Deans' stroke musings: Tai Chi for stroke rehabilitation: a systematic review and meta-analysis of randomized controlled trials

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, July 10, 2018

Tai Chi for stroke rehabilitation: a systematic review and meta-analysis of randomized controlled trials

You mean these earlier writeups on Tai chi were not enough to prove it works for stroke rehab and to create a protocol? Why is followup needed? You didn't do your job correctly and create Tai chi protocols?

tai chi (16)

https://www.frontiersin.org/articles/10.3389/fphys.2018.00983/abstract
Front. Physiol. | doi: 10.3389/fphys.2018.00983

Diyang Lyu^{1, 2, 3*}, Xuanxin Lyu¹,

Yong Zhang²,

Yi Ren³, Fan Yang³, Li Zhou²,

Yihuai Zou³ and Zongheng Li²

¹Neurological Rehabilitation center, Beijing Rehabilitation Hospital, Capital Medical University, China
²Department of Rehabilitation, Dongzhimen Hospital, Beijing University of Chinese Medicine, China
³Department of Neurology and Stroke Center, Dongzhimen Hospital, Beijing University of Chinese Medicine, China

Tai Chi (TC) has been used wildly(sic) around the world for stroke rehabilitation. We conducted a systematic review and meta-analysis to evaluate TC’s efficacy versus conventional rehabilitation therapy in stroke rehabilitation. A total of 21 literatures were included in our study and 14 in quantitative synthesis. Primary outcomes were the modified Barthel Index (BI) for ability of daily living(ADL) , the Fugl-Meyer assessment (FMA) for limb motor function, the Berg Balance scale (BBS) for balance, the Holden scale and To Up-and-Go time (TUGT) for walking ability. Evidence from 9 studies indicated that TC is able to improve independent ADL, whether apply TC with conventional rehabilitation therapy or not. 5 studies reported significant effects of TC plus conventional rehabilitation therapy in increasing the score of FMA of upper limb. The pooling results of BBS revealed significant improvements as well, whether used TC with conventional rehabilitation therapy or not. The results also showed that TC plus conventional rehabilitation therapy could improve walking ability through the Holden scale and TUGT. In conclusion, according to the summary of all outcome data in 21 studies, the current review suggests that TC may have effect on improving ADL, balance, limb motor function and walking ability of stroke survivors with evidences of very low quality, and may improve their sleep quality, mood, mental health and other motor functions. More longer-term, well-designed and high-quality trials are needed to continue developing the quality of evidence in this worthwhile field.