Body weight support-Tai Chi footwork for balance of stroke survivors with fear of falling: A pilot randomized controlled trial

Huang, Shangjun; Yu, Xiao-Ming; Lu, Yan; Qiao, Jun; Wang, Honglin; Jiang, Li-Ming; Wu, Xubo; Niu, Wen

doi:10.1016/j.ctcp.2019.101061

Cited by 21 publications

(18 citation statements)

References 43 publications

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“…Traditional treatments for FoF focus on the use of physical therapy or CBT. Balance training, strength and resistance training and tai chi, have been used to treat FoF and have shown mild to moderate improvement in dynamic control and sensory integration (37). Specific and focussed guidelines to avoid falls in older people with a high fall risk have been developed by NICE and the Centres for Disease Control and Prevention, however, these are mainly focussed on home adaptations and muscular strengthening training, targeting fall avoidance specifically, but not FoF.…”

Section: Conclusion and Discussionmentioning

confidence: 99%

Case Report: Acute Onset Fear of Falling and Treatment With “Cognitive Physical Therapy”

et al. 2021

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Fear of falling (FoF) is prevalent in older adults, especially those with previous falls, and typically starts insidiously. We present a 78-year-old woman with an abrupt onset FoF and no history of falls, balance problems, vertigo, oscillopsia, psychiatric or psychological issues to account for this. These cognitive changes led to a behavioural alteration of her gait that became slow and wide-based, with her gaze fixed on the floor. She began a tailored program of “Cognitive Physical Therapy (CPT)” combining cognitive behavioural therapy (CBT) and physical rehabilitation. 1 month later her 6 m walk time and steps were reduced by a 25 and 35%, respectively, and the stride length increased by 34%, with further improvement 2 months later. We postulate that the abrupt onset of symptoms triggered a central shift toward postural hypervigilance and anxiety, suppression of anticipatory (feed forward) postural adjustments (APA) leading to FoF. CPT improved objective gait parameters related to FoF and reduced postural anxiety suggesting that early diagnosis and prompt treatment may avoid chronic symptoms and social isolation.

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Section: Conclusion and Discussionmentioning

confidence: 99%

Case Report: Acute Onset Fear of Falling and Treatment With “Cognitive Physical Therapy”

et al. 2021

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“…Currently, restriction-induced therapy [ 214 ], motor imaging, bilateral training, mirror therapy, and treadmill training plus body weight support [ 203 , 215 ] are standard rehabilitation therapies that help improve motor ability. Thus, a combination of repetitive task-specific training therapies is the gold standard for motor rehabilitation after stroke [ 203 , 216 ].…”

Section: Remodeling Of Stroke Tissue Microenvironment Outside the Brainmentioning

confidence: 99%

Combination of Stem Cells and Rehabilitation Therapies for Ischemic Stroke

et al. 2021

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Stem cell transplantation with rehabilitation therapy presents an effective stroke treatment. Here, we discuss current breakthroughs in stem cell research along with rehabilitation strategies that may have a synergistic outcome when combined together after stroke. Indeed, stem cell transplantation offers a promising new approach and may add to current rehabilitation therapies. By reviewing the pathophysiology of stroke and the mechanisms by which stem cells and rehabilitation attenuate this inflammatory process, we hypothesize that a combined therapy will provide better functional outcomes for patients. Using current preclinical data, we explore the prominent types of stem cells, the existing theories for stem cell repair, rehabilitation treatments inside the brain, rehabilitation modalities outside the brain, and evidence pertaining to the benefits of combined therapy. In this review article, we assess the advantages and disadvantages of using stem cell transplantation with rehabilitation to mitigate the devastating effects of stroke.

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“…Moreover, Tai Chi has been widely practiced for stroke rehabilitation. Specifically, prior studies show that Tai Chi training may constitute a viable intervention not only to improve balance [ 22 ] and quality of life [ 23 ] in stroke survivors but also to support stroke prevention [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

The novel effectiveness of Tai Chi on cardiopulmonary fitness among stroke patients in the recovery phase: a study protocol for a randomized controlled trial

Tan

Meng

et al. 2021

Trials

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Background Stroke is the leading cause of death worldwide. China faces a similar risk of stroke as developed countries because of considerable changes in lifestyle, such as overeating and smoking. Tai Chi is a traditional form of mind-body exercise that has been widely practiced in China for thousands of years. However, there are few studies on the effect of Tai Chi on the cardiopulmonary function of stroke patients in the recovery phase. Therefore, it is necessary to observe the effect of Tai Chi on the cardiorespiratory fitness of patients after stroke. Methods This is a parallel-design, two-arm, analyst assessor-blinded, randomized controlled trial. A total of 226 stroke patients in the recovery phase will be recruited and assigned randomly to a control group or Tai Chi group at a 1:1 ratio. The patients in the Tai Chi group will perform the Tai Chi exercise. The patients in the control group will perform walking exercises. Patients in both groups will receive conventional treatments and healthy education. The primary outcomes will be VO2peak and scores on the MOS item short form health survey (SF-36) scale. Secondary outcomes will include vital capacity (VC), ejection fractions (EF), and cardiac output (CO). The assessments of the tests will be performed at three time points (before exercise, at the end of exercise, and 6 weeks after exercise). Adverse events will be recorded faithfully during the study. Discussion If the results are positive, this study will contribute to the establishment of further guided Tai Chi rehabilitation programs. Trial registration Chinese Clinical Trial Registry ChiCTR2000034719. Registered on 16 July 2020.

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Body weight support-Tai Chi footwork for balance of stroke survivors with fear of falling: A pilot randomized controlled trial

Cited by 21 publications

References 43 publications

Case Report: Acute Onset Fear of Falling and Treatment With “Cognitive Physical Therapy”

Case Report: Acute Onset Fear of Falling and Treatment With “Cognitive Physical Therapy”

Combination of Stem Cells and Rehabilitation Therapies for Ischemic Stroke

The novel effectiveness of Tai Chi on cardiopulmonary fitness among stroke patients in the recovery phase: a study protocol for a randomized controlled trial

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