發(fā)布時間：2018-05-30 01:23

  本文選題：運動 + 膝骨性關(guān)節(jié)炎��； 參考：《福建中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:探討不同運動方式對社區(qū)中老年膝骨性關(guān)節(jié)炎患者的干預(yù)效果,為運動治療膝骨性關(guān)節(jié)炎提供理論依據(jù)。方法:以社區(qū)中老年膝骨性關(guān)節(jié)炎患者為研究對象,于福州市各社區(qū)招募140名符合要求的志愿者,采用隨機對照設(shè)計,分為太極拳組、八段錦組、功率自行車組和健康教育組,每組35人。太極拳參照國家武術(shù)段位制中"八式太極拳"為標(biāo)準(zhǔn),八段錦按照2003年國家體育總局頒布的"健身氣功·八段錦"。功率自行車組在相關(guān)專業(yè)人員指導(dǎo)下進行功率自行車訓(xùn)練。三組每次干預(yù)60分鐘,每周5次,持續(xù)12周。健康教育組進行每周一次的健康教育講座,保持之前的生活方式。訓(xùn)練前、訓(xùn)練結(jié)束后分別進行關(guān)節(jié)疼痛、關(guān)節(jié)僵硬、生理功能、平衡功能、步行能力、生活質(zhì)量等指標(biāo)的評定。關(guān)節(jié)疼痛、僵硬、生理功能通過WOMAC膝骨性關(guān)節(jié)炎評分量表測評,平衡功能通過Berg平衡功能量表測評,步行能力通過6min步行能力測試測得,生活質(zhì)量由SF-36生活質(zhì)量量表評定。結(jié)果:1.WOMAC(Western Ontario and MaMaster University Osteoarthritis Index)疼痛評分四組干預(yù)前后差值組間總體比較,差異具有統(tǒng)計學(xué)意義(P0.05)。太極拳組與健康教育組比較,功率車組與健康教育組比較,均有WOMAC疼痛評分的降低,差異具有統(tǒng)計學(xué)意義(P0.05),其余各組間差異無統(tǒng)計學(xué)意義(P0.05)。2.WOMAC僵硬評分四組干預(yù)前后差值組間總體比較,差異具有統(tǒng)計學(xué)意義(P0.05)。太極拳組與健康教育組比較,WOMAC疼痛評分得到降低,差異具有統(tǒng)計學(xué)意義(P0.05),其余各組間差異無統(tǒng)計學(xué)意義(P0.05)。3.WOMAC生理功能評分四組干預(yù)前后差值組間總體比較,差異具有統(tǒng)計學(xué)意義(P0.05)。太極拳組與健康教育組比較,八段錦組與健康教育組比較,功率車組與健康教育組比較,均具有WOMAC生理功能評分的降低,差異具有統(tǒng)計學(xué)意義(P0.05),其余各組間差異無統(tǒng)計學(xué)意義(P0.05)。4.Berg平衡評分四組干預(yù)前后差值組間總體比較,差異無統(tǒng)計學(xué)意義(P0.05)。5.6min步行測試四組干預(yù)前后差值組間總體比較,差異無統(tǒng)計學(xué)意義(P0.05)。6.四組干預(yù)前后差值組間總體比較,生理功能(PF)、生理職能(RP)、精神健康(MH)評分,差異有統(tǒng)計學(xué)意義(P0.05)。太極拳組與健康教育組比較,八段錦組與健康教育組比較,生理功能(PF)、生理職能(RP)評分提高,差異具有統(tǒng)計學(xué)意義(P0.05);太極拳組與健康教育組比較,精神健康(MH)評分提高,差異具有統(tǒng)計學(xué)意義(P0.05),其余各組間比較無統(tǒng)計學(xué)意義(P0.05)。軀體疼痛(BP)、精力情況(VT)、情感職能(RE)、總體健康(GH)、社會功能(SF)干預(yù)前后評分差值四組組間總體比較差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論:與健康教育比較,12周的太極拳、八段錦、功率自行車訓(xùn)練可以明顯改善膝骨性關(guān)節(jié)炎患者的生理功能,太極拳和功率自行車訓(xùn)練可以明顯改善患者的膝關(guān)節(jié)疼痛。此外,太極拳訓(xùn)練還可以明顯改善患者的關(guān)節(jié)僵硬、生理職能和精神健康,八段錦訓(xùn)練可以提高患者生理職能。
[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.
【學(xué)位授予單位】：福建中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R684.3

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