Keywords

Activities of daily living, physical functioning, rehabilitation, self-efficacy, stroke, Tai Chi

 

Authors

  1. Hwang, Inok PhD, RN

Abstract

Purpose: The aim of the study was to assess the feasibility, safety, and preliminary estimates of effectiveness of Tai Chi on functional outcomes in stroke survivors.

 

Design: A mixed-method study with a single-group repeated-measure design and in-depth interviews.

 

Methods: Fourteen stroke survivors with hemiplegia were recruited to participate in a Tai Chi program, twice weekly for 12 months. Outcomes included physical function, self-efficacy, and activity of daily living measured at 3-month intervals for 12 months.

 

Findings: Ten participants (mean age, 68.5 years) completed all assessments with significantly improved balance ([chi]2 = 14.08, p = .007), flexibility ([chi]2 = 11.70, p = .020), and self-efficacy ([chi]2 = 21.84, p < .001) over 12 months. Qualitative results highlighted the positive impact on physical improvement, psychological well-being, social support, and improved confidence in performing activities of daily living.

 

Conclusion: An adapted Tai Chi program was safe, feasible, and well received in community-dwelling stroke survivors.

 

Clinical Relevance: The Tai Chi-based rehabilitation program shows promise for improving function and balance outcomes related to fall prevention in stroke survivors.