不同运动方式对社区中老年膝骨性关节炎患者干预效果的随机对照研究

发布时间：2018-05-30 01:23

本文选题：运动 + 膝骨性关节炎　；参考：《福建中医药大学》2017年硕士论文

【摘要】：目的:探讨不同运动方式对社区中老年膝骨性关节炎患者的干预效果,为运动治疗膝骨性关节炎提供理论依据。方法:以社区中老年膝骨性关节炎患者为研究对象,于福州市各社区招募140名符合要求的志愿者,采用随机对照设计,分为太极拳组、八段锦组、功率自行车组和健康教育组,每组35人。太极拳参照国家武术段位制中"八式太极拳"为标准,八段锦按照2003年国家体育总局颁布的"健身气功·八段锦"。功率自行车组在相关专业人员指导下进行功率自行车训练。三组每次干预60分钟,每周5次,持续12周。健康教育组进行每周一次的健康教育讲座,保持之前的生活方式。训练前、训练结束后分别进行关节疼痛、关节僵硬、生理功能、平衡功能、步行能力、生活质量等指标的评定。关节疼痛、僵硬、生理功能通过WOMAC膝骨性关节炎评分量表测评,平衡功能通过Berg平衡功能量表测评,步行能力通过6min步行能力测试测得,生活质量由SF-36生活质量量表评定。结果:1.WOMAC(Western Ontario and MaMaster University Osteoarthritis Index)疼痛评分四组干预前后差值组间总体比较,差异具有统计学意义(P0.05)。太极拳组与健康教育组比较,功率车组与健康教育组比较,均有WOMAC疼痛评分的降低,差异具有统计学意义(P0.05),其余各组间差异无统计学意义(P0.05)。2.WOMAC僵硬评分四组干预前后差值组间总体比较,差异具有统计学意义(P0.05)。太极拳组与健康教育组比较,WOMAC疼痛评分得到降低,差异具有统计学意义(P0.05),其余各组间差异无统计学意义(P0.05)。3.WOMAC生理功能评分四组干预前后差值组间总体比较,差异具有统计学意义(P0.05)。太极拳组与健康教育组比较,八段锦组与健康教育组比较,功率车组与健康教育组比较,均具有WOMAC生理功能评分的降低,差异具有统计学意义(P0.05),其余各组间差异无统计学意义(P0.05)。4.Berg平衡评分四组干预前后差值组间总体比较,差异无统计学意义(P0.05)。5.6min步行测试四组干预前后差值组间总体比较,差异无统计学意义(P0.05)。6.四组干预前后差值组间总体比较,生理功能(PF)、生理职能(RP)、精神健康(MH)评分,差异有统计学意义(P0.05)。太极拳组与健康教育组比较,八段锦组与健康教育组比较,生理功能(PF)、生理职能(RP)评分提高,差异具有统计学意义(P0.05);太极拳组与健康教育组比较,精神健康(MH)评分提高,差异具有统计学意义(P0.05),其余各组间比较无统计学意义(P0.05)。躯体疼痛(BP)、精力情况(VT)、情感职能(RE)、总体健康(GH)、社会功能(SF)干预前后评分差值四组组间总体比较差异无统计学意义(P0.05)。结论:与健康教育比较,12周的太极拳、八段锦、功率自行车训练可以明显改善膝骨性关节炎患者的生理功能,太极拳和功率自行车训练可以明显改善患者的膝关节疼痛。此外,太极拳训练还可以明显改善患者的关节僵硬、生理职能和精神健康,八段锦训练可以提高患者生理职能。
[Abstract]:Objective: to explore the effect of different exercise ways on senile patients with knee osteoarthritis in community, and to provide theoretical basis for exercise treatment of knee osteoarthritis. Methods: a total of 140 volunteers were recruited from various communities in Fuzhou. They were randomly divided into Taijiquan group, Baduanjin group, power bicycle group and health education group. There are 35 people in each group. Taijiquan refers to the "eight style Taijiquan" in the national Wushu Duan system, and the Baduanjin is in accordance with the "eight Body-building Qigong Brocade" promulgated by the State Sports Administration in 2003. The power bicycle group carries on the power bicycle training under the guidance of the relevant professional personnel. The three groups were treated for 60 minutes, 5 times a week for 12 weeks. The health education group holds weekly health education lectures to maintain its previous lifestyle. The indexes of joint pain, joint stiffness, physiological function, balance function, walking ability and quality of life were evaluated before and after training. Joint pain, stiffness and physiological function were measured by WOMAC knee osteoarthritis scale, balance function by Berg balance function scale, walking ability by 6min walking ability test, quality of life was assessed by SF-36 quality of life scale. Results 1. The difference between the four groups before and after intervention was statistically significant (P 0.05). Compared with the health education group, the Taijiquan group, the power train group and the health education group, there was a decrease in the WOMAC pain score. The difference was statistically significant (P 0.05). There was no significant difference among the other groups. 2. The difference between the four groups before and after intervention was statistically significant (P 0.05). The pain score of WOMAC in Taijiquan group was lower than that in health education group, and the difference was statistically significant (P 0.05). There was no significant difference between the other groups. 3. The difference between the four groups before and after intervention was statistically significant (P 0.05). The comparison between Taijiquan group and health education group, Baduanjin group and health education group, power train group and health education group had lower WOMAC physiological function score. There was no significant difference between the four groups before and after intervention, and there was no significant difference between the four groups before and after intervention. There was no significant difference between the four groups before and after the intervention, and there was no significant difference between the four groups before and after the intervention. The difference was not statistically significant (P 0.05. 6). The difference between the four groups before and after intervention showed that the scores of physiological function, physiological function and mental health were significantly higher than those of the control group (P 0.05). Compared with health education group, the scores of physiological function and physiological function were increased in Taijiquan group and health education group, the difference was statistically significant (P 0.05), and the score of mental health in Taijiquan group was higher than that in health education group, the scores of mental health and MHs in Taijiquan group were higher than those in health education group. The difference was statistically significant (P 0.05), but there was no significant difference among the other groups (P 0.05). There was no significant difference in the scores between the four groups before and after the intervention of physical pain, energy status, emotional function, general health, social function and SF. There was no significant difference between the four groups before and after intervention (P 0.05). Conclusion: compared with health education, 12 weeks of Taijiquan, Baduanjin, power bicycle training can significantly improve the physiological function of patients with knee osteoarthritis, Taijiquan and bicycle training can significantly improve the knee pain of patients. In addition, Taijiquan training can obviously improve the joint stiffness, physiological function and mental health of patients, and Bazuanjin training can improve the physiological function of patients.
【学位授予单位】：福建中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R684.3

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