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陈式太极拳对慢性踝关节不稳者平衡能力的影响

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目的 观察陈式太极拳对慢性踝关节不稳(CAI)者平衡能力的影响.方法 选取2023年4—11月于福州大学城招募的CAI患者52例,采用软件产生随机数字法分为观察组和对照组,每组26例.研究过程中观察组脱落3例,对照组脱落1例,最终共48例完成了研究.对照组进行常规平衡训练,包括平地单腿站立、波速球站立、单腿抗阻力踢腿、下台阶;观察组进行陈式太极拳训练,动作包括懒扎衣、六封四闭、单鞭、雀地龙、金鸡独立和倒卷肱.2组训练频率均为每周3次,每次40 min,连续训练6周.观察2组干预前后动态平衡能力(Y平衡测试中前方、后内、后外测试成绩)、静态平衡能力[双足和单足站立的运动椭圆面积(AME)和运动长度(ML)]和Cum-berland踝关节不稳评定问卷(CAIT)评分.结果 与干预前比较,2组Y平衡测试中后内测试成绩和CAIT评分均明显提高(P<0.05);观察组前方、后外测试成绩均明显提高(P<0.05),双足AME、ML以及单足AME均明显降低(P<0.05).与对照组比较,观察组干预前后前方、后内、后外测试成绩差值均明显提高(P<0.05),干预前后双足ML差值明显提高(P<0.05).结论 陈式太极拳可改善CAI者动态、静态平衡能力和主观踝关节不稳.
Effect of Chen Style Tai Chi on Balance Ability in Patients with Chronic Ankle Instability
Objective:To observe the influence of Chen style Tai Chi on the balance ability of patients with chronic ankle insta-bility (CAI). Methods:A total of 52 CAI patients recruited in Fuzhou University City from April to November 2023 were selected and randomly divided into observation group and control group using software generated random number method,with 26 patients in each group. During the study,3 cases fell out of the observation group and 1 case fell out of the control group,resulting in a total of 48 cases completing the study. The control group received the conventional balance training,including single-leg standing on flat ground,standing on a speed ball,single-leg resistance kicking,and descending stairs. The observation group received Chen style Tai Chi training,including movements such as Lanzhayi,Liufeng Sibi,Danbian,Quedilong,Jinji Duli,and Daojuangong. Both groups were trained at a frequency of 3 times per week,for 40 minutes each time,and continue training for 6 weeks. The dynamic balance ability (the forward,inner rear,and outer rear test scores in the Y-balance test),the static balance ability[the average movement ellipse (AME) and the movement length (ML) of the both and single leg standing],and the Cumberland ankle instability tool (CAIT) scores were observed before and after the intervention in two groups. Results:Compared with that before intervention,the inner rear test scores in the Y-balance test and the CAIT scores in both groups significantly improved (P<0.05);the forward and outer rear test scores in the Y-balance test in the observation group significantly increased (P<0.05),while the AME,ML of both legs and the AME of single leg significantly decreased (P<0.05). Compared with the control group,the difference in the forward,inner rear,and outer rear test scores in the Y-balance test in the observation group significantly increased before and after intervention (P<0.05),while the difference of both legs ML significantly increased (P<0.05). Conclusion:Chen style Tai Chi can improve the dynamic and static bal-ance ability as well as the subjective ankle instability of CAI patients.

chronic ankle instabilitybalance abilityChen style Tai Chisports rehabilitationsubjective ankle instability

李宝芳、孟英佩、刘俊、赖建恭、李翔

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福建中医药大学康复医学院,福建福州 350122

龙岩市中医院,福建龙岩 364000

慢性踝关节不稳 平衡能力 陈式太极拳 运动康复 主观踝关节不稳

2024

福建中医药
福建省中医药学会 福建中医药大学

福建中医药

影响因子:0.518
ISSN:1000-338X
年,卷(期):2024.55(8)