| Background:Postmenopausal osteoporosis is a skeletal disease characterized by decreased bone strength,which can lead to an increased risk of fractures.Most postmenopausal osteoporosis patients have proprioceptive dysfunction,which leads to varying degrees of balance and motor dysfunction.At the same time,the elderly have further increased the risk of falls due to muscle atrophy,lower limb muscle strength and poor coordination.danger.Falls can easily lead to osteoporotic fractures in patients,which in turn cause a series of complications such as chronic joint pain,disability,depression,severe decline in quality of life,and even death.Good body balance can help reduce the potential risk of falls and injuries,and thus greatly improve the quality of life of patients.One of the primary goals of postmenopausal osteoporosis prevention and treatment is to prevent osteoporotic fractures,thereby safeguarding the patient’s ability to perform daily activities and quality of life.At present,the treatment of postmenopausal osteoporosis mainly includes drug therapy and non-drug therapy.Drug therapy is mainly treated with bone resorption inhibitors and bone formation promoters.However,drug therapy cannot prevent patients from fractures due to falls.At the same time,drug therapy has large adverse reactions and should not be used for a long time.Exercise therapy is a safe and effective treatment method,mainly including aerobic exercise and resistance exercise.As an important non-drug treatment method,its importance in the treatment of postmenopausal osteoporosis has been gradually recognized.Postmenopausal patients with osteoporosis are a special population and are not suitable for high-intensity exercise,so it is necessary to choose a suitable exercise method.Taijiquan is a traditional aerobic fitness exercise in my country,which can effectively strengthen the stability of the legs of the elderly,and is very suitable for postmenopausal osteoporosis patients.Resistance exercise refers to the active movement of muscles in the process of resisting external resistance,which helps to increase muscle strength,stimulate bone formation and reduce bone resorption,which can further reduce the risk of fractures in patients with osteoporosis.In addition,resistance exercise is the only nonpharmacological intervention that improves skeletal muscle mass,strength,and explosiveness at all stages of life.The combination of resistance exercise and aerobic exercise can achieve better therapeutic effect.Appropriate degree of mechanical stress can not only promote bone formation and increase bone density,but also enhance body balance and prevent falls.Weight-bearing training is one of the more common forms of resistance exercise at present.At present,there are few studies on the improvement of balance and motor function of postmenopausal patients with osteoporosis under weight-bearing state of Tai Chi exercise.Balance and motor function in postmenopausal osteoporotic patients,so further research is needed.Purpose:This study explores the effect of Tai Chi exercise on the balance and motor function of postmenopausal osteoporosis patients under weight-bearing condition,and provides a reference for the rehabilitation treatment of balance and motor function in clinical postmenopausal osteoporosis patients.Method:In this study,in strict accordance with the inclusion and exclusion criteria of the experimental design,the menopause patients who visited the outpatient department of rehabilitation medicine in Henan Provincial People’s Hospital from January 2021 to December 2021 and were diagnosed by "dual energy X-ray absorptiometry" in our hospital were collected.60 patients with post-osteoporosis were divided into an experimental group and a control group according to the random number table method,with 30 people in each group.Simplified Taijiquan exercise in the two groups was used to evaluate the balance function of the two groups of patients before and 12 weeks after the intervention,using the balance test system(PK254P)and Berg Balance Scale(BBS).Test(Times up and go test,TUG)to evaluate the motor function of the two groups of patients,and collect the general information of the patients,including age,course of disease,body mass index,and use SPSS26.0 software for statistical analysis of all collected data.Result:(1)There were no significant differences in age,course of disease and body mass index between the two groups(P>0.05).(2)Before the intervention,there was no statistical significance in the test results of balance test system(left and right average movement speed,front and rear average movement speed,movement length,movement area),BBS score and TUG test results between the two groups(P>0.05);(3)After 12 weeks of intervention,compared with before the intervention,the average left and right movement speed,the average movement speed before and after,the movement length,and the movement area of the experimental group were significantly decreased,the BBS score was significantly increased,and the TUG test results were significantly shortened,and the differences were statistically significant(P <0.001);after 12 weeks of intervention,the average movement speed of the control group,the average movement speed before and after the intervention,the movement length,and the movement area decreased,the BBS score increased,and the differences were statistically significant(P<0.05).(4)After 12 weeks of intervention,the average movement speed of left and right,front and rear average movement speed,movement length and movement area of patients in the experimental group decreased compared with those in the control group,and the differences were statistically significant(P<0.05).Compared with the control group,the BBS score of the patients was significantly increased,and the TUG test time was significantly shortened,and the differences were statistically significant(P<0.001).Conclusion:Weight-bearing tai chi exercise is more effective than tai chi exercise alone in improving the balance and motor function of postmenopausal patients with osteoporosis.It is an effective rehabilitation strategy to improve the balance and motor function of postmenopausal patients with osteoporosis. |
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