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When considering offering a program for those facing specific physical challenges, it is important to separate the patient population into two different categories.

In the first category are those who can walk un-aided, and in the second category those who either walk with the aid of a stroller, are scooter or wheelchair bound.

The syllabus for each group differs.

The first group participates in exercises done both standing and seated, where as the second group follows a purely seated routine.

The populations should not be mixed as the disparateness between the capabilities of the participants can be psychologically de-motivating to those who cannot keep up with the more fit participants.

The space requirements are minimal, with each student requiring a chair with 3 feet of room on each side to allow for arm movements.

Ideally classes should be held twice weekly, but in most situations only once per-week is possible.

Classes are typically 45 minutes in length, and are normally held after patients have completed their usual rehabilitative routines administered by the health care professional.

Since the focus of the Tai Chi Chuan session is on relaxation, reduction of muscular tension, deepening and opening of respiration and circulation, the routine is not stressful or physically demanding. Many patients we work with see it as an enjoyable “cool-down” period after their normal routine is complete.

It is a good idea to track blood pressure, pulse rate and tissue-oxygen saturation levels before and after the training routine.

The syllabus itself includes elements of training extrapolated from the forms of Tai Chi Chuan. These elements include individual simple exercises working the legs, arms and breathing. Some self-massage techniques are taught to help the patient achieve a higher degree of muscular relaxation.

The end goal is to give the patient a routine they can practice themselves at home that is simple and effective.