Background: Although Tai Ji Quan has been shown to relieve pain and improve functional mobility in people with knee osteoarthritis(OA), little is known about its potential benefits on gait characteristics among older ...Background: Although Tai Ji Quan has been shown to relieve pain and improve functional mobility in people with knee osteoarthritis(OA), little is known about its potential benefits on gait characteristics among older Chinese women who have a high prevalence of both radiographic and symptomatic knee OA. This study aims to assess the efficacy of a tailored Tai Ji Quan intervention on gait kinematics for older Chinese women with knee OA.Methods: A randomized controlled trial involving 46 older women in Shanghai, China, with clinically diagnosed knee OA. Randomized(1:1)participants received either a 60 min Tai Ji Quan session(n = 23) 3 times weekly or a 60 min bi-weekly educational session(n = 23) for 24 weeks.Primary outcomes were changes in gait kinematic measures from baseline to 24 weeks. Secondary outcomes included changes in scores on the Western Ontario and Mc Master University Osteoarthritis Index(WOMAC) and Short Physical Performance Battery(SPPB).Results: After 24 weeks the Tai Ji Quan group demonstrated better performance in gait velocity(mean difference, 8.40 cm/s, p = 0.01), step length(mean difference, 3.52 cm, p = 0.004), initial contact angle(mean difference, 2.19°, p = 0.01), and maximal angle(mean difference, 2.61°,p = 0.003) of flexed knees during stance phase compared to the control group. In addition, the Tai Ji Quan group showed significant improvement in WOMAC scores(p < 0.01)(mean difference,-4.22 points in pain, p = 0.002;-2.41 points in stiffness, p < 0.001;-11.04 points in physical function, p = 0.006) and SPPB scores(mean difference, 1.22 points, p < 0.001).Conclusion: Among older Chinese women with knee OA, a tailored Tai Ji Quan intervention improved gait outcomes. The intervention also improved overall function as indexed by the WOMAC and SPPB. These results support the use of Tai Ji Quan for older Chinese adults with knee OA to both improve their functional mobility and reduce pain symptomatology.展开更多
Objective The Huashi Village in Xinglong County of Hebei Province is located in the Yanshan subsidence zone in the central eastern North China Plate, which is 137 km away from Beijing City （Fig. la）. This area has ...Objective The Huashi Village in Xinglong County of Hebei Province is located in the Yanshan subsidence zone in the central eastern North China Plate, which is 137 km away from Beijing City （Fig. la）. This area has undergone large -scale magmatic intrusion affected by the tectonic compression of the Pacific Plate in the Mesozoic （known as the Yanshanian movement） to form many alkaline rocks such as the Wulingshan rock mass. Previous studies have conducted petrological research and reconnaissance survey of rare metal ores in this area （Tian Shuzhang and Guo Zongshan, 1981; Xu Baoling et al., 1996）. In 2016, the Qinhuangdao Mineral and Hydrology Engineering Geological Brigade of Hebei Bureau of Geology and Mineral Resources Exploration implemented the project of Reconnaissance of Rare Metal Ores Including Rubidium in Huashi Village of Xinglong County, Hebei Province, and discovered super-large rare metal deposits of rubidium and biobium in the Madi alkali feldspar granite bodies in the Huashi Village to achieve great breakthrough of rare metal ore prospecting.展开更多
基金funded by the Shanghai City Committee of Science and Technology Key Project (No. 12490503200)the National Science Foundation for Distinguished Young Scholars of China (No. 81025022)
文摘Background: Although Tai Ji Quan has been shown to relieve pain and improve functional mobility in people with knee osteoarthritis(OA), little is known about its potential benefits on gait characteristics among older Chinese women who have a high prevalence of both radiographic and symptomatic knee OA. This study aims to assess the efficacy of a tailored Tai Ji Quan intervention on gait kinematics for older Chinese women with knee OA.Methods: A randomized controlled trial involving 46 older women in Shanghai, China, with clinically diagnosed knee OA. Randomized(1:1)participants received either a 60 min Tai Ji Quan session(n = 23) 3 times weekly or a 60 min bi-weekly educational session(n = 23) for 24 weeks.Primary outcomes were changes in gait kinematic measures from baseline to 24 weeks. Secondary outcomes included changes in scores on the Western Ontario and Mc Master University Osteoarthritis Index(WOMAC) and Short Physical Performance Battery(SPPB).Results: After 24 weeks the Tai Ji Quan group demonstrated better performance in gait velocity(mean difference, 8.40 cm/s, p = 0.01), step length(mean difference, 3.52 cm, p = 0.004), initial contact angle(mean difference, 2.19°, p = 0.01), and maximal angle(mean difference, 2.61°,p = 0.003) of flexed knees during stance phase compared to the control group. In addition, the Tai Ji Quan group showed significant improvement in WOMAC scores(p < 0.01)(mean difference,-4.22 points in pain, p = 0.002;-2.41 points in stiffness, p < 0.001;-11.04 points in physical function, p = 0.006) and SPPB scores(mean difference, 1.22 points, p < 0.001).Conclusion: Among older Chinese women with knee OA, a tailored Tai Ji Quan intervention improved gait outcomes. The intervention also improved overall function as indexed by the WOMAC and SPPB. These results support the use of Tai Ji Quan for older Chinese adults with knee OA to both improve their functional mobility and reduce pain symptomatology.
基金financially supported by the project of Reconnaissance of Rare Metal Ores Including Rubidium in Huashi Village of Xinglong County, Hebei Province from the Hebei Bureau of Geology and Mineral Resources Exploration (grant No.2015017)
文摘Objective The Huashi Village in Xinglong County of Hebei Province is located in the Yanshan subsidence zone in the central eastern North China Plate, which is 137 km away from Beijing City （Fig. la）. This area has undergone large -scale magmatic intrusion affected by the tectonic compression of the Pacific Plate in the Mesozoic （known as the Yanshanian movement） to form many alkaline rocks such as the Wulingshan rock mass. Previous studies have conducted petrological research and reconnaissance survey of rare metal ores in this area （Tian Shuzhang and Guo Zongshan, 1981; Xu Baoling et al., 1996）. In 2016, the Qinhuangdao Mineral and Hydrology Engineering Geological Brigade of Hebei Bureau of Geology and Mineral Resources Exploration implemented the project of Reconnaissance of Rare Metal Ores Including Rubidium in Huashi Village of Xinglong County, Hebei Province, and discovered super-large rare metal deposits of rubidium and biobium in the Madi alkali feldspar granite bodies in the Huashi Village to achieve great breakthrough of rare metal ore prospecting.
