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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)
DOI:
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摘要:
      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
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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