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Exploring the Adaptability of Tai Chi to Stroke Rehabilitation.

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 (χ = 14.08, p = .007), flexibility (χ = 11.70, p = .020), and self-efficacy (χ = 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.