Exploring the Adaptability of Tai Chi to Stroke Rehabilitation.

Author: Hwang I1, Song R2, Ahn S2, Lee MA3, Wayne PM4, Sohn MK5
Author Information:
1Chungnam National University Hospital, Daejeon, South Korea.
2Chungnam National University, College of Nursing, Daejeon, South Korea.
3Department of Kinesiology, Recreation, and Sport, Indiana State University, Terre Haute, IN, USA.
4Osher Center for Integrative Medicine at Harvard Medical School and Brigham and Women's Hospital, Boston, MA, USA.
5College of Medicine, Chungnam National University, Daejeon, South Korea.
Conference/Journal: Rehabil Nurs.
Date published: 2019 Jul/Aug
Other: Volume ID: 44 , Issue ID: 4 , Pages: 221-229 , Special Notes: doi: 10.1097/rnj.0000000000000110. , Word Count: 158

PURPOSE: The aim of the study was to assess the feasibility, safety, and preliminary estimates of effectiveness of Tai Chi on functional outcomes in stroke survivors.

DESIGN: A mixed-method study with a single-group repeated-measure design and in-depth interviews.

METHODS: Fourteen stroke survivors with hemiplegia were recruited to participate in a Tai Chi program, twice weekly for 12 months. Outcomes included physical function, self-efficacy, and activity of daily living measured at 3-month intervals for 12 months.

FINDINGS: Ten participants (mean age, 68.5 years) completed all assessments with significantly improved balance (χ = 14.08, p = .007), flexibility (χ = 11.70, p = .020), and self-efficacy (χ = 21.84, p < .001) over 12 months. Qualitative results highlighted the positive impact on physical improvement, psychological well-being, social support, and improved confidence in performing activities of daily living.

CONCLUSION: An adapted Tai Chi program was safe, feasible, and well received in community-dwelling stroke survivors.

CLINICAL RELEVANCE: The Tai Chi-based rehabilitation program shows promise for improving function and balance outcomes related to fall prevention in stroke survivors.

PMID: 31265440 DOI: 10.1097/rnj.0000000000000110