CHEN Yong, MA Chao-qun, ZHENG Song-bo, LI Zhao-wei
Objective: To explore the intervention effect of Tai Chi push hand(TCPH) exercise on knee osteoarthritis (KOA).Method: 50 KOA patients were recruited from the community and randomly divided into control group(N1=25)and TCPH group(N2=25). The control group received unsupervised exercise rehabilitation guidance; TCPH group received rehabilitation training mainly focused on Tai Chi Pushing Hands, with 3 sessions per week for 90 minutes each time. Before and after 12 weeks of intervention, test data were collected from two groups of patients for pain visual analogue scale (VAS), Lysholm knee score scale(LKSS), lower limb strength, Y-balance test (YBT), and Depression Anxiety and Stress Scale (DASS-21) .Result: Before intervention, there was no statistical difference in all indicators between the control group and the TCPH group. After 12 weeks of intervention, there was no statistically significant difference in all indicators before and after the control group (P>0.05). The VAS, LKSS, lower limb strength, and YBT results of the TCPH group were significantly better than before the intervention (P<0.001). The scores of depression, anxiety, and stress on the DASS-21 scale were lower than before the intervention, and the difference was statistically significant (P<0.05); After 12 weeks of intervention, compared with the control group, the TCPH group showed significant differences in VAS, LKSS, and YBT results (P<0.001); There was a statistically significant difference in the comparison of lower limb strength and the three dimensions of the DASS-21before and after (P<0.05).Conclusion: The Tai Chi Pushing Hand Exercise Program can reduce the degree of knee joint pain, improve knee joint function, dynamic balance, and mental health in patients with knee osteoarthritis.