Background: Although Tai Ji Quan has been shown to relieve pain and improve functional mobility in people with knee osteoarthritis(OA), little is known about its potential benefits on gait characteristics among older ...Background: Although Tai Ji Quan has been shown to relieve pain and improve functional mobility in people with knee osteoarthritis(OA), little is known about its potential benefits on gait characteristics among older Chinese women who have a high prevalence of both radiographic and symptomatic knee OA. This study aims to assess the efficacy of a tailored Tai Ji Quan intervention on gait kinematics for older Chinese women with knee OA.Methods: A randomized controlled trial involving 46 older women in Shanghai, China, with clinically diagnosed knee OA. Randomized(1:1)participants received either a 60 min Tai Ji Quan session(n = 23) 3 times weekly or a 60 min bi-weekly educational session(n = 23) for 24 weeks.Primary outcomes were changes in gait kinematic measures from baseline to 24 weeks. Secondary outcomes included changes in scores on the Western Ontario and Mc Master University Osteoarthritis Index(WOMAC) and Short Physical Performance Battery(SPPB).Results: After 24 weeks the Tai Ji Quan group demonstrated better performance in gait velocity(mean difference, 8.40 cm/s, p = 0.01), step length(mean difference, 3.52 cm, p = 0.004), initial contact angle(mean difference, 2.19°, p = 0.01), and maximal angle(mean difference, 2.61°,p = 0.003) of flexed knees during stance phase compared to the control group. In addition, the Tai Ji Quan group showed significant improvement in WOMAC scores(p < 0.01)(mean difference,-4.22 points in pain, p = 0.002;-2.41 points in stiffness, p < 0.001;-11.04 points in physical function, p = 0.006) and SPPB scores(mean difference, 1.22 points, p < 0.001).Conclusion: Among older Chinese women with knee OA, a tailored Tai Ji Quan intervention improved gait outcomes. The intervention also improved overall function as indexed by the WOMAC and SPPB. These results support the use of Tai Ji Quan for older Chinese adults with knee OA to both improve their functional mobility and reduce pain symptomatology.展开更多
目的了解太原市常见风湿病的患病率,探讨膝骨关节炎的相关危险因素。方法调查队伍由5名风湿科医生和10名初级卫生保健人员组成。调查表采用修订的中国-国际抗风湿联盟(ILAR)《风湿病调查表》,亚太地区风湿病学会联合会(APLAR)社区控制...目的了解太原市常见风湿病的患病率,探讨膝骨关节炎的相关危险因素。方法调查队伍由5名风湿科医生和10名初级卫生保健人员组成。调查表采用修订的中国-国际抗风湿联盟(ILAR)《风湿病调查表》,亚太地区风湿病学会联合会(APLAR)社区控制风湿病规划(COPCORD)委员会《膝骨关节炎危险因素调查表》(草案),在COPCORD第一阶段第Ⅰ、Ⅱ期询问表的基础上加入有关疲劳、睡眠障碍、情绪改变、全身疼痛、持物困难、无力等内容;第Ⅲ期体检表中,加入1999年美国风湿病学院(ACR)纤维肌痛综合征(FM)诊断标准中的18个压痛点制定《软组织风湿病调查表》,按WHO-COPCORD调查程序进行。X线由2名放射科医生盲法分别读片,有分歧者经讨论达到共识。最后由3名风湿科医生根据检查结果,按照相应的分类(诊断)标准做出诊断。全部资料输入计算机后以SPSS for Windows 11.5进行统计学处理,采用Logistic回归对膝骨关节炎相关变量进行分析。结果实际调查16岁以上居民3915人,调查率97.75%。有风湿痛者996人(25.44%),以膝痛最常见(14.73%),继以腰痛(11.78%)、颈痛(7.13%)。除髋关节外,各部位风湿痛频率均为女性较男性多见。骨关节炎、软组织风湿病、脊柱关节病、类风湿关节炎为太原地区常见风湿病,患病率分别为17.37%,2.50%,0.89%,0.28%。骨关节炎患病率女性高于男性(22.07% vs 12.16%),以膝关节(12.11%)、腰椎(5.57%)、颈椎(5.44%)受累最常见。Logistic回归分析显示:年龄、女性、超重(人体质量指数≥24)与膝骨关节炎相关;爬楼梯与膝痛和膝骨关节炎无关。软组织风湿病以回旋肌套腱炎(0.79%)、肩周炎(0.46%)、外上髁炎(0.33%)较常见。35例脊柱关节病中未分化脊柱关节病25例(0.64%),强直性脊柱炎8例(0.20%),其他脊柱关节病少见。结论太原地区常见风湿病以骨关节炎患病率最高,其次为软组织风湿病、脊柱关节病、类�展开更多
基金funded by the Shanghai City Committee of Science and Technology Key Project (No. 12490503200)the National Science Foundation for Distinguished Young Scholars of China (No. 81025022)
文摘Background: Although Tai Ji Quan has been shown to relieve pain and improve functional mobility in people with knee osteoarthritis(OA), little is known about its potential benefits on gait characteristics among older Chinese women who have a high prevalence of both radiographic and symptomatic knee OA. This study aims to assess the efficacy of a tailored Tai Ji Quan intervention on gait kinematics for older Chinese women with knee OA.Methods: A randomized controlled trial involving 46 older women in Shanghai, China, with clinically diagnosed knee OA. Randomized(1:1)participants received either a 60 min Tai Ji Quan session(n = 23) 3 times weekly or a 60 min bi-weekly educational session(n = 23) for 24 weeks.Primary outcomes were changes in gait kinematic measures from baseline to 24 weeks. Secondary outcomes included changes in scores on the Western Ontario and Mc Master University Osteoarthritis Index(WOMAC) and Short Physical Performance Battery(SPPB).Results: After 24 weeks the Tai Ji Quan group demonstrated better performance in gait velocity(mean difference, 8.40 cm/s, p = 0.01), step length(mean difference, 3.52 cm, p = 0.004), initial contact angle(mean difference, 2.19°, p = 0.01), and maximal angle(mean difference, 2.61°,p = 0.003) of flexed knees during stance phase compared to the control group. In addition, the Tai Ji Quan group showed significant improvement in WOMAC scores(p < 0.01)(mean difference,-4.22 points in pain, p = 0.002;-2.41 points in stiffness, p < 0.001;-11.04 points in physical function, p = 0.006) and SPPB scores(mean difference, 1.22 points, p < 0.001).Conclusion: Among older Chinese women with knee OA, a tailored Tai Ji Quan intervention improved gait outcomes. The intervention also improved overall function as indexed by the WOMAC and SPPB. These results support the use of Tai Ji Quan for older Chinese adults with knee OA to both improve their functional mobility and reduce pain symptomatology.
文摘目的了解太原市常见风湿病的患病率,探讨膝骨关节炎的相关危险因素。方法调查队伍由5名风湿科医生和10名初级卫生保健人员组成。调查表采用修订的中国-国际抗风湿联盟(ILAR)《风湿病调查表》,亚太地区风湿病学会联合会(APLAR)社区控制风湿病规划(COPCORD)委员会《膝骨关节炎危险因素调查表》(草案),在COPCORD第一阶段第Ⅰ、Ⅱ期询问表的基础上加入有关疲劳、睡眠障碍、情绪改变、全身疼痛、持物困难、无力等内容;第Ⅲ期体检表中,加入1999年美国风湿病学院(ACR)纤维肌痛综合征(FM)诊断标准中的18个压痛点制定《软组织风湿病调查表》,按WHO-COPCORD调查程序进行。X线由2名放射科医生盲法分别读片,有分歧者经讨论达到共识。最后由3名风湿科医生根据检查结果,按照相应的分类(诊断)标准做出诊断。全部资料输入计算机后以SPSS for Windows 11.5进行统计学处理,采用Logistic回归对膝骨关节炎相关变量进行分析。结果实际调查16岁以上居民3915人,调查率97.75%。有风湿痛者996人(25.44%),以膝痛最常见(14.73%),继以腰痛(11.78%)、颈痛(7.13%)。除髋关节外,各部位风湿痛频率均为女性较男性多见。骨关节炎、软组织风湿病、脊柱关节病、类风湿关节炎为太原地区常见风湿病,患病率分别为17.37%,2.50%,0.89%,0.28%。骨关节炎患病率女性高于男性(22.07% vs 12.16%),以膝关节(12.11%)、腰椎(5.57%)、颈椎(5.44%)受累最常见。Logistic回归分析显示:年龄、女性、超重(人体质量指数≥24)与膝骨关节炎相关;爬楼梯与膝痛和膝骨关节炎无关。软组织风湿病以回旋肌套腱炎(0.79%)、肩周炎(0.46%)、外上髁炎(0.33%)较常见。35例脊柱关节病中未分化脊柱关节病25例(0.64%),强直性脊柱炎8例(0.20%),其他脊柱关节病少见。结论太原地区常见风湿病以骨关节炎患病率最高,其次为软组织风湿病、脊柱关节病、类�
