水中太极对不完全性脊髓损伤患者平衡功能的影响

doi:10.3969/j.issn.1006-9771.2017.08.018

Abstract

Abstract: Objective To investigate the effects of aquatic Taiji Quan on balance function of patients with incomplete spinal cord injury. Methods From March to December, 2015, 30 patients with incomplete spinal cord injury received aquatic Taiji Quan exercise based on routine rehabilitation, 30 minutes every day, five times a week for five weeks. They were assessed with Berg Balance Scale (BBS) before and after exercise. Dynamic balance function and static balance function were also assessed with Active Balancer assessment. Results The BBS score significantly improved after exercise (t=-9.652, P<0.001). The track length and area of gravity movement with eyes open and closed decreased (t>3.528, Z>-2.590, P<0.01). No improvement was observed in the deflection center displacement of X and Y axes (P>0.05). The dynamic stability limit range enlarged (t=-4.516, P<0.01), and the time to target significantly shortened (t=4.530, P<0.001). Conclusion Aquatic Taiji Quan can improve the balance function of patients with incomplete spinal cord injury.

Key words: incomplete spinal cord injury, Taiji Quan, aquatic exercise, balance function

CLC Number:

R651.2

JIN Long, CONG Fang, SONG Gui-yun, SI Feng-shan, YAO Bin, JIA Wei, CUI Yao. Effects of Aquatic Taiji Quan on Balance Function of Patients with Incomplete Spinal Cord Injury　[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(8): 955-958.

References

[1] 沈敏,方栋,顾秋燕,等. Tetrax平衡测试与训练对脑梗死偏瘫患者平衡功能的影响[J]. 中国康复理论与实践, 2010, 16(3): 249-250.
[2] 周云荆,珏华,吴建贤. 脊髓损伤的分类及分级[J]. 中国伤残医学, 2013, 21(8): 469-470.
[3] 吴琼,丛芳,金龙,等. 脑卒中偏瘫患者水中平板步行训练疗效的初步观察[J]. 中国康复理论与实践, 2011, 17(12): 1145-1147.
[4] 刘奕,徐贞杰,潘科,等. 应用Tetrax平衡测试与训练系统改善脊髓损伤患者平衡功能的临床观察[J]. 重庆医学, 2013, 42(4): 425-426.
[5] Arnold CM, Faulkner RA. The effect of aquatic exercise and education on lowering fall risk in older adults with hip osteoarthritis [J]. J Aging Physic Act, 2010, 18(3): 245-260.
[6] 张葆欣,苟波,张根学,等. 国家散手运动员平衡能力的研究——以冬训阶段为例[J]. 北京体育大学学报, 2011, 34(4): 136-144.
[7] 李新博,王明建. 论视觉干预训练对太极拳练习者平衡能力的影响[J]. 四川体育科学, 2014, 33(2): 49-51.
[8] Winters-Stone KM, Li F, Horak F, et al. Comparison of Tai Chi vs. strength training for fall prevention among female cancer survivors: study protocol for the GET FIT trial [J]. BMC Cancer, 2012, 12: 577.
[9] Wayne PM, Kiel DP, Buring JE, et al. Impact of Tai Chi exercise on multiple fracturerelated risk factors in post-menopausal osteopenic women: a pilot pragmatic, randomized trial [J]. BMC Complement Altern Med, 2012, 12: 7.
[10] Zheng G, Lan X, Li M, et al. The effectiveness of Tai Chi on the physical and psychological well being of college students: a study protocol for a randomized controlled trial [J]. Trials, 2014, 15: 129.
[11] Tousignant M, Corriveau H, Kariy D, et al. Tai Chi-based exercise program provided via telerehabilitation compared to home visits in a post-stroke population who have returned home without intensive rehabilitation: study protocol for a randomized, non-inferiority clinical trial [J]. Trials, 2014, 15: 42.
[12] 张勇,邹忆怀,李宗衡,等. 太极拳应用于中风病康复的研究进展与思路探讨[J]. 中西医结合心脑血管病杂志, 2014, 12(7): 881- 883.
[13] 管细红,唐霞珠,刘建民. 太极拳训练对帕金森病病人步行能力及害怕跌倒的影响[J]. 护理研究, 2016, 30(28): 3514-3517.
[14] 卢洋. 练太极拳锻炼是保持平衡的最佳运动[J]. 心血管病防治知识, 2015(2): 57-58.
[15] 王齐,崔华,胡晓飞. 国内太极拳改善老年人平衡实证研究的进展与展望——基于2010—2014年国内期刊和国内会议的文献计量分析[J]. 运动, 2015(23): 151-153.
[16] 吴剑,侯苹苹. 二十四式太极拳对大学生平衡功能的影响[J]. 当代体育科技, 2015, 5(24): 178-179.
[17] Taylor-Piliae RE, Hoke TM, Hepworth JT, et al. Effect of TaiChi on physical function, fall rates and quality of life among older stroke survivors [J]. Arch Phys Med Rehabil, 2014, 95(5): 816-824.
[18] Liu B, Liu ZH, Zhu HE, et al. Effects of Tai Chi on lowerlimb myodynamia in the elderly people: a Meta-analysis [J]. J Trad Chin Med, 2011, 31(2): 141-146.
[19] 杨勤,胡佛生,朱正坤,等. 温泉水中太极拳锻炼对腰椎和下肢骨折患者平衡及步行能力的影响[J]. 深圳中西医结合杂志, 2015, 25(16): 71-72.
[20] 王轶钊,黄力平,张琳瑛,等. 水中运动训练对恢复期脑卒中患者下肢肌肉力量和步行能力的影响[J]. 中国康复医学杂志, 2013, 28(10): 929-933.
[21] 王俊,黄犇,杨占宇,等. 水中平板步行训练对脑卒中患者步行能力改善的研究[J]. 中国康复医学杂志, 2015, 30(7): 692-695.
[22] 王宇昌. 水中运动疗法在运动损伤中的应用研究[J]. 搏击(体育论坛), 2015(11): 74-75
[23] 王莉,戴朝秦. 水中强化步行训练对脑卒中偏瘫患者步行能力恢复的影响[J]. 中国康复医学杂志, 2014, 29(1): 76-78.
[24] Yoo J, Lim KB, Lee HJ, et al. Cardiovascular response during submaximal underwater treadmill exercise in stroke patients [J]. Ann Rehabil Med, 2014, 38(5): 628-636.
[25] Becker BE, Cole AJ. Comprehensive Aquatic Therapy [M]. Washington: Washington State University Publishing, 2010: 198.
[26] 励建安,黄东锋,李建新,等. 综合水疗学[M]. 3版. 北京:金盾出版社, 2015: 158.
[27] 王云龙,陈长香,马素慧,等. 不同平衡量表应用于脑卒中患者的相关性分析[J]. 中国康复医学杂志, 2015, 30(2): 143-146.
[28] 王惠娟,张盛全,刘夏,等. 动态平衡仪与Berg量表用于评定偏瘫患者平衡功能的相关性分析[J]. 中国康复医学杂志, 2013, 28(4): 339-343.
[29] 吴琼,王欣欣,王颖鹏,等. 表面肌电图在水中运动研究中的应用进展[J]. 中国康复理论与实践, 2015, 21(4): 445-448.
[30] 杨林. 膝关节水中屈伸运动时的生物力学特征分析[J]. 体育学刊, 2013(4): 134-139.
[31] Jung T, Lee D, Charalambous C, et al. The influence of applying additional weight to the affected leg on gait patterns during aquatic treadmill walking in people post stroke [J]. Arch Phys Med Rehabil, 2010, 91(1): 129-136.
[32] 丁玉静,李金业,陈春林,等. 新生儿游泳综合治疗改善新生儿脑病肌力障碍疗效观察[J]. 齐齐哈尔医学院学报, 2012, 33(14): 1964.
[33] 刘奕,徐贞杰,潘科,等. 应用Tetrax平衡测试与训练系统改善脊髓损伤患者平衡功能的临床观察[J]. 重庆医学, 2013, 42(4): 425-426.

Effects of Aquatic Taiji Quan on Balance Function of Patients with Incomplete Spinal Cord Injury

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