Chen-Style Tai Chi for Individuals (Aged 50 Years Old or Above) with Chronic Non-Specific Low Back Pain: A Randomized Controlled Trial

被引:55
作者
Liu, Jing [1 ]
Yeung, Albert [2 ]
Xiao, Tao [3 ]
Tian, Xiaopei [4 ]
Kong, Zhaowei [5 ]
Zou, Liye [6 ]
Wang, Xueqiang [7 ]
机构
[1] Shanghai Univ Sport, Dept Martial Arts, Shanghai 200438, Peoples R China
[2] Harvard Med Sch, Massachusetts Gen Hosp, Depress Clin & Res Program, Boston, MA 02114 USA
[3] Shenzhen Univ, Coll Math & Stat, Shenzhen 518060, Peoples R China
[4] Qiannan Normal Univ Nationalities, Dept Phys Educ, Qiannan 558000, Guizhou, Peoples R China
[5] Univ Macau, Fac Educ, Macau, Peoples R China
[6] Shenzhen Univ, Coll Sports Sci, Lifestyle Mind Body Movement Res Ctr, Shenzhen 518060, Peoples R China
[7] Shanghai Univ Sport, Dept Sport Rehabil, Shanghai 200438, Peoples R China
基金
上海市自然科学基金;
关键词
low back pain; VAS; proprioception; joint repositioning sense; Tai Chi; Core Stabilization training; EXERCISE; HEALTH; CARE;
D O I
10.3390/ijerph16030517
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Tai Chi (TC) can be considered safe and effective intervention to improve pain and pain-related functional disability. However, it is unclear that whether aging individuals with Chronic Non-Specific Low Back Pain (CNS-LBP) can achieve positive results. This study, therefore, attempted to explore the effects of TC on pain and functional disability in CNS-LBP patients aged 50 years old or above. Forty-three individuals (aged 50 years old or above) with CNS-LBP were randomly assigned into three groups: Chen-Style TC group (n = 15), Core Stabilization training (CST) group (n = 15), and control group (n = 13). Participants in the TC group participated in Chen-style TC training program (three 60-min sessions per week for 12 weeks), individuals in CST group received 12-week Core Stabilization exercise on the Swiss ball, whereas individuals in the control group maintained their unaltered lifestyle. Pain intensity as primary outcome was measured using the Visual Analogue Scale (VAS), A BiodexSystem 3 isokinetic dynamometer was used to measure knee and ankle joint position sense (JPS) as secondary outcomes at baseline and after the 12-week intervention. TC and CST have significant effects in VAS for CNS-LBP patients (p< 0.01, TC group OR CST group versus control group in mean of the post-minus-pre assessment). However, the feature of joint position sense (JPS) of ankle inversion, ankle eversion and knee flexion did not occur, it showed no significant effects with TC and CST. TC was found to reduce pain, but not improve lower limb proprioception in patients with CNS-LBP. Future research with larger sample sizes will be needed to achieve more definitive findings on the effects of TC on both pain and lower limb proprioception in this population.
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页数:9
相关论文
共 38 条
[1]   Effectiveness of core stabilization exercises and routine exercise therapy in management of pain in chronic nonspecific low back pain: A randomized controlled clinical trial [J].
Akhtar, Muhammad Waseem ;
Karimi, Hossein ;
Gilani, Syed Amir .
PAKISTAN JOURNAL OF MEDICAL SCIENCES, 2017, 33 (04) :1002-1006
[2]  
[Anonymous], CLIN TRAILS DEGENER
[3]   The effects of Tai Chi on the balance control of elderly persons with visual impairment: a randomised clinical trial [J].
Chen, Ellen W. ;
Fu, Amy S. N. ;
Chan, K. M. ;
Tsang, William W. N. .
AGE AND AGEING, 2012, 41 (02) :254-259
[4]   Non-Specific Low Back Pain [J].
Chenot, Jean-Francois ;
Greitemann, Bernhard ;
Kladny, Bernd ;
Petzke, Frank ;
Pfingsten, Michael ;
Schorr, Susanne Gabriele .
DEUTSCHES ARZTEBLATT INTERNATIONAL, 2017, 114 (51-52) :883-+
[5]   The Effectiveness and Risks of Long-Term Opioid Therapy for Chronic Pain: A Systematic Review for a National Institutes of Health Pathways to Prevention Workshop [J].
Chou, Roger ;
Turner, Judith A. ;
Devine, Emily B. ;
Hansen, Ryan N. ;
Sullivan, Sean D. ;
Blazina, Ian ;
Dana, Tracy ;
Bougatsos, Christina ;
Deyo, Richard A. .
ANNALS OF INTERNAL MEDICINE, 2015, 162 (04) :276-+
[6]   Primary care - Low back pain [J].
Deyo, RA ;
Weinstein, JN .
NEW ENGLAND JOURNAL OF MEDICINE, 2001, 344 (05) :363-370
[7]   US Spending on Personal Health Care and Public Health, 1996-2013 [J].
Dieleman, Joseph L. ;
Baral, Ranju ;
Birger, Maxwell ;
Bui, Anthony L. ;
Bulchis, Anne ;
Chapin, Abigail ;
Hamavid, Hannah ;
Horst, Cody ;
Johnson, Elizabeth K. ;
Joseph, Jonathan ;
Lavado, Rouselle ;
Lomsadze, Liya ;
Reynolds, Alex ;
Squires, Ellen ;
Campbell, Madeline ;
DeCenso, Brendan ;
Dicker, Daniel ;
Flaxman, Abraham D. ;
Gabert, Rose ;
Highfill, Tina ;
Naghavi, Mohsen ;
Nightingale, Noelle ;
Templin, Tara ;
Tobias, Martin I. ;
Vos, Theo ;
Murray, Christopher J. L. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2016, 316 (24) :2627-2646
[8]   Tai Chi Exercise for Treatment of Pain and Disability in People With Persistent Low Back Pain: A Randomized Controlled Trial [J].
Hall, Amanda M. ;
Maher, Chris G. ;
Lam, Paul ;
Ferreira, Manuela ;
Latimer, Jane .
ARTHRITIS CARE & RESEARCH, 2011, 63 (11) :1576-1583
[9]   Measures of Adult Pain Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP) [J].
Hawker, Gillian A. ;
Mian, Samra ;
Kendzerska, Tetyana ;
French, Melissa .
ARTHRITIS CARE & RESEARCH, 2011, 63 :S240-S252
[10]   A systematic review of the global prevalence of low back pain [J].
Hoy, Damian ;
Bain, Christopher ;
Williams, Gail ;
March, Lyn ;
Brooks, Peter ;
Blyth, Fiona ;
Woolf, Anthony ;
Vos, Theo ;
Buchbinder, Rachelle .
ARTHRITIS AND RHEUMATISM, 2012, 64 (06) :2028-2037