Adapted Tai Chi Enhances Upper Limb Motor Control in Chronic Stroke Patients: A Pilot Study

Pan, Shuangyuan; Kairy, Dahlia; Corriveau, Hélène; Tousignant, Michel

doi:10.4172/2165-7025.1000335

Cited by 2 publications

(4 citation statements)

References 42 publications

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“…In the performance time domain, the greatest improvement was seen at T2, echoing the importance of early rehabilitation. These results are consistent with a previous study, 27 and WMFT is better in detecting improvements in participants with moderate and high motor function. 26 Regarding balance control, our results were supported by Gao et al 28 One of the key factors that contribute to balance control is the maintenance of the center of mass within the base of support while constantly performing weight shifting.…”

Section: Discussionsupporting

confidence: 93%

Tailored Sitting Tai Chi Program for Subacute Stroke Survivors: A Randomized Controlled Trial

Zhao

Chau

Chan

et al. 2022

Stroke

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Background: The initiation of exercise during rehabilitation at the subacute stage could provide stroke survivors with an approach to recovery that capitalizes on unique physiological conditions and promotes spontaneous recovery. We aimed to examine the effects of a tailored sitting Tai Chi program on recovery outcomes among subacute stroke survivors. Methods: We conducted a 12-week assessor-blind randomized controlled trial in China. Subacute stroke survivor-caregiver dyads were recruited and randomly assigned to either the sitting Tai Chi group (n=80) or attention control group (n=80). Outcomes including upper limb function (Fugl-Meyer Assessment Upper Extremity & Wolf Motor Function Test), balance control (Berg Balance Scale), sitting balance control (Trunk Impairment Scale), depressive symptoms (Geriatric Depression Scale Short Form), shoulder range of motion, shoulder pain (ShoulderQ), activities of daily living (Modified Barthel Index), and quality of life (Stroke Specific Quality of Life Scale) were measured at baseline, in-process, immediately post, and 4-week postintervention. Results: Immediately postintervention, the sitting Tai Chi group (n=69) showed significant upper limb function improvement in the primary outcomes including the performance time (regression coefficient of the group-by-time interaction, B=–21.415 [95% CI, –31.000 to –11.831]) and functional ability (B=10.146 [95% CI, 4.886–15.406]) domains of the Wolf Motor Function Test, balance control (B, 4.972 [95% CI, 1.356–8.588]), and sitting balance control (B=4.397 [95% CI, 2.699–6.096]). Compared with the control group (n=65), improvements were also observed in secondary outcomes including depressive symptoms (B=–1.626 [95% CI, –2.304 to –0.948]), shoulder extension (B=4.518 [95% CI, 0.893–8.144]), activities of daily living (B=5.510 [95% CI, 0.450–10.569]), and quality of life (B=15.680 [95% CI, 7.255–24.105]). Conclusions: The results support the effectiveness of a tailored sitting Tai Chi program in improving recovery outcomes among subacute stroke survivors and provide additional knowledge to support the clinical implementation of such a program. REGISTRATION: URL: https://www.clinicaltrials.gov ; Unique identifier: NCT04138407.

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Section: Discussionsupporting

confidence: 93%

Tailored Sitting Tai Chi Program for Subacute Stroke Survivors: A Randomized Controlled Trial

Zhao

Chau

Chan

et al. 2022

Stroke

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“…The tai chi intervention consisted of eight forms selected from traditional styles. Two forms derived from the Chen style [ 28 ], known as Front Cloud Hands and Side Cloud Hands (see a supplementary video of the article [ 26 ]) emphasized abduction, flexion and external rotation. The six forms chosen from the Yang style [ 29 ] had an emphasis not only on shoulder abduction and flexion, but also on elbow extension, supination of forearm and dorsiflexion of wrist and fingers.…”

Section: Methodsmentioning

confidence: 99%

“…The six forms chosen from the Yang style [ 29 ] had an emphasis not only on shoulder abduction and flexion, but also on elbow extension, supination of forearm and dorsiflexion of wrist and fingers. Ranging from simple to complex sequences, these are known as Brush Knees and Push, Parting Wild Horse’s Mane, Fair Lady Works at Shuttles, Parry Block and Punch, Cloud Hands from Yang style, and Step Back and Repulse Monkey [ 26 ]. The forms from the Chen style and the first two forms from the Yang style were the basic moves used with all participants; other forms from the Yang style were more difficult and were used depending on the participants’ upper limb function and ability to perform the movements.…”

Section: Methodsmentioning

confidence: 99%

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Adapting Tai Chi for Upper Limb Rehabilitation Post Stroke: A Feasibility Study

et al. 2017

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Background: Tai chi (TC) has been reported as being beneficial for improving balance post stroke, yet its utility in upper limb rehabilitation remains unknown. Methods: Twelve chronic stroke survivors with persistent paresis of an upper limb underwent 60 minutes of adapted TC twice a week for eight weeks, with a 4-week follow up. A 10-min TC home program was recommended for the days without sessions. TC level of performance, attendance to the sessions, duration of self-practice at home, and adapted TC movements used were recorded. Results: Eleven participants completed the study. A clinical reasoning algorithm underlying the adaptation of TC was elaborated throughout the trial. Participants with varying profiles including a severely impaired upper limb, poor balance, shoulder pain, and severe spasticity were not only capable of practicing the adapted TC, but attended all 16 sessions and practiced TC at home for a total of 16.51 ± 9.21 h. The degree of self-practice for subgroups with low upper limb function, shoulder pain, or moderate-to-severe spasticity was similar to that of subgroups with greater upper limb function, no shoulder pain, and minimal-to-no spasticity. Conclusion: Adapted TC seems feasible for upper limb rehabilitation post stroke. Although the study was based on a small sample size and requires confirmation, low upper limb function, insufficient balance, spasticity, and shoulder pain do not appear to hinder the practice of TC.

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Adapted Tai Chi Enhances Upper Limb Motor Control in Chronic Stroke Patients: A Pilot Study

Cited by 2 publications

References 42 publications

Tailored Sitting Tai Chi Program for Subacute Stroke Survivors: A Randomized Controlled Trial

Tailored Sitting Tai Chi Program for Subacute Stroke Survivors: A Randomized Controlled Trial

Adapting Tai Chi for Upper Limb Rehabilitation Post Stroke: A Feasibility Study

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