Stroke
Conditions
Keywords
stroke, Tai ji, postural balance, cognition
Brief summary
Tai Chi, an ancient Chinese martial art, is a low intense aerobic exercise characterized by continuous movements that embrace the mind, body, and spirit. Tai Chi addresses the integration and balance of mind and body using the fundamental principles of slow, smooth, and continuous movement control, and the transfer of body weight while maintaining an upright and relaxed posture. The present randomized clinical trial project aims to apply the suggested principles as the typical features of Tai Chi applied stroke rehabilitation, and to evaluate the effects on physical (balance), psychological, and cognitive function.
Detailed description
Cerebrovascular disease is a major global concern. The individuals with stroke would suffer from disease associated symptoms which influence their functioning in everyday life. These symptom clusters were usually known to be sharing similar underlying mechanisms. It is clear that the development of effective stroke rehabilitation involves interdisciplinary team approach to manage physical, social, cognitive, and psychological functioning in this population. Tai Chi, an ancient Chinese martial art, is a low intense aerobic exercise characterized by continuous movements that embrace the mind, body, and spirit. Tai Chi addresses the integration and balance of mind and body using the fundamental principles of slow, smooth, and continuous movement control, and the transfer of body weight while maintaining an upright and relaxed posture. The newly developed style of Tai Chi for health programs is the seated Tai Chi, which shares the common Tai Chi principles while being modified to adjust the movements for patients with limited mobility. The present randomized clinical trial project aims to apply the suggested principles as the typical features of Tai Chi applied stroke rehabilitation, and to evaluate the effects on physical (balance), psychological, and cognitive function. Only a few studies ever addressed the feasibility of Tai Chi for stroke rehabilitation, and the relationship between cognition and balance in this population is still very early stage of investigation. The main purpose of our collaborating project is to explore the direct relationship between cognition and balance in stroke patients during their rehabilitation process.
Interventions
BEHAVIORALTai Chi exercise
exercise twice a week each for one hour
BEHAVIORALsymptom management
sending text message weekly to manage symptoms related to stroke
Sponsors
National Research Foundation, Singapore
Chungnam National University Hospital
Chungnam National University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
30 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* diagnosed as stroke at least for 3 months upto 2 years * eligible to participate rehabilitation therapy referred by primary physician
Exclusion criteria
* not able to understand questionnaires * not able to stand alone for balance test
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| balance | 3 months, 6 months | postural stability test will be measured by standard computerized test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| activities of daily living | 3 months, 6 months | activities of daily living will be measured by Modified rankin scale |
| knee muscle strength | 3 months, 6 months | knee flexor and extensor strength by isokinetic testing measured by Biodex |
Other
| Measure | Time frame | Description |
|---|---|---|
| cognition | 3 months, 6 months | measured by Korean version of Montreal Cognitive Assessment |
Countries
South Korea
Outcome results
None listed