The effects of Tai-Chi in conjunction with thera-band resistance exercise on functional fitness and muscle strength among community-based older people
The effects of Tai-Chi in conjunction with thera-band resistance exercise on functional fitness and muscle strength among community-based older people
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DOI：
10.1111/jocn.12751
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发表时间：
2015-05-01
影响因子：
4.2
通讯作者：
Smith, Graeme D.
中科院分区：
文献类型：
--
作者：
Lin, Shu-Fen;Sung, Huei-Chuan;Smith, Graeme D.
目的和目的本研究的目的是探讨太极拳结合耐力锻炼对社区老年人的功能适能和肌肉力量的影响。背景：太极可以改善老年人的机能适能。太极拳通常是徒手进行的，没有阻力训练，通常侧重于训练腿部。到目前为止，还没有研究探讨太极拳与热波段阻力运动在该人群中的使用情况。设计整群随机试验设计。方法采用整群随机方法，将台湾六家老年日托中心的老年人分配到热波段阻力运动或对照组。Thera-band阻力训练组(n=48)，每周2次，每次60min，共16周。对照组(n=47)在日托中心进行常规活动，不做太极拳或抗阻练习。结果接受Thera-band抗阻训练后，干预组患者上肢和下肢肌力均有明显提高。老年体能测试的大多数指标均有显著改善，但座椅站立和背部抓挠测试除外。结论热带阻力运动有潜力改善社区老年人的功能健康和肌肉力量。与临床实践相关热带阻力运动提供了一种安全和适当的体力活动形式，护理人员可以很容易地将其纳入日托中心老年人的日常工作中，潜在地改善功能表现和肌肉力量。
Aims and objectivesThe aim of this study was to investigate the effects of Tai-Chi in conjunction with thera-band resistance exercise on functional fitness and muscle strength in community-based older people.BackgroundTai-Chi is known to improve functional fitness in older people. Tai-Chi is usually performed with free hands without resistance training and usually focuses on training lower limbs. To date, no study has examined the use of Tai-Chi in conjunction with thera-band resistance exercise in this population.DesignCluster randomised trial design.MethodsOlder people at six senior day care centres in Taiwan were assigned to thera-band resistance exercise or control group using a cluster randomisation. The thera-band resistance exercise group (n=48) received sixty minute thera-band resistance exercise twice weekly for a period of 16weeks. The control group (n=47) underwent routine activities in the day care centre, receiving no Tai-Chi or resistance exercise.ResultsAfter receiving the thera-band resistance exercise, intervention participants displayed a significant increase in muscle strength of upper and lower extremities. Significant improvements were recorded on most measures of the Senior Fitness Test, with the exception of the chair-stand and back-scratch test.ConclusionThera-band resistance exercise has the potential to improve functional fitness and muscle strength in community-based older people.Relevance to clinical practiceThera-band resistance exercise potentially offers a safe and appropriate form of physical activity that nursing staff can easily incorporate into the daily routine of older people in day care centres, potentially improving functional performance and muscle strength.