Tai Chi for Stroke Rehabilitation on Balance and Cognition

Stroke Clinical Trial

— TCSR  

Official title:

Evaluating the Effect of Tai Chi Applied Stroke Rehabilitation on Physical and Cognitive Functioning

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02868840
• Other study ID #: ChungnamNU
• Status: Completed
• Phase: N/A
• First received: July 27, 2016
• Last updated: September 11, 2017
• Start date: January 2016
• Est. completion date: June 30, 2017

Study information

• Verified date: September 2017
• Source: Chungnam National University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Tai Chi, an ancient Chinese martial art, is a low intense aerobic exercise characterized by continuous movements that embrace the mind, body, and spirit. Tai Chi addresses the integration and balance of mind and body using the fundamental principles of slow, smooth, and continuous movement control, and the transfer of body weight while maintaining an upright and relaxed posture. The present randomized clinical trial project aims to apply the suggested principles as the typical features of Tai Chi applied stroke rehabilitation, and to evaluate the effects on physical (balance), psychological, and cognitive function.

Description:

Cerebrovascular disease is a major global concern. The individuals with stroke would suffer from disease associated symptoms which influence their functioning in everyday life. These symptom clusters were usually known to be sharing similar underlying mechanisms. It is clear that the development of effective stroke rehabilitation involves interdisciplinary team approach to manage physical, social, cognitive, and psychological functioning in this population.

Tai Chi, an ancient Chinese martial art, is a low intense aerobic exercise characterized by continuous movements that embrace the mind, body, and spirit. Tai Chi addresses the integration and balance of mind and body using the fundamental principles of slow, smooth, and continuous movement control, and the transfer of body weight while maintaining an upright and relaxed posture. The newly developed style of Tai Chi for health programs is the seated Tai Chi, which shares the common Tai Chi principles while being modified to adjust the movements for patients with limited mobility.

The present randomized clinical trial project aims to apply the suggested principles as the typical features of Tai Chi applied stroke rehabilitation, and to evaluate the effects on physical (balance), psychological, and cognitive function. Only a few studies ever addressed the feasibility of Tai Chi for stroke rehabilitation, and the relationship between cognition and balance in this population is still very early stage of investigation. The main purpose of our collaborating project is to explore the direct relationship between cognition and balance in stroke patients during their rehabilitation process.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 50
• Est. completion date: June 30, 2017
• Est. primary completion date: March 30, 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 30 Years to 70 Years

Eligibility

Inclusion Criteria:

• diagnosed as stroke at least for 3 months upto 2 years

• eligible to participate rehabilitation therapy referred by primary physician

Exclusion Criteria:

• not able to understand questionnaires

• not able to stand alone for balance test

Related Conditions & MeSH terms

• Stroke

Intervention

Behavioral:
• Tai Chi exercise
exercise twice a week each for one hour
• symptom management
sending text message weekly to manage symptoms related to stroke

Locations

Country	Name	City	State
Korea, Republic of	Chungnam National University Hospital	Daejeon

Sponsors (3)

Lead Sponsor	Collaborator
Chungnam National University	Chungnam National University Hospital, National Research Foundation, Singapore

Country where clinical trial is conducted

Korea, Republic of, 

References & Publications (2)

Chen BL, Guo JB, Liu MS, Li X, Zou J, Chen X, Zhang LL, Yue YS, Wang XQ. Effect of Traditional Chinese Exercise on Gait and Balance for Stroke: A Systematic Review and Meta-Analysis. PLoS One. 2015 Aug 20;10(8):e0135932. doi: 10.1371/journal.pone.0135932. eCollection 2015. Review. — View Citation

Tao J, Rao T, Lin L, Liu W, Wu Z, Zheng G, Su Y, Huang J, Lin Z, Wu J, Fang Y, Chen L. Evaluation of Tai Chi Yunshou exercises on community-based stroke patients with balance dysfunction: a study protocol of a cluster randomized controlled trial. BMC Complement Altern Med. 2015 Feb 25;15:31. doi: 10.1186/s12906-015-0555-1. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	cognition	measured by Korean version of Montreal Cognitive Assessment	3 months, 6 months
Primary	balance	postural stability test will be measured by standard computerized test	3 months, 6 months
Secondary	activities of daily living	activities of daily living will be measured by Modified rankin scale	3 months, 6 months
Secondary	knee muscle strength	knee flexor and extensor strength by isokinetic testing measured by Biodex	3 months, 6 months