Exploring the Adaptability of Tai Chi to Stroke Rehabilitation

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

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.

MeSH terms

  • Activities of Daily Living
  • Aged
  • Female
  • Humans
  • Interviews as Topic / methods
  • Male
  • Middle Aged
  • Self Efficacy
  • Stroke / complications*
  • Stroke / therapy*
  • Stroke Rehabilitation / methods
  • Stroke Rehabilitation / standards*
  • Tai Ji / methods*
  • Treatment Outcome