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坐式太极拳可减轻脊髓疾病患者的疼痛并改善其生活质量。

Seated Tai Chi to alleviate pain and improve quality of life in individuals with spinal cord disorder.

作者信息

Shem Kazuko, Karasik Darlene, Carufel Paul, Kao Ming-Chih, Zheng Patricia

机构信息

a Santa Clara Valley Medical Center , San Jose , CA , USA.

b Stanford University School of Medicine , Stanford , CA , USA.

出版信息

J Spinal Cord Med. 2016 May;39(3):353-8. doi: 10.1080/10790268.2016.1148895. Epub 2016 Mar 4.

Abstract

CONTEXT

Previous research studies have confirmed therapeutic physical and psychological benefits of Tai Chi for both the able-bodied and disabled populations. However, given the limited availability of seated Tai Chi, there have not been any studies to date that have examined the effectiveness of seated Tai Chi in individuals with spinal cord disorder (SCD). We designed a customized seated Tai Chi program to meet the need for improved exercise options for individuals with SCD.

FINDINGS

Twenty-six participants were enrolled in a 12-week seated Tai Chi course consisting of weekly sessions. After each Tai Chi session, patients reported improved visual analog scale (VAS) monitoring pain (P) (3.18 v 2.93; P 1.63E-03), emotional sense of well-being (EWB) (2.61 vs 2.04; P 2.86E-07), mental distraction (MD) (3.13 v 2.29; P 9.36E-08), physical sense of well-being (PWB) (2.84 v 2.25; p 7.38E-08), and sense of spiritual connection (SC) (3.28 v 2.50; P 6.46E-08). In our limited follow-up of 9 participants who completed half of the sessions and the long term surveys after the 12-week course, there were no detectable differences in weekly P, EWB, MD, PWB, and SC before each session.

CONCLUSION AND CLINICAL RELEVANCE

Individuals with SCD demonstrated benefits in pain, emotional sense of well-being, mental distraction, physical sense of well-being, and sense of spiritual connection immediately after seated Tai Chi exercise sessions in our pilot study. More research in a larger population would be needed to study the long-term impact of seated Tai Chi.

摘要

背景

先前的研究已经证实,太极拳对健全人群和残疾人群都具有治疗性的身体和心理益处。然而,由于坐式太极拳的课程有限,迄今为止还没有任何研究探讨过坐式太极拳对脊髓疾病(SCD)患者的有效性。我们设计了一个定制的坐式太极拳课程,以满足SCD患者对更多锻炼选择的需求。

研究结果

26名参与者参加了为期12周的坐式太极拳课程,每周上课。每次太极拳课程结束后,患者报告视觉模拟量表(VAS)监测的疼痛(P)有所改善(3.18对2.93;P = 1.63E - 03)、情感幸福感(EWB)(2.61对2.04;P = 2.86E - 07)、精神分散度(MD)(3.13对2.29;P = 9.36E - 08)、身体幸福感(PWB)(2.84对2.25;P = 7.38E - 08)和精神联系感(SC)(3.28对2.50;P = 6.46E - 08)。在我们对9名完成一半课程的参与者进行的有限随访以及12周课程后的长期调查中,每次课程前的每周P、EWB、MD、PWB和SC没有可检测到的差异。

结论及临床意义

在我们的初步研究中,SCD患者在坐式太极拳锻炼课程后立即在疼痛、情感幸福感、精神分散度、身体幸福感和精神联系感方面表现出益处。需要在更多人群中进行更多研究,以探讨坐式太极拳的长期影响。

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