CHAMGAP
VERIFIEDPassed the Codex final verification and publication gate. Evidence-verification cutoff: 2026-08-26. AI was used for research and drafting; the existence of all 1 cited sources was verified at the original page, followed by blind grading, adversarial audit, and build validation. Methodology v0.8.
Verdict No. 2914 · Search date 2026-08-26 · Methodology v0.8

Tailored tai chi,
does it really help with Improved postural stability in Parkinson disease?

30-Second Summary
C
Evidence Grade C · 54 · Safety acceptable
Tai chi improved stability and reduced some falls, but the primary outcome was surrogate
No serious adverse events were observed. Exercise difficulty should be supervised and adapted for fall risk and orthostatic symptoms.
What the
research shows
Grade C, 54 points. The paper states that the primary outcomes were "changes from baseline in the limits-of-stability test (maximum excursion and directional control)." Maximum excursion improved by 5.55 points (95% CI 1.12-9.97) versus resistance training and 11.98 points (7.21-16.74) versus stretching. Instrumented postural stability is a surrogate rather than an actual fall event.
What the
ads claim
Higher UPDRS III scores are worse. Tai chi decreased the score by 6.42 points at 24 weeks; stretching decreased it by 1.40. Tai chi beat stretching, but strength, timed up-and-go, and UPDRS III were not significantly better than resistance training.
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Useful facts when choosing a product

  • Sessions were 60 minutes twice weekly for 24 weeks.
  • Controls were resistance training and stretching.
  • No serious adverse events occurred.
Gap Measurement · Verdict 2914 · C 54
What advertising claims
What independent, higher-quality research supports
△ GAP
01

What the research actually shows

Four-gate review: ① Fewer than 200 participants ② listed item ③ 195 were randomized, 65 per group ④ Parkinson disease recruitment could feasibly exceed 200 across more centers, so counted. ① Active controls only ② listed item ③ resistance training and stretching were the controls ④ a credible placebo that conceals exercise participation is not feasible, so not counted. ① Unmasked subjective endpoint ② listed item ③ participants could not be masked, but outcome assessors were masked and the primary outcome was instrumented ④ criterion not met.

02

Why this is classified as C (54)

A NIH-funded 195-person trial improved instrumented postural stability; surrogate and small-study limits give C, 54.

Counterpoint. Fall reduction was secondary and the resistance-training comparison touched 1.00.

Rejudgment record. Source checked — Significant improvement in instrumented primary postural-stability outcomes

Scoring profile behind this grade
EndpointSSurrogate marker - laboratory or imaging measures
ReplicationR1Single confirmatory trial
IndependenceI2Decisive evidence is publicly or non-profit funded
Effect sizeE+Meets the clinically important threshold

The scoring table and the verdict agree (C).

Sub-claim grades by effect

This ingredient is marketed for several effects. A single overall grade blends strong and weak claims together, so each effect is graded separately here. The overall grade reflects the strongest disconfirming or core claim.

Effect (sub-claim)GradeBasis
Improved postural stabilityCBoth instrumented primary measures improved.
Reduced fallsCA secondary outcome favored tai chi versus stretching.

Cross-check — AI research and Codex final gate

AI was used for research and drafting. Blind grading, adversarial audit, and the methodology boundary rules were then reapplied before Codex performed the final evidence, grade, copy, and build checks. If a grade cannot be narrowed, both evidence positions and their reasons are published.
03

Evidence Table

StudyDesignSampleFundingEndpointResultWeight
Study 1Assessor-masked three-arm randomized trial65US National Institute of Neurological Disorders and Stroke, NIHChanges in maximum excursion and directional control on the limits-of-stability testMaximum excursion: +5.55 points (1.12-9.97) vs resistance training and +11.98 points (7.21-16.74) vs stretchingPublicly funded surrogate-outcome RCT
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Receipt — 1 References

All 1 cited sources were verified for existence at the original page (as of 2026-08-26).

Li F, et al. N Engl J Med. 2012;366:511-519. PMID: 22316445.
checked
Research and draft: AI used · Cross-check: blind grading and adversarial audit
Final verification and publication gate: Codex · Verification cutoff: 2026-08-26 · Corrections: none

Cite this verdict

Benefit of Tailored Tai Chi for Postural Stability in Parkinson Disease, a Surrogate Outcome Evidence Grade C card
[Chamgap] Benefit of Tailored Tai Chi for Postural Stability in Parkinson Disease, a Surrogate Outcome — Evidence Grade C·54. 1 cited sources checked. Source: https://chamgap.com/en/verdicts/cognition/tailored-tai-chi-parkinson-postural-stability-surrogate/ · CC BY 4.0

CC BY 4.0 — free to use with attribution; do not distort grades, numbers, or verdict meaning.

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What this document does and does not do

Chamgap is an information source. It reports what research has and has not confirmed; it does not tell readers what to take or buy. That decision belongs to readers and, when needed, medical or legal professionals. This verdict reflects literature available up to the search date and may change as new research appears. Nothing here is medical advice.