International journal of integrative medicine最新文献

{"title":"The Influence of Tai Chi Exercise on Proprioception in Patients with Knee Osteoarthritis: Results from a Pilot Randomized Controlled Trial.","authors":"Anna Schmid, Timothy McAlindon, Christopher H Schmid, Chenchen Wang","doi":"10.5772/57137","DOIUrl":"10.5772/57137","url":null,"abstract":"<p><strong>Purpose: </strong>Previous long-term observational studies found that Tai Chi practitioners had better knee-joint proprioceptive acuity versus controls in an older population. We evaluated the effects of Tai Chi for knee-joint proprioception in knee osteoarthritis (OA) in a randomized controlled trial.</p><p><strong>Methods: </strong>We randomized 40 eligible individuals (age > 55, BMI ≤ 40 kg/m² with knee pain on most days of the previous month and tibiofemoral OA (K/L grade ≥2) to Tai Chi (10 modified forms from classical Yang style) or to an attention control (stretching and wellness education). The 60 minute intervention sessions occurred twice-weekly for 12 weeks. The knee joint proprioception was measured using a Biometrics™ electrogoniometer with an ADU301 angle display unit during each assessment visit. Three test angles (30, 45 and 60 degrees) were evaluated with each subject in a sitting position taken as neutral (0 degrees). The mean error (absolute angle error) between the actual and replicated angles was calculated for each of the three test angles. The Tai Chi and control groups were compared by intention-to-treat using t-tests.</p><p><strong>Results: </strong>The participants had a mean age of 65 y (SD 7.8), a mean disease duration of 10 y (SD 7.6), a mean BMI of 30.0 kg/m² (SD 4.8), and median K/L grade 4; 75% were female, 70% were white. The participants in the Tai Chi intervention exhibited significantly improved proprioception at 30 degrees, but not at 45 or 60 degrees, at 12 weeks. Patients who continued Tai Chi practice after 12 weeks also reported no significant improvements in knee proprioception at 24 and 48 weeks.</p><p><strong>Conclusion: </strong>Tai Chi appears to be beneficial for knee proprioception in people with severe knee OA at a 30 degree test angle immediately following 12 weeks of practice. However, we were unable to demonstrate that Tai Chi has any long-term effects on knee proprioception, nor were we able to find any effects on proprioception at larger test angles (45 and 60 degrees). Standardized and reproducible measures for knee proprioception should be explored in future research.</p>","PeriodicalId":89941,"journal":{"name":"International journal of integrative medicine","volume":"1 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5578627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35322826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tai Ji Quan Exercise for People with Parkinson's Disease and Other Neurodegenerative Movement Disorders.","authors":"Fuzhong Li","doi":"10.5772/56243","DOIUrl":"https://doi.org/10.5772/56243","url":null,"abstract":"<p><p>The merits of Tai Ji Quan in preventing or ameliorating chronic disease conditions are increasingly being explored in the biomedical research and clinical rehabilitation communities. Recent findings suggest that this ancient martial art's modality, when implemented as a complementary exercise regimen, can be therapeutically beneficial to people with neurodegenerative conditions. This article builds on a recent clinical trial that demonstrated the benefits of Tai Ji Quan for patients with Parkinson's disease by introducing an enhanced training approach that emphasizes integration of multiple facets of movement control mechanisms aimed at reducing or alleviating dysfunctional movement-related symptoms. This innovative approach to traditional Tai Ji Quan practice reflects the need for it to be adapted to modern behavioural medicine and the potential for it to fill a gap between research and clinical practice. The ultimate goal of this approach is to identify the extent of health benefits of Tai Ji Quan as an integrated and alternative intervention used to meet the increasing demand for adjunct clinical treatments for movement disorders and chronic disease prevention.</p>","PeriodicalId":89941,"journal":{"name":"International journal of integrative medicine","volume":"1 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3827630/pdf/nihms-479932.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31875358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complementary and Alternative Medicine and Osteoarthritis.","authors":"Chenchen Wang","doi":"10.5772/56431","DOIUrl":"https://doi.org/10.5772/56431","url":null,"abstract":"<p><p>Patients with osteoarthritis experience high levels of pain, psychological distress and have limited therapeutic options. Emerging evidence from clinical trials suggests that both acupuncture and Tai Chi mind-body therapies are safe and effective treatments for osteoarthritis. Acupuncture has effects over and above those of 'sham acupuncture' and the most robust evidence to date demonstrates that acupuncture does have short-term benefits and is a reasonable referral option for patients with symptomatic osteoarthritis. Tai Chi is a mind-body exercise that enhances cardiovascular fitness, muscular strength, balance, and physical function. It also appears to be associated with reduced stress and anxiety and depression, as well as improved quality of life. Thus, Tai Chi may be safely recommended to patients with osteoarthritis as a complementary and alternative medical approach to affect patient well-being. Integrative approaches combine the best of conventional medicine and complementary and alternative medicine to ultimately improve patient care. These modalities may lead to the development of better disease modifying strategies that could improve symptoms and decrease the progression of osteoarthritis. This overview synthesizes the current body of knowledge about Chinese mind-body medicine to better inform clinical decision-making for our rheumatic patients.</p>","PeriodicalId":89941,"journal":{"name":"International journal of integrative medicine","volume":"1 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5565213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35294229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}