李静雅,程 亮.太极拳和抗阻训练对膝关节骨性关节炎老人症状及运动能力的影响[J].中国康复医学杂志,2019,(11):1304~1309 |
太极拳和抗阻训练对膝关节骨性关节炎老人症状及运动能力的影响 点此下载全文 |
李静雅 程 亮 |
四川师范大学,四川省成都市,610068 |
基金项目:四川省教育厅重点项目(18SA0202) |
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摘要
目的:探讨太极拳锻炼和抗阻训练对患膝骨性关节炎(KOA)老人症状及运动能力的影响。
方法:91例KOA老人(60—70岁)随机分成3组,太极组(n=31)、抗阻组(n=30)和对照组(n=30)。16周前后对3组受试者进行KOA指数功能评分(WOMAC),及6分钟步行(6MWT)、计时起立行走(TUG)和计时上下楼梯测试(TUDS)。
结果:16周与0周组内比较:太极组WOMAC疼痛、僵硬和身体功能分项均减小,有显著性意义(P<0.01); 6MWT(P=0.046),TUG和TUDS缩短,有显著性意义(P=0.001,P=0.010);抗阻组WOMAC身体功能分项减小(P=0.003),TUG和TUDS时间缩短(P=0.002,P=0.012)有显著性意义。16周后组间比较:太极组与对照组:WOMAC疼痛、僵硬和身体功能分项差异有显著性意义(P<0.01),6MWT(P=0.042)、TUG(P=0.010)和TUDS(P=0.016)差异有显著性意义;抗阻组与对照组:身体功能(P<0.01)、TUG(P=0.012)和TUDS(P=0.020)差异有显著性意义;太极组与抗阻组:WOMAC疼痛、僵硬和身体功能分项(P<0.01),6MWT(P=0.040)差异有显著性意义。
结论:16周太极拳锻炼减轻了KOA老人症状,提高其运动能力。抗阻训练能提高KOA老人运动能力但不能减轻其症状。 |
关键词:太极拳 抗阻训练 老人 膝关节 骨性关节炎 |
The effect of Taichi and resistance training on osteoarthritis symptoms of the elderly and the exercise capacity Download Fulltext |
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Sichuan Normal University, Sichuan, Chengdu, 610068 |
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Abstract: |
Abstract
Objective: To investigate the effect of Taichi exercise and resistance training on patients with KOA symptoms of the elderly and the exercise capacity.
Method: Ninety-one cases of KOA (60-70 years) in the elderly were divided into 3 groups at random:TC group (n=31), RT group (n=30) and control group (n=30).Before and after 16 weeks training,the KOA index function, 6MWT, TUG and TUDS were measured for three groups.
Result: After 16 weeks training, the TC group showed significantly decreased WOMAC pain, stiffness and body function component(P<0.01); significantly increased 6 MWT(P=0.046),significantly shortened TUG time(P=0.001) and TUDS time(P=0.010),and at the same time,the significantly decreased WOMAC body function component(P=0.003), markedly shortened TUG(P=0.002) and TUDS (P=0.012) were shown in the RT group.After 16 weeks training,there was significant difference for WOMAC pain, stiffness, body function component (P<0.01), 6 MWT (P=0.042), TUG and TUDS (P=0.010, P=0.016)between TC and control group. In the RT group, after 16 weeks training, the body component significantly decreased (P<0.01). TUG and TUDS markedly shortened (P=0.012, P=0.020)when compared with control group. The WOMAC pain, stiffness,body function component(P<0.01) and 6 MWT(P=0.040) also presented significant difference between TC and RT group.
Conclusion: Sixteen weeks Taichi exercise can effectively reduce the symptoms of KOA in eldly and improve the effect of exercise capacity. Resistance training can not relieve symptoms but improve exercise capacity. |
Keywords:Taichi resistance training elderly knee osteoarthritis |
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