Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), School of Physical Therapy, Faculty of Associated Medical Sciences (AMS), Khon Kaen University (KKU), Khon Kaen, Thailand.
Department of Mathematics, Statistics and Computer Science, University of Cantabria, Santander, Spain.
PLoS One. 2023 May 25;18(5):e0282405. doi: 10.1371/journal.pone.0282405. eCollection 2023.
Shuai Shou Gong (SSG) is a type of Arm Swing Exercise (ASE) developed and practiced especially by older people in China for over one thousand years to maintain physical health and well-being. Until now the potential benefits of SSG have not been investigated in a Randomised Control Trial (RCT).
Fifty six older women were recruited from each of two urban communities in Khon Kaen, Thailand. One community was randomly assigned as the Exercise Group (mean age 68.3 years, standard deviation 5.6 years) and the other as the Control Group (69.4 years, 4.4 years). The Exercise Group performed SSG for 40 minutes, three days per week for two months, whereas the Control Group maintained their usual daily life. Measurements of Posture (C7 to Wall Distance (C7WD), Standing Height (SH), Flexibility (Back Scratch of Left and Right arms (BSL and BSR) and Chair Sit and Reach of Left and Right legs (CSRL and CSRR), Gait (Timed Up and Go (TUG)), and Cognition (Barthel Activities of Daily Living Index (BADL) and Rosenberg Self Esteem Scale (RSES) questionnaires) were recorded for each group prior to, on day 1, week 4, and week 8 of the SSG training.
The 8 week SSG training course produced a significant interaction between group and time for the combined set of all outcome measures (C7WD, SH, BSL, BSR, CSRL, CSRR, TUG, BADL, and BSES) (Modified ANOVA-Type Statistic (MATS) p-value < 0.001) and for the four categories of Posture, Flexibility, Gait, and Cognition (all Wald-Type Statistic (WTS) p-values < 0.05) and in all cases the changes in the Exercise Group were in the direction predicted to be beneficial. No significant interaction effect between time and group was found after either one session or four weeks of SSG training for any of the categories (all WTS p > 0.05) with significant effects only arising after eight weeks (all WTS p < 0.05). Thus although alterations were shown to be increasingly beneficial over time the minimum period required to produce a statistically significant benefit from performing SSG training was 8 weeks. For the Control Group no significant changes were identified for Posture, Flexibility and Cognition however a significant deterioration was observed in TUG (WTS p = 0.003).
SSG is a holistic, gentle, rhythmic, whole body sequence of movements that may be readily learned and enjoyed in a group setting and has been confirmed in an RCT study of older adult females to produce significant benefits in Posture, Flexibility, Gait and Cognition.
甩手功（SSG）是一种摆臂运动（ASE），在中国已有一千多年的历史，尤其为老年人所推崇，用于保持身体健康。到目前为止，甩手功的潜在益处还没有在随机对照试验（RCT）中得到研究。
从泰国孔敬市的两个城市社区各招募 56 名老年女性。其中一个社区被随机分配为运动组（平均年龄 68.3 岁，标准差 5.6 岁），另一个社区为对照组（69.4 岁，4.4 岁）。运动组进行 40 分钟的甩手功，每周 3 天，共 2 个月，而对照组则保持日常的生活方式。在甩手功训练前、第 1 天、第 4 周和第 8 周，对两组的姿势（C7 到墙的距离（C7WD）、站立高度（SH）、柔韧性（左、右臂的背部搔抓（BSL 和 BSR）和左、右腿的坐立触及距离（CSRL 和 CSRR）、步态（起身和行走计时（TUG））和认知（日常生活活动量表（BADL）和罗森伯格自尊量表（RSES）问卷）进行了测量。
8 周的甩手功训练课程在所有结局测量（C7WD、SH、BSL、BSR、CSRL、CSRR、TUG、BADL 和 BSES）的综合组内和时间之间产生了显著的交互作用（修正方差分析型统计量（MATS）p 值<0.001），以及在姿势、柔韧性、步态和认知四个类别（所有 Wald 型统计量（WTS）p 值<0.05），而且在所有情况下，运动组的变化都朝着预期的有益方向发展。在任何一类中，在进行一次或四次甩手功训练后，都没有发现时间和组之间的显著交互作用（所有 WTS p 值>0.05），只有在八周后才出现显著效果（所有 WTS p 值<0.05）。因此，尽管随着时间的推移，效果逐渐增加，但从进行甩手功训练中获得统计学上显著益处所需的最短时间为 8 周。对于对照组，在姿势、柔韧性和认知方面没有发现显著变化，但 TUG 有显著恶化（WTS p=0.003）。
甩手功是一种整体的、温和的、有节奏的、全身的运动序列，可以很容易地在群体环境中学习和享受，并且已经在一项针对老年女性的 RCT 研究中得到证实，可以显著改善姿势、柔韧性、步态和认知。
