ShangJun Huang1, XiaoMing Yu2, Yan Lu2, Jun Qiao3, HongLin Wang2, Li-Ming Jiang2, XuBo Wu4, WenXin Niu5. 1. Department of Rehabilitation Sciences, School of Medicine, Tongji University, Shanghai, 200092, China; Department of Rehabilitation, Shanghai Seventh People's Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200137, China. 2. Department of Rehabilitation, Shanghai Seventh People's Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200137, China. 3. Department of Treatment, The Second Rehabilitation Hospital of Shanghai, Shanghai, 200441, China. 4. School of Rehabilitation Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China. Electronic address: wuxubo320@163.com. 5. YangZhi Rehabilitation Hospital, Tongji University School of Medicine, Shanghai, 201619, China. Electronic address: niu@tongji.edu.cn.
Abstract
BACKGROUND AND PURPOSE: Balance impairment is the predominant risk factor for falls in stroke survivors. This study examined the effects of body weight support-Tai Chi (BWS-TC) footwork on balance control among stroke survivors with fear of falling (FOF). MATERIALS AND METHODS:Twenty-eight stroke survivors with FOF were randomly allocated to either control or BWS-TC groups. Those in BWS-TC underwent Tai Chi training for 12 weeks. Outcomes were assessed in all participants by evaluation of the limits of stability test, modified clinical test of sensory integration of balance, fall risk index, and Fugl-Meyer assessment of lower limbs at baseline and 12 weeks. RESULTS: The BWS-TC group displayed significant enhancement in dynamic control and vestibular and somatosensory integration. CONCLUSION: BWS-TC may enhance dynamic control and sensory integration of balance and reduce the risk of fall in stroke survivors with FOF.
RCT Entities:
BACKGROUND AND PURPOSE: Balance impairment is the predominant risk factor for falls in stroke survivors. This study examined the effects of body weight support-Tai Chi (BWS-TC) footwork on balance control among stroke survivors with fear of falling (FOF). MATERIALS AND METHODS: Twenty-eight stroke survivors with FOF were randomly allocated to either control or BWS-TC groups. Those in BWS-TC underwent Tai Chi training for 12 weeks. Outcomes were assessed in all participants by evaluation of the limits of stability test, modified clinical test of sensory integration of balance, fall risk index, and Fugl-Meyer assessment of lower limbs at baseline and 12 weeks. RESULTS: The BWS-TC group displayed significant enhancement in dynamic control and vestibular and somatosensory integration. CONCLUSION: BWS-TC may enhance dynamic control and sensory integration of balance and reduce the risk of fall in stroke survivors with FOF.
Authors: Xiao-Ming Yu; Xue-Ming Jin; Yan Lu; Yang Gao; Hai-Chen Xu; Xin Xue; Lei Fang; Jun Hu Journal: Evid Based Complement Alternat Med Date: 2020-12-19 Impact factor: 2.629