Tai Chi is effective in treating knee osteoarthritis: a randomized controlled trial.
Tai Chi is effective in treating knee osteoarthritis: a randomized controlled trial.
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DOI：
10.1002/art.24832
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发表时间：
2009-11-15
影响因子：
--
通讯作者：
McAlindon, Timothy
中科院分区：
文献类型：
--
作者：
Wang, Chenchen;Schmid, Christopher H.;Hibberd, Patricia L.;Kalish, Robert;Roubenoff, Ronenn;Rones, Ramel;McAlindon, Timothy
目的：评价太极拳治疗膝关节骨性关节炎(OA)症状的疗效。我们对40名有症状的胫股骨性关节炎患者进行了前瞻性、单盲、随机对照试验。患者被随机分配到60分钟太极拳(10种经典阳式的改良形式)或注意力控制组(健康教育和伸展)，每周两次，持续12周。主要结果是12周时西安大略大学和麦克马斯特大学的疼痛评分(WOMAC)。次要结果包括WOMAC功能、患者和医生全球评估、定时椅子站立、抑郁指数、自我效能量表和生活质量。我们在24周和48周时重复了这些评估。分析采用意向治疗原则进行比较。40例患者的平均年龄为65岁，体重指数为30.0 kg/m2。与对照组相比，打太极拳的患者在WOMAC疼痛(12周时的平均差值=−118.80 mm；95%可信区间[−183.66至−53.94]；P=0.0005)、WOMAC身体功能、−324.60 mm(CI，−513.98至−135.22；P=0.001)、患者总体视觉评分，−2.15 cm(CI，−3.82至−0.49；P0.01)，−1.71 cm(CI，−2.75to−0.66；P=0.002)，椅子站立时间，−10.88秒。(CI，−15.91~−5.84；P=0.00005)；CES抑郁指数，−6.70(CI，−11.63~−1.77；P=0.009)；自我效能感分0.71(CI，0.03~1.39；P=0.04)；SF-36身体成分总分7.43(CI，2.5~12.36；P=0.004)。未观察到严重不良反应。太极减轻疼痛，改善膝骨性关节炎的身体功能、自我效能、抑郁和与健康相关的生活质量。
To evaluate the effectiveness of Tai Chi in the treatment of knee osteoarthritis (OA) symptoms. We conducted a prospective, single-blind, randomized controlled trial of 40 individuals with symptomatic tibiofemoral OA. Patients were randomly assigned to 60 minutes of Tai Chi (10 modified forms from classical Yang style) or Attention Control (wellness education and stretching) twice-weekly for 12 weeks. The primary outcome was the Western Ontario and McMaster Universities OA (WOMAC) pain score at 12 weeks. Secondary outcomes included WOMAC function, patient and physician global assessments, timed chair stand, depression index, self-efficacy scale, and quality of life. We repeated these assessments at 24 and 48 weeks. Analyses were compared by intention-to-treat principles. The 40 patients had mean age 65 years and BMI 30.0 kg/m2. Compared to the controls, patients assigned to Tai Chi exhibited significantly greater improvement in WOMAC pain (mean difference at 12 weeks = −118.80 mm; 95% confidence interval [−183.66 to −53.94]; P= 0.0005), WOMAC physical function, −324.60 mm (CI, −513.98 to −135.22; P= 0.001), patients global VAS, −2.15 cm (CI, −3.82 to −0.49; P= 0.01), physician global VAS, −1.71 cm (CI, −2.75 to −0.66; P=0.002), chair stand time, −10.88 sec. (CI, −15.91 to −5.84; P= 0.00005), CES-Depression index, −6.70 (CI, −11.63 to −1.77; P= 0.009), self-efficacy score, 0.71 (CI, 0.03 to 1.39; P= 0.04) and SF-36 physical component summary, 7.43 (CI, 2.50 to 12.36; P=0.004). No severe adverse events were observed. Tai Chi reduces pain and improves physical function, self-efficacy, depression and health-related quality of life for knee OA.
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影响因子：
27.4
作者：
O'Reilly, SC;Jones, A;Doherty, M
通讯作者：
Doherty, M
影响因子：
3
作者：
Brismee, Jean-Michel;Paige, Robert L.;Shen, Chwan-Li
通讯作者：
Shen, Chwan-Li
影响因子：
27.4
作者：
Jordan, KM;Arden, NK;Dougados, M
通讯作者：
Dougados, M
DOI：
10.1093/geronb/56.5.s261
发表时间：
2001-09-01
影响因子：
6.2
作者：
Rejeski, WJ;Miller, ME;Rapp, S
通讯作者：
Rapp, S
影响因子：
5.4
作者：
Lee, Hyun Min;Papazoglou, Antonios
通讯作者：
Papazoglou, Antonios