Tai Chi Practice Improves the Symptoms of Multiple Diseases

July 2, 2021July 2, 2021 psyjdc Leave a comment

By John M. de Castro, Ph.D.

“In addition to easing balance problems, and possibly other symptoms, tai chi can help ease stress and anxiety and strengthen all parts of the body, with few if any harmful side effects.” Peter Wayne

Tai Chi is an ancient mindfulness practice involving slow prescribed movements. It is gentle and completely safe, can be used with the elderly and sickly, is inexpensive to administer, can be performed in groups or alone, at home or in a facility or even public park, and can be quickly learned. In addition, it can also be practiced in social groups without professional supervision. This can make it fun, improving the likelihood of long-term engagement in the practice. Indeed, studies have shown that Tai Chi practice is effective in improving the symptoms of many different diseases. The evidence is accumulating. So, it makes sense to step back and summarize what has been learned about the effectiveness of different Tai Chi practices for different disease conditions.

In today’s Research News article “.Clinical Evidence of Tai Chi Exercise Prescriptions: A Systematic Review” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7972853/ ) Huang and colleagues review and summarize the published randomized controlled trials on the effectiveness of different Tai Chi practices for different disease conditions. They identified 139 published randomized controlled trials utilizing a number of different Tai Chi styles and numbers of forms. Yang style was by far the most frequent style and 24 forms was the most frequent number of forms employed.

They report that the published research found that Tai Chi practice produced significant improvement in the symptoms of musculoskeletal system or connective tissue diseases such as osteoarthritis, fibromyalgia, and chronic low back pain.; on circulatory system diseases such as hypertension, stroke, coronary heart disease, and chronic heart failure; on mental and behavioral disorders such as depression, cognitive impairment, and intellectual disabilities; on nervous system diseases such as Parkinson’s disease, dementia, and sleep disorders; on chronic obstructive pulmonary disease (COPD); on endocrine, nutritional, or metabolic diseases such as type 2 diabetes and metabolic syndrome; on the physical and mental state of cancer patients, and on traumatic brain injury and urinary tract disorders; on balance control and flexibility and falls in older adults.

These are remarkable findings. Tai Chi practice appears to be a safe and effective treatment for the symptoms of a wide variety of diseases. It doesn’t cure the disease. Rather if alleviates the symptoms. It is not known the mechanisms by which Tai Chi has these benefits. Future research needs to further explore what facets or effects of Tai Chi practice are responsible for the disease symptom improvements.

So, Tai Chi practice improves the symptoms of multiple diseases.

“Tai Chi and Qigong are evidence-based approaches to improve health-related quality of life, and they may be effective for a range of physical health conditions.” – Ryan Abbott

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

Study Summary

Huang, J., Wang, D., & Wang, J. (2021). Clinical Evidence of Tai Chi Exercise Prescriptions: A Systematic Review. Evidence-based Complementary and Alternative Medicine : eCAM, 2021, 5558805. https://doi.org/10.1155/2021/5558805

Abstract

Objectives

This systematic review aims to summarize the existing literature on Tai Chi randomized controlled trials (RCTs) and recommend Tai Chi exercise prescriptions for different diseases and populations.

Methods

A systematic search for Tai Chi RCTs was conducted in five electronic databases (PubMed, Cochrane Library, EMBASE, EBSCO, and Web of Science) from their inception to December 2019. SPSS 20.0 software and Microsoft Excel 2019 were used to analyze the data, and the risk of bias tool in the RevMan 5.3.5 software was used to evaluate the methodological quality of RCTs.

Results

A total of 139 articles were identified, including diseased populations (95, 68.3%) and healthy populations (44, 31.7%). The diseased populations included the following 10 disease types: musculoskeletal system or connective tissue diseases (34.7%), circulatory system diseases (23.2%), mental and behavioral disorders (12.6%), nervous system diseases (11.6%), respiratory system diseases (6.3%), endocrine, nutritional or metabolic diseases (5.3%), neoplasms (3.2%), injury, poisoning and certain other consequences of external causes (1.1%), genitourinary system diseases (1.1%), and diseases of the eye and adnexa (1.1%). Tai Chi exercise prescription was generally classified as moderate intensity. The most commonly applied Tai Chi style was Yang style (92, 66.2%), and the most frequently specified Tai Chi form was simplified 24-form Tai Chi (43, 30.9%). 12 weeks and 24 weeks, 2-3 times a week, and 60 min each time was the most commonly used cycle, frequency, and time of exercise in Tai Chi exercise prescriptions.

Conclusions

We recommend the more commonly used Tai Chi exercise prescriptions for different diseases and populations based on clinical evidence of Tai Chi. Further clinical research on Tai Chi should be combined with principles of exercise prescription to conduct large-sample epidemiological studies and long-term prospective follow-up studies to provide more substantive clinical evidence for Tai Chi exercise prescriptions.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7972853/

Improve Balance and Exercise Capacity in Stroke Patients with Tai Chi

June 22, 2021 psyjdc Leave a comment

Improve Balance and Exercise Capacity in Stroke Patients with Tai Chi

By John M. de Castro, Ph.D.

“With a complete focus on slow, controlled, and repetitive movements, tai chi is effective in improving one’s balance through dynamic motion and coordination, which is crucial to prevent falls. What many people may not know is that stroke survivors endure seven times as many falls each year as healthy adults.” – Henry Hoffman

Every year, more than 795,000 people in the United States have a stroke and it is the third leading cause of death, killing around 140,000 Americans each year. A stroke results from an interruption of the blood supply to the brain, depriving it of needed oxygen and nutrients. This can result in the death of brain cells and depending on the extent of the damage produce profound loss of function. Even after recovery from stroke patients can experience residual symptoms. Problems with balance and falling are very common. About 30% of stroke survivors develop spasticity, where the muscles become stiff, tighten up, and resist stretching. Obviously, spasticity can interfere with regaining movement after stroke.

The ancient mindful movement technique Tai Chi and Qigong are very safe forms of gentle exercise that appears to be beneficial for stroke victims including improving balance. Tai Chi involves both gentle exercise and mindfulness practice. Much has been learned. So, it makes sense to step back and summarize the research findings.

In today’s Research News article “The Influences of Tai Chi on Balance Function and Exercise Capacity among Stroke Patients: A Meta-Analysis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7932789/ ) Zheng and colleagues review, summarize, and perform a meta-analysis of the published randomized controlled trials of the effectiveness of Tai Chi practice for the rehabilitation of stroke survivors. They identified 19 published randomized controlled trials.

They found that Tai Chi practice produced a significant improvement in balance. Standing and walking ability, 6-minute walking distance, gravity center swing, and exercise ability. Hence, the published randomized controlled trials make a strong case that Tai Chi practice is a safe and effective non-drug treatment to improve the balance and motor ability of stroke patients. These improvements should reduce the incidence of dangerous falls and improve the overall health and quality of life of these patients.

Tai Chi practice is not strenuous, involves slow gentle movements, and is safe, having no appreciable side effects, it is appropriate for all ages including the elderly and for individuals with illnesses that limit their activities or range of motion such as stroke. It can also be practiced without professional supervision and in groups making it inexpensive to deliver and fun to engage in. This makes Tai Chi practice an excellent means to help improve the balance and exercise capacity of stroke patients.

“Tai Chi has an overall beneficial effect on activities of daily living, balance, limb motor function, and walking ability among stroke survivors. . . and may also improve sleep quality, mood, mental health, and other motor function.” – Diyang Lyu

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

Study Summary

Zheng, X., Wu, X., Liu, Z., Wang, J., Wang, K., Yin, J., & Wang, X. (2021). The Influences of Tai Chi on Balance Function and Exercise Capacity among Stroke Patients: A Meta-Analysis. Evidence-based complementary and alternative medicine : eCAM, 2021, 6636847. https://doi.org/10.1155/2021/6636847

Abstract

Objective

This study aims to explore the influences of Tai Chi on the balance function and exercise capacity among stroke patients.

Methods

Databases including PubMed, Embase, WOS (Web of Science), the Cochrane Library, CNKI (China National Knowledge Infrastructure), Wanfang Data, VIP (VIP database), and CBM (China Biology Medicine disc) were retrieved to gather the figures of randomized controlled trials on the balance function and exercise capacity among stroke patients. Then relevant data were input and analyzed in Review Manager 5.3.

Results

Nineteen papers were included and analyzed in this study. According to the combined effect size, the balance function of stroke patients improved significantly: the Berg Balance Function Scale score [MD = 7.67, 95% CI (3.44, 11.90)]; standing and walking test scores [MD = 3.42, 95% CI (4.22, −2.63)]; gravity swing area [MD = 0.79, 95% CI (1.48, 0.10)]; and gravity swing speed [MD = −5.43, 95% CI (−7.79, 3.08)]. In addition, the exercise capacity improved significantly as well: the FMA (Fugl-Meyer Assessment Scale) scale score [MD = 4.15, 95% CI (1.68, 6.63)]. There are no significant influences or changes of other related results.

Conclusions

Stroke patients are able to improve their balance functions and exercise capacities prominently when they do Tai Chi exercise once or twice a week and ≥5 times/week and >30 ≤ 60 min/time.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7932789/

Movement-Based Therapies are Affective for Rehabilitation from Disease

April 30, 2021 psyjdc Leave a comment

Movement-Based Therapies are Affective for Rehabilitation from Disease

By John M. de Castro, Ph.D.

“Tai chi is often described as “meditation in motion,” but it might well be called “medication in motion.” There is growing evidence that this mind-body practice, which originated in China as a martial art, has value in treating or preventing many health problems.” – Havard Health

Mindful movement practices such as yoga and Tai Chi and Qigong have been used for centuries to improve the physical and mental health and well-being of practitioners. But only recently has the effects of these practices come under scientific scrutiny. This research has been accumulating. So, it makes sense to pause and examine what has been learned about the effectiveness of these practice for rehabilitation from disease.

In today’s Research News article “Movement-Based Therapies in Rehabilitation.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7476461/ ) Phuphanich and colleagues review and summarize the published research studies of the effects of mindful movement practices on rehabilitation from disease.

They report that published research has found that yoga practice reduces fatigue, sleep disturbances, depression, and anxiety and improves the immune system in cancer patients. Yoga has been found to be an effective treatment for mental health issues such as anxiety, depression, and post-traumatic stress disorder (PTSD). Yoga has been found to reduce pain levels, fear avoidance, stress, and sleep disturbance and increases self-efficacy and quality of life in chronic pain patients. Yoga has been found to improve the symptoms of traumatic brain injury, stroke, spinal cord injury, Parkinson disease, dementia, multiple sclerosis, epilepsy, and neuropathies. In addition, yoga has been found to improve systolic and diastolic blood pressures, heart rate, respiratory rate, waist circumference, waist/hip ratio, cholesterol, triglycerides, hemoglobin A1c, and insulin resistance in cardiopulmonary diseases.

They report that the published research has found that Tai Chi and Qigong practices reduce falls in the elderly. Tai Chi and Qigong has been found to reduce pain levels and increase quality of life in chronic pain patients. In addition, there is evidence that Tai Chi and Qigong practices improves depression, anxiety, posttraumatic stress disorder, sleep disturbance, schizophrenia, rheumatoid arthritis, spinal cord injury, traumatic brain injury, and immune disorders.

These are remarkable findings. The range of disorders that are positively affected by yoga, Tai Chi, and Qigong practices is breathtaking. These practices are also safe and can be widely implemented at relatively low cost and can be performed alone or in groups and at home or in a therapeutic setting. This suggests that these practices should be routinely implemented for rehabilitation from disease.

So, movement-based therapies are affective for rehabilitation from disease.

“Being mindful through any physical activity can not only improve performance in the activity such as yoga, tennis, swimming, etc, but it can also increase flexibility, confidence in movement and generate a sense of body and mind connection that has the potential for improving your overall sense of well-being.“- Anupama Kommu

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

Study Summary

Phuphanich, M. E., Droessler, J., Altman, L., & Eapen, B. C. (2020). Movement-Based Therapies in Rehabilitation. Physical medicine and rehabilitation clinics of North America, 31(4), 577–591. https://doi.org/10.1016/j.pmr.2020.07.002

Abstract

Movement therapy refers to a broad range of Eastern and Western mindful movement-based practices used to treat the mind, body, and spirit concurrently. Forms of movement practice are universal across human culture and exist in ancient history. Research demonstrates forms of movement therapy, such as dance, existed in the common ancestor shared by humans and chimpanzees, approximately 6 million years ago. Movement-based therapies innately promote health and wellness by encouraging proactive participation in one’s own health, creating community support and accountability, and so building a foundation for successful, permanent, positive change.

Key Points – Movement-based therapies

Decrease fear avoidance and empower individuals to take a proactive role in their own health and wellness.
Can benefit patients of any ability; practices are customizable to the individual’s needs and health.
Are safe, cost-effective, and potent adjunct treatments used to supplement (not replace) standard care.
Deliver patient-centered, integrative care that accounts for the physical, psychological, social, and spiritual aspects of health and illness.
Have diverse, evidence-based benefits, including reduction in pain, stress, and debility, and improvements in range of motion, strength, balance, coordination, cardiovascular health, physical fitness, mood, and cognition.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7476461/

Improve Cardiovascular Risk Factors and Survival in African Americans with Meditation

September 18, 2020 psyjdc Leave a comment

Improve Cardiovascular Risk Factors and Survival in African Americans with Meditation

By John M. de Castro, Ph.D.

“Twice-a-day Transcendental Meditation helped African Americans with heart disease reduce risk of death, heart attack and stroke. Meditation helped patients lower their blood pressure, stress and anger.” – Science Daily

High Blood Pressure (Hypertension) is an insidious disease because there are no overt symptoms. The individual feels fine. But it can be deadly as more than 360,000 American deaths, roughly 1,000 deaths each day, had high blood pressure as a primary or contributing cause. In addition, hypertension markedly increases the risk heart attack, stroke, heart failure, and kidney disease. It is also a very common disorder with about 70 million American adults (29%) having high blood pressure and only about half (52%) of people with high blood pressure have their condition under control. Hypertension is more prevalent in African American populations with 40% having high blood pressure. African Americans were 20 percent more likely to die from heart disease.

High blood pressure, because it doesn’t have any primary symptoms, is usually only diagnosed by direct measurement of blood pressure usually by a health care professional. When hypertension is chronically present over three quarters of patients are treated with antihypertensive drugs. But these medications often have adverse side effects. So, patients feel lousy when taking the drugs, but fine when they’re not. So, compliance is a major issue with many patients not taking the drugs regularly or stopping entirely. Obviously, there is a need for alternative to drug treatments for hypertension.

Mindfulness practices have been shown to aid in controlling hypertension. Indeed, meditation, tai chi, and yoga, have also been shown to be helpful for heart health. These practices have also been shown to reduce the physiological and psychological responses to stress and to be helpful for producing the kinds of lifestyle changes needed to prevent heart disease such as smoking cessation, and weight reduction. They have also been shown to be effective in maintaining cardiovascular health and the treatment of cardiovascular disease. Hence it is reasonable to study the effects of meditation training on cardiovascular health in African Americans.

In today’s Research News article “Stress reduction in the secondary prevention of cardiovascular disease: randomized, controlled trial of transcendental meditation and health education in Blacks. Circulation.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7269100/) Schneider and colleagues recruited African American patients with a history of coronary artery disease. They were randomly assigned to receive either health education or Transcendental Meditation. Both interventions consisted of training for 1.5 hours weekly for the first month, biweekly for the next two months, and monthly thereafter along with home practice. They were measured before and after training and every 6 months thereafter for 9 years for mortality, blood pressure, diet, alcohol and tobacco use, physical activity, depression, anger, and hostility.

They found that in comparison to the health education group, the participants who practiced meditation had significantly lower all-cause mortality rates (44% vs, 54% respectively) and lower rates of myocardial infarction and stroke over the 9-year follow-up period. They also found that the greater the amount of home practice the lower the mortality rate. In addition, at the 5-year follow-up the meditation group had significantly lower systolic blood pressure, resting heart rate, and anger.

These are excellent results that suggest that meditation practice significantly improves survival in African American patients with a history of coronary artery disease. The fact that they were followed for 9 years is remarkable and strengthens the conclusions. Similar to the current results, it has previously been found that mindfulness practices produce significant improvements in cardiovascular function and reduces anger responses. It is not known but it is reasonable to hypothesize that the reduction in blood pressure and heart rate along with anger contributed to the heightened survival.

So, improve cardiovascular risk factors and survival in African Americans with meditation.

“Meditation can serve many purposes. It can help regulate breathing, reduce stress, and aid some in getting in touch with their inner spiritual selves. When it comes to heart health, meditation can take on another role — a preventative one.” – Tri Cities Medical Center

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

Study Summary

Schneider, R. H., Grim, C. E., Rainforth, M. V., Kotchen, T., Nidich, S. I., Gaylord-King, C., Salerno, J. W., Kotchen, J. M., & Alexander, C. N. (2012). Stress reduction in the secondary prevention of cardiovascular disease: randomized, controlled trial of transcendental meditation and health education in Blacks. Circulation. Cardiovascular quality and outcomes, 5(6), 750–758. https://doi.org/10.1161/CIRCOUTCOMES.112.967406

Abstract

Background:

African Americans have disproportionate rates of cardiovascular disease (CVD). Psychosocial stress may contribute to this disparity. Previous trials on stress reduction with the Transcendental Meditation (TM) program have reported improvements in CVD risk factors, surrogate endpoints and mortality in African Americans and other populations.

Methods and Results:

This was a randomized controlled trial of 201 African American men and women with coronary heart disease (CHD) who were randomized to the TM program or health education. The primary end point was the composite of all-cause mortality, myocardial infarction, or stroke. Secondary endpoints included the composite of cardiovascular mortality, revascularizations, and cardiovascular hospitalizations; blood pressure (BP); psychosocial stress factors; and lifestyle behaviors. Over an average follow-up of 5.4 years, there was a 48% risk reduction in the primary end point in the TM group (hazard ratio [HR], 0.52; 95% confidence interval[CI], 0.29-0.92)(P =.025). The TM group also showed a 24% risk reduction in the secondary end point (HR, 0.76; 95% CI, 0.51-0.1.13) (P =.17). There were reductions of 4.9 mm Hg in systolic BP (95% CI −8.3 to –1.5 mm Hg) (P =.01) and anger expression (P < .05 for all scales). Adherence was associated with survival.

Conclusion:

A selected mind-body intervention, the Transcendental Meditation program, significantly reduced risk for mortality, myocardial infarction and stroke in CHD patients. These changes were associated with lower BP and psychosocial stress factors. Therefore, this practice may be clinically useful in the secondary prevention of CVD.

What is known

Psychosocial stress is associated with the onset and progression of cardiovascular disease in African Americans and the general population

Stress reduction with the Transcendental Meditation program has previously been shown to reduce cardiovascular risk factors e.g., hypertension, psychological stress, smoking, insulin resistance and myocardial ischemia.

What this article adds

This randomized controlled trial found that adding stress-reducing Transcendental Meditation to usual care in patients with coronary heart disease resulted in a 48% reduction in the risk for cardiovascular clinical events, i.e., mortality, myocardial infarction and stroke over more than five years of follow up.

Potential mechanisms for the observed outcomes differences included lower blood pressure and anger scores. There was evidence for dose-response effect between regularity of meditation practice and longer survival.

A transcendental meditation program may be useful in the secondary prevention of cardiovascular disease.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7269100/

Reduce Muscular Spasticity After Stroke with Mindfulness

January 17, 2020 psyjdc Leave a comment

Reduce Muscular Spasticity After Stroke with Mindfulness

By John M. de Castro, Ph.D.

“Mindfulness can have a profound effect on stroke rehabilitation by changing your brain and increasing motivation to recover.” – Flint Rehab

The ancient mindful movement technique Tai Chi and Qigong are very safe forms of gentle exercise that appears to be beneficial for stroke victims including improving balance. Tai Chi involves both gentle exercise and mindfulness practice. This raises the possibility that mindfulness practice by itself may be beneficial for stroke victims.

In today’s Research News article “Mindfulness Meditation Effects on Poststroke Spasticity: A Feasibility Study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6585237/), Wathugala and colleagues recruited stroke patients with spasticity, aged 45 to 76 tears and provided them with a 14 day mindfulness training program with one guided session and 13 home practice sessions including body scan and sitting meditations. They were measured before and after training for spasticity, upper limb sensorimotor impairments, quality of life, anxiety, depression, and mindfulness.

They found that the mindfulness training resulted in a significant reduction in spasticity and improvements in the quality of life facets of energy, personality, and work productivity. In addition, the greater the self-reported quality of meditation the greater the reduction in spasticity. Written comments from the participants indicated that they enjoyed the meditations and believed that they were beneficial.

This was a small feasibility study without a control group. But it produced encouraging results that support conducting a large randomized controlled trial. The results suggest that a relatively brief, 2-week, mindfulness training may be beneficial for stroke patients with spasticity. It is not known how mindfulness training might reduce spasticity. But it can be speculated that the ability of mindfulness training to produce relaxation, reduce perceived stress, and to improve the regulation of emotions may be responsible.

So, reduce muscular spasticity after stroke with mindfulness.

“the combination of listening to music and practicing mindfulness can improve the lives of individuals recovering from stroke.” – Taylor Bennett

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

Study Summary

Wathugala, M., Saldana, D., Juliano, J. M., Chan, J., & Liew, S. L. (2019). Mindfulness Meditation Effects on Poststroke Spasticity: A Feasibility Study. Journal of evidence-based integrative medicine, 24, 2515690X19855941. doi:10.1177/2515690X19855941

Abstract

This study examined the feasibility of an adapted 2-week mindfulness meditation protocol for chronic stroke survivors. In addition, preliminary effects of this adapted intervention on spasticity and quality of life in individuals after stroke were explored. Ten chronic stroke survivors with spasticity listened to 2 weeks of short mindfulness meditation recordings, adapted from Jon Kabat-Zinn’s Mindfulness-Based Stress Reduction course, in a pre/post repeated measures design. Measures of spasticity, quality of life, mindfulness, and anxiety, along with qualitative data from participants’ daily journals, were assessed. On average, participants reported meditating 12.5 days of the full 15 days (mean 12.5 days, SD 0.94, range 8-15 days). Seven of the 10 participants wrote comments in their journals. In addition, there were no adverse effects due to the intervention. Exploratory preliminary analyses also showed statistically significant improvements in spasticity in both the elbow (P = .032) and wrist (P = .023) after 2 weeks of meditation, along with improvements in quality of life measures for Energy (P = .013), Personality (P = .026), and Work/Productivity (P = .032). This feasibility study suggests that individuals with spasticity following stroke are able to adhere to a 2-week home-based mindfulness meditation program. In addition, preliminary results also suggest that this adapted, short mindfulness meditation program might be a promising approach for individuals with spasticity following stroke. Future research should expand on these preliminary findings with a larger sample size and control group.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6585237/

Facilitate Stroke Rehabilitation with Tai Chi Practice

October 5, 2019 psyjdc Leave a comment

Facilitate Stroke Rehabilitation with Tai Chi Practice

By John M. de Castro, Ph.D.

“implementing the ancient Chinese art of tai chi into one’s routine may produce strong results of increased stability and functionality, leading to an overall sense of well being for the stroke survivor.” – Saebo

It is clear that basic physical fitness and exercise are excellent for stroke prevention and rehabilitation. Yoga practice is an exercise that can be adapted to the needs and limitations of stroke victims. The ancient mindful movement technique Tai Chi and Qigong are very safe forms of gentle exercise that appears to be beneficial for stroke victims including improving balance. It is difficult to get stroke survivors to engage in exercise. Perhaps the practice of Tai Chi, since it is adaptable, very gentle, and fun, might be acceptable and effective in the treatment of stroke survivors.

In today’s Research News article “The effect of Tai Chi exercise on motor function and sleep quality in patients with stroke: A meta-analysis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6626210/), Li and colleagues review, summarize, and perform a meta-analysis of the published research literature on the effectiveness of Tai Chi practice for the rehabilitation of patients who have survived strokes. They identified 17 published randomized controlled trials.

They report that the published studies found that Tai Chi practice produced a significant improvement in balance and ability to perform daily activities in the stroke survivors. There were no significant improvements in either sleep quality or walking ability.

The results of the published research to date suggest that Tai Chi practice is a safe and effective treatment to improve stroke survivors ability to perform daily activities. This is important for improving the independence of the survivors and for their quality of life. The studies also found that Tai Chi practice improved balance. This is very important as this would reduce the likelihood of falls which are a real threat to the health and even longevity of stroke survivors. So, Tai Chi practice produces important benefits for the health and well-being of stroke survivors.

So, facilitate stroke rehabilitation with Tai Chi practice.

“The benefits of tai chi for stroke patients may come from the unique combination of slow, controlled movements coupled with relaxation. In one study on tai chi for stroke recovery, patients who didn’t participated in tai chi sustained 5 times more falls than those who did.” – Flint Rehab

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

Study Summary

Li, Y., Zhang, Y., Cui, C., Liu, Y., Lei, M., Liu, T., … Jin, C. (2017). The effect of Tai Chi exercise on motor function and sleep quality in patients with stroke: A meta-analysis. International Journal of Nursing Sciences, 4(3), 314–321. doi:10.1016/j.ijnss.2017.06.001

Abstract

Objective

The meta-analysis is to objectively evaluate the efficacy of Tai Chi exercise for motor function and sleep quality in patients with stroke.

Methods

Randomized controlled trials(RCTs) about the effects of Tai Chi versus a non-exercise or conventional rehabilitation exercise control group on motor function and sleep quality in patients with stroke were searched from multiple electronic databases(PubMed, Web of Science, the Cochrane Library, EMBASE, AMED, CBM, CNKI, Wanfang and VIP) until August 2016. Two investigators independently screened eligible studies, extracted data, and assessed the methodological quality by using the quality evaluation criteria for RCTs recommended by Cochrane Handbook. Then meta-analysis was performed by RevMan5.3 software.

Results

A total of 17 RCTs with 1209 participants were included. The meta-analysis indicated that there was a significant difference on improving the balance function(P < 0.001) and ability of daily activity (P = 0.0003) of patients with stroke between Tai Chi group and control group. However, no significant effect was found on Tai Chi for walking function and sleep quality(P > 0.05).

Conclusion

Tai Chi exercise can significantly improve the balance function and ability of daily activities of patients with stroke, and there are no significant differences in walking function and sleep quality. Therefore, lots of multicenter, large-sample, higher quality randomized controlled trials are needed to verify the effects of Tai Chi exercise in improving walking function and sleep quality for patients with stroke.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6626210/

Improve Balance in Stroke Victims with Tai Chi Practice

February 16, 2019July 19, 2020 psyjdc Leave a comment

Improve Balance in Stroke Victims with Tai Chi Practice

By John M. de Castro, Ph.D.

“Stroke can impair balance, heightening the risk of a debilitating fall. But . . . stroke survivors can improve their balance by practicing the Chinese martial art of tai chi.” – ScienceDaily

There are a number of risk factors for stroke that are unchangeable, such as family history, age, and genes. But there are a very large number of factors that are under our control including high blood pressure, smoking, high cholesterol, poor diet, sedentariness, and obesity. Given this list it is clear that basic physical fitness and exercise would be excellent for stroke prevention. Yoga practice is an exercise that can be adapted to the needs and limitations of stroke victims. The ancient mindful movement technique Tai Chi and Qigong are very safe forms of gentle exercise that appears to be beneficial for stroke victims including improving balance. It is difficult to get stroke survivors to engage in exercise. Perhaps the practice of Tai Chi , since it is adaptable, very gentle, and fun, might be acceptable and effective in the treatment of stroke survivors.

In today’s Research News article “Effect of Tai Chi Exercise on Balance Function of Stroke Patients: A Meta-Analysis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6289026/ ), Wu and colleagues review summarize and perform a meta-analysis of the published research literature on the effectiveness of Tai Chi in improving balance and preventing falls in stroke survivors. They identified 6 randomized controlled trials for inclusion in the analysis.

They found that the published research reported that after Tai Chi practice the stroke victims demonstrated significantly better balance and walking ability and fewer falls than stroke victims who performed physical therapy or other exercises. Hence, the published research supports the conclusion that Tai Chi practice is a safe and effective exercise for stroke victims to improve balance and decrease the likelihood of falls.

Tai Chi is a gentle and safe exercise that is appropriate for all ages including the elderly and for individuals with illnesses that limit their activities or range of motion, such as stroke recovery. Also, Tai Chi is inexpensive to administer, can be performed in groups or alone, at home or in a facility, and can be quickly learned. In addition, it can be practiced in social groups. This can make it fun, improving the likelihood of long-term engagement in the practice. So, Tai Chi practice would appear to be an almost ideal gentle exercise to improve motor ability and balance and reduce falls in stroke victims.

So, improve balance in strike victims with tai chi practice.

“Stroke survivors are particularly at risk from falls, with evidence suggesting they suffer up to seven times as many falls per year than healthy adults. Tai Chi, an ancient Chinese martial art, could help prevent falls by improving people’s balance, muscle strength and endurance as well as providing psychological benefits.“ – Ruth Taylor-Piliae

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

Study Summary

Wu, S., Chen, J., Wang, S., Jiang, M., Wang, X., & Wen, Y. (2018). Effect of Tai Chi Exercise on Balance Function of Stroke Patients: A Meta-Analysis. Medical science monitor basic research, 24, 210-215. doi:10.12659/MSMBR.911951

Abstract

Background

Tai Chi is an ancient form of physical activity that has been shown to improve cardiovascular function, but to date there had been no comprehensive systematic review on the effect of Tai Chi exercise on balance function of patients with stroke. This study evaluated the effect of Tai Chi exercise on balance function in stroke patients.

Material/Methods

PubMed, Cochrane library, and China National Knowledge Information databases and the Wan Fang medical network were searched to collect the articles. The random-effects model was used to assess the effect of Tai Chi exercise on balance function of stroke patients.

Results

Six studies were chosen to perform the meta-analysis according to the inclusion and exclusion criteria. There were significant improvements of balance on Berg Balance Scale score (MD=4.823, 95% CI: 2.138–7.508), the standing balance with fall rates (RR=0.300, 95%CI: 0.120–0.770), functional reach test and dynamic gait index in Tai Chi intervention group compared to the control intervention group. However, the short physical performance battery for balance (SPBB) showed Tai Chi did not significantly improve the ability of balance for stroke patients (MD=0.293, 95%CI: −0.099~0.685).

Conclusions

Tai Chi exercise might have a significant impact in improving balance efficiency by increasing BBS score and reducing fall rate.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6289026/

Improve Balance in Stroke Survivors with Qigong

October 26, 2018 psyjdc Leave a comment

Improve Balance in Stroke Survivors with Qigong

By John M. de Castro, Ph.D.

“One of the main issues that a stroke survivor experiences is a problem with balance. Factors contributing to this issue include vision impairments, unbalanced inner-ear equilibrium, or physical weakness on one side of the body. This is where tai chi can make a huge difference. With a complete focus on slow, controlled, and repetitive movements, tai chi is effective in improving one’s balance through dynamic motion and coordination, which is crucial to prevent falls.” – Saebo

There are a number of risk factors for stroke that are unchangeable, such as family history, age, and genes. But there are a very large number of factors that are under our control including high blood pressure, smoking, high cholesterol, poor diet, sedentariness, and obesity. Given this list it is clear that basic physical fitness and exercise would be excellent for stroke prevention. Yoga practice is an exercise that can be adapted to the needs and limitations of stroke victims. The ancient mindful movement technique Tai Chi and Qigong are very safe forms of gentle exercise that appears to be beneficial for stroke victims. It is difficult to get stroke survivors to engage in exercise. Perhaps the practices of yoga or Tai Chi and Qigong, since they are adaptable and very gentle, might be acceptable and effective in the treatment of stroke survivors.

In today’s Research News article “Effects of Mind–Body Movements on Balance Function in Stroke Survivors: A Meta-Analysis of Randomized Controlled Trials.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6025433/ ), Zou and colleagues review, summarize, and perform a meta-analysis of the published research literature on the effectiveness of the mindful movement practices of yoga or Tai Chi and Qigong for assisting in the rehabilitation of stroke victims. They found 18 published randomized controlled studies.

They found that mindful movement practices produced strong and significant improvements in balance of the patients recovering from stroke. This is particularly important as problems with balance can lead to falling which is a leading cause of injury and death among stroke victims. So, improved balance is an important benefit to the patients. These results are encouraging and suggest that the mindful movement practices of yoga or Tai Chi and Qigong should be used in the rehabilitation or stroke victims.

So, improve balance in stroke survivors with yoga, tai chi or qigong.

“The main physical benefits of Tai Chi are better balance, improved strength, flexibility and aerobic endurance. Psycho-social benefits include less depression, anxiety and stress, and better quality of life.” –Ruth E. Taylor-Piliae

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

Study Summary

Zou, L., Yeung, A., Li, C., Chiou, S.-Y., Zeng, N., Tzeng, H.-M., … Thomas, G. A. (2018). Effects of Mind–Body Movements on Balance Function in Stroke Survivors: A Meta-Analysis of Randomized Controlled Trials. International Journal of Environmental Research and Public Health, 15(6), 1292. http://doi.org/10.3390/ijerph15061292

Abstract

Objective: We performed a systematic review with meta-analysis and meta-regression to determine if mind–body movements (MBM) could be effective in rehabilitating balance function among stroke survivors. Methods: A literature search was conducted using major Chinese and English electronic databases from an inception until January 2018. Randomized controlled studies were included in our meta-analysis. Data was independently extracted by two review authors using a pre-developed table and confirmed by a third party to reach a consensus. Pooled effect size (Hedge’s g) was computed while the random-effect model was set. Results: The meta-analytic results showed a significant benefit of the MBM intervention on increased balance function compared to the control groups (Hedge’s g = 1.59, CI 0.98 to 2.19, p < 0.001, I2 = 94.95%). Additionally, the meta-regression indicated that the total number of sessions (β = 0.00142, 95% CI 0.0039 to 0.0244, p = 0.0067) and dose of weekly training (β = 0.00776, 95% CI0.00579 to 0.00972, p = 0.00) had significantly positive effects on balance function. Conclusions: The study encouraging findings indicate the rehabilitative effect of a MBM intervention for balance function in stroke survivors. However, there were significant limitations in the design among several of the included trials. Additional studies with more robust methodologies are needed to provide a more definitive conclusion.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6025433/

Improve Recovery from Stroke with Tai Chi Practice

August 18, 2018 psyjdc Leave a comment

Improve Recovery from Stroke with Tai Chi Practice

By John M. de Castro, Ph.D.

“Suffering from a stroke is a tremendous event for anyone to face, but the practice of tai chi offers the possibility for a regeneration of the mind, body, and spirit.“ – Saebo

Every year, more than 795,000 people in the United States have a stroke and it is the third leading cause of death, killing around 140,000 Americans each year. A stroke results from an interruption of the blood supply to the brain, depriving it of needed oxygen and nutrients. This can result in the death of brain cells and depending on the extent of the damage produce profound loss of function. Strokes come in two varieties. The most common (87%) is ischemic stroke resulting from a blocked artery. But strokes can also occur due to leaking or rupture of a blood vessel in the brain, known as hemorrhagic stroke.

There are a number of risk factors for stroke that are unchangeable, such as family history, age, and genes. But there are a very large number of factors that are under our control including high blood pressure, smoking, high cholesterol, poor diet, sedentariness, and obesity. Given this list it is clear that basic physical fitness and exercise would be excellent for stroke prevention. The ancient mindful movement technique Tai Chi is a very safe form of gentle exercise that appears to be beneficial for stroke victims. It is difficult to get stroke survivors to engage in exercise. Perhaps the practice of Tai Chi, since it is very gentle, might be acceptable and effective in the treatment of stroke survivors.

In today’s Research News article “Tai Chi for Stroke Rehabilitation: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6068268/ ), Lyu and colleagues review, summarize, and perform a meta-analysis of the 21 published research studies of the effectiveness of Tai Chi practice for patients undergoing rehabilitation from a stroke.

They found that Tai Chi practice in addition to conventional rehabilitation therapy in comparison to conventional rehabilitation therapy alone produced significantly greater gains in the victims ability to conduct daily living activities, in their limb motor abilities, balance, and walking ability. These results are impressive and suggest that Tai Chi practice is a safe and effective addition to conventional rehabilitation therapy for stroke victims to improve movement and thereby improve their ability to conduct their normal daily activities.

Tai Chi is gentle and safe, is appropriate for all ages including the elderly and for individuals with illnesses that limit their activities or range of motion, such as stroke recovery, is inexpensive to administer, can be performed in groups or alone, at home or in a facility, and can be quickly learned. In addition, it can be practiced in social groups. This can make it fun, improving the likelihood of long-term engagement in the practice. So, Tai Chi practice would appear to be an almost ideal gentle exercise to be added to conventional rehabilitation therapy for the treatment of stroke survivors.

So, improve recovery from stroke with tai chi practice.

“Learning how to find and maintain your balance after a stroke is a challenge. Tai Chi is effective in improving both static and dynamic balance, which is important to prevent falls.” – Ruth Taylor-Piliae

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

Study Summary

Lyu, D., Lyu, X., Zhang, Y., Ren, Y., Yang, F., Zhou, L., … Li, Z. (2018). Tai Chi for Stroke Rehabilitation: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Frontiers in Physiology, 9, 983. http://doi.org/10.3389/fphys.2018.00983

Abstract

Background: Stroke is a major cause of poor health and has numerous complications. Tai Chi (TC) may have positive effects on the rehabilitation of stroke survivors, but recent clinical findings have not been included in previously published reviews.

Objectives: We conducted this systematic review and meta-analysis to determine the effectiveness of all types of TC vs. conventional rehabilitation therapy for all aspects of stroke survivors’ rehabilitation that have been studied.

Method: We searched seven electronic literature databases (three in English, four in Chinese) and one clinical registry platform using established strategies to identify randomized controlled trials performed up to October 2017. Screening, quality assessment, and data collection were performed by two researchers separately, using the same standard. The results were analyzed using RevMan 5.3.0. The quality of evidence was evaluated with GRADEpro.

Results: A total of 21 studies with 1,293 stroke survivors met inclusion criteria; 14 were included in the quantitative synthesis to evaluate four aspects and five outcomes. Nine studies indicated that TC was able to improve independent activities of daily living (ADL), especially TC vs. conventional rehabilitation therapy [mean difference (MD) [95% confidence interval (CI)] = 9.92 [6.82, 13.02], P < 0.00001]. Five studies reported significant effects of TC plus conventional rehabilitation therapy in increasing scores on the Fugl–Meyer Assessment for the upper limb [MD (95%CI) = 8.27 [4.69, 11.84], P < 0.0001], lower limb [MD (95%CI) = 2.75 [0.95, 4.56], P = 0.003], and overall [MD (95%CI) = 4.49 [1.92, 7.06], P = 0.0006]. The Berg Balance Scale revealed significant improvements according to pooled estimates for TC vs. conventional rehabilitation therapy [MD (95%CI) = 5.23 [3.42, 7.05], P < 0.00001]. TC plus conventional rehabilitation therapy also improved walking ability as measured by the Holden scale [MD (95%CI) = 0.61 [0.38, 0.85], P < 0.00001] and up-and-go time [MD (95%CI) = 2.59 [1.76, 3.43], P < 0.00001].

Conclusion: TC has an overall beneficial effect on ADL, balance, limb motor function, and walking ability among stroke survivors, based on very low-quality evidence, and may also improve sleep quality, mood, mental health, and other motor function. Well-designed, higher-quality trials with longer-term follow-up periods are needed to develop better-quality evidence.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6068268/

Decrease Stroke Risk with Tai Chi or Qigong

January 19, 2018 psyjdc Leave a comment

Decrease Stroke Risk with Tai Chi or Qigong

By John M. de Castro, Ph.D.

“One of the main issues that a stroke survivor experiences is a problem with balance. . .This is where tai chi can make a huge difference. With a complete focus on slow, controlled, and repetitive movements, tai chi is effective in improving one’s balance through dynamic motion and coordination”. Saebo

Every year, more than 795,000 people in the United States have a stroke and it is the third leading cause of death, killing around 140,000 Americans each year. A stroke results from an interruption of the blood supply to the brain, depriving it of needed oxygen and nutrients. This can result in the death of brain cells and depending on the extent of the damage produce profound loss of function. Strokes come in two varieties. The most common (87%) is ischemic stroke resulting from a blocked artery. But strokes can also occur due to leaking or rupture of a blood vessel in the brain, known as hemorrhagic stroke.

In today’s Research News article “Efficacy of Tai Chi and qigong for the prevention of stroke and stroke risk factors: A systematic review with meta-analysis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5690748/ ),

Lauche and colleagues review, summarize, and perform a meta-analysis of the effects of Tai Chi or Qigong practice on risk factors for Stroke. They did not find any trials that reported actual incidence of stroke, but found 21 research controlled trials that reported on risk factors for stroke, including hypertension, hyperlipidaemia, diabetes, overweight or obesity, or metabolic syndrome.

They found that the published research reported that Tai Chi or Qigong practice produced significant improvement in hypertension including reductions in both systolic and diastolic blood pressure. The studies also reported significant improvements in hyperlipidaemia, including lower levels of triglycerides, and LDL cholesterol, and higher levels of HDL cholesterol and in diabetes including fasting blood glucose levels and insulin sensitivity. Tai Chi or Qigong practice was also found to improve the body weight index in overweight and obese individuals. No adverse events were reported in any of the trials.

These results are remarkable in the breadth and extent of the effects of Tai Chi or Qigong practice on risk factors for stroke. Although there were no direct measures of stroke incidence the reductions in risk factors would predict a reduction, over the long-term of the likelihood and incidence of stroke. Lauche and colleagues, however, caution that the trials tended to be of low quality with considerable risk of bias. Hence, conclusions need to be tempered and the results needs to be confirmed with more highly controlled trials.

The review found evidence that Tai Chi or Qigong practices are safe, with no negative effects or adverse reactions. In addition, they can be implemented to large numbers of individuals at relatively low cost, can be conveniently practiced at home or in a clinic, and can be practiced alone or in groups. Also, since the practice is gentle and safe it can be used with frail, sickly or elderly individuals. Hence, Tai Chi or Qigong practice appears to be an excellent treatment for the reduction of the risk for stroke in vulnerable individuals.

So, decrease stroke risk with Tai Chi or Qigong.

CMCS – Center for Mindfulness and Contemplative Studies

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

Study Summary

Lauche, R., Peng, W., Ferguson, C., Cramer, H., Frawley, J., Adams, J., & Sibbritt, D. (2017). Efficacy of Tai Chi and qigong for the prevention of stroke and stroke risk factors: A systematic review with meta-analysis. Medicine, 96(45), e8517. http://doi.org/10.1097/MD.0000000000008517

Abstract

Background:

This review aims to summarize the evidence of Tai Chi and qigong interventions for the primary prevention of stroke, including the effects on populations with major stroke risk factors.

Methods:

A systematic literature search was conducted on January 16, 2017 using the PubMed, Scopus, Cochrane Library, and CINAHL databases. Randomized controlled trials examining the efficacy of Tai Chi or qigong for stroke prevention and stroke risk factors were included. Risk of bias was assessed using the Cochrane Risk of Bias tool.

Results:

Twenty-one trials with n = 1604 patients with hypertension, hyperlipidaemia, diabetes, overweight or obesity, or metabolic syndrome were included. No trials were found that examined the effects of Tai Chi/qigong on stroke incidence. Meta-analyses revealed significant, but not robust, benefits of Tai Chi/qigong over no interventions for hypertension (systolic blood pressure: −15.55 mm Hg (95% CI: −21.16; −9.95); diastolic blood pressure: −10.66 mm Hg (95% CI: −14.90, −6.43); the homeostatic model assessment (HOMA) index (−2.86%; 95% CI: −5.35, −0.38) and fasting blood glucose (−9.6 mg/dL; 95% CI: −17.28, −1.91), and for the body mass index compared with exercise controls (−1.65 kg/m2; 95% CI: −3.11, −0.20). Risk of bias was unclear or high for the majority of trials and domains, and heterogeneity between trials was high. Only 6 trials adequately reported safety. No recommendation for the use of Tai Chi/qigong for the prevention of stroke can be given.

Conclusion:

Although Tai Chi and qigong show some potential more robust studies are required to provide conclusive evidence on the efficacy and safety of Tai Chi and qigong for reducing major stroke risk factors.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5690748/