五禽戏锻炼对中老年女性膝关节肌力及平衡能力影响的临床研究  

Clinical research on the influence of five mimic-animal exercise on knee-joint muscle strength and balance capacity in middle-aged and elderly women

作　　者：卢远坚 曹彦俊[2,3] 冯伟[1,4] 陈世宣 刘益杰[1] 赵仙丽[1] 李安琪[1] 张增乔 顾小华[4] 

机构地区：[1]上海中医药大学康复医学院,上海201203 [2]上海体育学院运动康复学系,上海200438 [3]上海体育学院"运动健身科技"省部共建教育部重点实验室,上海200438 [4]上海中医药大学附属第七人民医院康复医学部,上海200137

出　　处：《上海中医药杂志》2017年第4期73-76,共4页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家体育总局健身气功管理中心科研项目(QG2016059);上海市教委市属博士学科点建设基金项目(B201507);上海市浦东新区卫计委卫生科技项目(PW2014A-20);上海市浦东新区卫计委卫生系统重点学科建设资助项目(PWZx2014-17);上海市浦东新区科技发展基金创新资金项目(PKJ2013-Y25);上海市自然科学基金(15IR1441000);上海市卫计委中医药科研项目(2016LP037)

摘　　要：目的观察五禽戏锻炼对中老年女性膝关节肌力及平衡能力的影响。方法将56例中老年女性志愿者采用类实验的方法分为干预组与对照组,每组28例。干预组进行五禽戏锻炼,对照组进行拉伸锻炼。两组均干预12个月,观察比较膝关节等速肌力测试指标及Berg平衡量表评分(以下简称Berg评分)的变化情况。结果 (1)干预组组内各时点比较:右膝伸肌、左膝屈肌T1与T2的PW比较,差异有统计学意义(P<0.05);左右膝关节屈、伸肌T2与T3的PW比较,差异均无统计学意义(P>0.05);左右膝关节屈、伸肌T1与T3的PW比较,差异均有统计学意义(P<0.05)。对照组组内各时点比较:左右膝关节屈、伸肌T1、T2、T3时点分别两两相比,PW差异均无统计学意义(P>0.05)。(2)组间T3时比较,两组左右膝伸肌的PW差异均有统计学意义(P<0.05),而两组左右膝屈肌的PW差异均无统计学意义(P>0.05)。(3)干预组组内各时点比较:T1、T2、T3两两比较时,Berg评分差异均有统计学意义(P<0.05)。对照组组内各时点比较:T1与T2、T1与T3比较时,Berg评分差异均有统计学意义(P<0.05);T2与T3比较,Berg评分差异无统计学意义(P>0.05)。组间T3时比较,两组Berg评分差异有统计学意义(P<0.05)。结论五禽戏锻炼可以提高中老年女性膝关节相关肌力,起到延缓肌力下降、提高平衡能力的作用。Objective To observe the influence of five mimic-animal exercise on knee-joint muscle strength and balance capacity in middle-aged and elderly women. Methods 56 middle-aged and elderly women volunteers were divided into the intervention group and control group by the methods of quasi-experiment, 28 cases in each group. Five mimic-animal exercise were performed in the intervention group and stretching exercises were performed in the control group, with a course of 12 months. The indexes of isokinetic test in knee-joint and the scores of＇ Berg balance scale were observed and compared. Results ① Comparison of different time points （ T1 refers to treatment before, T2 and T3 refer to treatment for 6 and 12 months respectively ） in the intervention group： For the comparison of peak torque/body weight（PW） in right knee extensors and left knee flexors, there were statistically significant differences between T1 and T2 （ P 〈 0.05 ） ; for the PW comparison in extensors and flexors of left and right knee, there were no statistically significant differences between T2 and T3 （P 〉 0. 05 ）, there were statistically significant differences between TI and T3 （ P 〈 0. 05 ）. Comparison of different time points in the control group： for the PW comparison in extensors and flexors of left and right knee, there were no statistically significant difterences between T1 and T2 ,T2 and T3 ,T1 and T3 （ P 〉 0.05 ）. ②For the comparison in extensors of left and right knee at T3,there was statistically significant difference on PW between the two groups（ P 〈 0.05 ） ;while for the comparison in flexors of left and right knee at 33, there was no statistically significant difference on PW between the two groups （ P 〉 0.05 ）. ③Comparison of different time points in the intervention group ： there were statistically significant differences on Berg scores between T1 and T2, T2 and T3, T1 and 33 （P 〈 0.05 ）. Comparison of different time points in the control group：there were statistical

关 键 词：跌倒 中老年女性 五禽戏 等速肌力 平衡能力 

分 类 号：R247.4[医药卫生—中医临床基础]