Lip Ryan W T, Fong Shirley S M, Ng Shamay S M, Liu Karen P Y, Guo X
Institute of Human Performance, The University of Hong Kong, Hong Kong.
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong.
J Phys Ther Sci. 2015 Mar;27(3):667-72. doi: 10.1589/jpts.27.667. Epub 2015 Mar 31.
[Purpose] The aim of this study was to investigate the effects of Ving Tsun (VT) Chinese martial art training on radial bone strength, upper- and lower-limb muscular strength, shoulder joint mobility, balance performance, and self-efficacy in elderly participants. [Subjects and Methods] Twelve seniors voluntarily joined the VT training group, and twenty-seven seniors voluntarily joined the control group. The VT group received VT training for three months, while the control group received no training. The bone strength of the distal radius was assessed using an ultrasound bone sonometer. Muscular strength in the limbs was evaluated using a Jamar handgrip dynamometer and the five times sit-to-stand test. Shoulder joint mobility was examined using a goniometer. Balance performance and self-efficacy were evaluated using the Berg Balance Scale and the Chinese version of the Activities-specific Balance Confidence Scale, respectively. [Results] The results revealed a nonsignificant group-by-time interaction effect, group effect, and time effect for all outcome variables. However, general trends of maintenance or improvement in all outcome parameters were observed to a greater extent in the VT group than in the control group. [Conclusion] VT training might be a potential fall-prevention exercise that can be used to maintain general physique, balance, and confidence in the elderly population. A further randomized controlled trial is needed to confirm this postulation.
[目的] 本研究旨在调查咏春拳训练对老年参与者桡骨强度、上下肢肌肉力量、肩关节活动度、平衡能力和自我效能的影响。[对象与方法] 12名老年人自愿加入咏春拳训练组,27名老年人自愿加入对照组。咏春拳组接受为期三个月的咏春拳训练,而对照组不接受训练。使用超声骨密度仪评估桡骨远端的骨强度。使用握力计和五次坐立试验评估四肢肌肉力量。使用角度计检查肩关节活动度。分别使用伯格平衡量表和中文版特定活动平衡信心量表评估平衡能力和自我效能。[结果] 结果显示,所有结局变量的组间时间交互效应、组效应和时间效应均无统计学意义。然而,与对照组相比,咏春拳组在所有结局参数上维持或改善的总体趋势更为明显。[结论] 咏春拳训练可能是一种潜在的预防跌倒运动,可用于维持老年人群的总体身体素质、平衡能力和信心。需要进一步的随机对照试验来证实这一假设。