Kim Chang-Yong, Je Hyun-Dong, Jeong Hyewon, Jeong Ji-Hoon, Kim Hyeong-Dong
Pharma & Bio Pharma Industry Team, Department of Pharmaceutical and Bio-Pharmaceutical Industry, Korea Health Industry Development Institute, Chungbuk, Korea.
Department of Pharmacology, College of Pharmacy, Catholic University of Daegu, Gyeongbuk, Korea.
J Back Musculoskelet Rehabil. 2020;33(1):41-48. doi: 10.3233/BMR-181493.
Taekkyon, a Korean form of martial arts, has been trained for a long period. However, it is not yet known whether the Taekkyon exercise has better effects on functional mobility or balance in older adults than other types of well-investigated exercise programs such as Tai Chi (TC).
This study aimed to compare the effects of TC and Taekkyon exercise programs on the lower-extremity strength, balance, and gait ability of community-dwelling older women as a fall prevention method.
Community-dwelling older women were randomly allocated into the TC group (n1= 23) and the Taekkyon group (n2= 23). Both groups completed 1 h of either TC or Taekkyon exercises twice weekly for 12 consecutive weeks (24 sessions in total). We measured the Timed Up and Go test (TUG), Functional Reach test (FR), one-leg standing test (OLS), Five Times Sit-to-Stand test (5 × STS), 30 Second Sit-to-Stand test (30 s STS), and spatiotemporal gait parameters (gait velocity, step length, step width, stride time, and cadence) before and after the intervention.
Both groups similarly showed statistically significant improvements in balance (TUG, FR, and OLS), lower-extremity strength (5 × STS and 30 s STS), and spatiotemporal gait parameters except for step width (P< 0.05). Moreover, the TC group showed greater improvement in the OLS test than the Taekkyon group (P< 0.05).
The results from this study support the efficacy of the TC and Taekkyon exercise programs at improving mobility in this population of older women. However, this study did not clarify which exercise program is more effective as general balance and mobility training program for older women.
跆跟，一种韩国武术形式，长期以来一直有人练习。然而，与其他经过充分研究的运动项目（如太极拳）相比，跆跟运动对老年人的功能活动能力或平衡能力是否具有更好的效果尚不清楚。
本研究旨在比较太极拳和跆跟运动项目对社区居住老年女性下肢力量、平衡能力和步态能力的影响，将其作为一种预防跌倒的方法。
将社区居住老年女性随机分为太极拳组（n1 = 23）和跆跟组（n2 = 23）。两组均连续12周每周进行两次1小时的太极拳或跆跟运动（共24节课程）。我们在干预前后测量了计时起立行走测试（TUG）、功能性前伸测试（FR）、单腿站立测试（OLS）、五次坐立测试（5×STS）、30秒坐立测试（30s STS）以及时空步态参数（步态速度、步长、步宽、步幅时间和步频）。
两组在平衡能力（TUG、FR和OLS）、下肢力量（5×STS和30s STS）以及除步宽外的时空步态参数方面均有相似的统计学显著改善（P < 0.05）。此外，太极拳组在OLS测试中的改善程度大于跆跟组（P < 0.05）。
本研究结果支持太极拳和跆跟运动项目对改善老年女性人群活动能力的有效性。然而，本研究并未阐明哪种运动项目作为老年女性的一般平衡和活动训练项目更有效。
