太极拳训练对前庭神经元炎的干预研究

发布时间：2018-04-25 06:40

本文选题：前庭神经元炎 + 太极拳　；参考：《北京体育大学》2017年硕士论文

【摘要】：目的探讨太极拳训练对前庭神经元患者的疗效。方法有预实验、正式实验和后期验证。预实验是根据前庭平衡障碍临床研究、患者生理、心理和精神状态等在前庭专家和太极拳专家的指导下,探索针对前庭神经元炎患者的太极拳运动方式。正式实验分为实验组、对照组。后期验证是对正式实验结果的验证。实验组有5例前庭神经元炎患者,进行4周太极拳干预,前两周每周1次,后2周每周3次,每次1h;后期验证有2例患者,其中1例A患者进行8周太极拳干预,每周1小时/次;另外1例B患者进行8天,频率为1小时/天的太极拳干预;对照组有15例不做任何运动干预的正常人组成。采用眩晕残障量表、平衡功能评估比较各组的疗效,治疗结束后并观察随访2个月。结果1)实验组患者实验前和治疗二周后眩晕残障评分无显著性变化,四周后眩晕残障评分明显低于实验前和治疗二周后(P0.001)。治疗结束观察随访2个月,实验组四周后测与随访2月后眩晕残障评分差异不大。验证组A患者治疗前和治疗后眩晕残障评分差异不大,B患者明显降低。2)实验组患者(右腿均为优势腿)两周后左脚和右脚闭眼单脚独立SV、UAPL与实验前相比变化不大,而四周后比两周后显著变好;两周后与四周后左脚和右脚单脚闭眼站立时间差值、坐-走实验测试时间差差距显著。与正常人比较,患者闭目单脚站立(优势脚或劣势脚)SV、UAPL四周后测数据有显著性差异,且优于正常人;治疗完2个月后随访测试实验组平衡能力康复优势消失,即患者闭目单脚站立(优势脚或劣势脚)SV、UAPL四周后测数据与正常人相比无显著性差异。后期验证患者A数据恢复不明显,患者B数据变化幅度大,基本恢复正常。结论:太极拳训练对前庭神经元炎有效,可作为前庭神经元炎的治疗方法。
[Abstract]:Objective to investigate the effect of Taijiquan training on vestibular neurons. Methods there were pre-experiment, formal experiment and later verification. According to the clinical study of vestibular balance disorder, the physical, psychological and mental state of patients, under the guidance of vestibular experts and Taijiquan experts, the preliminary experiment is to explore the exercise mode of Taijiquan for patients with vestibular neuritis. The formal experiment was divided into experimental group and control group. Later verification is the verification of formal experimental results. In the experimental group, 5 patients with vestibular neuritis were treated with Taijiquan for 4 weeks, once a week for the first two weeks, 3 times a week for 1 hour for the second week, 2 patients were verified at the later stage, one of them was treated with Taijiquan for 8 weeks. One case of B was treated with Taijiquan for 8 days with frequency of 1 hour / day, while the control group consisted of 15 normal persons who did not take any exercise intervention. Dizziness disability scale was used to evaluate the efficacy of each group. Results 1) there was no significant change in the score of vertigo disability in the experimental group before and after two weeks of treatment. The score of vertigo disability after four weeks was significantly lower than that before the experiment and two weeks after treatment (P 0.001). The patients were followed up for 2 months at the end of the treatment. There was no significant difference in the vertigo disability scores between the experimental group after 4 weeks and the 2 month follow-up. There was no significant difference in the scores of vertigo and disability before and after treatment in group A. 2) in the experimental group (the right leg was the dominant leg), the left foot and the right foot closed eyes were independent SVAPL two weeks after treatment, and there was no significant difference between the two groups before and after treatment, compared with before the experiment, there was no significant change in the left foot and the right foot independent SVAPL. The difference of standing time between left foot and right foot after two weeks was significantly better than that after two weeks, and the difference between sitting and walking test time was significant. Compared with the normal people, there was significant difference in the data of the patients standing on one foot (superior or inferior) after four weeks, and it was better than that of the normal people, and the recovery advantage of the balance ability of the experimental group disappeared after 2 months of follow-up. That is to say, there was no significant difference in the UAPL data between the patients and normal persons after four weeks of standing on one foot with eyes closed (superior foot or inferior foot SVAPL). The recovery of patient A data was not obvious, and the change of patient B data was large and returned to normal. Conclusion: Taijiquan training is effective in the treatment of vestibular neuritis.
【学位授予单位】：北京体育大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R764;G852.11

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