Evaluation of Tai Chi Yunshou exercises on community-based stroke patients with balance dysfunction: a study protocol of a cluster randomized controlled trial

Tao, Jing; Rao, Ting; Lin, Lee Yaw; Liu, Weiwei; Wu, Zhihua; Zheng, Guohua; Su, Yu-Sheng; Huang, Jiajia; Lin, Zhengkun; Wu, Jinsong; Fang, Yinchun; Chen, Lidian

doi:10.1186/s12906-015-0555-1

Cited by 21 publications

(15 citation statements)

References 37 publications

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“…Therefore, this study provided also an intervention using whole body rehabilitation for stroke survivors with sufficient balance. It should be noted that the use of Tai Chi is limited to balance training post stroke for those with severe balance impairments since the standing positions require a certain level of balance recovery [43]. However, Tai Chi can be performed for upper limb training even in patients with severe balance impairments.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

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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“…In recent years, some studies have confirmed the role of TC in improving motor function (Taylorpiliae et al, 2014 ) and balance (Chen et al, 2015 ) of stroke survivors. Some ongoing studies are investigating the effects of TC for stroke rehabilitation (Zhang et al, 2014 ; Tao et al, 2015 ), but the previously published systematic reviews and meta-analyses lack results from the increasing number of new studies. Besides, the experimental groups in clinical trials have involved either TC alone or TC combined with conventional rehabilitation therapy, but none of the previous reviews have mentioned this or divided the trials into two subgroups to conduct separate analyses.…”

Section: Introductionmentioning

confidence: 99%

Tai Chi for Stroke Rehabilitation: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Lyu

Zhang

et al. 2018

Front. Physiol.

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Background: Stroke is a major cause of poor health and has numerous complications. Tai Chi (TC) may have positive effects on the rehabilitation of stroke survivors, but recent clinical findings have not been included in previously published reviews.Objectives: We conducted this systematic review and meta-analysis to determine the effectiveness of all types of TC vs. conventional rehabilitation therapy for all aspects of stroke survivors' rehabilitation that have been studied.Method: We searched seven electronic literature databases (three in English, four in Chinese) and one clinical registry platform using established strategies to identify randomized controlled trials performed up to October 2017. Screening, quality assessment, and data collection were performed by two researchers separately, using the same standard. The results were analyzed using RevMan 5.3.0. The quality of evidence was evaluated with GRADEpro.Results: A total of 21 studies with 1,293 stroke survivors met inclusion criteria; 14 were included in the quantitative synthesis to evaluate four aspects and five outcomes. Nine studies indicated that TC was able to improve independent activities of daily living (ADL), especially TC vs. conventional rehabilitation therapy [mean difference (MD) [95% confidence interval (CI)] = 9.92 [6.82, 13.02], P < 0.00001]. Five studies reported significant effects of TC plus conventional rehabilitation therapy in increasing scores on the Fugl–Meyer Assessment for the upper limb [MD (95%CI) = 8.27 [4.69, 11.84], P < 0.0001], lower limb [MD (95%CI) = 2.75 [0.95, 4.56], P = 0.003], and overall [MD (95%CI) = 4.49 [1.92, 7.06], P = 0.0006]. The Berg Balance Scale revealed significant improvements according to pooled estimates for TC vs. conventional rehabilitation therapy [MD (95%CI) = 5.23 [3.42, 7.05], P < 0.00001]. TC plus conventional rehabilitation therapy also improved walking ability as measured by the Holden scale [MD (95%CI) = 0.61 [0.38, 0.85], P < 0.00001] and up-and-go time [MD (95%CI) = 2.59 [1.76, 3.43], P < 0.00001].Conclusion: TC has an overall beneficial effect on ADL, balance, limb motor function, and walking ability among stroke survivors, based on very low-quality evidence, and may also improve sleep quality, mood, mental health, and other motor function. Well-designed, higher-quality trials with longer-term follow-up periods are needed to develop better-quality evidence.

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“…Tai Chi Chuan (TCC) and Baduanjin are popular mind-body practices (Wang et al, 2010 ; Zheng et al, 2014 ; Tao et al, 2015 ). Both of these practices combine meditation with slow movements, deep breathing, and relaxation to smooth vital energy (or qi) flow in the body (Wang et al, 2010 ).…”

Section: Introductionmentioning

confidence: 99%

Tai Chi Chuan and Baduanjin Mind-Body Training Changes Resting-State Low-Frequency Fluctuations in the Frontal Lobe of Older Adults: A Resting-State fMRI Study

Tao

Chen

Liu

et al. 2017

Front. Hum. Neurosci.

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Age-related cognitive decline is a significant public health concern. Recently, non-pharmacological methods, such as physical activity and mental training practices, have emerged as promising low-cost methods to slow the progression of age-related memory decline. In this study, we investigated if Tai Chi Chuan (TCC) and Baduanjin modulated the fractional amplitude of low-frequency fluctuations (fALFF) in different frequency bands (low-frequency: 0.01–0.08 Hz; slow-5: 0.01–0.027 Hz; slow-4: 0.027–0.073 Hz) and improved memory function. Older adults were recruited for the randomized study. Participants in the TCC and Baduanjin groups received 12 weeks of training (1 h/day for 5 days/week). Participants in the control group received basic health education. Each subject participated in memory tests and fMRI scans at the beginning and end of the experiment. We found that compared to the control group: (1) TCC and Baduanjin groups demonstrated significant improvements in memory function; (2) TCC increased fALFF in the dorsolateral prefrontal cortex (DLPFC) in the slow-5 and low-frequency bands; and (3) Baduanjin increased fALFF in the medial PFC in the slow-5 and low-frequency bands. This increase was positively associated with memory function improvement in the slow-5 and low-frequency bands across the TCC and Baduanjin groups. Our results suggest that TCC and Baduanjin may work through different brain mechanisms to prevent memory decline due to aging.

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Evaluation of Tai Chi Yunshou exercises on community-based stroke patients with balance dysfunction: a study protocol of a cluster randomized controlled trial

Cited by 21 publications

References 37 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

Tai Chi for Stroke Rehabilitation: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Tai Chi Chuan and Baduanjin Mind-Body Training Changes Resting-State Low-Frequency Fluctuations in the Frontal Lobe of Older Adults: A Resting-State fMRI Study

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