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Randomized Controlled Trial
. 2025 Sep 18:31:e948817.
doi: 10.12659/MSM.948817.

Impact of Tai Ji Yunshou with Visual Feedback on Balance and Mobility in Stroke Patients

Affiliations
Randomized Controlled Trial

Impact of Tai Ji Yunshou with Visual Feedback on Balance and Mobility in Stroke Patients

Song Pei et al. Med Sci Monit. .

VSports app下载 - Abstract

BACKGROUND Stroke often impairs balance and mobility VSports手机版. This study aimed to compare outcomes at 1 month on balance, walking, and muscle strength from Tai Ji Yunshou exercise with visual feedback, static standing with visual feedback, and conventional balance training in 80 patients in the subacute phase of stroke. MATERIAL AND METHODS We randomly assigned 80 patients in the subacute phase of stroke to 3 groups: Group 1 (G1, n=28) received Tai Ji Yunshou with summative visual feedback, Group 2 (G2, n=25) received static standing with summative visual feedback, and Group 3 (G3, n=27) received conventional balance training. Outcome measures included the Berg Balance Scale (BBS), Timed Up and Go Test (TUGT), 10-Meter Walking Time (10MWT), Barthel Index (BI), and lower-limb muscle strength. Assessments were conducted at baseline and after 4 weeks of intervention. RESULTS After 4 weeks, all groups improved after training. G1 showed significantly greater improvements in BBS (P=0. 011) and 10MWT (P=0. 001) compared to G3, and in BI compared to G2 (P=0. 041) and G3 (P=0. 004). G1 also demonstrated greater gains in hemiplegic-side muscle strength compared to other groups (P<0. 001). CONCLUSIONS Tai Ji Yunshou training combined with summative visual feedback was more effective than static balance combined with summative visual feedback or conventional balance training in improving balance, gait ability, activities of daily living, and paretic-side lower-limb strength in patients in the subacute phase of stroke. .

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"VSports最新版本" Conflict of interest statement

Conflict of interest: None declared

VSports注册入口 - Figures

Figure 1
Figure 1
The Balance Evaluation and Training System and its pressure-sensing pedals. This figure illustrates the components of the Balance Evaluation and Training System, used to provide summative visual feedback during balance training. (A) The complete Balance Evaluation and Training System setup used for capturing center-of-gravity (COG) shifts and postural sway. (B) Close-up view of the dual foot pedals, each equipped with forefoot and heel pressure sensors, allowing real-time detection of plantar pressure distribution. These data are used to compute center-of-pressure (COP) trajectories and generate feedback graphics. COG – center of gravity; COP – center of pressure. (WPS Office, 12.2.0, Kingsoft Office Software Corporation Limited).
Figure 2
Figure 2
Tai Ji Yunshou training posture during balance training. This figure illustrates the bilateral arm and trunk rotation movements performed by participants in G1 while standing on the Balance Evaluation and Training System platform. G1 – Tai Ji Yunshou with summative visual feedback. (WPS Office, 12.2.0, Kingsoft Office Software Corporation Limited).
Figure 3
Figure 3
Examples of center-of-gravity (COG) movement summaries from summative visual feedback. COG trajectory summary after one set of Tai Ji Yunshou training (G1). COG trajectory summary after one set of static standing training (G2). The blue lines display the summary trajectories of the COG during the training. Participants used these visual summaries to adjust postural symmetry in subsequent sets. COG – center of gravity; G1 – Tai Ji Yunshou with summative visual feedback; G2 – Static standing with summative visual feedback. (Balance Evaluation and Training System Software v2.4 (TechStorm Ltd., China)).
Figure 4
Figure 4
CONSORT flow diagram. This figure outlines the flow of participants throughout the randomized controlled study, including screening, randomization into 3 intervention groups, follow-up, and final inclusion in the analysis. G1 – Tai Ji Yunshou with summative visual feedback; G2 – Static standing with summative visual feedback; G3 – Conventional balance training; BBS – Berg Balance Scale; TUGT – Timed Up and Go Test; 10MWT – 10-Meter Walking Test; BI – Barthel Index; MS – Muscle Strength. (WPS Office, 12.2.0, Kingsoft Office Software Corporation Limited).

References

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