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陈氏太极拳对慢性非特异性腰痛(50 岁及以上人群)患者的影响:一项随机对照试验。

Chen-Style Tai Chi for Individuals (Aged 50 Years Old or Above) with Chronic Non-Specific Low Back Pain: A Randomized Controlled Trial.

机构信息

Department of Martial Arts, Shanghai University of Sport, Shanghai 200438, China.

Depression Clinical and Research Program, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.

出版信息

Int J Environ Res Public Health. 2019 Feb 12;16(3):517. doi: 10.3390/ijerph16030517.

Abstract

Tai Chi (TC) can be considered safe and effective intervention to improve pain and pain-related functional disability. However, it is unclear that whether aging individuals with Chronic Non-Specific Low Back Pain (CNS-LBP) can achieve positive results. This study, therefore, attempted to explore the effects of TC on pain and functional disability in CNS-LBP patients aged 50 years old or above. Forty-three individuals (aged 50 years old or above) with CNS-LBP were randomly assigned into three groups: Chen-Style TC group ( = 15), Core Stabilization training (CST) group ( = 15), and control group ( = 13). Participants in the TC group participated in Chen-style TC training program (three 60-min sessions per week for 12 weeks), individuals in CST group received 12-week Core Stabilization exercise on the Swiss ball, whereas individuals in the control group maintained their unaltered lifestyle. Pain intensity as primary outcome was measured using the Visual Analogue Scale (VAS), A BiodexSystem 3 isokinetic dynamometer was used to measure knee and ankle joint position sense (JPS) as secondary outcomes at baseline and after the 12-week intervention. TC and CST have significant effects in VAS for CNS-LBP patients (< 0.01, TC group OR CST group versus control group in mean of the post-minus-pre assessment). However, the feature of joint position sense (JPS) of ankle inversion, ankle eversion and knee flexion did not occur, it showed no significant effects with TC and CST. TC was found to reduce pain, but not improve lower limb proprioception in patients with CNS-LBP. Future research with larger sample sizes will be needed to achieve more definitive findings on the effects of TC on both pain and lower limb proprioception in this population.

摘要

太极拳(TC)可以被认为是一种安全有效的干预措施,可改善疼痛和与疼痛相关的功能障碍。然而,对于患有慢性非特异性下腰痛(CNS-LBP)的老年人是否能取得积极的效果尚不清楚。因此,本研究试图探讨 TC 对 50 岁及以上 CNS-LBP 患者疼痛和功能障碍的影响。43 名(年龄在 50 岁及以上)患有 CNS-LBP 的患者被随机分为三组:陈氏 TC 组(n=15)、核心稳定性训练(CST)组(n=15)和对照组(n=13)。TC 组的参与者参加陈氏 TC 训练计划(每周 3 次,每次 60 分钟,共 12 周),CST 组的参与者在瑞士球上进行 12 周的核心稳定性练习,而对照组则保持不变的生活方式。主要结局指标是疼痛强度,使用视觉模拟量表(VAS)测量,使用 BiodexSystem 3 等速测力计测量膝关节和踝关节位置觉(JPS),在基线和 12 周干预后进行测量。TC 和 CST 对 CNS-LBP 患者的 VAS 有显著影响(<0.01,TC 组或 CST 组与对照组相比,后测减去前测的平均值)。然而,踝关节内翻、外翻和膝关节屈曲的关节位置觉(JPS)特征没有出现,TC 和 CST 对其没有显著影响。TC 被发现可以减轻疼痛,但不能改善 CNS-LBP 患者的下肢本体感觉。需要更大的样本量的未来研究来确定 TC 对该人群疼痛和下肢本体感觉的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/394d/6388249/e44287a13cf4/ijerph-16-00517-g001.jpg

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