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9동작 타이치운동을 이용한 자조타이치 프로그램의 효과

Effects of Self-help Tai Chi for Arthritis Applying the Nine Movement Tai Chi

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초록

Purpose: There has been a need to integrating the self-help program for arthritis with the Tai Chi for arthritis(SHTCA). The purpose of this study was to develop and to examine the effect of SHTCA for arthritis applying the nine movement Tai Chi. Method: This study was designed the pre-post test, quasi-experimental design. A total 47 participants were recruited in W-city in Korea, an experimental group(26) and a control group(21) at pre-test, but after the eight weeks the composition of the groups were changed to 22 experimental group and 15 control group. The experimental group participated in the SHTCA once a week for eight weeks. SHTCA program consisted of understanding of the arthritis, contracting of the promise, exercise for muscle strength and joint flexibility and the nine movements of Tai Chi exercise. The measures used to examine the effect of the SHTCA were shoulder flexibility, back flexibility, grasping power, balance, abdominal obesity rates, perception of health status, and EQ-5D standardized five dimensions, mobility, self-care, usual activities, pain/discomfort, and anxiety/ depression. Results: At The completion of the eight weeks of SHTCA applying the nine movement Tai Chi, the experimental group reported a significance in a number of variables compared to those of the control group: the right shoulder flexibility(p=.018), left shoulder flexibility(p=.031), right grasping power(p=.014), left grasping power(p=.024), the perception of health status(p=.005) and abdominal obesity rates(p=.027). Conclusion: This SHTCA applying the nine movement Tai Chi would be helpful on right shoulder flexibility, left shoulder flexibility, right grasping power, left grasping power, abdominal obesity rates and the perception of health status for arthritis patients.

Abstract

Purpose: There has been a need to integrating the self-help program for arthritis with the Tai Chi for arthritis(SHTCA). The purpose of this study was to develop and to examine the effect of SHTCA for arthritis applying the nine movement Tai Chi. Method: This study was designed the pre-post test, quasi-experimental design. A total 47 participants were recruited in W-city in Korea, an experimental group(26) and a control group(21) at pre-test, but after the eight weeks the composition of the groups were changed to 22 experimental group and 15 control group. The experimental group participated in the SHTCA once a week for eight weeks. SHTCA program consisted of understanding of the arthritis, contracting of the promise, exercise for muscle strength and joint flexibility and the nine movements of Tai Chi exercise. The measures used to examine the effect of the SHTCA were shoulder flexibility, back flexibility, grasping power, balance, abdominal obesity rates, perception of health status, and EQ-5D standardized five dimensions, mobility, self-care, usual activities, pain/discomfort, and anxiety/ depression. Results: At The completion of the eight weeks of SHTCA applying the nine movement Tai Chi, the experimental group reported a significance in a number of variables compared to those of the control group: the right shoulder flexibility(p=.018), left shoulder flexibility(p=.031), right grasping power(p=.014), left grasping power(p=.024), the perception of health status(p=.005) and abdominal obesity rates(p=.027). Conclusion: This SHTCA applying the nine movement Tai Chi would be helpful on right shoulder flexibility, left shoulder flexibility, right grasping power, left grasping power, abdominal obesity rates and the perception of health status for arthritis patients.

참고문헌 (20)

  1. Cho, K. S., "Comparing effects of Tai Chi exercise, Tai Chi self-help program, and Self-help management program for osteoarthritis patients", J Muscle Joint Health, 14(1), pp.77~85 (2007)
  2. Cho,Y.S., "Cross-cultural adatation and validation of the Korean version of the EQ-5D in pateints with rheumatic disease", 박사, pp.2005
  3. Choi, J. H., "Analysis of the effect of Tai Chi on muscle strength and flexibility", J Rheumatol Health, 12(1), pp.69~80 (2005)
  4. Choi, M. K., "The evaluation of Tai-Chi self-help program for osteoarthritis patients", J Muscle Joint Health, 14(2), pp.42~51 (2007)
  5. Fontana,J.A., "The energy costs of a modified form of Tai Chi exercise", J Nurs Res, 49(2), pp.91~96 (2000)
  6. Kang, E. J., "A valuation of health status using EQ-5D", The J Korean Association of Health Economics and Policy, 12(2), pp.19~44 (2006)
  7. Lam,P., "Teaching Tai Chi effectively" (2006), Tai Chi production
  8. Lee, E. H., "Effect of self-help Tai Chi for arthritis on the EQ-5D, health perception, joint flexibility, grasping power and balance", J Muscle Joint Health, 14(2), pp.127~136 (2007)
  9. Lee,E.N., "Effects of a Tai-Chi on pain, sleep disturbance, mood and fatigue in rheumatoid arthritis patients", J Rheumatol Health, 12(1), pp.57~68 (2005)
  10. Lee, E. N., "Effects of a 8-week Tai Chi exercise program on the risk factors for falls in the elderly with osteoarthritis", J Rheumatol Health, 11(1), pp.61~73 (2004)
  11. 이혜영, "슬골관절염 환자를 위한 타이치운동, 수중운동과 자조관리프로그램의 효과비교", Journal of Korean Academy of Nursing, 36(4), pp.571~580 (2006), 한국간호과학회
  12. Lee, H. Y., "Analysis of the effectiveness of Tai Chi exercise for improving balance", J Korean Acad Adult Nurs, 16(3), pp.409~420 (2004)
  13. Lee, K. S., "Effects of the health promotion with chronic degenerative disease at the primary health care centers" (2001), Korea Institute of Health and Social Affairs
  14. Lee, K. S., "Effects of the self-help program on pain, fatigue, difficulty in physical activity, joint stiffness, flexibility of the joints in arthritis patients", J Muscle Joint Health, 14(1), pp.26~32 (2007)
  15. Lee, K. S., "Long-term effect of self-help program for arthritis patients", J Rheumatol Health, 10(1), pp.32~43 (2003)
  16. Lee, K. Y., "The effect of Tai Chi movement in patients with rheumatoid arthritis", J Korean Acad Nurs, 36(2), pp.278~286 (2006)
  17. Lim, N. Y., "The effects of Tai Chi for patients with chronic arthritis", J Rheumatol Health, 11(2), pp.153~164 (2004)
  18. MOHW & KIHASA (Ministry of Health and Welfare, Korea Institute for Health and Social Affairs), "The third Korea National Health and Nutrition Examination Survey(KNHANES Ⅲ)" (2006)
  19. Park,Y.J., "Effects of Tai Chi Exercise Program on self-efficacy, pain, and physical function in patients with osteoarthritis", 박사, pp.2004
  20. Song, R. Y., "Effects of Tai Chi exercise on pain, balance, muscle strength, and physical functioning in older women with osteoarthritis: A randomized clinical trial", J Rheumatol Health, 30(9), pp.2039~2044 (2003)

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