| High rates of chronic low back pain (CLBP), medical expenses cost is large, andseriously affect the patient’s quality of life, rehabilitation therapy for chroniclow back pain research is a social problem that nots allow to ignore. Exercisetherapy for chronic low back pain have reached a consensus that Europe nonspecificlow back pain management guidelines recommend exercise therapy is preferred.Commonly used mainly for William’s gymnastics movement therapies, core stabilitytraining, yoga, tai chi, etc. Studies confirm top brain area and forehead area isthe critical areas of pain management, event related potential is through theaverage superposition technology from the skull surface to record the brain evokedpotential to reflect the cognitive process in the brain’s nerveelectrophysiological changes, conduction speed, has been hailed as a "window" of"peer" psychological activity. We adopt the neuroscience (ERP, event relatedpotential), dynamic observation of12Zhou Chen’s taijiquan exercise, the corestability training, control group of top zone (Pz), frontal zone (Fz) and the centralpart (Cz, C3), and occipital (Oz) and P300amplitude and latent period, the influenceof the longitudinal comparison of tai chi group, the core stability and the recordspoints before and after the experiment, the experimental group, each groupdifferences in P300amplitude and latent period, transverse comparison experimentson three groups of P300amplitude and latent period of each record point difference,the taijiquan movement’s influence on cognitive function in patients with chroniclow back pain mechanisms, for the exercise prescription of taijiquan exercisetherapy for chronic low back pain as to provide empirical basis.This research uses the literature material law, questionnaire survey method,experimental method and mathematical statistics. Experiment with German BrainProducts company produces the64event related potential test guide system,40patients with chronic low back pain for visual stimulus event related potentialtest, the tai chi group14(Chen taijiquan exercise), stable core group of13people(using the Swiss ball core stability training), the control group (no exercise)13people. Tai chi group and core stability morning exercise three times a week,and60minutes at a time, the control to keep the original way of life, don’t makeany regular physical activity. Test indicators: choose Pz, Fz, Cz, Oz, C3recordspoints of P300amplitude and latent period as ERP experiment index, number "pain"for the ERP experiment behavior data, ODI for lower back pain dysfunction indexsurvey indicators, bent down to pickup for functional testing measurement. Testexperiment before and after12weeks, respectively for testing.Results showed that:(1) after12weeks of exercise, tai chi group compared withcontrol group, the tai chi group of Fz, Cz, Oz record point P300amplitude issignificantly higher than the control group, with very significant difference (P<0.01), Pz point P300amplitude is significantly higher than control group (P <0.05); Stable core group compared with control group, except the Fz record pointP300amplitude decreased and the rest all record points (Cz, Oz, Pz, C3) P300 amplitude were higher than the control group, but has no significant difference;Fz records of the tai chi group compared with the group core stability, stable pointof P300amplitude is significantly higher than the core group (P <0.01), the restof the record point amplitude group were higher than core stability. Experimentafter the tai chi group compared with control group, the control point of Oz P300latency period is significantly higher than the tai chi group (P <0.05), and othervarious record point there was no significant difference; Core stability afterexperimental group compared with control group, the core point of Cz and Fz P300latency period stable group was obviously higher than that of control group (P <0.05); The tai chi group compared with the stable core group, each record pointP300latency period there was no significant difference (P>0.05). After12weeksof tai chi exercise subjects than the record point of the exercise before Cz, C3P300latency period basic has not changed, the other three records of the incubationperiod is before exercise in decline;Core stability experiments after each recordpoint P300latency period before the trial were presented the varying degree rise,do not have significant meaning (P>0.05).(2) after the experiment, the tai chigroup compared with control group, the tai chi group pain grading number veryobviously than the control group, with very significant difference (P <0.01),"pain" and "very painful" rank are very significant decrease (P <0.01). The taichi group compared with the stable core group, the tai chi group "pain" stable levelsignificantly more than the core group, with significant difference (P <0.05);"Pain" level was significantly reduced (P <0.05). Stable stable group comparedwith control group, the core set of "pain" level more than the control group, butthere was no significant difference.(3) experimental ODI score score after thetai chi group were very significantly lower than control group (P <0.01); Corestability training group compared with control group, the core stability traininggroup seven (pain degree, sit, stand, sleep, life daily life, social life and goout) rating score is significantly lower than control group (P <0.01), sex thisscore significantly lower than control group (P <0.05). The tai chi group scoreswere very significantly lower than the core stability training group (P <0.01).(4) the tai chi group bent down to pickup after tests was very significantly lowerthan the control group with very significant difference (P <0.01); Core stabilitytraining group compared with control group, with very significant difference (P<0.01); The tai chi group compared with the stable core group, the tai chi groupbent down to pickup distance to ground distance significantly below core stabilitytraining group. Study the following conclusions:1. Taijiquan exercise can improve cognitive function in patients with chronic lowback pain, law of system of Chen taijiquan exercise on patients with chronic lowback pain of brain information processing with high degree of efficient resourcemobilization and the brain cognitive processing is fast, main performance in keyareas of the tai chi group of pain information processing (top area and foreheadarea) P300amplitude increases, Pz, shorten incubation period of Fz.2. The tai chi group’s influence on cognitive function in patients with chronic low back pain and core stability training group has certain difference, the taichi group’s influence on the subjects’ brain cognitive function is better than thatof core stability training group, mainly displays in the tai chi group of Fz recordpoint of P300amplitude is significantly higher than stable core group, no obviousdifference was found between two groups of the incubation period.3. The tai chi group in ODI score test group were better than the core stability,bent down to pickup, cognitive behavioral data "pain" evaluation of task group alsois better than that of core stability, mainly displays in the tai chi group ODIfail to level the score, bent down to pickup the test distance value were verysignificantly lower than the core stability group; In "pain" evaluation datastatistics results show that the tai chi group compared with the stable core group,the tai chi group "pain" rank relatively stable core group increased significantly;"Pain" level was significantly reduced. These findings are in the rehabilitationof patients with chronic low back pain Chen taijiquan is better than that of corestability training. |
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