Tai Chi for stroke rehabilitation: protocol for a systematic review.
Stroke is a major cause of death and disability, and imposes a huge burden and significant workload for patients, their families and society. As a special form of physical activity, Tai Chi is may be useful for stroke rehabilitation. The objective of this review is to systematically evaluate the efficacy and safety of Tai Chi for rehabilitation in stroke patients.



We will conduct a systematic search of the following electronic databases from their inception to 31 October 2015: MEDLINE, EMBASE, the Cochrane Library, the Chinese BioMedical Literature Database (CBM), the Chinese National Knowledge Infrastructure (CNKI), the Chinese Science and Technology Periodical Database (VIP), Wanfang and the Chinese Dissertation Database. All relevant randomised controlled trials (RCTs) in English and Chinese will be included. The main outcomes will be changes in the neurological function of patients and in independence in activities of daily living. Adverse events, adherence, costs and the cost effectiveness of Tai Chi will also be assessed. Two independent reviewers will select studies, extract data and assess quality. Review Manager 5.3 will be used for assessment of risk of bias, data synthesis and subgroup analysis.



This systematic review does not require formal ethical approval because all data will be analysed anonymously. Results will provide a general overview and evidence concerning the efficacy and safety of Tai Chi for stroke rehabilitation. Findings will be disseminated through peer-reviewed publications.



CRD42015026999.
Department of Rehabilitation, Dongzhimen Hospital, The First Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, China National Institute of Complementary Medicine, Western Sydney University, Sydney, New South Wales, Australia Department of Neurology and Stroke Center, Dongzhimen Hospital, The First Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, China Department of International Communications, Beijing University of Chinese Medicine, Beijing, China.
Yong
0000-0001-7985-8031
Y
Zhang
National Institute of Complementary Medicine, Western Sydney University, Sydney, New South Wales, Australia Department of International Communications, Beijing University of Chinese Medicine, Beijing, China.
Shanshan
S
Wang
Department of Neurology and Stroke Center, Dongzhimen Hospital, The First Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, China.
Pei
P
Chen
National Institute of Complementary Medicine, Western Sydney University, Sydney, New South Wales, Australia.
Xiaoshu
X
Zhu
Department of Rehabilitation, Dongzhimen Hospital, The First Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, China.
Zongheng
Z
Li
D000203:Activities of Daily Living; D015670:Acupuncture Therapy / Q000379:methods; D003362:Cost-Benefit Analysis; D006801:Humans; D007802:Language; D012107:Research Design; D012449:Safety; D020521:Stroke / Q000628:therapy*; D000071939:Stroke Rehabilitation / Q000379:methods*; D000078202:Systematic Reviews as Topic; D026302:Tai Ji / Q000379:methods*
protocol; systematic review; tai chi