Effects of tai chi exercise on posturography, gait, physical function and quality of life in postmenopausal women with osteopaenia: a randomized clinical study
Effects of tai chi exercise on posturography, gait, physical function and quality of life in postmenopausal women with osteopaenia: a randomized clinical study
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DOI：
10.1177/0269215510375902
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发表时间：
2010-12-01
影响因子：
3
通讯作者：
Shen, Chwan-Li
中科院分区：
文献类型：
--
作者：
Chyu, Ming-Chien;James, C. Roger;Shen, Chwan-Li
目的：通过测量平衡、步态、身体功能和生活质量，评估太极拳运动对患有骨质减少的绝经后妇女跌倒危险因素的影响。设计：一项随机、对照、单盲、为期 24 周的试验，按年龄和骨量分层。地点：一般社区。参与者：61 名 65 岁及以上、骨量低的独立生活老年女性。干预措施：招募受试者并随机招募分配到 24 周的太极拳训练组（每次 60 分钟，每周 3 次训练，n=30）或对照组（n=31）。 结果测量：计算机动态姿势描记法、步态、“计时起身走动”、五椅坐到站以及基线、12 周和 24 周时评估的生活质量。 结果：24 周后，太极组的受试者表现出步幅宽度增加与对照组相比，总体健康状况（P=0.008）、活力（P=0.02）和身体疼痛（P=0.03）有所改善（P=0.05）。平衡参数、“计时起身”、五椅坐站和其他生活质量方面没有显着差异。结论：太极拳运动可以通过增加步幅宽度来减少跌倒的危险因素，并可以改善患有骨质疏松症的绝经后妇女的总体健康、活力和身体疼痛方面的生活质量。
Objective: To evaluate the effects of tai chi exercise on risk factors for falls in postmenopausal women with osteopaenia through measurements of balance, gait, physical function and quality of life.Design: A randomized, controlled, single-blinded, 24-week trial with stratification by age and bone mass.Setting: General community.Participants: Sixty-one independently living elderly females aged 65 years and older with low bone mass.Interventions: Subjects were recruited and randomly assigned to 24 weeks of tai chi (60 minutes/session, three sessions/week, n=30) or a control group (n=31).Outcome measures: Computerized dynamic posturography, gait, 'timed up and go', five-chair sit-to-stand and quality of life assessed at baseline, 12 and 24 weeks.Results: After 24 weeks, subjects in the tai chi group demonstrated an increase in stride width (P=0.05) and improvement in general health (P=0.008), vitality (P=0.02) and bodily pain (P=0.03) compared with those in the control group. There was no significant difference in balance parameters, 'timed up and go', five-chair sit-to-stand and other domains of quality of life.Conclusion: Tai chi exercise may reduce risk factors for falls by increasing the stride width, and may improve quality of life in terms of general health, vitality and bodily pain in postmenopausal women with osteopaenia.