太极拳对预防社区老年人跌倒的作用研究进展

doi:10.3969/j.issn.1006-9771.2017.09.017

摘要/Abstract

摘要： 跌倒对老年人的生活质量造成严重不良影响,增龄衰老导致的平衡功能障碍是引发老年人跌倒的主要因素。太极拳练习对老年人的下肢肌肉力量、本体感觉功能、神经肌肉反应能力、步态功能以及认知功能均有促进作用,正确合理地练习太极拳有助于减少跌倒。

关键词: 老年, 跌倒, 太极拳, 社区, 综述

Abstract: Fall has seriously impaired the quality of life of old people. The main risk factors for fall in the old people are concerned with balance dysfunction which is caused by ageing. Taiji Quan exercise can promote the lower limb muscle strength, proprioception, neuromuscular reaction, gait and cognition of the old people, that plays a role in fall prevention.

Key words: aged, fall, Taiji Quan, community, review

中图分类号:

R592

曲冰, 郑洁皎. 太极拳对预防社区老年人跌倒的作用研究进展[J]. 《中国康复理论与实践》, 2017, 23(9): 1072-1076.

QU Bing, ZHENG Jie-jiao. Advance of Taiji Quan in Fall Prevention for Old People in Community (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(9): 1072-1076.

参考文献

[1] Deandrea S, Bravi F, Turati F, et al. Risk factors for falls in older people in nursing homes and hospitals. A systematic review and meta-analysis [J]. Arch Gerontol Geriatr, 2013, 56(3): 407-415.
[2] 姜玉,夏庆华,胡嘉,等. 上海市长宁区老年人跌倒伤害流行病学及疾病负担研究[J]. 中华疾病控制杂志, 2013, 17(2): 134-137.
[3] 郑洁皎,赵尚敏,陈秀恩,等. 运动习惯对老年人平衡能力的影响[J]. 中国康复理论与实践, 2008, 14(1): 73.
[4] Cho SI, An DH. Effects of a fall prevention exercise program on muscle strength and balance of the old-old elderly [J]. J Phys Ther Sci, 2014, 26(11): 1771-1774.
[5] Rose DJ, Hernandez D. The role of exercise in fall prevention for older adults [J]. Clin Geriatr Med, 2010, 26(4): 607-631.
[6] Uusi-Rasi K, Patil R, Karinkanta S, et al. Exercise and vitamin D in fall prevention among older women: a randomized clinical trial [J]. JAMA Intern Med, 2015, 175(5): 703-711.
[7] Li F, Harmer P, Fitzgerald K, et al. Tai Chi and postural stability in patients with Parkinson's disease [J]. N Engl J Med, 2012, 366(6): 511-519.
[8] 沈志祥. 老年人的运动特点与健身策略[J]. 中国临床保健杂志, 2004, 7(1): 77-79.
[9] 刘翠鲜,沈志祥. 跌倒的流行病学特点及其危险因素[J]. 中国老年学, 2012, 32(17): 3837-3839.
[10] 郑洁皎,王雪强. 认知功能对预防老年人跌倒的作用[J]. 中国康复理论与实践, 2012, 18(1): 3-4.
[11] Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society. Summary of the Updated American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons [J]. J Am Geriatr Soc, 2011, 59(1): 148-157.
[12] 梁永文. 太极拳对老年人心肺机能的影响[J]. 体育学刊, 2001, 8(4): 65-66.
[13] 何友平,吕品. 太极拳运动对原发性高血压作用机制[J]. 安徽师范大学学报(自然科学版), 2012, 35(1): 83-87.
[14] 欧阳燕,唐生钊. 太极拳运动呼吸方法对呼吸系统慢性疾病的康复作用[J]. 武汉体育学院学报, 2004, 38(6): 61-63.
[15] 孙威,毛德伟,章岚,等. 16周太极拳和快走锻炼对老年女性呼吸机能的影响[J]. 中国运动医学杂志, 2012, 31(8): 669-672.
[16] Gao Q, Leung A, Yang Y, et al. Effects of Tai Chi on balance and fall prevention in Parkinson's disease: a randomized controlled trial [J]. Clin Rehabil, 2014, 28(8): 748-753.
[17] Ory MG, Smith ML, Parker EM, et al. Fall prevention in community settings: results from implementing Tai Chi: moving for better balance in three states [J]. Front Public Health, 2015, 2(1): 258-264.
[18] Hutton RS, Atwater SW. Acute and chronic adaptations of muscle proprioceptors in response to increased use [J]. Sports Med, 1992, 14(6): 406-421.
[19] Ribeiro F, Oliveira J. Effect of physical exercise and age on knee joint position sense [J]. Arch Gerontol Geriatr, 2010, 51(1): 64-67.
[20] 刘静,王雪强,郑洁皎,等. 太极拳运动对中老年人膝关节本体感觉的影响[J]. 中国康复医学杂志, 2012, 27(10): 962-964.
[21] Li JX, Xu DQ, Hong Y. Tai Chi exercise and proprioception behavior in old people [J]. Med Sport Sci, 2008, 52: 77-86.
[22] Hurley BF. Age, gender, and muscular strength [J]. J Gerontol A Biol Sci Med Sci, 1995, 50(9): 41-44.
[23] Cruz-Jentoft AJ, Baeyens JP, Baeyens JM, et al. Sarcopenia: European Consensus on Defnition And Diagnosis: report of the European Working Groupon Sarcopenia in older people [J]. Age Ageing, 2010, 39(4): 412-423.
[24] Bijlsma AY, Pasma JH, Lambers D, et al. Muscle strength rather than muscle mass is associated with standing balance in elderly outpatients [J]. J Am Med Dir Assoc, 2013, 14(7): 493-498.
[25] 恽晓平. 康复疗法评定学[M]. 北京:华夏出版社, 2011: 240-241.
[26] Liu B, Liu ZH, Zhu HE. Effects of Tai Chi on lower-limb myodynamia in the elderly people: a meta-analysis [J]. J Tradit Chin Med, 2011, 31(2): 141-146.
[27] Wu F, Callisaya M, Laslett LL, et al. Lower limb muscle strength is associated with poor balance in middle-aged women: linear and nonlinear analyses [J]. Osteoporosis Int, 2016, 27(7): 2241-2248.
[28] Xu DQ, Hong Y, Li JX. Tai Chi exercise and muscle strength and endurance in older people [J]. Med Sport Sci, 2008, 52: 20-29.
[29] Zhou M, Peng N, Dai Q, et al. Effect of Tai Chi on muscle strength of the lower extremities in the elderly [J]. Chin J Integr Med, 2016, 22(11): 861-866.
[30] Li JX, Xu DQ, Hong Y. Changes in muscle strength, endurance, and reaction of the lower extremities with Tai Chi intervention [J]. J Biomech, 2009, 42(8): 967-971.
[31] 李建华,王健. 表面肌电图诊断技术临床应用[M]. 杭州:浙江大学出版社, 2015: 8-9.
[32] 李宗涛,葛新发,罗冬梅,等. 神经肌肉反应活动能力衰退导致老年女性跌倒的因素研究[J]. 中国运动医学杂志, 2015, 34(6): 559-563.
[33] Sun W, Zhang C, Song Q, et al. Effect of 1-year regular Tai Chi on neuromuscular reaction in elderly women: a randomized controlled study [J]. Res Sports Med, 2016, 24(2): 145-156.
[34] Xu DQ, Li JX, Hong Y. Effect of regular Tai Chi and jogging exercise on neuromuscular reaction in older people [J]. Age Ageing, 2005, 34(5): 439-444.
[35] 张彩芳,周军,史清钊,等. 太极拳运动对老年人步态稳定性的影响[J]. 现代生物医学进展, 2011, 11(5): 918-921.
[36] McGibbon CA, Krebs DE, Parker SW, et al. Tai Chi and vestibular rehabilitation improve vestibulopathic gait via different neuromuscular mechanisms: preliminary report [J]. BMC Neurol, 2005, 5(1): 3-15.
[37] Lin MR, Hwang HF, Wang YW, et al. Community-based Tai Chi and its effect on injurious falls, balance, gait, and fear of falling in older people [J]. Phys Ther, 2006, 86(9): 1189-1201.
[38] Kim HD, Je HD, Jeong JH, et al. Tai Chi and its effects on dynamic postural control in the initiation of gait by older people [J]. J Phys Ther Sci, 2012, 24(2): 175-180.
[39] Wei GX, Xu T, Fan FM, et al. Can Tai Chi reshape the brain? A brain morphometry study [J]. PLoS One, 2013, 8(4): e61038.
[40] Chiesa A, Calati R, Serretti A. Does mindfulness training improve cognitive abilities? A systematic review of neuropsychological findings [J]. Clin Psychol Rev, 2011, 31(3): 449-464.
[41] Prakash R, Rastogi P, Dubey I, et al. Long-term concentrative meditation and cognitive performance among older adults [J]. Neuropsychol Dev Cogn B Aging Neuropsychol Cogn, 2012, 19(4): 479-494.
[42] Wang C, Bannuru R, Ramel J, et al. Tai Chi on psychological well-being: systematic review and meta-analysis [J]. BMC Complement Altern Med, 2010, 10(1): 23.
[43] Wayne PM, Walsh JN, Taylor-Piliae RE, et al. The impact of Tai Chi on cognitive performance in older adults: a systematic review and meta-analysis [J]. J Am Geriatr Soc, 2014, 62(1): 25-39.
[44] 王乾贝,绳宇. 太极拳运动对社区轻度认知障碍老年人认知功能的影响[J]. 中国康复理论与实践, 2016, 22(6): 645-649.
[45] 郑松波. 太极拳健身原理研究[D]. 南昌:江西师范大学, 2003: 28-29.
[46] 杜国友,武建伟,高河永. 太极拳分类新论[J]. 搏击·武术科学, 2006, 3(12): 21-22.
[47] 陈文鹤,赵釜生. 太极拳练习的能量消耗和甲皱微循环变化[J]. 上海体育学院学报, 1984, 8(2): 1-7,19.
[48] Shyamala T, Wong SF, Andiappan A, et al. Health Promotion Board-Ministry of Health Clinical Practice Guidelines: Falls Prevention among Older Adults Living in the Community [J]. Singapore Med J, 2015, 56(5): 298-300.
[49] Song R, Ahn S, So H, et al. Effects of Tai Chi on balance: a population-based meta-analysis [J]. J Altern Complement Med, 2015, 21(3): 141-151.
[50] 陈青,王宗兵,龚云. 中、老年人太极拳健身运动处方[J]. 中国体育科技, 2003, 39(5): 54-56.
[51] 朱东,李立,邱丕相,等. 上海市区太极拳练习者膝关节疼痛调查分析[J]. 中国运动医学杂志, 2011, 30(9): 820-824.
[52] 朱雅敏. 太极拳运动中膝关节损伤机制和预防[J]. 体育与科学, 2002, 23(2): 59-60.
[53] Wang C, Schmid CH, Hibberd PL, et al. Tai Chi is effective in treating knee osteoarthritis: a randomized controlled trial [J]. Arthritis Rheum, 2009, 61(11): 1545-1553.
[54] Lauche R, Langhorst J, Dobos G, et al. A systematic review and meta-analysis of Tai Chi for osteoarthritis of the knee [J]. Complement Ther Med, 2013, 21(4): 396-406.