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八段锦气功改善慢性中风患者的平衡、腿部力量和活动能力:一项随机对照研究。

Baduanjin Qigong Improves Balance, Leg Strength, and Mobility in Individuals With Chronic Stroke: A Randomized Controlled Study.

作者信息

Yuen Mandy, Ouyang H X, Miller Tiev, Pang Marco Y C

机构信息

Queen Elizabeth Hospital, Kowloon, Hong Kong.

Hong Kong Polytechnic University, Hong Kong.

出版信息

Neurorehabil Neural Repair. 2021 May;35(5):444-456. doi: 10.1177/15459683211005020. Epub 2021 Apr 7.

Abstract

BACKGROUND

Effective and sustainable exercise training methods for improving balance poststroke are needed.

OBJECTIVE

To evaluate the effect of Baduanjin Qigong for improving balance after stroke.

METHODS

This was a single-blinded randomized controlled study in which only the assessor was blinded. Fifty-eight people with chronic stroke (mean age: 62.5 ± 11.8 years) were randomly assigned to the experimental (n = 29) or control group (n = 29). The experimental group underwent 8 weeks of supervised Baduanjin training (3 sessions per week). This was followed by home-based practice of the same exercises 3 days a week for another 8 weeks. The control group underwent 2 sessions of supervised conventional fitness training in the first week, followed by home-based exercise practice 3 days a week until the end of week 16. All outcomes were measured at baseline, week 8, and week 16.

RESULTS

Significantly greater improvements in the Mini-Balance Evaluation Systems Test (Mini-BESTest), composite equilibrium score (Sensory Organization Test), 5 Times Sit to Stand, and Timed Up and Go test were detected at week 8 in the experimental group than in the control group ( < .017). Further improvement in the Mini-BESTest was observed from week 8 to 16 in the experimental group ( < .001). Other outcomes (Limit of Stability, Fall-Efficacy Scale, Modified Barthel Index, Stroke-Specific Quality of Life) showed no significant results.

CONCLUSION

Baduanjin is effective in improving balance, leg strength, and mobility and is a safe and sustainable form of home-based exercise for people with chronic stroke.

摘要

背景

需要有效且可持续的运动训练方法来改善中风后的平衡能力。

目的

评估八段锦气功对改善中风后平衡能力的效果。

方法

这是一项单盲随机对照研究,只有评估者处于盲态。58名慢性中风患者(平均年龄:62.5±11.8岁)被随机分为实验组(n = 29)或对照组(n = 29)。实验组接受为期8周的监督八段锦训练(每周3次)。之后,每周3天在家中进行同样的练习,持续8周。对照组在第一周接受2次监督下的传统健身训练,之后每周3天在家中进行锻炼,直至第16周结束。所有结果在基线、第8周和第16周进行测量。

结果

与对照组相比,实验组在第8周时,迷你平衡评估系统测试(Mini-BESTest)、综合平衡评分(感觉统合测试)、5次坐立试验和计时起立行走测试有显著更大的改善(P <.017)。实验组从第8周到第16周,Mini-BESTest进一步改善(P <.001)。其他结果(稳定极限、跌倒效能量表、改良巴氏指数、中风特异性生活质量)无显著结果。

结论

八段锦对改善平衡、腿部力量和活动能力有效,是慢性中风患者安全且可持续的家庭锻炼形式。

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