1. 上海中医药大学康复医学院,上海,201203
2. 上海中医药大学附属上海市中西医结合医院推拿科,上海,200082
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曹彦俊, 胡笑燊, 何静, 等. 简化五禽戏功法锻炼对老年人动态平衡能力影响的临床研究[J]. 上海中医药杂志, 2019,53(5):64-68.
CAO Yanjun, HU Xiaoshen, HE Jing, et al. Clinical study on effects of simplified wuqinxi on dynamic balance of the elderly[J]. Shanghai Journal of Traditional Chinese Medicine, 2019,53(5):64-68.
曹彦俊, 胡笑燊, 何静, 等. 简化五禽戏功法锻炼对老年人动态平衡能力影响的临床研究[J]. 上海中医药杂志, 2019,53(5):64-68. DOI: 10.16305/j.1007-1334.2019.05.017.
CAO Yanjun, HU Xiaoshen, HE Jing, et al. Clinical study on effects of simplified wuqinxi on dynamic balance of the elderly[J]. Shanghai Journal of Traditional Chinese Medicine, 2019,53(5):64-68. DOI: 10.16305/j.1007-1334.2019.05.017.
目的:观察简化五禽戏功法锻炼对老年人动态平衡能力的影响。 方法:将60例志愿者采用类实验研究方案,分成试验组和对照组,每组30例。试验组进行简化五禽戏功法锻炼,对照组进行拉伸锻炼。两组锻炼时间均为4个月,采用Biodex平衡测试仪观察志愿者睁眼与闭眼状态下的动态平衡能力指标。 结果:①最终完成试验者57例,试验组29例,对照组28例。②睁眼状态下,两组干预16周与干预0周总体平衡指数、前后平衡指数、左右平衡指数比较,差异均无统计学意义(P>0.05)。组间干预0周、8周、16周比较,总体平衡指数、前后平衡指数、左右平衡指数差异均无统计学意义(P>0.05)。③重复测量资料的方差分析显示,睁眼状态下,总体平衡指数、前后平衡指数的组内变异中的时间因素存在显著统计学意义(P<0.05);而所有指标的时间×组别因素不存在显著统计学意义(P>0.05),提示无时间和组别的交互作用。所有指标的组间变异中的组别因素不存在统计学意义(P>0.05)。④闭眼状态下,试验组干预8周与干预0周、干预16周与干预0周的总体平衡指数、前后平衡指数、左右平衡指数比较差异有统计学意义,均明显降低(P<0.05)。干预16周与干预8周总体平衡指数、前后平衡指数、左右平衡指数的比较差异有统计学意义,明显降低(P<0.05)。对照组总体平衡指数、前后平衡指数在干预16周与干预0周、干预16周与干预8周时比较,差异有统计学意义,明显降低(P<0.05);而左右平衡指数在干预16周与干预0周、干预8周与干预0周时比较,差异有统计学意义,明显降低(P<0.05)。组间干预8周比较,总体平衡指数差异有统计学意义(P<0.05);组间干预16周比较,总体平衡指数、左右平衡指数差异有统计学意义(P<0.05)。⑤重复测量资料的方差分析显示,闭眼状态下,总体平衡指数、前后平衡指数、左右平衡指数的组内变异中的时间因素存在显著统计学意义(P<0.05);而所有指标的时间×组别因素不存在显著统计学意义(P>0.05),提示无时间和组别的交互作用。总体平衡指数、左右平衡指数的组间变异中的组别因素存在显著统计学意义(P<0.05)。 结论:简化五禽戏锻炼可一定程度上增加老年人直立姿势的控制能力和稳定性,从而提高其动态平衡能力,其机制可能是改善了老年人前庭系统和感觉系统的灵敏性。
Objective:To observe the effects of simplified wuqinxi on improving dynamic balance ability of the elderly. MethodsUsing the quasi-experiment research scheme, 60 volunteers were assigned into test group and control group, 30 in each group. Simplified wuqinxi was performed in the test group and stretching exercises were performed in the control group, with an exercise course of 4 months. The indicators of dynamic balance ability of the volunteers with eyes open and closed were observed on the Biodex balance tester. Results:①57 patients completed the experiment, including 29 and 28 volunteers in the test group and the control group respectively. ②With eyes open, there were no significant differences in the overall balance index, anterior-posterior balance index and left-right balance index between week 16 and week 0 in both groups (P>0.05). There were no significant differences in the overall balance index, anterior-posterior balance index and left-right balance index between the groups at week 0, week 8 and week 16 (P>0.05). ③The ANOVA analysis of repeated measurements showed that with eyes open, there was statistical significance in the time factor of intra-group variations of the overall balance index and anterior-posterior balance index (P<0.05), while there was no statistical significance in the time * group factor of all indicators (P>0.05), suggesting that there was no interaction between time and group. There was no significant difference in the group factor of the inter-group variations of all indicators (P>0.05). ④With eyes closed, in the test group, the overall balance index, anterior-posterior balance index and left-right balance index decreased significantly at week 8 compared to week 0, at week 16 compared to week 0 (P<0.05); there were significant differences in the overall balance index, anterior-posterior balance index and left-right balance index between week 16 and week 8 (P<0.05). In the control group, the overall balance index and anterior-posterior balance index decreased significantly at week 16 compared to week 0, at week 16 compared to week 8 (P<0.05); and the left-right balance index decreased significantly at week 16 compared to week 0, at week 8 compared to week 0 (P<0.05). There was significant difference in the overall balance index between the groups at week 8 (P<0.05); there were significant differences in the overall balance index and left-right balance index between the groups at week 16 (P<0.05). ⑤The ANOVA analysis of repeated measurements showed that with eyes closed, there was statistical significance in the time factor of intra-group variations of the overall balance index, anterior-posterior balance index and left-right balance index (P<0.05), while there was no statistical significance in the time * group factor of all indicators (P>0.05), suggesting that there was no interaction between time and group. There was statistical significance in the group factor of the inter-group variations of the overall balance index and left-right balance index (P<0.05). Conclusion:Simplified wuqinxi exercise can increase the control ability and stability of the elderly’s upright posture, improve their dynamic balance ability, and the mechanism of action may be increasing sensitivity of the vestibular system and sensory system in the elderly.
老年人跌倒动态平衡能力下肢五禽戏气功稳定性
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