FOLLOWUS
Beneficial Effects and Potential Mechanisms of Tai Chi on Lower Limb Osteoarthritis: A Biopsychosocial Perspective
- Chinese Journal of Integrative Medicine Vol. 29, Issue 4, Pages: 368-376(2023)
- Affiliations：
Shanghai Frontiers Science Research Base of Exercise and Metabolic Health, Shanghai University of Sport, Shanghai(200438), China
- Author bio：
Prof. XIAO Wei-hua, E-mail: xiaoweihua@sus.edu.cn
- Funds：
DOI：10.1007/s11655-021-3529-9
CLC：Published：2023-04，
Published Online：18 December 2021，
Accepted：22 September 2021
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ZHUANG Shu-zhao, CHEN Pei-jie, HAN Jia, et al. Beneficial Effects and Potential Mechanisms of Tai Chi on Lower Limb Osteoarthritis: A Biopsychosocial Perspective. [J]. Chinese Journal of Integrative Medicine 29(4):368-376(2023)
ZHUANG Shu-zhao, CHEN Pei-jie, HAN Jia, et al. Beneficial Effects and Potential Mechanisms of Tai Chi on Lower Limb Osteoarthritis: A Biopsychosocial Perspective. [J]. Chinese Journal of Integrative Medicine 29(4):368-376(2023) DOI： 10.1007/s11655-021-3529-9.
摘要
下肢骨关节炎(Osteoarthritis
OA)是一种以关节疼痛、功能受限、心理健康及社会支持下降等为特征
受多因素影响的慢性疾病. 慢性炎症在骨关节炎的病理生理发展中起重要作用. 太极拳是衍生于中国古代武术运动的一项经典身心运动. 研究表明
太极拳对于缓解下肢骨关节炎的症状起着良好的改善作用. 本文旨在应用生物—心理—社会医学研究模式
从生物、心理和社会因素阐释太极拳对于下肢骨关节炎的改善作用及潜在机制. 复杂的生物力学、生物化学、神经学、心理学和社会学因素
包括肌力的提高、本体感觉的改善、关节机械压力的减小、脑域激活和敏化、炎症减低、心理调节和社会支持都参与其中.
Abstract
Lower limb osteoarthritis (OA) is a chronic
multifactorial disease characterized by impaired physical function
chronic pain
compromised psychological health and decreased social functioning. Chronic inflammation plays a critical role in the pathophysiology of OA. Tai Chi is a type of classical mind-body exercise derived from ancient Chinese martial arts. Evidence supports that Tai Chi has significant benefits for relieving lower limb OA symptoms. Using a biopsychosocial framework
this review aims to elucidate the beneficial effects of Tai Chi in lower limb OA and disentangle its potential mechanisms from the perspective of biology
psychology
and social factors. Complex biomechanical
biochemical
neurological
psychological
and social mechanisms
including strengthening of muscles
proprioception improvement
joint mechanical stress reduction
change of brain activation and sensitization
attenuation of inflammation
emotion modulation and social support
are discussed.
关键词
Keywords
Tai Chiosteoarthritismechanismbiopsychosocial model
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