| BackgroundIn recent years,the incidence of stroke has been high in our country.The patients often have different degrees of sequelea,such as limb hemiplegia,speech disorder,mood and feeling disorders,cognitive dysfunction and the dysfunction of ADL, etc.,and these sequeleas bring heavy burden to patients and their families.How to solve these problems,and let the stroke rehabilitation treatment to improve curative effect,be more convenient,save the economic costs,has been the focus of the medical workers. With the introduction of ideas,such as "stroke unit" and "the standardized tertiary rehabilitation",stroke rehabilitation gradually gets more standardized,systematic,and gradually extends to the community,the community and family rehabilitation in patients no longer just stay at the health education level,more and more rehabilitation methods have been developed.The traditional Chinese medicine include not only the traditional Chinese medicine materials,acupuncture and massage,but also traditional physical training approachs,such as WuQinXi,BaDuanJin and Tai Chi, etc.Tai Chi exercise has been in use today.Tai Chi’s movement points are similar with modern rehabilitation technology’s main points.Under the comprehensive trend of Chinese and western rehabilitation, tai chi is more and more used in clinical practice.Practicing Tai Chi asks for moving slowly,breathing slowly,paying attention and concentration, etc.,it has characteristics such as low exercise intensity,and high popularity.Tai Chi training is also not limited by venue,equipment,patients can begin training in the community or home.But Tai Chi has many routines,and some boxing types are difficult to complete for patients with stroke,we modify simple 24 style Tai Chi’s some types appropriately according to the function of patients with stroke in this study,and make its movement characteristics more in line with the needs of patients with stroke.The improvement of modified Tai Chi technology is still based on the idea of traditional Tai Chi,the thought,breathing and movement are coordinating.Modified Tai Chi technology also has penetration of ancient philosophy and thick culture.The modified Tai Chi can improve patients’function,from the perspective of either traditional chinese medicine or western medicine.The development of modified Tai Chi technology will make our country have own rehabilitation technology.Because there are differences between ischemic stroke and hemorrhagic stroke in the pathogenesis,disease prognosis and recovery,this preliminary study is only about ischemic stroke.ObjectiveTo explore the effect of Modified Tai Chi for patients with ischemic stroke.MethodsAll the included ischemic stroke patients were randomly divided into control group and a Tai Chi group,and there are 40 patients at last.Patients in the control group (n=19) received conventional rehabilitation exercise.Patients in the Tai Chi group (n=21) received conventional rehabilitation exercise plus modified Tai Chi exercise.The treating course lasted one month.The Simplified Fugl-Meyer motor function assessment scale (FMA),the Berg Balance Scale (BBS), BI(Barthel index) and SSQOL were assessed before and after treatment.ResultsThere were significant differences in the scores of FMA,BBS,BI and SSQOL(P<0.05) after treatment within both groups.Compared with the control group,the Tai Chi group showed significant improvement in scores of upper limb’s FMA,total scores of FMA and SSQOL (P<0.05). For the scores of BBS, the Tai Chi group revealed improvement but without statistical difference (P=0.058).There were not differences in the scores of BI and lower limb’s FMA(P>0.05) between the Tai Chi group and control group.ConclusionThe current results indicated that Tai Chi may improve the motor function,balance function,the ADL and quality of life for patients with ischemic stroke and high-quality studies are still in need to confirm these results.Tai Chi’s fitness function and treatment function has been confirmed by the domestic and foreign scholars.Tai Chi postures have training points,and have many similarities with modern rehabilitation techniques.Tai Chi have suitable types for stroke patients with different stages of motor function also,and promotes patients’comprehensive rehabilitation from the patients’ motor function,emotion management aspects and so on.Tai Chi’s traditional fitness embodies advantages of the traditional chinese rehabilitation and modern rehabilitation,but people should pay attention to practicing Tai Chi on movement points and prevent the occurrence of sports injury,can’t simply imitate,especially in patients with stroke,who have joint control failure,more attention should be paid to protection when practicing.This study is on the basis of predecessors’research,and improve the Tai Chi’s related position,make the Tai Chi to meet the requirements of stroke patients’motor function,and positive results were obtained preliminarily on ischemic stroke.
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