“Cloudy hands to the right, cloudy hands to the left,” he tells them, referring to the move traditionally known as “cloud hands.” “Now we’re going to open your arms, grab the wheels and 180-degree turn.”
The participants swivel about-face and continue to the next pose. Guo modified the ancient Chinese martial art to work from a seated position. Even though many of those in his class don’t rely on wheelchairs for mobility, using the mobile chairs makes it easier for them to get through a half-hour of movement.
The Department of Veterans Affairs has given $120,000 in grant money to Guo to spread his special wheelchair tai chi course. He started in Chattanooga, Tennessee, and has expanded his classes to Murfreesboro.
This idea of going beyond prescriptions—and especially beyond opioid painkillers—has been a key focus of Veterans Affairs nationally.
Guo is teaching people from a half-dozen VA hospitals in Florida, Texas, Utah, and Arizona to use his version of tai chi. He believes the focus on breathing and mindfulness—paired with manageable physical activity—can help ease a variety of ailments.
Medical anthropologist Zibin Guo (C) adapted tai chi for people with limited mobility. Though there’s little research confirming that tai chi eases drug cravings or symptoms of post-traumatic stress, the veterans in Guo’s class say the program helps them. (Blake Farmer/Nashville Public Radio)
Thomas Sales of Nashville recalls his most recent panic attack: “Night before last, when we had the thunderstorm,” he said. “The thunder is a big trigger for some people.”
Sales still has panic attacks regularly, 25 years after he fought in the first Gulf War with the Navy Special Warfare Command.
“You’ll find yourself flashing back to being out there with the fellas, and you’ll just kind of snap,” he said. “And I found myself, for some reason, thinking about doing the breathing techniques [from tai chi], and doing the ‘heaven and earth,’ and then breathing deep and slow.”
Sales said he knows it must look crazy to some people when he reaches to the sky and then sweeps his arms to the ground. There was a time when he would have agreed. Most of the patients in this class had some skepticism going into the tai chi program. But Vietnam veteran Jim Berry of Spring Hill, Tennessee, said he’s now convinced.
“My daughter sent me a T-shirt that sums it up,” he said. “Tai chi is more than old folks chasing trees.”
Berry credits meditation and tai chi with helping him quit smoking. “No cigarettes for three months now,” he said.
Zarita Croney, a veteran with the National Guard, said tai chi has helped her with chemical dependence. She now makes the nearly two-hour drive from Hopkinsville, Kentucky, to Murfreesboro each week, and has reduced her use of opioids for pain.
“My whole life ... revolved around, ‘Oh shoot, when can I take my next pill? When can I take my next pill?'” Croney recalled. “I’ve gone from about 90 percent of my day being on my bed to being able to come out and be social.”
But these alternative therapies have been in use by the department long enough that the VA aims to more closely track the treatments’ effectiveness. It is especially targeting people for alternative treatment who have only recently completed their military service.
The goal, proponents said, is to have veterans incorporate these techniques into their weekly routine, not just rely on a drug prescription to ease pain or anxiety.
“Whole health, along with how many opiates are being prescribed—we’re going to look at how does this impact that,” said Aaron Grobengieser, who oversees alternative medicine for VA hospitals in Tennessee.
“I believe this is going to be an avenue,” he said, “to really help address that group of folks that are really looking for ways to manage those types of conditions without popping another pill.”
