太极拳联合太极桩对功能性踝关节不稳者平衡能力的影响  

Effects of TC Combined with TCZ on the Balance Capability of Functional Ankle Instability

作　　者：李有华[1] 李英奎[1] LI You-hua;LI Ying-kui(China Wushu School,Beijing Sport University,Beijing 100084,China)

机构地区：[1]北京体育大学中国武术学院,北京100084

出　　处：《北京体育大学学报》2020年第11期127-136,共10页Journal of Beijing Sport University

基　　金：国家体育总局武术研究院委托重大项目(项目编号:WSH2018A005)。

摘　　要：目的:研究太极拳(Tai Chi,TC)与太极桩(Tai Chi Zhuang,TCZ)联合对功能性踝关节不稳者(Functional ankle instability,FAI)平衡能力的影响。方法:将57名功能性踝关节不稳患者随机分为3组:TC+TCZ(n=21),TC(n=18),TCZ(n=18)。TC+TCZ组进行TC联合TCZ干预,TC组进行TC动作干预,TCZ组进行TCZ干预,3组均进行持续14周的干预训练,每周3次,每次60 min。在基线(前)、干预10周(中)和干预14周(后)进行星形偏移平衡(Star Excursion Balance Test,SEBT)、闭眼单足站立(UniPedal Stance Test,UST)、踝关节位置觉(Ankle joint Position PercePtion,AJPP)测试。结果:TC、TC+TCZ组对SEBT(前中、前后)、UST(前后、中后)和AJPP(前后、中后)具有显著改善效果(P<0.05);TCZ组UST(前后和中后)和AJPP(前后和中后)具有显著改善效果(P<0.05)。SEBT方面,TC和TC+TCZ组优于TCZ组(P<0.05);UST方面,TCZ和TC+TCZ组优于TC组(P<0.05);AJPP方面,三组无显著性差异(P>0.05)。结论:10周太极拳联合太极桩练习可以显著提高功能性踝关节不稳者平衡能力,且效果要优于单独太极拳或站太极桩练习,可以作为FAI患者康复的长期有效训练手段。Objective:To study the effects of Tai Chi(TC) or in combination with Tai Chi Zhuang(TCZ) on the balance capability in patients with functional ankle instability(FAI).Methods:57 patients with functional ankle instability were randomly assigned into 3 groups:TC+TCZ(n=21),TC(n=18),and TCZ(n=18).The TC+TCZ group performed TC combined with TCZ intervention,the TC group performed TC movement intervention,and the TCZ group performed TCZ movement intervention.The three groups conducted intervention training lasting 14 weeks,three times a week for 60 minutes each time.Star Excursion Balance Test(SEBT),UniPedal Stance Test(UST),Ankle joint Position Perception(AJPP) Test were performed at baseline(front),10 weeks(middle)and 14 weeks(post).Results:TC and TC+TCZ groups had significant improvement in SEBT(front-middle,frontpost),UST(front-post,middle-post) and AJPP(front-post,middle-post)(P<0.05);TCZ group’s UST(frontpost,middle-post) and AJPP(front-post,middle-post) had significant improvements(P<0.05).In terms of SEBT,the TC and TC+TCZ groups were better than the TCZ group(P<0.05);in the UST,the TCZ and TC+TCZ groups were better than the TC group(P<0.05);in the AJPP,There were no significant difference among the three groups(P>0.05).Conclusion:10 weeks of Tai Chi combined Tai Chi Zhuang exercise can significantly improve the balance capability of FAI,and the effect is better than that of Tai Chi or Tai Chi Zhuang exercise alone,and it can be used as a long-term effective training method for the rehabilitation of patients with FAI.

关 键 词：功能性踝关节不稳 太极拳 太极桩 平衡能力 

分 类 号：G804.61[文化科学—运动人体科学]