and Radiant Health
Dr Bob McBrien, Salisbury, MD, USA
 
In the USA and Canada June brings the school year to an end. It also brings exams with all the stress exam-takingBob McBrien and Paul Lam in tai chi pose generates. A good laugh helps reduce that stress.

Following are answers a career science teacher saved after reading hundreds of school children's exams. The innocence of children helps adults learn to use non-offensive, healthy forms of humor. In the examples, at least the teacher had a good laugh.

Children's' Science Exam Answers
Q: Name the four seasons.
A: Salt, pepper, mustard and vinegar.

Q: Explain one of the processes by which water can be made safe to drink.
A: Flirtation makes water safe to drink because it removes large pollutants like grit, sand, dead sheep and canoeists.

Q: How can you delay milk turning sour?
A: Keep it in the cow.

Q: What happens to your body as you age?
A: When you get old, so do your bowels and you get intercontinental.

Q: What happens to a boy when he reaches puberty?
A: He says good-bye to his boyhood and looks forward to his adultery.
Q: How are the main parts of the body categorized? (eg, abdomen.)
A: The body is consisted into three parts - the brainium, the borax and the abdominal cavity. The brainium contains the brain; the borax contains the heart and lungs, and the abdominal cavity contains the five bowels, A, E, I, O, and U.

Q: What does the word 'benign' mean?'
A: Benign is what you will be after you be eight.

Definitions on Fifth Graders' Exams
 
  • When you breath, you inspire. When you do not breath, you expire
  • Germinate: To become a naturalized German.
  • Rhubarb: A kind of celery gone bloodshot.
  • Litter: A nest of young puppies.
 
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END OF NEWSLETTER
Warning: Dr. Lam does not necessarily endorse the opinion of other authors. Before practicing any pro
gram featured in this newsletter, please check with your physician or therapist. The authors and anyone involved in the production of this newsletter will not be held responsible in any way whatsoever for any injury which may arise as a result of following the instructions given in this newsletter.
 
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