[好書] 太極拳

[strongshort (力量與智慧)]

http://showbiz.chinatimes.com/world/110504/112012021000167.html

帕金森氏症練太極拳 狀況可改善

    2012-02-10 01:22
    中國時報
    【潘勛／綜合報導】

    　美國醫學界最新研究指出，帕金森氏症患者學習中國傳統武術太極拳之後，能夠改
善平衡的能力，降低跌倒的風險，成效比起做伸展運動、肌力訓練都來得好。

    　這項研究係由「奧立岡研究所」李福忠（Fuzhong Li）博士主持，邀請一百九十五
位中度到輕度帕金森氏症患者參加。受測者自由參加太極拳、伸展運動及肌力訓練三組，
一周兩次，每次六十分鐘。

    　李福忠本人精研太極拳，並開班傳授其他教練，他表示本研究中的太極拳，是特別
為帕金森氏患者量身設計，專注在「晃動及搖擺」動作，以及重心的轉移。

    　實驗六個月之後，太極拳組經測驗在平衡、控制、走路等方面，明顯要比伸展運動
組來得好。相形肌力訓練組，太極拳組在平衡、控制及大步走時做得更好，其他方面則約
略相同。

    　學者們另指出，就減少跌倒而言，太極拳組要比伸展運動組來得好，與肌力訓練組
則旗鼓相當；太極拳組的改善效應在實驗結束三個月後續追蹤期當中都保持不退。研究的
成果發表在九日出刊的《新英格蘭醫學期刊》（ＮＥＪＭ）。

    　這項研究係由美國「國立神經病症及中風研究院」資注，研究的強項之一在學者們
可以直接測量結果，不必仰賴病人的自我報告。李福忠指出，研究顯示太極拳很安全，容
易學習，而且不需要特殊設備。醫生們經常建議帕金森氏症患者做運動，太極拳可以成為
另種選擇。
_____________________________________________________________________________

以下為醫界專業版本:
_____________________________________________________________________________
N Engl J Med 2012;366:511-9.

Background

Patients with Parkinson's disease have substantially impaired balance,
leading to diminished functional ability and an increased risk of falling.
Although exercise is routinely encouraged by health care providers, few
programs have been proven effective.

Methods

We conducted a randomized, controlled trial to determine whether a tailored
tai chi program could improve postural control in patients with idiopathic
Parkinson's disease. We randomly assigned 195 patients with stage 1 to 4
disease on the Hoehn and Yahr staging scale (which ranges from 1 to 5, with
higher stages indicating more severe disease) to one of three groups: tai
chi, resistance training, or stretching. The patients participated in
60-minute exercise sessions twice weekly for 24 weeks. The primary outcomes
were changes from baseline in the limits-of-stability test (maximum excursion
and directional control; range, 0 to 100%). Secondary outcomes included
measures of gait and strength, scores on functional-reach and timed up-and-go
tests, motor scores on the Unified Parkinson's Disease Rating Scale, and
number of falls.

Results

The tai chi group performed consistently better than the resistance-training
and stretching groups in maximum excursion (between-group difference in the
change from baseline, 5.55 percentage points; 95% confidence interval [CI],
1.12 to 9.97; and 11.98 percentage points; 95% CI, 7.21 to 16.74,
respectively) and in directional control (10.45 percentage points; 95% CI,
3.89 to 17.00; and 11.38 percentage points; 95% CI, 5.50 to 17.27,
respectively). The tai chi group also performed better than the stretching
group in all secondary outcomes and outperformed the resistance-training
group in stride length and functional reach. Tai chi lowered the incidence of
falls as compared with stretching but not as compared with resistance
training. The effects of tai chi training were maintained at 3 months after
the intervention. No serious adverse events were observed.

Conclusions

Tai chi training appears to reduce balance impairments in patients with
mild-to-moderate Parkinson's disease, with additional benefits of improved
functional capacity and reduced falls. (Funded by the National Institute of
Neurological Disorders and Stroke; ClinicalTrials.gov number, NCT00611481.)

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推 rushpasser:[好書]!?
→ hantang:好說
→ strongshort:請問該到哪個分類好呢?
→ Luminoun:幸好寫在這版......
→ Luminoun:是說那個奧立岡研究所爭議性不是也很大？
推 art1:發在別版會大戰嗎？
→ strongshort:喔喔因為他們發了很多論文都是另類醫療的
→ strongshort:類似的研究它們之前發了好幾篇 但個案數都很少
→ strongshort:這回算是讓它們大大吐了一口氣
→ Luminoun:發在某版必定大戰啊。
→ strongshort:= =a 這個有啥好戰的..戰哪門派的太極嗎?
推 nknuukyo:NEJM又來一篇太極了
→ nknuukyo:疑　這不是去年那篇的延伸....=.=?