Background

Effective and sustainable exercise training methods for improving balance poststroke are needed.

Objective

To evaluate the effect of Baduanjin Qigong for improving balance after stroke.

Methods

This was a single-blinded randomized controlled study in which only the assessor was blinded. Fifty-eight people with chronic stroke (mean age: 62.5 ± 11.8 years) were randomly assigned to the experimental (n = 29) or control group (n = 29). The experimental group underwent 8 weeks of supervised Baduanjin training (3 sessions per week). This was followed by home-based practice of the same exercises 3 days a week for another 8 weeks. The control group underwent 2 sessions of supervised conventional fitness training in the first week, followed by home-based exercise practice 3 days a week until the end of week 16. All outcomes were measured at baseline, week 8, and week 16.

Results

Significantly greater improvements in the Mini-Balance Evaluation Systems Test (Mini-BESTest), composite equilibrium score (Sensory Organization Test), 5 Times Sit to Stand, and Timed Up and Go test were detected at week 8 in the experimental group than in the control group (P < .017). Further improvement in the Mini-BESTest was observed from week 8 to 16 in the experimental group (P < .001). Other outcomes (Limit of Stability, Fall-Efficacy Scale, Modified Barthel Index, Stroke-Specific Quality of Life) showed no significant results.

Conclusion

Baduanjin is effective in improving balance, leg strength, and mobility and is a safe and sustainable form of home-based exercise for people with chronic stroke.

中文翻译：

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八段锦气功改善慢性中风患者的平衡、腿部力量和活动能力：一项随机对照研究

背景

需要有效和可持续的运动训练方法来改善中风后的平衡。

客观的

评价八段锦气功改善中风后平衡的效果。

方法

这是一项单盲随机对照研究，其中只有评估者是不知情的。58 名慢性卒中患者（平均年龄：62.5 ± 11.8 岁）被随机分配到实验组（n = 29）或对照组（n = 29）。实验组接受了为期 8 周的监督八段锦训练（每周 3 次）。接下来是每周 3 天的相同练习的家庭练习，再持续 8 周。对照组在第一周接受 2 节有监督的常规健身训练，然后每周 3 天进行家庭运动练习，直到第 16 周结束。所有结果均在基线、第 8 周和第 16 周进行测量。

结果

在第 8 周时，实验组在迷你平衡评估系统测试 (Mini-BESTest)、综合平衡评分（感官组织测试）、5 次坐立和定时起立测试方面的改进显着大于实验组对照组 ( P < .017)。从第 8 周到第 16 周，实验组的 Mini-BESTest 进一步改善（P < .001）。其他结果（稳定性极限、跌倒疗效量表、修正的 Barthel 指数、中风特定的生活质量）没有显示出显着的结果。

结论

八段锦可有效改善平衡、腿部力量和活动能力，是慢性中风患者安全且可持续的居家锻炼方式。