Department of Recreation Sciences, East Carolina University, Greenville, SC, USA.
Department of Parks, Recreation and Tourism Management, Clemson University, Clemson, SC, USA.
Disabil Rehabil. 2022 Jun;44(11):2223-2232. doi: 10.1080/09638288.2020.1830440. Epub 2020 Oct 12.
Researchers have reported measurable improvements in emotional and physical health among adults post-stroke after participating in complementary and integrative health techniques. The aim of this manuscript was to systematically review the effectiveness of active complementary and integrative health interventions as a treatment modality for adults post-stroke.
For this review, active interventions were defined as those that required participants to be in control of initiating their own body movement. Five active complementary and integrative health techniques were reviewed and included: Feldenkrais Method, qigong, Pilates, Tai Chi, and yoga. A key word search was conducted in Medline, Cochrane Library, EBSCO, Google Scholar, and PubMed. Inclusion criteria for studies were (1) randomized controlled trials on the effects of active complementary and integrative health interventions, (2) all participants had to be post-stroke, and (3) studies appeared in English in a peer-reviewed journal.
Articles in this review included one Qigong, five Pilates, nine Tai Chi, and five yoga studies. All 20 manuscripts reported improvements for participants. Participants in Pilates experienced improvements in quality of life. Improvements in functional balance, standing and dynamic balance, reaction time, maximum excursion, and quality of life were reported in the Pilates studies. Participants in the TC studies experienced a range of positive results including center of gravity, increased reaction time, improved aerobic endurance, fewer falls, sway length and velocity, functional reach, dynamic gait, walking speed, and static and dynamic balance. Improvements after participation in the yoga manuscripts consisted of reduced depression, decreased state and trait anxiety, improved balance, reduction in fear of falling, and enhanced quality of life.
Based on the small number of randomized controlled trials, this systematic review reported the effectiveness of four active mind-body interventions for individuals post-stroke. The strongest evidence was for the use of Tai Chi, followed by Pilates and yoga.Implications for rehabilitationClinicians should consider the benefits of qigong, Pilates, Tai Chi, and yoga to best meet individual patient needs and goals.Clinicians who offer qigong, Pilates, Tai Chi, and/or yoga should be qualified to instruct the specific active complementary and integrative health technique or refer patients to those who are qualified.Locate qigong, Pilates, Tai Chi, and yoga classes that are appropriate for people post-stroke in the community to help integrate patients into a program after treatment.
研究人员报告称，中风后成年人参与补充和整合健康技术后，在情绪和身体健康方面有可衡量的改善。本手稿的目的是系统地回顾主动补充和整合健康干预作为中风后成年人治疗方式的有效性。
在本次综述中，主动干预被定义为需要参与者控制自己的身体运动的干预。共审查了 5 种主动补充和整合健康技术，包括：费登奎斯方法、气功、普拉提、太极和瑜伽。在 Medline、Cochrane 图书馆、EBSCO、Google Scholar 和 PubMed 中进行了关键词搜索。研究纳入标准为：（1）关于主动补充和整合健康干预效果的随机对照试验，（2）所有参与者必须为中风后患者，（3）发表在同行评议期刊上的英文文章。
本综述中的文章包括 1 项气功、5 项普拉提、9 项太极和 5 项瑜伽研究。所有 20 篇论文均报告了参与者的改善情况。普拉提参与者的生活质量得到改善。普拉提研究报告了功能平衡、站立和动态平衡、反应时间、最大偏移量和生活质量的改善。TC 研究的参与者经历了一系列积极的结果，包括重心、反应时间增加、有氧耐力提高、跌倒减少、摆动长度和速度、功能伸展、动态步态、行走速度以及静态和动态平衡。参加瑜伽手稿的参与者的改善包括抑郁减少、状态和特质焦虑减少、平衡改善、跌倒恐惧减少以及生活质量提高。
基于少数随机对照试验，本系统综述报告了四种主动身心干预对中风后个体的有效性。最有力的证据是使用太极，其次是普拉提和瑜伽。
临床医生应考虑气功、普拉提、太极和瑜伽的益处，以最好地满足个体患者的需求和目标。提供气功、普拉提、太极和/或瑜伽的临床医生应该有资格指导特定的主动补充和整合健康技术，或将患者转介给合格的人员。在社区中寻找适合中风后患者的气功、普拉提、太极和瑜伽课程，以帮助患者在治疗后融入康复计划。
