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Hindi Research Article
Adapted Tai Chi Enhances Upper Limb Motor Control in Chronic Stroke Patients: A Pilot Study
Shujuan Pan1,2, Dahlia Kairy1,2*, Hélène Corriveau3,4 and Michel Tousignant3,41School of Rehabilitation, Montreal University, Quebec, Canada
2Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal- IRGLM site, Montreal, Quebec, Canada
3School of Rehabilitation, Université De Sherbrooke, Sherbrooke, Quebec, Canada
4Research Center on Aging, Centre intégré universitaire de services de santé et sociaux de l’Estrie-CHUS, Sherbrooke, Quebec, Canada
- Corresponding Author:
- Dr Dahlia Kairy
Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal-IRGLM Site
6300 Darlington Avenue, Montreal, Quebec H3S 2J4, Canada
Tel: 514-340-2085; Extn: 2034;
E-mail: dahlia.kairy@umontreal.ca
Received Date: January 20, 2017; Accepted Date: February 09, 2017; Published Date: February 16, 2017
Citation: Pan S, Kairy D, Corriveau H, Tousignant M (2017) Adapted Tai Chi Enhances Upper Limb Motor Control in Chronic Stroke Patients: A Pilot Study. J Nov Physiother 7:335. doi: 10.4172/2165-7025.1000335
Copyright: © 2017 Pan S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Background: Tai Chi has been reported as beneficial for improving balance post stroke, yet no study examined the use of Tai Chi for upper limb rehabilitation. The objective of this study was to evaluate the efficacy and acceptability of Tai Chi for upper limb rehabilitation post stroke.
Methods: Twelve chronic stroke survivors with a persistent paretic upper limb underwent 60-min adapted Tai Chi sessions twice a week for eight weeks and a 4-week follow-up. A 10-min Tai Chi home program was recommended for the days without sessions. Session attendance and duration of self-practice at home were recorded. Motor function of the paretic arm (Fugl-Meyer Assessment upper-limb section (FMA-UL)), Wolf Motor Function Test (WMFT) and paretic arm use in daily life(Motor Activity Log (MAL)) were measured at baseline, post-treatment and follow-up. A feedback questionnaire was used to evaluate participants’ perception of the use of Tai Chi at follow-up.
Results: Eleven participants completed the 8-week study. Participants with varying profiles including severely impaired upper limb, poor balance, shoulder pain, and severe spasticity, were able to practice an adapted version of Tai Chi. They attended all 16 sessions and practiced Tai Chi at home more than recommended (a total of 16.51 ± 9.21 hours). Participants demonstrated significant improvement over time in the FMA-UL (p=0.009), WMFT functional scale (p=0.003), WMFT performance time (p=0.048) and MAL Amount of Use scale (p=0.02). Moreover, participants confirmed the usefulness and ease of practicing the adapted Tai Chi.
Conclusion: Tai Chi was acceptable and found to be effective for upper limb rehabilitation post stroke after adaptation of movements. Further large-scale randomized trials evaluating Tai Chi for upper limb rehabilitation are warranted.
