Effect of Tai Chi on Physical Function, Fall Rates and Quality of Life Among Older Stroke Survivors

Taylor-Piliae, Ruth E.; Hoke, Tiffany M; Hepworth, Joseph T.; Latt, L. Daniel; Najafi, Bijan; Coull, Bruce M.

doi:10.1016/j.apmr.2014.01.001

Cited by 185 publications

(192 citation statements)

References 49 publications

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“…On the other hand, once their abilities permitted it, participants were encouraged to practice upper limb movements both together and to coordinate these with lower limb movements in standing positions. The participants who used standing positions improved their balance following the intervention subjectively, which is consistent with other studies that have reported Tai Chi benefits for balance training post stroke [14][15][16]. Therefore, this study provided also an intervention using whole body rehabilitation for stroke survivors with sufficient balance.…”

Section: Discussionsupporting

confidence: 77%

“…Through consistent weight shifting between two feet [10], Tai Chi has been broadly reported as beneficial for improving balance and for fall prevention in the elderly [11][12][13]. Recently, there is some evidence supporting its benefits in improving balance in chronic stroke patients [14][15][16]. However, its use for upper limb rehabilitation remains unknown.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

Pan¹,

Kairy²,

Corriveau³

et al. 2017

J Nov Physiother

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Section: Discussionsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

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

Pan¹,

Kairy²,

Corriveau³

et al. 2017

J Nov Physiother

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“…Accordingly, 59 potentially eligible studies were identified based on their titles and abstracts. Only 9 articles [38][39][40][41][42][43][44][45][46] met the inclusion criteria after the entirety of the 59 articles was reviewed. In addition, 50 articles were excluded because they either included participants without stroke or did not use traditional Chinese exercise for stroke treatment.…”

Section: Search Resultsmentioning

confidence: 99%

Effect of traditional Chinese exercise on gait and balance for stroke: systematic review and meta-analysis

et al. 2015

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Objective A systematic review is conducted to determine the effect of traditional Chinese exercise for patients with stroke. MethodsStudies are obtained from PubMed, Embase, Cochrane Library, EBSCO, Web of Science, and CNKI. Only randomized controlled trials were left to evaluate the effects of traditional Chinese exercise for patients with stroke, and with no limits on study data or language. The primary outcome was the Berg balance score (BBS), Functional walking scale. And a random-effects model was used to calculate the pooled mean difference (MD) with 95% confidence interval (CI). ResultsA total of 9 studies on 820 participants conform to the inclusion criteria, whereas eight studies on 704 participants are used as data sources for the meta-analysis, all trials were published between 2004 and 2013. The BBS indicates that the efficacy of traditional Chinese exercise on balance of patients with stroke is better than that of other training or no training in short term [MD (95%CI) = 11. 85 [5.41, 18.30], P < 0.00001]. And the short physical performance battery, Functional walking scale, limit of stability were observed significant differences on balance (p<0.05) and gait (p<0.05) between traditional Chinese exercise and other exercises or no exercise. In addition, there is an article showed that some other form (physiotherapy exercises focused on balance) significantly improved balance ability for stroke patients compared to tai chi chuan practice (Berg test = 0.01, Romberg, and standing on one leg). ConclusionIn our meta analysis, the positive findings of this study suggest traditional Chinese exercise has beneficial effects on the balance ability in short term. However, we drew the conclusion according to the extreme heterogeneity, and evidence of better quality and from a larger sample size is required. Because of the inconsistent outcomes, there are short of enough good evidence for patients with stroke to prove the effects of traditional Chinese exercise on gait.

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“…SPPB total score (0: poor performance to 12: best performance) is calculated by adding the 3 tests (Guralnik et al 1994). Taylor-Piliae et al (2014) reported that the minimal clinically important difference in total score is considered to be an increase of 1 point between baseline and follow-up.…”

Section: Primary Outcomementioning

confidence: 99%

“…The SPPB is a brief performance battery specifically developed for older adults, including frail adults and those with disabilities, chronic diseases, or stroke, to assess balance, gait speed, and lower body strength (Guralnik et al 1994;Taylor-Piliae et al 2014). The SPPB is a questionnaire with 5 items and 3 tests score: balance (side-by-side stand, a semi-tandem stand, and a tandem stand), gait speed (4 m walking speed), and lower body strength (time to stand up from a chair 5 times).…”

Section: Primary Outcomementioning

confidence: 99%

Six-Month Lower Limb Aerobic Exercise Improves Physical Function in Young-Old, Old-Old, and Oldest-Old Adults

Cho¹,

Han

Sung³

et al. 2017

Tohoku J. Exp. Med.

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The effect of aerobic exercise on physical function and mental health in various adult age groups (young-old, 65-74; old-old, 75-84; oldest-old, ≥ 85 years) is unclear. The aim of this study was to investigate the effects of the Kohzuki Exercise Program (KEP) on physical function and mental health in these age groups. The KEP consisted of 40-min supervised sessions 3 times per week for 6 months as follows: 5 min of warm-up, 30 min of lower limb aerobic exercise, and 5 min of cool-down. A total of 50 participants (22 young-old, 20 old-old, and 8 oldest-old) who participated in the KEP completed at least 88% of the sessions. In statistical analysis, 3 (group: oldest-old, old-old, young-old) × 2 (time: baseline and after 6 months) analyses of variance were used to determine if there were significant main and interaction effects. Significant interactions were probed using the post-hoc paired t test. The Short Physical Performance Battery (SPPB) score showed significant group × time interactions after 6 months (p = 0.031). In the post-hoc test, oldest-old (p < 0.001), old-old (p < 0.001), and young-old (p < 0.01) groups had significantly better physical function after 6 months. However, none of the mental health measures showed group × time interactions at 6-month. Our results suggest that a 6-month KEP led to improved physical function in oldest-old, old-old, and young-old adults. The KEP was effective for oldest-old adults in particular. The KEP exhibits good adherence, making it suitable for a wide age range in society.

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Effect of Tai Chi on Physical Function, Fall Rates and Quality of Life Among Older Stroke Survivors

Cited by 185 publications

References 49 publications

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

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

Effect of traditional Chinese exercise on gait and balance for stroke: systematic review and meta-analysis

Six-Month Lower Limb Aerobic Exercise Improves Physical Function in Young-Old, Old-Old, and Oldest-Old Adults

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