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Exploring the Adaptability of Tai Chi to Stroke Rehabilitation

Hwang, Inok PhD, RN1; Song, Rhayun PhD, RN2; Ahn, Sukhee PhD, RN2; Lee, Myung-ah PhD3; Wayne, Peter M. PhD4; Sohn, Min Kyun PhD, MD5

doi: 10.1097/rnj.0000000000000110
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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 (χ2 = 14.08, p = .007), flexibility (χ2 = 11.70, p = .020), and self-efficacy2 = 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.

1 Chungnam National University Hospital, Daejeon, South Korea

2 Chungnam National University, College of Nursing, Daejeon, South Korea

3 Department of Kinesiology, Recreation, and Sport, Indiana State University, Terre Haute, IN, USA

4 Osher Center for Integrative Medicine at Harvard Medical School and Brigham and Women’s Hospital, Boston, MA, USA

5 College of Medicine, Chungnam National University, Daejeon, South Korea

Correspondence: Rhayun Song, PhD, RN, Chungnam National University, 266 Munwha-ro, Daejeon 35015, South Korea. E-mail: songry@cnu.ac.kr

Cite this article as: Hwang, I., Song, R., Ahn, S., Lee, M., Wayne, P.M., & Sohn, M. K. (2019). Exploring the adaptability of Tai Chi to stroke rehabilitation. Rehabilitation Nursing, 44(4), 221–229. doi: 10.1097/rnj.0000000000000110

© 2019 Association of Rehabilitation Nurses.
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