Effects of Tai Chi versus Physical Therapy on Mindfulness in Knee Osteoarthritis.
Effects of Tai Chi versus Physical Therapy on Mindfulness in Knee Osteoarthritis.
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DOI：
10.1007/s12671-017-0692-3
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发表时间：
2017-10
期刊：
影响因子：
3.6
通讯作者：
Wang C
中科院分区：
文献类型：
--
作者：
Lee AC;Harvey WF;Wong JB;Price LL;Han X;Chung M;Driban JB;Morgan LPK;Morgan NL;Wang C
人们普遍认为，通过将冥想状态融入身体运动，太极拳的身心锻炼可以提高正念。越来越多的研究表明，太极拳可以改善膝关节骨关节炎（OA）的健康状况，这是一种慢性疼痛疾病，也是全球残疾的主要原因。然而，人们对正念对太极拳治疗效果的贡献知之甚少。因此，我们的目的是研究太极身心练习与物理治疗（PT）对膝关节OA正念的影响。经x线检查证实的有症状的膝关节OA患者被随机分为12周（每周两次）太极拳组或PT组。参与者在干预前后完成了五面正念问卷（FFMQ），以及常用的患者报告的疼痛、身体功能和其他健康相关结果。在86名参与者中（74%女性，48%白人，平均年龄60岁，85%至少受过大学教育），平均总FFMQ为142±17。尽管疼痛、功能和其他健康相关结果有了实质性改善，但每个治疗组的总FFMQ与基线相比没有显著变化（太极= 0.76,95% CI: - 2.93, 4.45； PT= 1.80, 95% CI: - 2.33, 5.93）。太极拳与PT的FFMQ总分差异无统计学意义（- 1.04点，95% CI: - 6.48, 4.39）。正念在太极或PT干预膝关节OA后没有改变，提示太极拳可能不能通过培养正念来改善膝关节OA的健康状况。需要进一步的研究来确定在膝关节OA患者中有效的身心干预的潜在机制。
Tai Chi mind-body exercise is widely believed to improve mindfulness through incorporating meditative states into physical movements. A growing number of studies indicate that Tai Chi may improve health in knee osteoarthritis (OA), a chronic pain disease and a primary cause of global disability. However, little is known about the contribution of mindfulness to treatment effect of Tai Chi practice. Therefore, our purpose was to investigate the effect of Tai Chi mind-body practice compared to physical therapy (PT) on mindfulness in knee OA. Adults with radiographic-confirmed, symptomatic knee OA were randomized to either 12 weeks (twice weekly) of Tai Chi or PT. Participants completed the Five Facet Mindfulness Questionnaire (FFMQ) before and after intervention along with commonly-used patient-reported outcomes for pain, physical function, and other health-related outcomes. Among 86 participants (74% female, 48% white, mean age 60 years, 85% at least college educated), mean total FFMQ was 142±17. Despite substantial improvements in pain, function, and other health-related outcomes, each treatment group’s total FFMQ did not significantly change from baseline (Tai Chi= 0.76, 95% CI: −2.93, 4.45; PT= 1.80, 95% CI: −2.33, 5.93). The difference in total FFMQ between Tai Chi and PT was not significant (−1.04 points, 95% CI: −6.48, 4.39). Mindfulness did not change after Tai Chi or PT intervention in knee OA, which suggests that Tai Chi may not improve health in knee OA through cultivating mindfulness. Further study is needed to identify underlying mechanisms of effective mind-body interventions among people with knee OA.
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影响因子：
5.9
作者：
Bawa, Fathima L. Marikar;Mercer, Stewart W.;Bond, Christine M.
通讯作者：
Bond, Christine M.
影响因子：
3.1
作者：
KABATZINN, J;LIPWORTH, L;BURNEY, R
通讯作者：
BURNEY, R
DOI：
10.1002/yd.20097
发表时间：
2014-01-01
期刊：
New directions for youth development
影响因子：
--
作者：
Gould, Laura Feagans;Mendelson, Tamar;Greenberg, Mark T
通讯作者：
Greenberg, Mark T
影响因子：
2.1
作者：
Nordin, Maria;Nordin, Steven
通讯作者：
Nordin, Steven
影响因子：
4.3
作者：
Ma, Vincent Y.;Chan, Leighton;Carruthers, Kadir J.
通讯作者：
Carruthers, Kadir J.