Exploring the Adaptability of Tai Chi to Stroke Rehabilitation. Issue 4 (July 2019)

• Record Type: Journal Article
• Authors: Hwang, Inok; Song, Rhayun; Ahn, Sukhee; Lee, Myung-ah; Wayne, Peter M.; Sohn, Min Kyun
• Is Part Of: Rehabilitation nursing. Volume 44:Issue 4(2019)
• Publication Date: 2019-07
• Subjects: Activities of daily living -- physical functioning -- rehabilitation -- self-efficacy -- stroke -- Tai Chi; Rehabilitation nursing -- Periodicals; Nursing -- Periodicals; Rehabilitation -- Periodicals; Soins infirmiers en réadaptation -- Périodiques; 610.73
• DOI: 10.1097/rnj.0000000000000110
• Languages: English
• ISSNs: 0278-4807

Abstract

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 2 = 14.08, p = .007), flexibility (χ 2 = 11.70, p = .020), and self-efficacy (χ 2 = 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.