摘要
目的:本研究通过比较五禽戏和站桩训练前后女性膝骨性关节炎(KOA)患者膝关节屈、伸肌力量及临床症状的变化,分析两种训练方式对女性KOA患者的不同影响。方法:女性KOA患者40人,随机分为五禽戏组(n=20)和站桩组(n=20),分别进行为期16周的五禽戏和站桩练习;通过等速肌力测试系统测试受试者患膝屈伸肌的锋力矩和总做功量;通过WOMAC量表评定疼痛、僵直及行为受限等症状。结果:实验后,两组受试者的患膝屈伸肌的锋力矩(PT)和总做功量(TW)都较实验前提高,五禽戏组对屈肌PT和TW的提高作用较站桩组更为显著;两组受试者的WOMAC评分都较实验前有所下降,五禽戏组在疼痛、行为受限及总分三方面都较站桩组低,且具有统计学意义。结论:五禽戏和站桩练习都能有效提高女性KOA患者的股四头肌肌力,有效改善疼痛、僵直、功能受限等症状;五禽戏练习对女性KOA患者膝关节屈、伸肌力的影响较站桩练习更加平衡和全面,在改善疼痛、减少功能受限等方面都显著优于站桩练习。
Objective： 40 female patients with KOA were selected to do the exercise of Wuqinxi and Zhanzhuang（ standing exercise） and the changes of the flexor and extensor strength and clinical symptoms of the knee joint were recorded to learn about the effect of the two training methods on the patients. Method ： 40 female patients with KOA were randomly divided into the Wuqinxi group（ n = 20） and the Zhanzhuang group（ n = 20） , and a 16 -week exercise of Wu- qinxi and Zhanzhuang was conducted. The peak torque （PT） and total work（TW） of the affected knee were obtained by the isokinetic testing system, while the level of pain, stiffness, dysfunction, by WOMAC scale. Results： After the experiment, the peak torque（PT） and total work（TW） in both groups were improved compared with those of pre experiment, and The Wuqinxi group indicated a bigger improvement in PT and TW. The WOMAC scores went down in both groups after the experiment, and the score of pain, dysfunction and the total score were lower in the Wuqinxi group with a statical significance. Conclusion： Wuqinxi and Zhanzhuang could improve the quadrieeps strength of female patients with KOA and reduce the effect of pain, stiffness and dysfunction and so on. Wuqinxi demonstrated a smooth and comprehensive influence on the knee＇ s flexor and extensor strength of female patients with KOA when compared with Zhanzhuang and it is helpful for relieving pain and reducing dysfunction.
出处
《成都体育学院学报》
CSSCI
北大核心
2014年第6期68-71,84,共5页
Journal of Chengdu Sport University
基金
成都体育学院科研创新团队支持项目
