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太极拳对非特异性下腰痛老年女性患者时空步态特征和动态平衡能力的影响:一项为期六周的随机对照试验。

Tai Chi for spatiotemporal gait features and dynamic balancing capacity in elderly female patients with non-specific low back pain: A six-week randomized controlled trial.

机构信息

Department of Sports Rehabilitation, College of Human Kinesiology, Shenyang Sport University, Liaoning, China.

Moray House School of Education and Sport, University of Edinburgh, Edinburgh, UK.

出版信息

J Back Musculoskelet Rehabil. 2022;35(6):1311-1319. doi: 10.3233/BMR-210247.

Abstract

BACKGROUND

Non-specific low back pain (NS-LBP) is a serious public health problem. Tai Chi is promising in reducing the risk of falls and alleviating symptoms in this population.

OBJECTIVE

To investigate the effect of Tai Chi on gait and dynamic balance in elderly women with NS-LBP.

METHODS

20 women (age > 65 yr.) with NS-LBP were randomly assigned to a Tai Chi group (n= 10) or a control group (n= 10). The Tai Chi group practiced Tai Chi exercise 3 times a week for 6 weeks. Each session lasted 60 minutes. Pain, spatiotemporal gait features and dynamic balancing capacity were assessed at 0 and 6 weeks.

RESULTS

Compared to the control group at 6 weeks, the Tai Chi group had a significant decrease in VAS (p= 0.027) and stride width (p= 0.019), significant improvement in gait velocity, stride length (p< 0.001). Regarding dynamic balance capacity, the Tai Chi group had significant improvements in anterior (Left: p= 0.001; Right: p= 0.038), postero-lateral (Left: p< 0.001; Right: p= 0.038), and postero-medial (Left: p= 0.015; Right: p= 0.018).

CONCLUSION

6-week Tai Chi can relieve pain and improve gait and dynamic balance in elderly women with NS-LBP, which suggests Tai Chi could be a promising rehabilitation intervention to reduce the risk of falls in this population.

摘要

背景

非特异性下腰痛(NS-LBP)是一个严重的公共健康问题。太极拳在降低该人群跌倒风险和缓解症状方面具有很大的潜力。

目的

研究太极拳对非特异性下腰痛老年女性步态和动态平衡的影响。

方法

将 20 名(年龄>65 岁)非特异性下腰痛女性患者随机分为太极拳组(n=10)和对照组(n=10)。太极拳组每周练习 3 次,共 6 周。每次持续 60 分钟。在 0 周和 6 周时评估疼痛、时空步态特征和动态平衡能力。

结果

与对照组相比,6 周后太极拳组的视觉模拟评分(VAS)(p=0.027)和步宽(p=0.019)显著降低,步态速度和步长显著提高(p<0.001)。在动态平衡能力方面,太极拳组在前向(左侧:p=0.001;右侧:p=0.038)、后外侧(左侧:p<0.001;右侧:p=0.038)和后内侧(左侧:p=0.015;右侧:p=0.018)方向的平衡能力均有显著改善。

结论

6 周的太极拳练习可以缓解非特异性下腰痛老年女性的疼痛,改善其步态和动态平衡能力,这表明太极拳可能是一种很有前途的康复干预措施,可以降低该人群跌倒的风险。

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