Abstract
Background: Tai chi (TC) has been reported as being beneficial for improving balance post stroke, yet its utility in upper limb rehabilitation remains unknown. Methods: 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. Conclusion: 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.
Highlights
Stroke is a leading cause of serious, long-term disability among middle-aged and older adults worldwide [1]
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
Summary
Stroke is a leading cause of serious, long-term disability among middle-aged and older adults worldwide [1]. Typified by slow and gentle movements, tai chi is an “internal” martial art that cultivates the flow and balance of qi, which is translated as vital energy [7]. Tai chi (TC) has been reported as being beneficial for improving balance post stroke, yet its utility in upper limb rehabilitation remains unknown. TC level of performance, attendance to the sessions, duration of self-practice at home, and adapted TC movements used were recorded. Participants with varying profiles including a severely impaired upper limb, poor balance, shoulder pain, and severe spasticity were 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
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