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. 2019 Jul/Aug;44(4):221-229.
doi: 10.1097/rnj.0000000000000110.

Exploring the Adaptability of Tai Chi to Stroke Rehabilitation

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Exploring the Adaptability of Tai Chi to Stroke Rehabilitation

Inok Hwang et al. Rehabil Nurs. 2019 Jul/Aug.

Abstract

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.

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Conflict of interest statement

Declaration of Interest

Peter Wayne is the founder and sole owner of the Tree of Life Tai Chi Center. Peter Wayne’s interests were reviewed and managed by the Brigham and Women’s Hospital and Partner’s HealthCare in accordance with their conflict of interest policies.

For remaining authors, none were declared.

Figures

Figure 1
Figure 1
Study flow diagram
Figure 2
Figure 2
Features of the Tai Chi-based stroke rehabilitation program

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