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標題: Analysis of Tai Chi as a Functional Rehabilitation Treatment for Upper Extremities of Wheelchair Patients
作者: Yi-Hung Ho
Ching-Hua Chiu
Chung-Shun Hung
Li-Cheng Hsieh
Hong-Wen Wu
Yi-Chun Lin
Wei-Lin Chang
Qing-Ying Oyang
關鍵字: Patient;Kinematic;Kinetic
出版社: Taichung, Taiwan :Graduate Institute of Sports & Health Management, National Chung Hsing University
Project: International Journal of Sport and Exercise Science, Volume 3, Issue 1, Page(s) 1-10.
Context:Lack of effective rehabilitation may cause upper extremity atrophy in patients with prolonged periods of
wheelchair confinement. Objective: mities by comparing the kinematic and kinetic features of Tai Chi beginning
movements between a normal control group and a group of wheelchair patients.Participants: Two groups of subjects
participated in this study: the control group (8 healthy male subjects) and the patient group (8 wheelchair-bound male
patients with lower extremity injuries).Interventions: The 2-dimensional kinematic images of subjects’ upper
extremities are captured while they perform Tai Chi beginning movements.Main Outcome Measures: Two-dimensional
kinematic images of the subjects’ upper extremities were captured on high-speed video cameras while the subjects
performed the beginning movements of Tai Chi. Computer analysis produced digital data on the movement trajectories
and the results were statistically analyzed.Results: Significant differences in the range of motion (ROM) of the shoulder
joints were found between the 2 groups. The average shoulder ROM for the control group was 66.99 ± 3.70 degrees,
while that of the patient group averaged 53.66 ± 1.16 degrees. This indicates that wheelchair confinement does have a
great impact on human body composition. However, on analyzing the angular velocity of the 3 main joints of the upper
extremity and joint moments, we found that the control group had a faster peak angular velocity of the shoulder joint
(control: 0.369 ± 0.027 rad/s, patient: 0.127 ± 0.004 rad/s). The control group also had higher peak joint
moments.Conclusions: By analyzing ROM and joint moments involved in Tai Chi beginning movements, we confirmed
that Tai Chi can help wheelchair patients rehabilitate the lost movement of their upper extremities.
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