Stroke
Conditions
Keywords
stroke, qigong, randomized controlled trial, body-mind exercise, balance, quality of life, wellbeing
Brief summary
The purpose of this study is to compare the effects of qigong practice with fitness exercise on balance, fall-efficacy, physical functions, psychological wellbeing and quality of life of stroke survivors.
Detailed description
Participants: A total of 58 stroke survivors 3 months after the current stroke will be recruited. Methodology: An assessor-blinded, randomized controlled trial will be conducted. Stroke survivors will be included in the study if they meet the inclusion criteria. Selected patients will be randomly allocated into either the experimental group or the control group. Participants allocated in the experimental group will receive qigong training while this qigong training will be replaced by a home fitness exercise in the control group. The experimental and control groups will be required to practice a total of 50 minutes of qigong and fitness training 3 times per week and for 16 weeks respectively. The main outcome measure is balance capacity with Mini-BESTest. The secondary outcomes are fall efficacy, number of falls, postural stability and control, depression, physical functions and quality of life. Assessments will be done at baseline, 8 weeks and 16 weeks follow-ups by blinded assessors. Data analysis: The results will be analyzed using two-way repeated measures analysis of variance with Statistical Package for Social Science version 21.0. Alpha will be set at 0.05.
Interventions
OTHERQigong
The experimental group will be required to practice a total of 50 minutes of qigong training 3 times per week and for 16 weeks
OTHERFitness exercise
Active control group will be required to practice a total of 50 minutes of fitness training 3 times per week and for 16 weeks
Sponsors
The Hong Kong Polytechnic University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Diagnosis of stroke and 3 months after the onset * First episode of stroke or recurrent of stroke * Able to stand for more than 15 minutes * Able to take anterioposterior and lateral step without assistance or aid * Medically stable * Sufficient cognition to follow commands Abbreviated Mental Test (AMT) score ≥7
Exclusion criteria
* Vital signs unstable * History or evidence of other neurological deficits other than stroke such as multiple sclerosis * Severe primary diseases of the cardiovascular system, liver, kidney or hematopoietic system * Experience in qigong practice
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mini-BESTest. | Baseline, 8th week and 16th week after intervention | Change from baseline balance capacity at 8 weeks and 16 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of falls | Baseline, 8th week and 16th week after intervention | — |
| Limit of Stability by using Balance Master | Baseline, 8th week and 16th week after intervention | Change from baseline postural stability at 8 weeks and 16 weeks |
| Geriatric Depression Scale | Baseline, 8th week and 16th week after intervention | — |
| Five Times Sit to Stand Test | Baseline, 8th week and 16th week after intervention | Lower extremity strength |
| Fall Efficacy Scale - International | Baseline, 8th week and 16th week after intervention | Change from baseline fall efficacy of the subject at 8 weeks and 16 weeks |
| Modified Barthel Index | Baseline, 8th week and 16th week after intervention | Activities of daily living function |
| Stroke-Specific Quality of Life Scale | Baseline, 8th week and 16th week after intervention | — |
| Sensory Organization Test by using Balance Master | Baseline, 8th week and 16th week after intervention | Change from baseline postural control at 8 weeks and 16 weeks |
| Timed Up and Go Test | Baseline, 8th week and 16th week after intervention | Change from baseline gait speed at 8 weeks and 16 weeks |
Countries
Hong Kong
Contacts
Primary ContactShuk-man YUEN, MPhil
Backup ContactYiu-chung PANG, PhD
Outcome results
None listed