Effects of a Tai Chi-Based Stroke Rehabilitation Program on Symptom Clusters, Physical and Cognitive Functions, and Quality of Life: A Randomized Feasibility Study

Song, Rhayun; Park, Moonkyoung; Jang, Taejeong; Oh, Jiwon; Sohn, Min Kyun

doi:10.3390/ijerph18105453

Cited by 21 publications

(25 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The main characteristics of the 27 RCTs (18 using Tai Chi [ 14 , 16 , 29 – 44 ] and 9 using Qigong [ 45 – 53 ] are listed in Table 1 . These studies were conducted in China (k = 23), USA (k = 2), and Korea (k = 2).…”

Section: Resultsmentioning

confidence: 99%

“…No adverse events (AEs) occurred during the TCQ intervention in 7 of the 27 included studies [ 14 , 16 , 29 , 31 , 42 , 50 , 51 ], while nine studies implemented safety monitoring by therapists, staff, or caregivers [ 30 , 32 , 34 , 36 , 38 , 39 , 41 , 45 , 49 ]. Neither safety monitoring nor AEs during the program was reported for 59.3% (k = 16) of the studies.…”

Section: Resultsmentioning

confidence: 99%

“…While hundreds of forms of Qigong have been developed in different regions of China, Tai Chi has become one of the best-known and most highly choreographed forms of performance in Qigong. A growing body of evidence supports the potential efficacy and safety of both Tai Chi and Qigong for various health conditions [ 11 – 13 ], specifically in promoting the motor function of stroke [ 14 – 16 ]. For these reasons, Tai Chi and Qigong are grouped together for this review as the equivalent intervention.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effects of Tai Chi and Qigong on the mobility of stroke survivors: A systematic review and meta-analysis of randomized trials

Park

Song

et al. 2022

PLoS ONE

Self Cite

View full text Add to dashboard Cite

Background Stroke survivors often experience impaired mobility and physical functions. Tai Chi and Qigong have been shown to have physical and psychological benefits for stroke patients. Purpose To summarize the evidence on Tai Chi and Qigong for improving mobility in stroke survivors, specifically the ability to walk, dynamic balance, and activities of daily living (ADL). Methods Independent searches of 16 electronic databases in English, Korean, and Chinese from their inception until December 2021 were conducted by two research teams. Methodological quality was assessed using Cochrane’s risk of bias tool 2.0. Comprehensive Meta-Analysis 3.0 software was used to calculate effect sizes with subgroup analysis and to assess heterogeneity and publication bias. Results The meta-analysis included 27 randomized trials (18 with Tai Chi and 9 with Qigong) on stroke survivors (N = 1,919). None of the studies were considered at high risk of bias, about 70% had some concerns, and 30% were considered low risk. Meta-analysis of 27 randomized controlled trials with random-effects models indicated that Tai Chi and Qigong effectively improved mobility, specifically on the ability to walk (Hedges’g = 0.81), dynamic balance (Hedges’g = 1.04), and ADL (Hedges’g = 0.43). The effects of Tai Chi and Qigong were significant for short-term and long-term programs (Hedges’g 0.91 vs. 0.75), and when compared with active controls and no treatment group (Hedges’g 0.81 vs. 0.73). Conclusion Tai Chi and Qigong performed for 12 weeks or less were effective in improving the mobility of stroke survivors. Further studies are warranted to assess whether Tai Chi and Qigong work best as an adjunct to rehabilitation, an effective alternative to rehabilitation or as a maintenance strategy, and whether the results could be further optimized by assessing different schools of Tai Chi and Qigong, different types of stroke patients, and different points in the post-stroke recovery process. PROSPERO registration number This study has been registered on the UK National Institute for Health Research (http://www.crd.york.ac.uk/PROSPERO) PROSPERO registration number: CRD42020220277.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effects of Tai Chi and Qigong on the mobility of stroke survivors: A systematic review and meta-analysis of randomized trials

Park

Song

et al. 2022

PLoS ONE

Self Cite

View full text Add to dashboard Cite

show abstract

“…Clinical manifestations are often transient or permanent brain dysfunction symptoms and signs, with high incidence, high disability rate, high recurrence rate, and high mortality rate. In 2011, AHA and the American Stroke Association (ASA) updated the Stroke Primary Prevention guidelines, indicating that stroke is the main cause of dysfunction, and 15∼30% of the survivors may be disabled [19]. In China, according to the guidelines for the Prevention and treatment of Cerebrovascular Diseases issued in 2007, it is estimated that there are about 2 million new stroke cases each year.…”

Section: Discussionmentioning

confidence: 99%

Using Logistic Multivariate Analysis to Explore the Effects of Nursing and Psychological Factors on Motor and Cognitive Rehabilitation in Patients with Stroke: Based on a Retrospective Case-Control Study

Wan-Tao

Meng

Lou

et al. 2022

Computational Intelligence and Neuroscience

View full text Add to dashboard Cite

Objective. Based on a retrospective case-control study, logistic multivariate analysis was employed to explore the effects of nursing and psychological factors on the rehabilitation of motor and cognitive function in patients with stroke. Methods. A total of 200 stroke patients treated from February 2019 to April 2020 were enrolled in our hospital. According to the results of exercise and cognitive rehabilitation, the patients with good rehabilitation were divided into the control group (n = 140) and the research group (n = 60). The effects of nursing and psychological factors on the rehabilitation of motor and cognitive function in patients with stroke were analyzed. Results. First of all, we compared the general data. There were significant differences in terms of age, years of education, occupational status, payment methods of medical expenses, family income and the course of the disease, and the difference was statistically significant ( P < 0.05 ). There was no significant difference in general data ( P > 0.05 ). Secondly, we compared the nursing effective rates. The nursing effective rates of the study group were 10 cases, 15 cases, 12 cases, and 23 cases, and the nursing effective rate was 61.67%. In the control group, 78 cases were markedly effective, 33 cases were effective, 25 cases were general and 14 cases were ineffective, and the nursing effective rate was 90.00%. The effective rate of nursing in the study group was higher than that in the control group, and the difference was statistically significant ( P < 0.05 ). There was no significant difference in anxiety and depression scores before nursing ( P > 0.05 ), but they decreased after nursing. In addition, the scores of anxiety and depression in the study group were higher than those in the control group, and the difference was statistically significant ( P < 0.05 ). There was no significant difference in motor function and cognitive function between prenursing and prenursing ( P > 0.05 ); after nursing, the motor function increased and the score of cognitive function decreased. Furthermore, the motor function of the study group was lower compared to the control group, and the score of cognitive function of the study group was higher compared to the control group, and the difference was statistically significant ( P < 0.05 ). The results of the Person correlation analysis showed that there was a significant correlation between nursing anxiety depression and the rehabilitation effect of motor cognitive function in stroke patients. The results of logistic regression analysis showed that age, family income, nursing efficiency, anxiety, and depression were the factors affecting the rehabilitation of motor and cognitive function in stroke patients. Conclusion. Age and family income may be the risk factors affecting the psychological mood of patients. Medical staff should pay attention to the negative emotion of patients and strengthen the nursing intervention of patients.

show abstract

“…Tai Ji had been reported to improve postural stability and physical function ( 10 , 11 , 13 – 16 ), cardiorespiratory function ( 17 , 18 ), and mental health ( 11 , 13 , 15 , 18 – 20 ), which is beneficial when incorporated into stroke rehabilitation. This article is the first to review and explain the effects of Tai Ji on functional recovery in stroke patients, linking it to current approaches, concepts and therapies such as Bobath and proprioceptive neuromuscular facilitation techniques.…”

Section: Introductionmentioning

confidence: 99%

Concepts and Application of Tai Ji in Stroke Rehabilitation: A Narrative Review

Alkharji¹,

Gan²,

Foo³

2022

ijph

View full text Add to dashboard Cite

Stroke remains a leading cause of adult disability, and it decreases the health-related quality of life due to functional disability and poor functional recovery in stroke. Tai Ji has been recently introduced to overcome disabilities. This review aims to explain the effects of Tai Ji on functional recovery in stroke patients, linking it to current approaches, concepts and therapies such as Bobath and proprioceptive neuromuscular facilitation techniques. A compilation of recent literature on Tai Ji's use in stroke rehabilitation from Google scholar and PubMed Central (2018 to 2022). The benefits of Tai Ji in stroke functional recovery were studied and explained based on its similarity in concepts to current conventional stroke rehabilitation approaches. There were few randomized controlled trials on Tai Ji in functional recovery among stroke patients. However, all literature identified Tai Ji as beneficial in stroke rehabilitation. However, there was no literature on explaining the Tai Ji movement based on current conventional stroke rehabilitation approaches. Tai Ji carries similar theories to the current neurorehabilitation approach. Tai Ji can be modified and incorporated into stroke rehabilitation programs based on patients’ needs to produce promising outcomes.

show abstract

Effects of a Tai Chi-Based Stroke Rehabilitation Program on Symptom Clusters, Physical and Cognitive Functions, and Quality of Life: A Randomized Feasibility Study

Cited by 21 publications

References 35 publications

Effects of Tai Chi and Qigong on the mobility of stroke survivors: A systematic review and meta-analysis of randomized trials

Effects of Tai Chi and Qigong on the mobility of stroke survivors: A systematic review and meta-analysis of randomized trials

Using Logistic Multivariate Analysis to Explore the Effects of Nursing and Psychological Factors on Motor and Cognitive Rehabilitation in Patients with Stroke: Based on a Retrospective Case-Control Study

Concepts and Application of Tai Ji in Stroke Rehabilitation: A Narrative Review

Contact Info

Product

Resources

About