Health Studies
Adapting Tai Chi for Upper Limb Rehabilitation Post Stroke
The objective of this study was to explore the feasibility of tai chi for upper limb rehabilitation post stoke and its influencing factors. This study suggests that tai chi was feasible for upper limb rehabilitation post stroke after having been adapted to hemiparesis of stroke survivors.
Participants with varied characteristics, including a severely impaired upper limb, poor balance, shoulder pain, severe spasticity, high medical comorbidity burden, and the elderly were capable of practicing their selected adapted tai chi movements. Moreover, the adapted tai chi was well accepted by participants. Eleven participants attended all 16 sessions and practiced more than recommended at home even in the follow-up month
Abstract:
Design:
Twelve chronic stroke survivors with persistent paresis of an upper limb underwent 60 minutes of adapted TC twice a week for eight weeks, with a 4-week follow up. A 10-min TC home program was recommended for the days without sessions. TC level of performance, attendance to the sessions, duration of self-practice at home, and adapted TC movements used were recorded.
Results:
Eleven participants completed the study. A clinical reasoning algorithm underlying the adaptation of TC was elaborated throughout the trial. Participants with varying profiles including a severely impaired upper limb, poor balance, shoulder pain, and severe spasticity were not only capable of practicing the adapted TC, but attended all 16 sessions and practiced TC at home for a total of 16.51 ± 9.21 h. The degree of self-practice for subgroups with low upper limb function, shoulder pain, or moderate-to-severe spasticity was similar to that of subgroups with greater upper limb function, no shoulder pain, and minimal-to-no spasticity.
Adapted TC seems feasible for upper limb rehabilitation post stroke. Although the study was based on a small sample size and requires confirmation, low upper limb function, insufficient balance, spasticity, and shoulder pain do not appear to hinder the practice of TC.
Link:
Pan, Shujuan et al. “Adapting Tai Chi for Upper Limb Rehabilitation Post Stroke: A Feasibility Study.” Medicines (Basel, Switzerland) vol. 4,4 72. 30 Sep. 2017, doi:10.3390/medicines4040072
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