Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID07512739

Effects of a Sitting Tai Chi Programme for Chronic Stroke Survivors With Post-stroke Cognitive Impairment: A Pilot Randomised Controlled Trial

Led by Chinese University of Hong Kong · Updated on 2026-04-06

176

Participants Needed

1

Research Sites

13 weeks

Total Duration

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AI-Summary

What this Trial Is About

Stroke remains a leading cause of death and disability worldwide, with many survivors experiencing post-stroke cognitive impairment (PSCI). This trial evaluates a tailored sitting Tai Chi program designed to improve cognitive function and other rehabilitation outcomes in chronic stroke survivors with PSCI. The study is a pilot randomized controlled trial aiming to understand how this program may benefit patients and their caregivers. Participants are randomly assigned to either a sitting Tai Chi group or a control group receiving usual care. The Tai Chi group will practice a 10-form sitting Tai Chi routine led by a trained registered nurse, three times a week for 12 weeks, with each session lasting 40 minutes. Caregivers are involved to support safety and participation. The control group receives standard inpatient care without extra rehabilitation but will be offered Tai Chi after the study period. Throughout the study, researchers will assess participants at the start, eight weeks, and twelve weeks using various scales measuring cognitive function, upper limb function, balance, depressive symptoms, daily activities, and quality of life. They will also monitor recruitment and retention rates, participant satisfaction, and any adverse events. Qualitative interviews will explore participants' experiences with the Tai Chi program. The total study period includes baseline to 12 weeks of treatment and follow-up.

CONDITIONS

Brief Title

A Sitting Tai Chi Programme for Chronic Stroke Survivors With Post-stroke Cognitive Impairment

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or above
  • Diagnosed with first or recurrent ischaemic or haemorrhagic stroke and post-stroke cognitive impairment
  • In the chronic stage of stroke
  • Montreal Cognitive Assessment (MoCA) score between 19 and 25 (adjusted by education level)
  • Able to sit independently with or without assistance
  • Able to raise and use at least one arm while sitting (muscle strength 63 12)
  • Have a primary caregiver who provides most assistance
  • Able to communicate in Chinese and provide informed consent
  • Currently hospitalized in the geriatric rehabilitation ward and unlikely to be discharged within 3 months
Not Eligible

You will not qualify if you...

  • Cognitive impairment caused by other conditions such as Alzheimer's disease or AIDS
  • National Institutes of Health Stroke Scale (NIHSS) score greater than 16
  • Severe hearing or visual impairment
  • Severe complications after stroke (e.g., limited comprehension, aphasia, venous thrombosis)
  • History of severe medical conditions or serious illnesses (e.g., myocardial infarction, cardiac devices, organ failure, malignancy, mental or neurological diseases like multiple sclerosis or Parkinson's)
  • Received thrombolytic therapy or surgery recently
  • Joint replacement surgeries or fractures within the past 6 months
  • Pregnant or lactating women
  • Regular Tai Chi or other mind-body exercise practice at least three times per week within the past 6 months
  • Participation in other clinical trials that might affect this study
  • For caregivers: impaired cognitive function, being a medical resident or physical therapist, regular mind-body exercise practice recently, or participation in other clinical trials affecting this study

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 12 weeks

Participants in the sitting Tai Chi group receive 12 weeks of 10-form sitting Tai Chi exercise training three days a week, 40 minutes per session, led by a registered nurse. Caregivers assist to ensure safety and encourage participation. Control group participants receive usual inpatient care without additional rehabilitation during this period.

Three visits per week for 12 weeks

Trial Site Locations

Total: 1 location

1

The Second People's Hospital of Kunming

Kunming, Yunnan, China, 650000

Actively Recruiting

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Research Team

J

Jie Zhao Dr., PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

OTHER

Number of Arms

2

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