Background:No studies have compared effectiveness of resistance training and Tai Ji exercise on relieving symptoms of knee osteoarthritis(OA).The purpose of the study was to evaluate effects of a 10-week Tai Ji and re...Background:No studies have compared effectiveness of resistance training and Tai Ji exercise on relieving symptoms of knee osteoarthritis(OA).The purpose of the study was to evaluate effects of a 10-week Tai Ji and resistance training intervention on improving OA symptoms and mobility in seniors with knee OA.Methods:Thirty-one seniors(60-85 years)were randomly assigned to a Tai Ji program(n=12),a resistance training program(n=13),and a control group(n=6).All participants completed the Western Ontario and McMaster(WOMAC)Osteoarthritis Index and performed three physical performance tests(6-min walk,timed-up-and-go,and timed stair climb and descent)before and after the 10-week intervention.Results:The participants in the resistance training group significantly improved on the timed-up-and-go test(p【0.001),the WOMAC pain subscore(p=0.006),WOMAC stiffness sub-score(p【0.001),and WOMAC physical function sub-score(p=0.011).The Tai Ji group significantly improved on the timed-up-and-go test(p【0.001),but not on the WOMAC scores.Conclusion:Resistance training was effective for improving mobility and improving the symptoms of knee OA.Tai Ji was also effective for improving mobility,but did not improve knee OA symptoms.展开更多
背景:当前针对患者骨健康/骨密度相关疾患结局指标的影响,传统太极功法干预仍然存在较大的争议,亟待作进一步探讨。目的:系统评价传统太极功法干预对改善骨密度流失的临床疗效与安全性。方法:通过计算机对中国知网CNKI、万方、维普VIP...背景:当前针对患者骨健康/骨密度相关疾患结局指标的影响,传统太极功法干预仍然存在较大的争议,亟待作进一步探讨。目的:系统评价传统太极功法干预对改善骨密度流失的临床疗效与安全性。方法:通过计算机对中国知网CNKI、万方、维普VIP和中国生物医学文献数据库、以及国外数据库PubMed、MEDLINE、EMbase、CochraneLibrary等进行全面检索;配合对大学图书馆的馆藏期刊进行手工检索,检索时间截于2019年1月;系统搜集传统太极功法(包括太极拳、太极推手、太极柔力球等)干预对骨健康/骨密度相关疾患结局指标影响的随机对照研究(RCT)文献。参考Cochrane系统评价方法进行文献筛选、资料提取以及方法学质量评价;并采用Rev Man 5.3软件进行Meta分析。结果与结论:共纳入14篇文献(16个RCT研究),Meta分析结果表明:接受传统太极功法干预后,脊柱腰椎L2-4骨密度(SMD=0.40,95%CI[0.16,0.65],P=0.001)、以及股骨颈骨密度(SMD=0.75,95%CI [0.27,1.24],P=0.002)改善方面均优于对照组;然而在Ward’s三角骨密度(SMD=0.50,95%CI[-0.10,1.10],P=0.10)、股骨干骨密度(SMD=0.16,95%CI[-0.11,0.44],P=0.25)、股骨近端转子骨密度(SMD=0.54,95%CI[-0.01,1.09],P=0.05)、以及桡骨远端1/3处骨密度(SMD=0.20,95%CI[-0.26,0.66],P=0.040)与对照组比较,组间差异无统计学意义;且传统太极功法干预尚未发现严重不良事件。当前证据发现,传统太极功法干预在特定人群(例如老年人、骨质疏松人群、围绝经期与绝经后妇女)脊柱腰椎、股骨颈等部位的骨密度流失改善方面疗效明确,不良反应较少。鉴于纳入文献数量偏少以及研究本身局限性,有待开展高质量的、设计严谨的临床试验予以进一步验证。展开更多
基金supported in part by funds from UTK Office of Research,College of Education,Health and Human Sciences,and University of Tennessee Medical Center,The University of Tennessee
文摘Background:No studies have compared effectiveness of resistance training and Tai Ji exercise on relieving symptoms of knee osteoarthritis(OA).The purpose of the study was to evaluate effects of a 10-week Tai Ji and resistance training intervention on improving OA symptoms and mobility in seniors with knee OA.Methods:Thirty-one seniors(60-85 years)were randomly assigned to a Tai Ji program(n=12),a resistance training program(n=13),and a control group(n=6).All participants completed the Western Ontario and McMaster(WOMAC)Osteoarthritis Index and performed three physical performance tests(6-min walk,timed-up-and-go,and timed stair climb and descent)before and after the 10-week intervention.Results:The participants in the resistance training group significantly improved on the timed-up-and-go test(p【0.001),the WOMAC pain subscore(p=0.006),WOMAC stiffness sub-score(p【0.001),and WOMAC physical function sub-score(p=0.011).The Tai Ji group significantly improved on the timed-up-and-go test(p【0.001),but not on the WOMAC scores.Conclusion:Resistance training was effective for improving mobility and improving the symptoms of knee OA.Tai Ji was also effective for improving mobility,but did not improve knee OA symptoms.
文摘背景:当前针对患者骨健康/骨密度相关疾患结局指标的影响,传统太极功法干预仍然存在较大的争议,亟待作进一步探讨。目的:系统评价传统太极功法干预对改善骨密度流失的临床疗效与安全性。方法:通过计算机对中国知网CNKI、万方、维普VIP和中国生物医学文献数据库、以及国外数据库PubMed、MEDLINE、EMbase、CochraneLibrary等进行全面检索;配合对大学图书馆的馆藏期刊进行手工检索,检索时间截于2019年1月;系统搜集传统太极功法(包括太极拳、太极推手、太极柔力球等)干预对骨健康/骨密度相关疾患结局指标影响的随机对照研究(RCT)文献。参考Cochrane系统评价方法进行文献筛选、资料提取以及方法学质量评价;并采用Rev Man 5.3软件进行Meta分析。结果与结论:共纳入14篇文献(16个RCT研究),Meta分析结果表明:接受传统太极功法干预后,脊柱腰椎L2-4骨密度(SMD=0.40,95%CI[0.16,0.65],P=0.001)、以及股骨颈骨密度(SMD=0.75,95%CI [0.27,1.24],P=0.002)改善方面均优于对照组;然而在Ward’s三角骨密度(SMD=0.50,95%CI[-0.10,1.10],P=0.10)、股骨干骨密度(SMD=0.16,95%CI[-0.11,0.44],P=0.25)、股骨近端转子骨密度(SMD=0.54,95%CI[-0.01,1.09],P=0.05)、以及桡骨远端1/3处骨密度(SMD=0.20,95%CI[-0.26,0.66],P=0.040)与对照组比较,组间差异无统计学意义;且传统太极功法干预尚未发现严重不良事件。当前证据发现,传统太极功法干预在特定人群(例如老年人、骨质疏松人群、围绝经期与绝经后妇女)脊柱腰椎、股骨颈等部位的骨密度流失改善方面疗效明确,不良反应较少。鉴于纳入文献数量偏少以及研究本身局限性,有待开展高质量的、设计严谨的临床试验予以进一步验证。
