Effects of Ai-Chi on balance, functional mobility, strength and fatigue in patients with multiple sclerosis: A pilot study

Bayraktar, Deniz; Güçlü-Gündüz, Arzu; Yazıcı, Gökhan; Lambeck, Johan; Çağlayan, Hale Zeynep Batur; İrkeç, Ceyla; Nazlıel, Bijen

doi:10.3233/nre-130974

Cited by 38 publications

(55 citation statements)

References 22 publications

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“…After duplicates were excluded, 14 remained. After reading the full-text articles, seven more studies were excluded because they failed to meet the inclusion criteria; thus, the seven remaining studies [20–26] were included in the review. An additional recent study by Lee et al [27] was added following hand searching of reference lists; this study was not featured in any of the searches in the databases.…”

Section: Resultsmentioning

confidence: 99%

Systematic review of published studies on aquatic exercise for balance in patients with multiple sclerosis, Parkinson's disease, and hemiplegia

Methajarunon

Eitivipart

Diver

et al. 2016

Hong Kong Physiotherapy Journal

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Background: Multiple sclerosis, Parkinson’s disease, and hemiplegia are common disorders that directly cause impairment of balance and gait. Aquatic exercises are used for neurological rehabilitation. It is suggested that the contributing factors of the water setting such as buoyancy, viscosity, and hydrostatic pressure offer an ideal environment for rehabilitative programmes. Objective: To conduct a systematic review of studies that assess the effect of aquatic exercises on balance in neurological patients (i.e., patients with multiple sclerosis, Parkinson’s disease, and hemiplegia). Methods: A systematic literature search of six databases (MEDLINE, PEDro, AMED, CINAHL, Embase, SPORTDiscus) for randomized controlled trials and quasi-experimental trials on aquatic exercises in three different neurological disorders, namely, multiple sclerosis, Parkinson’s disease, and hemiplegia, was performed. Reference lists from identified studies were manually searched for additional studies. Methodological quality was assessed using the Downs and Black checklist. The data were analyzed and synthesized by two independent reviewers. Disagreements in extracted data were resolved by discussion among the reviewers. Results: The methodological quality of eight studies included in this review ranged from fair to good. The findings illustrated that there were statistically significant improvements in static and dynamic balance in patients with multiple sclerosis and hemiplegia. The statistically significant improvements in gait ability were only found in the studies conducted on multiple sclerosis. No conclusions can be drawn in Parkinson’s populations as only two trials conducted with a small sample size were available. Conclusion: Aquatic exercises may be effective at improving balance impairment in patients with hemiplegia and multiple sclerosis. There is a need for further research investigating its effect on Parkinson’s disease before encouraging the use of aquatic exercises.

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Section: Resultsmentioning

confidence: 99%

Systematic review of published studies on aquatic exercise for balance in patients with multiple sclerosis, Parkinson's disease, and hemiplegia

Methajarunon

Eitivipart

Diver

et al. 2016

Hong Kong Physiotherapy Journal

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“…These very disabling deficits reduce mobility and independence, lead to falls and injuries, and negatively affect quality of life [1‐3]. In general, physical interventions directed at improving balance and walking abilities have implemented various approaches: for example, motor and sensory strategies [4], Feldenkrais exercises [5], robot‐assisted gait training [6], kickboxing [7], Pilates exercises [8], Ai‐Chi exercises [9], Nintendo Wii games [10], strength and aerobic training [11], and neuromuscular facilitation [12,13]. Nevertheless, no mode of training has been universally agreed upon.…”

Section: Introductionmentioning

confidence: 99%

Do Textured Insoles Affect Postural Control and Spatiotemporal Parameters of Gait and Plantar Sensation in People With Multiple Sclerosis?

Kalron

Pasitselsky

Greenberg-Abrahami

et al. 2014

PM&R

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“…Currently, some studies have mentioned the benefits of Ai Chi for neurological involved patients 21,22 . Bayraktar et al showed positive effects of 8 weeks of Ai Chi training on muscle strength, muscle endurance, functional mobility, and fatigue severity in patients with multiple sclerosis 26 . Noh et al found that the balance performance and knee flexors strength improved more in the Ai Chi combining Halliwick therapy group than the conventional physiotherapy group in patients with stroke 27 .…”

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confidence: 99%

The effects of Ai Chi for balance in individuals with chronic stroke: a randomized controlled trial

Ku¹,

Chen

Yang³

et al. 2020

Sci Rep

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This study investigated the effectiveness of Ai Chi compared to conventional water-based exercise on balance performance in individuals with chronic stroke. A total of 20 individuals with chronic stroke were randomly allocated to receive either Ai Chi or conventional water-based exercise for 60 min/time, 3 times/week, and a total of 6 weeks. Balance performance assessed by limit of stability (LOS) test and Berg balance scale (BBS). Fugl-Meyer assessment (FMA) and gait performance were documented for lower extremity movement control and walking ability, respectively. Excursion and movement velocity in LOS test was significantly increased in anteroposterior axis after receiving Ai Chi (p = 0.005 for excursion, p = 0.013 for velocity) but not conventional water-based exercise. In particular, the improvement of endpoint excursion in the Ai Chi group has significant inter-group difference (p = 0.001). Both groups showed significant improvement in BBS and FMA yet the Ai Chi group demonstrated significantly better results than control group (p = 0.025). Ai Chi is feasible for balance training in stroke, and is able to improve weight shifting in anteroposterior axis, functional balance, and lower extremity control as compared to conventional water-based exercise.Stroke is a cerebral vascular disease caused by the interruption of the blood supply to the brain, cutting off the supply of oxygen and nutrients 1 . Damage to the brain tissue leads to sensory, motor, cognitive, and emotional deficits. With impaired motor and sensory functions, stroke patients suffer from deficits in balance control which plays crucial role in ambulatory function and thus as an important clinical indicator 2-5 . Balance is defined as the ability to maintain center of mass (COM) within the stability limits, the boundaries of the base of support (BOS) 6 . Balance control can be quantified by limit of stability (LOS) test, expressed by movement velocity, displacement excursion, and directional control 7,8 . Individuals with stroke usually show decline in the abovementioned balance performance 9-12 . Bohannon 13 noted the correlation between static standing ability and independent mobility in stroke patients (r = 0.62). Lee et al. 14 found that walking velocity is associated with maximal displacement excursion in LOS test (r = 0.68, p < 0.01) and Berg balance scale (r = 0.66, p < 0.01) in patients with stroke. In addition, the balance-related fall risks should also be addressed in people with chronic stroke 15,16 . Therefore, it is crucial to improve balance control in order to improve the balance-related activities for individuals with stroke.Several elements, such as strengthening, postural control, weight shifting, and agility exercise, are necessary to be incorporated during balance training 17 . It has also been noted that increased somatosensory inputs and visual deprivation might exert positive effects on top of balance training, as well as enriched environment 4,5,18,19 . Water-based exercise, by utilizing the properties of water, including ...

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Effects of Ai-Chi on balance, functional mobility, strength and fatigue in patients with multiple sclerosis: A pilot study

Cited by 38 publications

References 22 publications

Systematic review of published studies on aquatic exercise for balance in patients with multiple sclerosis, Parkinson's disease, and hemiplegia

Systematic review of published studies on aquatic exercise for balance in patients with multiple sclerosis, Parkinson's disease, and hemiplegia

Do Textured Insoles Affect Postural Control and Spatiotemporal Parameters of Gait and Plantar Sensation in People With Multiple Sclerosis?

The effects of Ai Chi for balance in individuals with chronic stroke: a randomized controlled trial

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