The Effect of the Effects of Tai Chi Exercise on Physical and Psychological Functioning in Stroke Patients at the Rehabilitation Stage: A Scoping Review

  • Nimas Efa Amanah Universitas Diponegoro
  • Meira Erawati Universitas Diponegoro
  • Fitria Handayani Universitas Diponegoro
Keywords: physical, psychological, rehabilitation, stroke, tai chi

Abstract

Research on the effects of Tai Chi on physical and psychological functioning in stroke patients has been conducted by previous researchers. However, so far there are limited reviews on this topic. The purpose of this review is to get an overview of the extent of the effects on physical and psychological functions in stroke patients based on the results of studies that have been conducted. Method The keywords used in the article search is “Tai chi” AND “Stroke” AND “Psychological stroke” AND “Stroke rehabilitation” were analyzed using a synthesis matrix. Several databases used in this study such as Scopus (n = 187), Pubmed (n = 17), Sciendirect (n = 3,234) and EBSCO (n = 548) were then eliminated and screened into 10 articles reviewed. The review method uses a scoping review, determining the research questions to be reviewed using the PICO framework (Population, Intervention, Comparison, Outcome). Based on the results of the analysis of 10 articles, it was found that Tai Chi has an influence in helping to reduce symptoms and improve physical and psychological conditions in stroke patients, including on physical function, are increasing motor function (upper and lower extremities), muscle strength, cardiopulmonary, trunk posture, increasing swallowing ability, increasing mobility disorders, sleep disorders and balance control, while on psychological functions are post-stroke depression, reducing symptoms of anxiety and stress, cognitive function in stroke and QOL. The conclusion of the journal review shows that tai chi has an effect on improving physical and psychological conditions and quality of life in stroke patients.

References

B, V. W., Rahman, F. F., & Ningrum, V. (2023). Proceedings of the 3rd International Conference on Cardiovascular Diseases (ICCvD 2021). In Proceedings of the 3rd International Conference on Cardiovascular Diseases (ICCvD 2021) (Vol. 1). Atlantis Press International BV. https://doi.org/10.2991/978-94-6463-048-0

Bártlová, S., Šedová, L., Havierniková, L., Hudáčková, A., Dolák, F., & Sadílek, P. (2022). Quality of life of post-stroke patients. Zdravstveno Varstvo, 61(2), 101–108. https://doi.org/10.2478/sjph-2022-0014

Cai, Q., Cai, S. bin, Chen, J. kun, Bai, X. H., Jing, C. X., Zhang, X., & Li, J. Q. (2022). Tai Chi for anxiety and depression symptoms in cancer, stroke, heart failure, and chronic obstructive pulmonary disease: A systematic review and meta-analysis. Complementary Therapies in Clinical Practice, 46. https://doi.org/10.1016/j.ctcp.2021.101510

Campbell, B. C. V., & Khatri, P. (2020). Stroke. The Lancet, 396(10244), 129–142. https://doi.org/10.1016/S0140-6736(20)31179-X

Capirossi, C., Laiso, A., Renieri, L., Capasso, F., & Limbucci, N. (2023). Epidemiology, organization, diagnosis and treatment of acute ischemic stroke. European Journal of Radiology Open, 11(October), 100527. https://doi.org/10.1016/j.ejro.2023.100527

Chen, R., Zhang, Y., Wang, X., Zhao, Y., Fan, S., Xue, Y., Zhao, J., Liu, Y., & Wang, P. (2023). Treatment effects of low-frequency repetitive transcranial magnetic stimulation combined with motor relearning procedure on spasticity and limb motor function in stroke patients. Frontiers in Neurology, 14. https://doi.org/10.3389/fneur.2023.1213624

Cui, R., Liu, H., Li, M., Wang, J., Mao, J., Ni, W., Wang, F., Pan, J., Yu, L., Wang, Y., Wang, Y., Huang, P., Li, G., Zhao, Y., Zhu, N., Chen, C., Pan, Z., Zhang, Y., Fu, W., & Yang, J. (2023). Effects of “Taking the Waist as the Axis” Therapy on trunk postural control disorder after stroke: A randomized controlled trial. Frontiers in Aging Neuroscience, 15(January), 1–12. https://doi.org/10.3389/fnagi.2023.1040277

Feigin, V. L., Brainin, M., Norrving, B., Martins, S., Sacco, R. L., Hacke, W., Fisher, M., Pandian, J., & Lindsay, P. (2022). World Stroke Organization (WSO): Global Stroke Fact Sheet 2022. International Journal of Stroke, 17(1), 18–29. https://doi.org/10.1177/17474930211065917

Harjpal, P., Qureshi, M. I., Kovela, R. K., & Jain, M. (2022). Efficacy of Bilateral Lower-Limb Training Over Unilateral Lower-Limb Training To Reeducate Balance and Walking in Post-Stroke Survivors: A Randomized Clinical Trial. Cureus, 14(10), 1–13. https://doi.org/10.7759/cureus.30748

Jiang, L. H., Zhao, L. J., Liu, Y., Zhang, H., Zhang, S. C., Cong, W. Q., & Qi, R. (2022). Effectiveness of Tai Chi Yunshou motor imagery training for hemiplegic upper extremity motor function in poststroke patients: study protocol for a randomized clinical trial. Trials, 23(1), 1–9. https://doi.org/10.1186/s13063-022-06283-z

Jing, C., Li, K., Li, Z., Sun, Y., Wu, J., Li, Y., Li, Y., Zhou, L., Zhang, Z., Zhao, M., & Zhang, Y. (2021). Tai Chi postural training for dyskinesia rehabilitation: A study protocol for a randomised controlled trial in convalescent ischaemic stroke patients. BMJ Open, 11(5), 1–10. https://doi.org/10.1136/bmjopen-2020-046003

Lee, L. Y. K., & Chu, E. C. P. (2023). Tai Chi as a Body-Mind Exercise for Promotion of Healthy Aging in Nursing Home Residents: Appropriateness, Feasibility, and Effectiveness. Clinical Interventions in Aging, 18(November), 1949–1959. https://doi.org/10.2147/CIA.S430968

Lerma Castaño, P. R., Rodríguez Laiseca, Y. A., Montealegre Suárez, D. P., Castrillón Papamija, D. B., & Losada Urriago, G. E. (2020). Effects of kinesiotaping combined with the motor relearning method on upper limb motor function in adults with hemiparesis after stroke. Journal of Bodywork and Movement Therapies, 24(4), 546–553. https://doi.org/10.1016/j.jbmt.2020.07.003

Lustenhouwer, R., Van Alfen, N., Cameron, I. G. M., Toni, I., Geurts, A. C. H., Helmich, R. C., Van Engelen, B. G. M., & Groothuis, J. T. (2019). NA-CONTROL: A study protocol for a randomised controlled trial to compare specific outpatient rehabilitation that targets cerebral mechanisms through relearning motor control and uses self-management strategies to improve functional capability of the uppe. Trials, 20(1), 1–17. https://doi.org/10.1186/s13063-019-3556-4

Lyu, D., Wang, J., Yang, F., Zhang, Y., Zhang, W., Liu, H., Lyu, X., & Fang, B. (2021). Effect of Tai Chi on post-stroke non-motor disorders: a systematic review and meta-analysis of randomized controlled trials. Clinical Rehabilitation, 35(1), 26–38. https://doi.org/10.1177/0269215520951020

Martini, S., Setia Ningrum, D. A., Abdul-Mumin, K. H., & Yi-Li, C. (2022). Assessing quality of life and associated factors in post-stroke patients using the world health organization abbreviated generic quality of life questionnaire (WHOQOL-BREF). Clinical Epidemiology and Global Health, 13(December 2021), 100941. https://doi.org/10.1016/j.cegh.2021.100941

Song, R., Park, M., Jang, T., Oh, J., & Sohn, M. K. (2021). Effects of a tai chi-based stroke rehabilitation program on symptom clusters, physical and cognitive functions, and quality of life: A randomized feasibility study. International Journal of Environmental Research and Public Health, 18(10). https://doi.org/10.3390/ijerph18105453

Tan, T., Meng, Y., Li, X., Bai, R., Wang, C., Lyu, J., Yan, K., Liu, M., Zhang, C., & Wei, Y. (2021). The novel effectiveness of Tai Chi on cardiopulmonary fitness among stroke patients in the recovery phase: a study protocol for a randomized controlled trial. Trials, 22(1), 1–11. https://doi.org/10.1186/s13063-021-05565-2

Taylor-piliae, R. E., Morrison, H. W., Hsu, C. P., Whitman, S., & Grandner, M. (2021). The Feasibility of Tai Chi Exercise as a Beneficial Mind-Body Intervention in a Group of Community-Dwelling Stroke Survivors with Symptoms of Depression. 2021.

Wang, D., Wang, P., Lan, K., Zhang, Y., & Pan, Y. (2020). Effectiveness of tai chi exercise on overall quality of life and its physical and psychological components among older adults: A systematic review and meta analysis. Brazilian Journal of Medical and Biological Research, 53(10), 1–7. https://doi.org/10.1590/1414-431x202010196

Widiasih, R., Susanti, R. D., Mambang Sari, C. W., & Hendrawati, S. (2020). Menyusun Protokol Penelitian dengan Pendekatan SETPRO: Scoping Review. Journal of Nursing Care, 3(3), 171–180. https://doi.org/10.24198/jnc.v3i3.28831

Xie, Q., Wu, J., Zhang, Q., Zhang, Y., Sheng, B., Wang, X., & Huang, J. (2023). Neurobiomechanical mechanism of Tai Chi to improve upper limb coordination function in post-stroke patients: a study protocol for a randomized controlled trial. Trials, 24(1), 1–13. https://doi.org/10.1186/s13063-023-07743-w

Yu, X. M., Jin, X. M., Lu, Y., Gao, Y., Xu, H. C., Xue, X., Fang, L., & Hu, J. (2020). Effects of Body Weight Support-Tai Chi Footwork Training on Balance Control and Walking Function in Stroke Survivors with Hemiplegia: A Pilot Randomized Controlled Trial. Evidence-Based Complementary and Alternative Medicine, 2020. https://doi.org/10.1155/2020/9218078

Zhang, L., Wang, J., Zhou, H., Liao, W., Wang, N., & Yu, X. (2024). The effect of body weight-supported Tai Chi Yunshou on upper limb motor function in stroke survivors based on neurobiomechanical analysis: a four-arm, parallel-group, assessors-blind randomized controlled trial protocol. Frontiers in Neurology, 15(July), 1–11. https://doi.org/10.3389/fneur.2024.1395164

Zhao, J., Chau, J. P. C., Chan, A. W. K., Meng, Q., Choi, K. C., Xiang, X., Zhao, Y., He, R., & Li, Q. (2022). Tailored Sitting Tai Chi Program for Subacute Stroke Survivors: A Randomized Controlled Trial. Stroke, 53(7), 2192–2203. https://doi.org/10.1161/STROKEAHA.121.036578

Zhao, J., Chau, J. P. C., Lo, S. H. S., Choi, K. C., & Liang, S. (2021). The effects of sitting Tai Chi on physical and psychosocial health outcomes among individuals with impaired physical mobility: A systematic review and meta-analysis. International Journal of Nursing Studies, 118, 103911. https://doi.org/10.1016/j.ijnurstu.2021.103911.

Published
2025-08-01
How to Cite
Amanah, N. E., Erawati, M., & Handayani, F. (2025). The Effect of the Effects of Tai Chi Exercise on Physical and Psychological Functioning in Stroke Patients at the Rehabilitation Stage: A Scoping Review. Indonesian Journal of Global Health Research, 7(4), 145-154. https://doi.org/10.37287/ijghr.v7i4.5831