College of Nursing, Chungnam National University, Daejeon 35015, Korea.
College of Nursing, Woosuk University, Wanju 55338, Korea.
Int J Environ Res Public Health. 2021 May 20;18(10):5453. doi: 10.3390/ijerph18105453.
Stroke survivors suffer from disease-associated symptoms. Tai Chi can be a beneficial approach to provide an adapted form of intervention to manage their symptoms. The study aimed to determine the effects of a Tai Chi-based stroke rehabilitation program on symptom clusters, physical and cognitive functions, and stroke-specific quality of life among stroke survivors in Korea. Thirty-four stroke survivors were randomly assigned to receive either the Tai Chi-based program or the stroke-symptom management program. The feasibility of the program and its effects on the outcomes were assessed at baseline, 3 months, and 6 months. Repeated measures ANOVA showed that most symptoms improved in both groups during the 6-month period, but swallowing-related symptoms improved significantly in the Tai Chi group. Based on the interaction effect, Tai Chi was more effective on flexor muscle strength, ambulation, and activities of daily living and cognitive function over 6 months than their counterparts. Among SS-QOL dimensions, the Tai Chi group showed significant improvements in the thinking and self-care dimensions. The Tai Chi-based stroke rehabilitation program was feasible and safely applicable to stroke survivors in the community settings. This program could improve symptoms, physical and cognitive function, leading to improvements in the self-care dimension of the SS-QOL among stroke survivors.
中风幸存者会遭受与疾病相关的症状困扰。太极可以作为一种有益的方法，为他们提供一种适应的干预形式，以管理他们的症状。本研究旨在确定基于太极的中风康复计划对韩国中风幸存者的症状群、身体和认知功能以及中风特定生活质量的影响。34 名中风幸存者被随机分配接受基于太极的方案或中风症状管理方案。在基线、3 个月和 6 个月时评估了该方案的可行性及其对结果的影响。重复测量方差分析显示，在 6 个月的时间里，两组的大多数症状都有所改善，但太极组的吞咽相关症状有明显改善。基于交互效应，与对照组相比，太极在 6 个月内对屈肌力量、步行能力和日常生活活动以及认知功能更有效。在 SS-QOL 维度中，太极组在思维和自我护理维度上有显著改善。基于太极的中风康复计划在社区环境中对中风幸存者是可行且安全适用的。该方案可以改善症状、身体和认知功能，从而提高中风幸存者的 SS-QOL 的自我护理维度。
