24式简化太极拳野马分鬃动作导致膝关节损伤的风险评估

doi:10.3969/j.issn.1006-9771.2022.06.010

《中国康复理论与实践》 ›› 2022, Vol. 28 ›› Issue (6): 690-695.doi: 10.3969/j.issn.1006-9771.2022.06.010

24式简化太极拳野马分鬃动作导致膝关节损伤的风险评估

刘辉^1a,尹航²,梅博威^1b,贾绍辉^1a,柏开祥^1a()

1.武汉体育学院,a.健康科学学院,b.武术学院,湖北武汉市 430079
2.武汉商学院,湖北武汉市 430058

收稿日期:2021-10-15 修回日期:2022-05-19 出版日期:2022-06-25 发布日期:2022-07-05
通讯作者: 柏开祥 E-mail:382641388@qq.com
作者简介:刘辉(1980-),男,汉族,湖北黄石市人,硕士,讲师,主要研究方向：体质测量与评价。|柏开祥(1967-),男,汉族,湖北钟祥市人,博士,教授,主要研究方向：生物力学。
基金资助:
湖北省自然科学基金面上项目(2010CDB05001);湖北省教育厅人文社会科学研究重点项目(17D071);武汉体育学院"十四五"湖北省优势特色学科(群)(2021-5);武汉体育学院中青年科研创新团队项目(21KT14)

Risk assessment of knee joint injury induced by simplified 24-action Taiji Quan wild horse mane splitting practice

LIU Hui^1a,YIN Hang²,MEI Bowei^1b,JIA Shaohui^1a,BAI Kaixiang^1a()

1. a. College of Health Science, b. College of Martial Arts, Wuhan Sports University, Wuhan, Hubei 430079, China
2. Wuhan Business University, Wuhan, Hubei 430058, China

Received:2021-10-15 Revised:2022-05-19 Published:2022-06-25 Online:2022-07-05
Contact: BAI Kaixiang E-mail:382641388@qq.com
Supported by:
Natural Science Foundation of Hubei Province(2010CDB05001);Key Project of Humanities and Social Sciences of Hubei Provincial Department of Education(17D071);Hubei Dominant Characteristic Discipline Group of the 14th Five-Year Plan of Wuhan Sports University(2021-5);Young and Middle-Aged Scientific Research and Innovation Team Project of Wuhan Sports University(21KT14)

摘要/Abstract

摘要：

目的通过力学分析评估24式简化太极拳野马分鬃动作不同姿位的损伤风险。方法建立太极拳野马分鬃动作的力学模型,通过图像分析研究大腿和小腿的坐标、速度、加速度和水平角的数据,X片测量股四头肌的力臂,比较高、低姿位野马分鬃动作的股四头肌拉力、股胫关节作用力和髌股关节压力。结果与高姿位相比,低姿位时上端环节质心坐标及速度均变小,右膝关节中心坐标和速度也降低,膝关节角度从128°降到115°;膝关节力矩、股四头肌拉力、股胫关节水平作用力和垂直作用力、股胫关节承受总载荷和髌股骨关节压力均显著增加(F > 37.187, P < 0.001)。结论采用低姿位练习太极拳野马分鬃动作,膝关节受伤风险较高。

关键词: 太极拳, 野马分鬃, 关节压力, 膝关节损伤

Abstract:

Objective To investigate the injury risk of simplified 24-action Taiji Quan wild horse mane splitting practice at different postures with mechanical analysis. Methods The mechanical model of the action of Taiji Quan wild horse mane splitting was establishied, and then the coordinates, velocity, acceleration and horizontal angle of thigh and lower leg were determined by image analysis. The force arm of quadriceps femoris was detected by X-ray, and the quadriceps femoris tension, femoral tibial joint force and patellofemoral joint pressure of wild horse mane splitting practice with different postures were compared. Results Compared with the high posture, the coordination and velocity decreased, the average angle of knee joint decreased from 128° to 115° at the low posture; and the knee moment, the quadriceps femoris tension, femoral tibial joint force and patellofemoral joint pressure significantly increased (F > 37.187, P < 0.001). Conclusion When practicing Taiji Quan wild horse mane splitting, the risk of knee injury at the low posture is higher than that at high posture.

Key words: Taiji Quan, wild horse mane splitting, joint pressure, knee injury

中图分类号:

R684

刘辉,尹航,梅博威,贾绍辉,柏开祥. 24式简化太极拳野马分鬃动作导致膝关节损伤的风险评估[J]. 《中国康复理论与实践》, 2022, 28(6): 690-695.

LIU Hui,YIN Hang,MEI Bowei,JIA Shaohui,BAI Kaixiang. Risk assessment of knee joint injury induced by simplified 24-action Taiji Quan wild horse mane splitting practice[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(6): 690-695.

图/表 5

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表1

参考文献 32

[1]	姬瑞敏. 太极拳运动对中老年人脑功能和有氧运动能力的影响[J]. 中国康复理论与实践, 2020, 26(6): 637-642.
	JI R M. Effects of Taiji Quan on brain function and aerobic capacities for middle-aged and elderly people[J]. Chin J Rehabil Theory Pract, 2020, 26(6): 637-642.
[2]	沈小雨, 章代亮, 吕君玲, 等. 太极拳运动对老年高血压患者影响的研究进展[J]. 中国康复理论与实践, 2016, 22(11): 1298-1300.
	SHEN X Y, ZHANG D L, LÜ J L, et al. Taiji Quan for senile hypertension patients (review)[J]. Chin J Rehabil Theory Pract, 2016, 22(11): 1298-1300.
[3]	胡庆华, 乾佑玲, 刘晓丽, 等. 12周太极拳运动对中老年轻度高血压患者微血管反应性的影响及机制[J]. 中国应用生理学杂志, 2021, 37(1): 683-687.
	HU Q H, QIAN Y L, LIU X L, et al. Effects of 12-week Tai Chi exercise on the microvascular reactivity of the middle-aged and eldrly patients with mild hypertension and its mechanism[J]. Chin J Appl Physiol, 2021, 37(1): 683-687.
[4]	薛文传, 杨建营, 徐亚奎, 等. 健身养生太极拳研究[J]. 体育学刊, 2021, 28(1): 45-49.
	XUE W C, YANG J Y, XU Y K, et al. Research on fitness and health of Tai Chi[J]. J Phys Educ, 2021, 28(1): 45-49.
[5]	GHANDALI E, MOGHADAM S T, HADIAN M R, et al. The effect of Tai Chi exercises on postural stability and control in older patients with knee osteoarthritis[J]. J Bodyw Mov Ther, 2017, 21(3): 594-598. doi: 10.1016/j.jbmt.2016.09.001
[6]	NI M, MOONEY K, RICHARDS L, et al. Comparative impacts of Tai Chi, balance training, and a specially-designed Yoga program on balance in older fallers[J]. Arch Phys Med Rehabil, 2014, 95(9):1620-1628.e30. doi: 10.1016/j.apmr.2014.04.022
[7]	ZHUANG J, HUANG L, WU Y, et al. The effectiveness of a combined exercise intervention on physical fitness factors related to falls in community-dwelling older adults[J]. Clin Interv Aging, 2014, 9: 131-140.
[8]	金龙, 丛芳, 宋桂芸, 等. 水中太极对不完全性脊髓损伤患者平衡功能的影响[J]. 中国康复理论与实践, 2017, 23(8): 955-958.
	JING L, CONG F, SONG G Y, et al. Effects of aquatic Taiji Quan on balance function of patients with incomplete spinal cord injury[J]. Chin J Rehabil Theory Pract, 2017, 23(8): 955-958.
[9]	张孟利, 周天天, 刘朝晖. 太极拳在脊髓损伤康复中应用的进展[J]. 中国康复理论与实践, 2016, 22(11): 1301-1303.
	ZHANG M L, ZHOU T T, LIU Z H. Advance in Taiji Quan in rehabilitation for spinal cord injury (review)[J]. Chin J Rehabil Theory Pract, 2016, 22(11): 1301-1303.
[10]	侯来永, 贺春, 王思远, 等. 太极拳练习者膝关节疼痛调查研究[J]. 中国康复医学杂志, 2017, 32(5): 554-559.
	HOU L Y, HE C, WANG S Y, et al. The investigation and study of Tai Chi practitioners knee pain[J]. Chin J Rehabil Med, 2017, 32(5): 554-559.
[11]	LI Y, WANG K, WANG L, et al. Biomechanical analysis of the meniscus and cartilage of the knee during a typical Tai Chi movement-brush-knee and twist-step[J]. Math Biosci Eng, 2019, 16(2): 898-908. doi: 10.3934/mbe.2019042
[12]	陶萍, 于璐. 太极拳基础动作"野马分鬃"膝关节运动学、关节负荷及肌肉活动的特征比较[J]. 体育科学, 2014, 34(8): 49-55.
	TAO P, YU L. The comparison of knee joint kinematics, joint load and muscle activity characteristics for Tai Chi basic action "the Wild Horse's Mane on Both Side"[J]. Chin Sport Sci, 2014, 34(8): 49-55.
[13]	张彦龙, 陈民盛. 太极拳典型动作与行走、广场舞、慢跑运动的膝关节动力学的仿真比较分析[J]. 北京体育大学学报, 2015, 38(6): 82-88.
	ZHANG Y L, CHEN M S. Simulation comparison of knee dynamics among Tai Chi, walking, square dance and jogging[J]. J Beijing Sport Univ, 2015, 38(6): 82-88.
[14]	刘立, 张庭然, 罗炯, 等. 老年人与年轻人双重任务下阶梯行走步态特征比较[J]. 中国康复理论与实践, 2020, 26(3): 285-290.
	LIU L, ZHANG T R, LUO J, et al. Gait characteristics of staircase walking of old and young adults under dual task situation[J]. Chin Rehabil Theory Pract, 2020, 26(3): 285-290.
[15]	HALL M, WRIGLEY T V, METCALF B R, et al. Knee biomechanics during jogging after arthroscopic partial meniscectomy: a longitudinal study[J]. Am J Sports Med, 2017, 45(8): 1872-1880. doi: 10.1177/0363546517698934
[16]	ZHU Q, ZHOU X, ZHANG S, et al. Joint angles and joint moments of the lower limbs in four typical Tai Chi movements: consideration for management of knee osteoarthritis[J]. Res Sports Med, 2021, 29(6): 586-592. doi: 10.1080/15438627.2021.1975118
[17]	艾丽娜. 太极拳野马分鬃动作中膝关节疼痛的原因生物力学分析[D]. 北京: 北京体育大学, 2019.
	AI L N. Sport biomechanics analysis of Tai Chi Ye Ma Fen Zong practice resulting in knee joint pain[D]. Beijing: Beijing Sport University, 2019.
[18]	陶萍, 刘云发. 太极拳"野马分鬃"正误动作的膝关节动力学特征[J]. 上海体育学院学报, 2016, 40(6): 84-90.
	TAO P, LIU Y F. The kinetic study on the right and wrong actions on knee joint from Taijiquan's "Parting the Wild Horse's Mane"[J]. J Shanghai Univ Sport, 2016, 40(6): 84-90.
[19]	COSTELLO K E, FELSON D T, NEOGI T, et al. Ground reaction force patterns in knees with and without radiographic osteoarthritis and pain: descriptive analyses of a large cohort (the Multicenter Osteoarthritis Study)[J]. Osteoarthr Cartilage, 2021, 29(8): 1138-1146. doi: 10.1016/j.joca.2021.03.009
[20]	FARROKHI S, CHEN Y F, PIVA S R, et al. The influence of knee pain location on symptoms, functional status, and knee-related quality of life in older adults with chronic knee pain: data from the osteoarthritis initiative[J]. Clin J Pain, 2016, 32(6): 463-470. doi: 10.1097/AJP.0000000000000291
[21]	YANG Y, LI J H, XU N J, et al. Meta-analysis of elderly lower body strength: different effects of Tai Chi exercise on the knee joint-related muscle groups[J]. Evid Based Complement Alternat Med, 2021, 2021: 8628182.
[22]	徐伟军, 李英奎. 杨式太极拳演习者髌骨外移现象及其纠正[J]. 北京体育大学学报, 2008, 31(10): 1414-1415.
	XU W J, LI Y K. On Yang Taijiquan performers' outward shift of kneecaps and corresponding correctness[J]. J Beijing Sport Univ, 2008, 31(10): 1414-1415.
[23]	于璐. 太极拳练习导致膝关节疼痛的运动生物力学分析-以杨式太极拳野马分鬃为例[D]. 长春: 东北师范大学, 2015.
	YU L. Sports biomechanics analysis of Tai Chi practice resulting in knee joint pain-take "Part the Wild Horse's Mane" of Yang style Tai Chi for example[D]. Changchun: Northeast Normal University, 2015.
[24]	汤雨婷, 安丙辰, 郑洁皎. 膝骨关节炎生物力学参数的研究进展[J]. 中国康复理论与实践, 2020, 26(12): 1417-1421.
	TANG Y T, AN B C, ZHENG J J. Advance in biomechanical parameters of knee osteoarthritis (review)[J]. Chin J Rehabil Theory Pract, 2020, 26(12):1417-1421.
[25]	宋和胜, 钱竞光. 太极拳右"野马分鬃"正误动作中伸、屈膝肌肌力特征的计算机仿真分析[J]. 中国康复医学杂志, 2020, 35(5): 566-574.
	SONG H S, QIAN J G. Modeling on the extend and flexor muscle strength of knee in correct and incorrect Taichi motion[J]. Chin J Rehabil Med, 2020, 35(5): 566-574.
[26]	YANG F, LIU W. Biomechanical mechanism of Tai-Chi gait for preventing falls: a pilot study[J]. J Biomech, 2020, 105: 109769. doi: 10.1016/j.jbiomech.2020.109769
[27]	常桐博, 王宽, 黄尚军, 等. 太极拳搂膝拗步动作的踝关节生物力学分析[J]. 生物医学工程学杂志, 2021, 38(1): 97-104.
	CHANG T B, WANG K, HUANG S J, et al. Biomechanical analysis of ankle-foot complex during a typical Tai Chi movement-Brush Knee and Twist Step[J]. J Biomedl Engineer, 2021, 38(1): 97-104.
[28]	POULSEN E, GONCALVES G H, BRICCA A, et al. Knee osteoarthritis risk is increased 4-6 fold after knee injury: a systematic review and meta-analysis[J]. Br J Sports Med, 2019, 53(23): 1454-1463. doi: 10.1136/bjsports-2018-100022
[29]	GRAWE B, SCHROEDER A J, KAKAZU R, et al. Lateral collateral ligament injury about the knee: anatomy, evaluation, and management[J]. J Am Acad Orthop Surg, 2018, 26(6): e120-e127. doi: 10.5435/JAAOS-D-16-00028
[30]	LI R, CHEN H, FENG J, et al. Effectiveness of traditional Chinese exercise for symptoms of knee osteoarthritis: a systematic review and meta-analysis of randomized controlled trials[J]. Int J Environ Res Public Health, 2020, 17(21): 7873. doi: 10.3390/ijerph17217873
[31]	NG J W G, MYINT Y, ALI F M. Management of multiligament knee injuries[J]. EFORT Open Rev, 2020, 5(3): 145-155. doi: 10.1302/2058-5241.5.190012
[32]	WANG X B, HOU M J, CHEN S Q, et al. Effects of Tai Chi on postural control during dual-task stair negotiation in knee osteoarthritis: a randomised controlled trial protocol[J]. BMJ Open, 2020, 10(1): e033230. doi: 10.1136/bmjopen-2019-033230

动作	M/N·m	F_m /N	T_x/N	T_y/N	T/N	n	N/N
高姿位	126.94±10.45	3626.98±298.69	1149.67±253.24	3071.46±242.04	3283.50±310.37	4.47±0.42	2766.06±491.13
低姿位	187.27±2.83	5350.51±80.89	2120.56±28.32	5390.88±277.11	5794.25±250.13	7.88±0.34	4913.88±254.82
F值	97.811	97.806	37.187	130.236	128.998	128.040	38.329
P值	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001

24式简化太极拳野马分鬃动作导致膝关节损伤的风险评估

Risk assessment of knee joint injury induced by simplified 24-action Taiji Quan wild horse mane splitting practice

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