Baduanjin exercise ameliorates motor function in patients with post-stroke cognitive impairment: A randomized controlled trial. (February 2022)

• Record Type: Journal Article
• Authors: Ye, Mingzhu; Zheng, Yuhui; Xiong, Zhenyu; Ye, Bingzhao; Zheng, Guohua
• Is Part Of: Complementary therapies in clinical practice. Volume 46(2022)
• Publication Date: 2022-02
• Subjects: PSCI Post-stroke cognitive impairment -- DSM Diagnostic and Statistical Manual of Mental Disorders -- BDI-II Beck Depression Scale-II -- FMA Fugl-Meyer Assessment -- BBS Berg Balance Scale -- MMT Manual Muscle Test -- MAS Modified Ashworth Scale -- 3DGA Three-Dimensional Gait Analysis -- ITT intention-to-treat -- SD standard deviation -- ANCOVA one-way between-groups analysis of covariance -- NIHSS National Institutes of Health Stroke Scale -- CI confidence interval; Baduanjin exercise -- Gait parameters -- Motor function -- Post-stroke cognitive impairment; Integrative medicine -- Periodicals; Integrative medicine -- Research -- Periodicals; Alternative medicine -- Periodicals; 615.5
• DOI: 10.1016/j.ctcp.2021.101506
• Languages: English
• ISSNs: 1744-3881

Abstract

Abstract: Background and purpose: As a traditional Chinese mind-body exercise, Baduanjin has been documented to have a positive effect on cognitive and physical function in a wide range of populations, but it is unclear whether it helps improve motor function in patients with post-stroke cognitive impairment (PSCI). The aim of this two-arm, randomized, parallel controlled study was to explore the rehabilitation effect of Baduanjin exercise on motor function in patients with PSCI. Materials and methods: Forty-eight patients with PSCI were randomly assigned to control and intervention groups. The control group received health education sessions on stroke prevention and rehabilitation. The intervention group received Baduanjin training in addition to the health education intervention. Before and after the 24-week intervention, both groups completed the Fugl-Meyer Assessment (FMA), Berg Balance Scale (BBS), Manual Muscle Test (MMT), Modified Ashworth Scale (MAS), and Three-Dimensional Gait Analysis (3DGA). Results: After the 24-week intervention, both groups showed significant improvements in the FMA, BBS, MMT and MAS test results, but the Baduanjin group exhibited significantly better FMA, BBS and MMT test results than the control group (all P < 0.05). Furthermore, the Baduanjin exercise group showed significant improvements in spatial gait parameters, including the step length, walking speed and cadence, which were significantly better than the control group (all P < 0.05). No adverse events were reported during the study period. Conclusion: The 24-week Baduanjin exercise training may improve the limb motor function, balance, muscle strength and gait function of individuals with PSCI. Highlights: Compared to pre-intervention, 24 weeks Baduanjin training significantly improved limb motor function, balance, muscle strength, muscle tone, and gait spatial parameters of patients with PSCI. Compared to the no exercise intervention, 24 weeks of Baduanjin training improved limb motor function, balance, muscle strength and gait spatial parameters in PSCI patients. Baduanjin exercise is safe and beneficial for improving the motor function of PSCI patients.