Pharma & Bio Pharma Industry Team, Department of Pharmaceutical and Bio-Pharmaceutical Industry, Korea Health Industry Development Institute, Chungbuk, Korea.
Department of Physical Therapy, College of Health Science, Korea University, Anam-ro, Seongbuk-Gu, Seoul, Republic of Korea.
Medicine (Baltimore). 2024 Mar 15;103(11):e37463. doi: 10.1097/MD.0000000000037463.
BACKGROUND: As individuals age, they experience a decline in muscle strength and balance, leading to diminished functional capacity and an increased risk of falls. The purpose of the current study was to investigate the effects of the Taekkyon-based exercise program on balance, muscle strength, and gait ability in women aged over 65-year-old residing in the local community. METHODS: Forty-eight subjects were randomly allocated into the Taekkyon-based exercise program as an experimental group (EG = 25; mean age: 71.68 ± 3.26) or a fall prevention program as a control group (CG = 23; mean age: 73.65 ± 5.88). EG participants received 1-hour Taekkyon exercise sessions twice a week for 12 consecutive weeks. CG participants received a typical fall prevention program. The measurements in each group included assessments of balance levels (the timed up-and-go test, one-leg stance, and functional reach test), lower extremity strength (the 5-chair stand test and 30-second chair stand test), and gait parameters (cadence, step length, step width, stride length, stride time, and gait velocity) before and after the intervention. RESULTS: After the intervention, balance (timed up-and-go test, one-leg stance, and functional reach test), lower extremity strength (5-chair stand test and 30-second chair stand test), and gait parameters (cadence, stride time, and gait velocity) showed a significant improvement in EG participants compared to CG participants (P < .05). Compared to the normal value of balance ability and strength of elderly women over 65 years of age, most outcomes were greater than average normal values for those receiving Taekkyon exercise. CONCLUSION: Taekkyon-based exercise program was more effective in improving balance, lower extremity strength, and gait capacity than the usual fall prevention program in elderly women over 65 years of age. Its effects can approach normal values for women in this age group. The 12-week Taekkyon-based exercise program could be useful as part of a fall prevention program to elderly people.
背景：随着个体年龄的增长，他们会经历肌肉力量和平衡能力的下降，导致功能能力下降和跌倒风险增加。本研究的目的是调查基于跆拳道的锻炼计划对 65 岁以上居住在当地社区的女性平衡、肌肉力量和步态能力的影响。
方法：48 名受试者被随机分配到跆拳道锻炼计划实验组（EG=25；平均年龄：71.68±3.26）或跌倒预防计划对照组（CG=23；平均年龄：73.65±5.88）。EG 参与者每周接受 2 次、每次 1 小时的跆拳道锻炼，持续 12 周。CG 参与者接受典型的跌倒预防计划。每组的测量包括平衡水平（计时起立行走测试、单腿站立和功能性伸展测试）、下肢力量（5 把椅子站立测试和 30 秒椅子站立测试）和步态参数（步速、步长、步宽、步长、步时和步态速度）在干预前后进行评估。
结果：干预后，实验组参与者的平衡（计时起立行走测试、单腿站立和功能性伸展测试）、下肢力量（5 把椅子站立测试和 30 秒椅子站立测试）和步态参数（步速、步时和步态速度）均显著优于对照组（P<0.05）。与 65 岁以上老年女性平衡能力和力量的正常值相比，接受跆拳道锻炼的大多数结果均高于平均正常值。
结论：与 65 岁以上老年女性通常的跌倒预防计划相比，基于跆拳道的锻炼计划在改善平衡、下肢力量和步态能力方面更有效。其效果可以接近该年龄段女性的正常水平。为期 12 周的跆拳道锻炼计划可以作为老年人跌倒预防计划的一部分。
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