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

Abstract

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.

Rehabilitasi Medik pada Gangguan Mobilisasi Pasca Stroke

“…Setelah dilakukan seleksi studi, didapatkan 10 literatur yang memenuhi kriteria, yaitu penelitian dari Norouzi-Gheidari et al, 2019 di Kanada, 10 Graham et al, 2018 di Amerika Serikat, 11 Aguiar et al, 2020 di Brazil, 12 Ogourtsova et al, 2019 di Kanada, 13 Park et al, 2022 di Korea Selatan, 14 Awad et al, 2020 di Amerika Serikat, 15 Adomavičienė et al, 2019 di Lituania, 16 Zhang et al, 2018 di Amerika Serikat, 17 Alhwoaimel et al, 2020 di Inggris, 18 dan Hsu et al, 2020 di Taiwan 19 . Literatur yang digunakan membahas tentang rehabilitasi yang diberikan pada pasien dengan gangguan mobilisasi pasca stroke.…”

Some Beneficial Health Effects of Tai Chi and Qigong

“…There is growing evidence that mind-body therapies (MBTs), including tai chi and qigong, are effective in addressing a wide range of both physical and psychosocial symptoms and biomarkers of stress and immune function of individuals with cancer [52]. Tai chi and qigong therapy have been shown to improve the quality of life, fatigue and other symptoms in prostate cancer patients [53]. The findings in 17 randomized studies found that tai chi and qigong therapy had significant effects on both cognitive and physical functions in older adults [54].…”

Bibliometric analysis of traditional Chinese exercises in stroke rehabilitation from 2003 to 2022 using CiteSpace

“…Traditional Chinese exercises have a rich history spanning over 5,000 years and are classified as low- to medium-intensity aerobic exercises within the realm of modern medicine ( 4 ). Key traditional Chinese exercises encompass Taijiquan, Baduanjin, Yijinjing, Wuqinxi, Liuzijue, and Qigong.…”