关键词: Tai Chi Chuan functional ankle instability postural stability protocol self-reported instability

来  源:   DOI:10.3389/fneur.2022.923669   PDF(Pubmed)

Abstract:
UNASSIGNED: Tai Chi Chuan (TCC) is a physical activity modality that originated in China and is now widely popular around the world. Although there are a series of articles reporting that TCC can improve balance and other functional symptoms in a variety of populations, including the elderly, patients with stroke, and patients with Parkinson\'s disease, its efficiency has not been scientifically and methodically evaluated in subjects with functional ankle instability (FAI). Moreover, there is no literature directly comparing TCC and conventional balance training (CBT) interventions for FAI. The objective of this study is to investigate the comparative effects of TCC intervention and CBT protocols in improving postural balance and subjective instability feelings in patients with FAI.
UNASSIGNED: This study will be a single-center, parallel group, randomized controlled trial. Sixty-eight patients with FAI will be included and randomly assigned in a 1:1 ratio to either an intervention group (n =34) or a control group (n = 34). The participants in the intervention group will complete 12 weeks of TCC intervention (40 min/time, 3 times/week for 12 weeks) on the basis of health education treatment. The control group will receive health education and 36 CBT sessions during a 12-week period. Outcome measures include postural stability and self-reported feelings of instability at baseline, after the end of the intervention, and 3-month follow-up. The postural stability assessment of patients with FAI will be detected by performing static and dynamic postural tests, which will be carried out through a specific balance platform (TecnoBody ProKin). Self-reported feelings of instability will be assessed by Cumberland Ankle Instability Tool (CAIT), American Orthopedics Foot and Ankle Society\'s Ankle-Hindfoot Evaluation Scale (AOFAS-AHES), and the MOS item Short Form Health Survey (SF-36).
UNASSIGNED: This trial will demonstrate whether a 12-week TCC intervention positively affects postural stability and self-reported outcomes in patients with FAI. At the same time, the superiority of its clinical efficacy will also be compared with that of CBT. This study may also help to redefine the value of traditional Chinese exercises in the treatment of chronic ankle instability.
UNASSIGNED: Chinese Clinical Trial Registry: ChiCTR2100041790. Registration date: 22 March 2021. http://www.chictr.org.cn/edit.aspx?pid=119501&htm=4.
摘要:
未经授权:太极拳(TCC)是一种起源于中国的体育活动方式,现在在世界范围内广泛流行。尽管有一系列文章报道TCC可以改善各种人群的平衡和其他功能症状,包括老年人,中风患者,和帕金森病患者,尚未对功能性踝关节不稳定(FAI)患者的有效性进行科学和有条理的评估。此外,没有文献直接比较TCC和常规平衡训练(CBT)对FAI的干预。这项研究的目的是研究TCC干预和CBT方案在改善FAI患者的姿势平衡和主观不稳定感方面的比较效果。
未经评估:这项研究将是一个单中心,平行组,随机对照试验。将纳入68例FAI患者,并以1:1的比例随机分配到干预组(n=34)或对照组(n=34)。干预组的参与者将完成12周的TCC干预(40分钟/次,3次/周,共12周)的基础上进行健康教育治疗。对照组将在12周内接受健康教育和36次CBT课程。结果指标包括姿势稳定性和基线时自我报告的不稳定感,干预结束后,和3个月的随访。FAI患者的姿势稳定性评估将通过进行静态和动态姿势测试来检测,这将通过特定的平衡平台(TecnoBodyProKin)进行。自我报告的不稳定感将由坎伯兰脚踝不稳定工具(CAIT)评估,美国骨科足踝协会踝足评估量表(AOFAS-AHES),和MOS项目短期健康调查(SF-36)。
UNASSIGNED:该试验将证明12周的TCC干预是否会对FAI患者的姿势稳定性和自我报告结果产生积极影响。同时,其临床疗效的优越性也将与CBT进行比较。这项研究也可能有助于重新定义中国传统运动在治疗慢性踝关节不稳中的价值。
UASSIGNED:中国临床试验注册中心:ChiCTR2100041790.注册日期:2021年3月22日。http://www。chictr.org.cn/edit。aspx?pid=119501&htm=4。
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