本文選題：前庭神經(jīng)元炎 + 太極拳�。� 參考：《北京體育大學(xué)》2017年碩士論文

【摘要】：目的探討太極拳訓(xùn)練對(duì)前庭神經(jīng)元患者的療效。方法有預(yù)實(shí)驗(yàn)、正式實(shí)驗(yàn)和后期驗(yàn)證。預(yù)實(shí)驗(yàn)是根據(jù)前庭平衡障礙臨床研究、患者生理、心理和精神狀態(tài)等在前庭專家和太極拳專家的指導(dǎo)下,探索針對(duì)前庭神經(jīng)元炎患者的太極拳運(yùn)動(dòng)方式。正式實(shí)驗(yàn)分為實(shí)驗(yàn)組、對(duì)照組。后期驗(yàn)證是對(duì)正式實(shí)驗(yàn)結(jié)果的驗(yàn)證。實(shí)驗(yàn)組有5例前庭神經(jīng)元炎患者,進(jìn)行4周太極拳干預(yù),前兩周每周1次,后2周每周3次,每次1h;后期驗(yàn)證有2例患者,其中1例A患者進(jìn)行8周太極拳干預(yù),每周1小時(shí)/次;另外1例B患者進(jìn)行8天,頻率為1小時(shí)/天的太極拳干預(yù);對(duì)照組有15例不做任何運(yùn)動(dòng)干預(yù)的正常人組成。采用眩暈殘障量表、平衡功能評(píng)估比較各組的療效,治療結(jié)束后并觀察隨訪2個(gè)月。結(jié)果1)實(shí)驗(yàn)組患者實(shí)驗(yàn)前和治療二周后眩暈殘障評(píng)分無(wú)顯著性變化,四周后眩暈殘障評(píng)分明顯低于實(shí)驗(yàn)前和治療二周后(P0.001)。治療結(jié)束觀察隨訪2個(gè)月,實(shí)驗(yàn)組四周后測(cè)與隨訪2月后眩暈殘障評(píng)分差異不大。驗(yàn)證組A患者治療前和治療后眩暈殘障評(píng)分差異不大,B患者明顯降低。2)實(shí)驗(yàn)組患者(右腿均為優(yōu)勢(shì)腿)兩周后左腳和右腳閉眼單腳獨(dú)立SV、UAPL與實(shí)驗(yàn)前相比變化不大,而四周后比兩周后顯著變好;兩周后與四周后左腳和右腳單腳閉眼站立時(shí)間差值、坐-走實(shí)驗(yàn)測(cè)試時(shí)間差差距顯著。與正常人比較,患者閉目單腳站立(優(yōu)勢(shì)腳或劣勢(shì)腳)SV、UAPL四周后測(cè)數(shù)據(jù)有顯著性差異,且優(yōu)于正常人;治療完2個(gè)月后隨訪測(cè)試實(shí)驗(yàn)組平衡能力康復(fù)優(yōu)勢(shì)消失,即患者閉目單腳站立(優(yōu)勢(shì)腳或劣勢(shì)腳)SV、UAPL四周后測(cè)數(shù)據(jù)與正常人相比無(wú)顯著性差異。后期驗(yàn)證患者A數(shù)據(jù)恢復(fù)不明顯,患者B數(shù)據(jù)變化幅度大,基本恢復(fù)正常。結(jié)論:太極拳訓(xùn)練對(duì)前庭神經(jīng)元炎有效,可作為前庭神經(jīng)元炎的治療方法。
[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.
【學(xué)位授予單位】：北京體育大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R764;G852.11

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