T'AI CHI FOR BALANCE DISORDERS

太极拳治疗平衡障碍

• 批准号: 3444206
• 负责人: Timothy C Hain
• 金额: $ 2.97万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 1993
• 资助国家: 美国
• 起止时间: 1993-09-30 至 1994-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3444206
• 关键词: accidental falls; alternative medicine; balance; exercise; functional ability; human middle age (35-64); human old age (65+); human subject; human therapy evaluation; neurologic manifestations; physical therapy; young adult human (21-34)

Our long-term goal is to improve mobility and decrease injury due to falls in persons with balance disorders. Our specific aim is to determine if eight weeks of daily practice of an alternative health care exercise, T'ai Chi, can significantly improve balance of persons with "high-level" (mild) balance disorders. We propose to study 30 persons with stable mild balance disorders, with imbalance defined by their score on the Duke Mobility Skills protocol. We will recruit 10 persons in each of 3 age groups: 20-44, 46-60, and 61 and beyond. Prospective subjects will undergo a set of pre-training assessment instruments including a Dizziness Handicap Inventory (Jacobson et al, 1990), a falls self-report questionnaire, the Duke Mobility Skills Protocol, the Mini Mental screen (Folstein et al, 1975), and have their postural sway measured using a posture platform (Smart BalanceMaster). They will then undergo 8 weeks of daily T'ai Chi practice, after which they will again undergo assessment. Three months after the course, they will return for a final set of assessments and an ascertainment of continued practice of T'ai Chi. Scores from the assessments instruments will be collated, and we will determine if there is a significant change between start and end of the course. For simple comparisons, looking for changes in measures, we will use paired t-tests, each subject being their own control. We will use analysis of variance (ANOVA), including a nonparametric form when required, to determine if age or degree of compliance with exercises has a significant effect on changes in scores. This study will determine whether T'ai Chi can improve balance in persons with mild balance disorders. It will also provide information as to whether there is a difference in effect between younger and older persons. These data may be used to justify a study of a larger number of subjects, as well as determine whether a study comparing results from traditional physical therapy to T'ai Chi should be undertaken.

我们的长期目标是提高机动性和减少受伤， 福尔斯在平衡障碍的人。我们的具体目标是确定 如果每天进行八周的替代性保健锻炼， 太极拳，可以显著改善平衡的人与“高层次” （轻度）平衡障碍。 我们建议研究30名稳定的轻度平衡障碍患者， 根据杜克移动技能协议的评分定义的不平衡。 我们将在三个年龄组中招募10人：20-44岁，46-60岁和61岁 以及更远的地方未来的受试者将接受一系列预先培训 包括头晕障碍量表（Jacobson 等人，1990年），福尔斯自我报告问卷，杜克移动技能 方案，迷你心理屏幕（Folstein等，1975），并有他们的 使用姿势平台（Smart BalanceMaster）测量姿势摇摆。 然后，他们将接受8周的日常太极练习， 他们将再次接受评估。课程结束三个月后，他们 将返回进行最后一组评估， 继续练习太极拳。 评估工具的分数将被整理，我们将 确定在开始和结束之间是否存在显著变化， 当然了为了进行简单的比较，寻找测量的变化，我们将 使用配对t检验，每个受试者都是自己的对照。我们将使用 方差分析（ANOVA），包括非参数形式， 需要，以确定是否年龄或程度的遵守演习 对分数的变化有显著影响。 这项研究将确定太极拳是否可以改善人的平衡 轻度平衡失调它还将提供以下信息： 年轻人和老年人之间的效果是否存在差异 人士这些数据可用于证明对大量 受试者，以及确定是否研究比较结果， 传统的物理治疗太极拳应进行。