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| 太极拳运动对女性原发性骨质疏松症患者腰背肌力的 影响 |
| Effect of Tai Chi on the lumbar muscle strength in women with primary osteoporosis |
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| DOI： |
| 中文关键词: 太极拳 健步走 骨质疏松 腰屈伸 等速肌力 |
| 英文关键词:Tai chi Vigorous walk Osteoporosis Lumbar muscle strength |
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| 中文摘要: |
| 目的探讨太极拳运动对原发性骨质疏松症(POP)患者腰背肌力的影响，为进一步对POP的综合康复方案进行优化 奠定基础。方法30例原发性骨质疏松症患者(太极拳组)进行每次1 h，每日1次，每周6次，周期为6个月的“陈式太极拳 运动”训练，另外30例原发性骨质疏松症患者(健步走组)进行每次1 h，每日1次，每周6次，周期为6个月的普通健步走运 动，对两组患者进行训练前后的腰屈伸等速肌力测试，对腰屈伸的AROM、PT、PT/BW、TW、TPT及F/E等数值进行分析。结 果太极拳组干预后的AROM、60°角速度时腰屈曲及腰伸展的PT、PT/BW均明显高于健步走组，90°角速度时腰伸展的TW 高于健步走组、TPT及F/E低于健步走组;而健步走组在90°角速度时腰屈曲的TPT略低于太极拳组(P <0. 05)；结论与健步 走运动相比，使用太极拳对原发性骨质疏松症患者进行运动训练，可以使患者的腰背屈伸肌力得到更明显的提高。 |
| 英文摘要: |
| Objective To investigate the effect of Tai Chi on the lumbar muscle strength in postmenopausal women with primary osteoporosis (POP)，in order to lay the foundation for optimizing comprehensive rehabilitation training programs of POP. Methods Thirty patients with POP in Tai Chi group practiced Chen，s Tai Chi for 1 hour per day，6 times per week，lasting for 6 months. And the other 30 patients with POP in vigorous walk group took a common vigorous walk for 1 hour per day， also 6 times per week and lasting for 6 months. The lumbar muscle strength in both groups before and after the practice was measured. The results of active range of motion (AROM)，peak torque ( PT)，peak torque to body weigh t( PT/B"W)，total work (TW)，time to peak torque (TPT)，and flexion to extension (F/E) were analyzed. Results After the intervention，AROM，PT，PT/BW at 60°s (60 angular velocities) at both lumber flexion and extension state in the Tai Chi group were significantly higher than those in the vigorous walk group. TW of lumbar extension at 90°/s was higher，while the TPT and F/E of lumbar extension at 90。/s were lower than those in the vigorous walk group. The TPT of lumbar flexion at 90。/s in the vigorous walk group was lower than that in the Tai Chi group (P < 0. 05). Conclusion Comparing with the vigorous walk，the application of Tai Chi in the practice for patients with POP can obtain more obvious improvement of the lumbar muscle strength. |
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