Deans' stroke musings: Tailored Sitting Tai Chi Program for Subacute Stroke Survivors: A Randomized Controlled Trial

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.

Wednesday, April 13, 2022

Tailored Sitting Tai Chi Program for Subacute Stroke Survivors: A Randomized Controlled Trial

All this earlier research and I bet your doctor and stroke hospital HAVE DONE NOTHING! Are you OK with their incompetence for 9 years?

tai chi (21 posts to April 2013)

Tailored Sitting Tai Chi Program for Subacute Stroke Survivors: A Randomized Controlled Trial

and

Originally published7 Apr 2022https://doi.org/10.1161/STROKEAHA.121.036578Stroke. 2022;0:10.1161/STROKEAHA.121.036578

Abstract

Background:

The initiation of exercise during rehabilitation at the subacute stage could provide stroke survivors with an approach to recovery that capitalizes on unique physiological conditions and promotes spontaneous recovery. We aimed to examine the effects of a tailored sitting Tai Chi program on recovery outcomes among subacute stroke survivors.

Methods:

We conducted a 12-week assessor-blind randomized controlled trial in China. Subacute stroke survivor-caregiver dyads were recruited and randomly assigned to either the sitting Tai Chi group (n=80) or attention control group (n=80). Outcomes including upper limb function (Fugl-Meyer Assessment Upper Extremity & Wolf Motor Function Test), balance control (Berg Balance Scale), sitting balance control (Trunk Impairment Scale), depressive symptoms (Geriatric Depression Scale Short Form), shoulder range of motion, shoulder pain (ShoulderQ), activities of daily living (Modified Barthel Index), and quality of life (Stroke Specific Quality of Life Scale) were measured at baseline, in-process, immediately post, and 4-week postintervention.

Results:

Immediately postintervention, the sitting Tai Chi group (n=69) showed significant upper limb function improvement in the primary outcomes including the performance time (regression coefficient of the group-by-time interaction, B=–21.415 [95% CI, –31.000 to –11.831]) and functional ability (B=10.146 [95% CI, 4.886–15.406]) domains of the Wolf Motor Function Test, balance control (B, 4.972 [95% CI, 1.356–8.588]), and sitting balance control (B=4.397 [95% CI, 2.699–6.096]). Compared with the control group (n=65), improvements were also observed in secondary outcomes including depressive symptoms (B=–1.626 [95% CI, –2.304 to –0.948]), shoulder extension (B=4.518 [95% CI, 0.893–8.144]), activities of daily living (B=5.510 [95% CI, 0.450–10.569]), and quality of life (B=15.680 [95% CI, 7.255–24.105]).

Conclusions:

The results support the effectiveness of a tailored sitting Tai Chi program in improving recovery outcomes among subacute stroke survivors and provide additional knowledge to support the clinical implementation of such a program.