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Fong SSM, Chung LMY, Yam TTT, Chung JWY, Bae YH, Gao Y, Chan JSM, Wang HK. Effects of Ving Tsun sticking-hand training on lower limb sensorimotor performance among community-dwelling middle-aged and older adults: a randomized controlled trial. Trials 2023; 24:143. [PMID: 36841770 PMCID: PMC9960190 DOI: 10.1186/s13063-023-07133-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Accepted: 02/04/2023] [Indexed: 02/27/2023] Open
Abstract
BACKGROUND To explore the effects of Ving Tsun (VT) sticking-hand training on knee joint proprioception and leg muscular performance among community-dwelling middle-aged and older adults. METHODS Thirty-three middle-aged and older adults were randomly assigned to either the VT or control group. The VT group received sticking-hand training twice/week for 3 months. Data were collected before and after the intervention period. The primary outcome was knee joint repositioning error, which was measured using knee joint active repositioning tests. The secondary outcomes included the maximum muscle strength and time to maximum muscle strength of the major leg muscles. RESULTS No significant group, time, or group-by-time interaction effects were found for the knee joint repositioning error (p > 0.05). The maximum muscle strength of the knee flexors increased over time in the VT group only (p = 0.038). In addition, the time to maximum muscle strength in the hip extensors and flexors increased over time in both groups (p < 0.05). For the knee extensors and flexors, the time to maximum muscle strength increased in the control (p = 0.027) and VT (p = 0.019) groups, respectively, over time. CONCLUSIONS VT sticking-hand training could improve the maximum muscle strength of the knee flexors but could not attenuate the age-related deterioration in leg muscle contraction speed nor improve knee joint proprioception among community-dwelling middle-aged and older adults. TRIAL REGISTRATION ClinicalTrials.gov NCT03318289. Registered on 23 October 2017.
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Affiliation(s)
- Shirley S. M. Fong
- grid.419993.f0000 0004 1799 6254Department of Health and Physical Education, The Education University of Hong Kong, Tai Po, Hong Kong ,Hong Kong Martial Arts Institute, Kowloon, Hong Kong
| | - Louisa M. Y. Chung
- grid.419993.f0000 0004 1799 6254Department of Health and Physical Education, The Education University of Hong Kong, Tai Po, Hong Kong
| | - Timothy T. T. Yam
- Department of Physiotherapy, School of Nursing and Health Studies, The Hong Kong Metropolitan University, Kowloon, Hong Kong
| | - Joanne W. Y. Chung
- School of Nursing and Health Studies, The Hong Kong Metropolitan University, Kowloon, Hong Kong
| | - Young-Hyeon Bae
- grid.419707.c0000 0004 0642 3290Department of Healthcare and Public Health, Korea National Rehabilitation Center, Rehabilitation Research Institute, Seoul, 01022 South Korea
| | - Yang Gao
- grid.221309.b0000 0004 1764 5980Department of Sport, Physical Education and Health, The Hong Kong Baptist University, Kowloon, Hong Kong
| | - Jessie S. M. Chan
- grid.194645.b0000000121742757School of Chinese Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong
| | - Hsing-Kuo Wang
- grid.19188.390000 0004 0546 0241School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei City, Taiwan
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Glinkowski WM, Żukowska A, Glinkowska B. Quantitative Ultrasound Examination (QUS) of the Calcaneus in Long-Term Martial Arts Training on the Example of Long-Time Practitioners of Okinawa Kobudo/Karate Shorin-Ryu. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2708. [PMID: 36768074 PMCID: PMC9915411 DOI: 10.3390/ijerph20032708] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Revised: 01/30/2023] [Accepted: 01/31/2023] [Indexed: 06/18/2023]
Abstract
Quantitative research of bone tissue related to physical activity (PA) and sport has a preventive dimension. Increasing the parameters of bone tissue strength, especially reaching the maximum value of peak bone strength in childhood, adolescence, and early adulthood due to practicing sports can contribute to maintaining bone health throughout life. Practicing martial arts (tai chi, traditional karate, judo, and boxing) can effectively improve the quality of bone and reduce the risk of falls and fractures. The study aimed to evaluate the calcaneus bones among Okinawa Kobudo/Karate Shorin-Ryu practitioners using the quantitative ultrasound method as an indicator for assessing bone fracture risk. Forty-four adult martial arts practitioners with a mean age of 36.4 participated in this study. Quantitative ultrasound (QUS) with a portable Bone Ultrasonometer was used in this study. Speed of sound (SOS), broadband ultrasound attenuation (BUA), and the stiffness index (SI) were measured. Subjects were assigned to two groups of black and color belts, according to the advancement in Kobudo/karate practice. The measurements of the SI, BUA, SOS, T-score, and Z-score were significantly higher in subjects from the advanced, long-term practice (black belts) (p < 0.05). The long-term martial arts training in traditional karate and Kobudo significantly impacts the parameters of the calcaneus quantitative ultrasound measurements. Significantly higher bone density was observed among the black belt holders. Long-term practice subjects achieved results far beyond the norm for their age groups. Further studies using non-invasive methods of bone quantification are needed to determine the specific conditions for preventing osteoporosis through physical activity, sports, and martial arts, particularly the duration of the activity, the magnitude of loads, and other related factors.
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Affiliation(s)
- Wojciech M. Glinkowski
- Center of Excellence “TeleOrto”, Telediagnostics and Treatment of Disorders and Injuries of the Locomotor System, Department of Medical Informatics and Telemedicine, Medical University of Warsaw, 00-581 Warsaw, Poland
- Polish Telemedicine and eHealth Society, 03-728 Warsaw, Poland
- Gabinet Lekarski, 03-728 Warsaw, Poland
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Mustafa H, Harrison A, Sun Y, Pearcey GEP, Follmer B, Nazaroff BM, Rhodes RE, Zehr EP. Five weeks of Yuishinkai karate training improves balance and neuromuscular function in older adults: a preliminary study. BMC Sports Sci Med Rehabil 2022; 14:65. [PMID: 35410626 PMCID: PMC8997192 DOI: 10.1186/s13102-022-00458-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Accepted: 03/30/2022] [Indexed: 12/03/2022]
Abstract
Background Martial arts training has shown positive impacts on balance and physiological measurements. Further investigation of the contents and feasibility of an effective therapeutic assessment of martial arts is needed in older adults, mainly for future applications and real-world implementation. Methods Sixteen older adults (8 male, 8 female, age 59–90 years), with or without chronic conditions, participated in a preliminary study using 5-weeks of karate training and a triple baseline control procedure. Group and single subject data analyses were conducted for dynamic balance, Timed Up and Go (TUG), hand grip, ankle plantarflexion force, and spinal cord excitability (via the soleus H-reflex) pre- and post-training. Results On average, participants completed a total of 2437 steps, 1762 turns, 3585 stance changes, 2047 punches, 2757 blocks, and 1253 strikes. Karate training improved dynamic balance performance such that the group average time was reduced (time to target (−13.6%, p = 0.020) and time to center (−8.3%, p = 0.010)). TUG was unchanged when considering the entire group (p = 0.779), but six participants displayed significant changes. Left handgrip (7.9%, p = 0.037), and plantarflexion force in the right (28.8%, p = 0.045) and left leg (13.3%, p = 0.024) increased for the group. Spinal cord excitability remained unchanged in group data analysis but 5 individuals had modulated Hmax/Mmax ratios. Conclusion 5-weeks of karate training delivered in a fashion to mimic generally accessible community-level programs improved balance and strength in older adults. Whole-body movement embodied in karate training enhanced neuromuscular function and postural control. We met the overriding goal of this preliminary study to emphasize and assess feasibility and safety for the generalizability of martial arts interventions to real-world communities to impact health outcomes. Further quantitative work should explore threshold dose and development of martial arts training interventions as potential “exercise is medicine” functional fitness for older adults.
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Affiliation(s)
- Hajer Mustafa
- Rehabilitation Neuroscience Laboratory, University of Victoria, Room 172, McKinnon Building, 3800 Finnerty Road, Victoria, BC, V8P 5C2, Canada.,School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada.,Human Discovery Science, International Collaboration on Repair Discoveries (ICORD), Vancouver, BC, Canada
| | - Aimee Harrison
- Rehabilitation Neuroscience Laboratory, University of Victoria, Room 172, McKinnon Building, 3800 Finnerty Road, Victoria, BC, V8P 5C2, Canada.,School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada.,Human Discovery Science, International Collaboration on Repair Discoveries (ICORD), Vancouver, BC, Canada.,Behavioural Medicine Laboratory, University of Victoria, Victoria, BC, Canada
| | - Yao Sun
- Rehabilitation Neuroscience Laboratory, University of Victoria, Room 172, McKinnon Building, 3800 Finnerty Road, Victoria, BC, V8P 5C2, Canada.,School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada.,Human Discovery Science, International Collaboration on Repair Discoveries (ICORD), Vancouver, BC, Canada
| | - Gregory E P Pearcey
- Rehabilitation Neuroscience Laboratory, University of Victoria, Room 172, McKinnon Building, 3800 Finnerty Road, Victoria, BC, V8P 5C2, Canada.,Human Discovery Science, International Collaboration on Repair Discoveries (ICORD), Vancouver, BC, Canada.,Centre for Biomedical Research, University of Victoria, Victoria, BC, Canada
| | - Bruno Follmer
- Rehabilitation Neuroscience Laboratory, University of Victoria, Room 172, McKinnon Building, 3800 Finnerty Road, Victoria, BC, V8P 5C2, Canada.,School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada.,Human Discovery Science, International Collaboration on Repair Discoveries (ICORD), Vancouver, BC, Canada
| | - Benjamin M Nazaroff
- Rehabilitation Neuroscience Laboratory, University of Victoria, Room 172, McKinnon Building, 3800 Finnerty Road, Victoria, BC, V8P 5C2, Canada.,School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada.,Human Discovery Science, International Collaboration on Repair Discoveries (ICORD), Vancouver, BC, Canada
| | - Ryan E Rhodes
- School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada.,Behavioural Medicine Laboratory, University of Victoria, Victoria, BC, Canada
| | - E Paul Zehr
- Rehabilitation Neuroscience Laboratory, University of Victoria, Room 172, McKinnon Building, 3800 Finnerty Road, Victoria, BC, V8P 5C2, Canada. .,School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, BC, Canada. .,Human Discovery Science, International Collaboration on Repair Discoveries (ICORD), Vancouver, BC, Canada. .,Centre for Biomedical Research, University of Victoria, Victoria, BC, Canada. .,Division of Medical Sciences, University of Victoria, Victoria, BC, Canada.
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Chung JWY, Fong SSM, Gao Y, Yam TTT, Chak YTC, Leung JCY, Wong TKS. Effects of Ving Tsun sticking-hand training on upper-limb sensorimotor performance in community-dwelling middle-aged and older adults: A randomized controlled trial. Int J Nurs Sci 2020; 7:29-34. [PMID: 32099856 PMCID: PMC7031135 DOI: 10.1016/j.ijnss.2019.11.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2019] [Revised: 11/07/2019] [Accepted: 11/07/2019] [Indexed: 11/29/2022] Open
Abstract
Objective To evaluate the effects of Ving Tsun (VT) sticking-hand training on upper-limb joint position sense and muscular performance in community-dwelling middle-aged and older adults. Methods Thirty-three adults were randomly allocated to either a VT group or a control group. The VT group received VT sticking-hand training twice per week for 3 months. Measurements were taken before and after the intervention period. The primary outcome was elbow-joint repositioning error, which was measured by an elbow-joint passive positioning and active repositioning test using a universal goniometer. Secondary outcomes were upper-limb muscles’ peak force and time taken to reach peak force as measured by a hand-held dynamometer. Results No significant time, group or time-by-group interaction effects were found for elbow-joint repositioning error or upper-limb muscle peak force outcomes. Shoulder flexor time to peak force decreased by 33.8% from pre-test to post-test in the VT group (P = 0.007). Shoulder abductor, internal and external rotator, and elbow extensor times to peak force decreased by 30.0%–35.9% in the VT group (P < 0.05) and by 30.4%–37.1% in the control group (P < 0.05). Conclusions VT sticking-hand training does not improve elbow-joint position sense or the maximum strength of upper-limb muscles in middle-aged and older adults. However, VT can improve shoulder flexor muscles’ time to reach peak force in these populations. VT had no obvious effect on the time required to reach peak force in other shoulder muscles and elbow extensors.
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Affiliation(s)
- Joanne W Y Chung
- Department of Health and Physical Education, Education University of Hong Kong, Hong Kong, China
| | - Shirley S M Fong
- School of Nursing and Healthcare, Hong Kong Nang Yan College of Higher Education, Hong Kong, China.,Hong Kong Martial Arts Institute, Hong Kong, China.,School of Public Health, University of Hong Kong, Hong Kong, China
| | - Yang Gao
- Department of Sport and Physical Education, Hong Kong Baptist University, Hong Kong, China
| | - Timothy T T Yam
- School of Public Health, University of Hong Kong, Hong Kong, China
| | | | - Joyce C Y Leung
- School of Nursing and Health Studies, Open University of Hong Kong, Hong Kong, China.,Department of Social Work and Social Administration, University of Hong Kong, Hong Kong, China
| | - Thomas K S Wong
- School of Nursing and Healthcare, Hong Kong Nang Yan College of Higher Education, Hong Kong, China
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Ma AWW, Wang HK, Chen DR, Chen YM, Chak YTC, Chan JWY, Yam TTT, Cheng YTY, Ganesan B, Fong SSM. Chinese Martial Art Training Failed to Improve Balance or Inhibit Falls in Older Adults. Percept Mot Skills 2019; 126:389-409. [PMID: 30803309 DOI: 10.1177/0031512518824945] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This randomized controlled trial explored the effects of a Ving Tsun (VT) Chinese martial art training program on reactive standing balance performance, postural muscle reflex contraction latency, leg muscle performance, balance confidence and falls in community-dwelling older adults. We randomly assigned 33 healthy older adults to either a VT group (mean age = 67.5 years) or a control group (mean age = 72.1 years). The VT group received two 1-hour VT training sessions per week for three months (24 sessions). Primary outcome measures collected before and after the intervention period were electromyographic muscle activation onset latencies of the hamstring and gastrocnemius and the center of pressure path, length and movement velocity in standing (reactive balance performance). Secondary outcome measures included isometric peak force and time to isometric peak force of the knee extensors and flexors, the Activities-Specific Balance Confidence Scale score, and fall history. Results revealed that the mean gastrocnemius muscle activation onset latency was significantly longer (22.53 ms) in the VT group after the intervention. The peak force of the knee flexors significantly increased (by 1.58 kg) in the control group over time but not in the VT group. The time to reach peak force in the knee flexors was significantly longer (by 0.51 s) in the control group (but not the VT group) at posttest compared with the pretest value. No other significant group, time, or group-by-time interaction effects were noted. We discussed possible reasons for the failure of three months of martial art training to benefit fall risks among these older adults.
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Affiliation(s)
- Ada W W Ma
- 1 Department of Health and Physical Education, The Education University of Hong Kong, Hong Kong, People's Republic of China
| | - Hsing-Kuo Wang
- 2 School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.,3 Center of Physical Therapy, National Taiwan University Hospital, Taipei, Taiwan
| | - Duan-Rung Chen
- 4 Institute of Health Behaviors and Community Sciences, National Taiwan University, Taipei, Taiwan
| | - Ya-Mei Chen
- 5 Institute of Health Policy and Management, National Taiwan University, Taipei, Taiwan
| | - Yvonne T C Chak
- 6 Hong Kong Christian Service, Tsim Sha Tsui, Hong Kong, People's Republic of China
| | - Joan W Y Chan
- 7 Hong Kong Christian Service, Un Chau Neighborhood Elderly Centre, Shum Shui Po, Hong Kong, People's Republic of China
| | - Timothy T T Yam
- 8 School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, People's Republic of China
| | - Yoyo T Y Cheng
- 8 School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, People's Republic of China
| | - Balasankar Ganesan
- 8 School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, People's Republic of China.,9 Faculty of Engineering and Information Technology, University of Technology Sydney, Ultimo, Australia
| | - Shirley S M Fong
- 1 Department of Health and Physical Education, The Education University of Hong Kong, Hong Kong, People's Republic of China.,8 School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, People's Republic of China.,10 Ving Tsun Athletic Association, Hong Kong, People's Republic of China
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High Intensity Crossfit Training Compared to High Intensity Swimming: A Pre-Post Trial to Assess the Impact on Body Composition, Muscle Strength and Resting Energy Expenditure. Asian J Sports Med 2017. [DOI: 10.5812/asjsm.13843] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Origua Rios S, Marks J, Estevan I, Barnett LM. Health benefits of hard martial arts in adults: a systematic review. J Sports Sci 2017; 36:1614-1622. [PMID: 29157151 DOI: 10.1080/02640414.2017.1406297] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Participation in organized sports is promoted as a means of increasing physical activity levels and reducing chronic disease risk in adults. Hard martial arts practice (i.e. using body contact techniques), has gained in popularity over time. This review explores the evidence for health benefits of "hard" martial arts practice within the adult population. A systematic electronic database search was conducted, and quality assessments applied the Effective Public Health Practice Project tool. Twenty-eight studies met the inclusion criteria, examining balance, cognitive function, muscular skeletal status, psychological, cardiovascular fitness, and metabolic effects. The majority of studies reported positive effects resulting from hard martial arts practice, showing some improvement and maintenance of balance, cognitive function and psychological health. Benefits may be obtained regardless of the age of practice commencement. However, quality of the evidence is affected by methodological weaknesses across the studies. "Hard" martial arts seem to have potential to improve balance and cognitive functions that decline with age, which can lead to poorer health outcomes among the elderly (e.g. cognitive decline, falls and fractures). Benefits should be further investigated with improved intervention studies, representative samples and longer follow-up periods in order to establish associations with morbidity and mortality in the long term.
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Affiliation(s)
- Sandra Origua Rios
- a School of Health and Social Development , Deakin University , Geelong Australia
| | - Jennifer Marks
- a School of Health and Social Development , Deakin University , Geelong Australia
| | - Isaac Estevan
- b Department of Teaching of Music, Visual and Corporal Expression , University of Valencia , Valencia , Spain
| | - Lisa M Barnett
- a School of Health and Social Development , Deakin University , Geelong Australia
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Effects of Ving Tsun Chinese Martial Art Training on Upper Extremity Muscle Strength and Eye-Hand Coordination in Community-Dwelling Middle-Aged and Older Adults: A Pilot Study. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2016; 2016:4013989. [PMID: 27525020 PMCID: PMC4971292 DOI: 10.1155/2016/4013989] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/31/2015] [Accepted: 06/30/2016] [Indexed: 11/28/2022]
Abstract
Objectives. To evaluate the effects of Ving Tsun (VT) martial art training on the upper extremity muscle strength and eye-hand coordination of middle-aged and older adults. Methods. This study used a nonequivalent pretest-posttest control group design. Forty-two community-dwelling healthy adults participated in the study; 24 (mean age ± SD = 68.5 ± 6.7 years) underwent VT training for 4 weeks (a supervised VT session twice a week, plus daily home practice), and 18 (mean age ± SD = 72.0 ± 6.7 years) received no VT training and acted as controls. Shoulder and elbow isometric muscle strength and eye-hand coordination were evaluated using the Lafayette Manual Muscle Test System and a computerized finger-pointing test, respectively. Results. Elbow extensor peak force increased by 13.9% (P = 0.007) in the VT group and the time to reach peak force decreased (9.9%) differentially in the VT group compared to the control group (P = 0.033). For the eye-hand coordination assessment outcomes, reaction time increased by 2.9% in the VT group and decreased by 5.3% in the control group (P = 0.002). Conclusions. Four weeks of VT training could improve elbow extensor isometric peak force and the time to reach peak force but not eye-hand coordination in community-dwelling middle-aged and older adults.
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Lip RWT, Fong SSM, Ng SSM, Liu KPY, Guo X. Effects of Ving Tsun Chinese martial art training on musculoskeletal health, balance performance, and self-efficacy in community-dwelling older adults. J Phys Ther Sci 2015; 27:667-72. [PMID: 25931704 PMCID: PMC4395688 DOI: 10.1589/jpts.27.667] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2014] [Accepted: 10/10/2014] [Indexed: 12/03/2022] Open
Abstract
[Purpose] The aim of this study was to investigate the effects of Ving Tsun (VT) Chinese
martial art training on radial bone strength, upper- and lower-limb muscular strength,
shoulder joint mobility, balance performance, and self-efficacy in elderly participants.
[Subjects and Methods] Twelve seniors voluntarily joined the VT training group, and
twenty-seven seniors voluntarily joined the control group. The VT group received VT
training for three months, while the control group received no training. The bone strength
of the distal radius was assessed using an ultrasound bone sonometer. Muscular strength in
the limbs was evaluated using a Jamar handgrip dynamometer and the five times sit-to-stand
test. Shoulder joint mobility was examined using a goniometer. Balance performance and
self-efficacy were evaluated using the Berg Balance Scale and the Chinese version of the
Activities-specific Balance Confidence Scale, respectively. [Results] The results revealed
a nonsignificant group-by-time interaction effect, group effect, and time effect for all
outcome variables. However, general trends of maintenance or improvement in all outcome
parameters were observed to a greater extent in the VT group than in the control group.
[Conclusion] VT training might be a potential fall-prevention exercise that can be used to
maintain general physique, balance, and confidence in the elderly population. A further
randomized controlled trial is needed to confirm this postulation.
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Affiliation(s)
- Ryan W T Lip
- Institute of Human Performance, The University of Hong Kong, Hong Kong
| | - Shirley S M Fong
- Institute of Human Performance, The University of Hong Kong, Hong Kong
| | - Shamay S M Ng
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong
| | - Karen P Y Liu
- School of Science and Health, University of Western Sydney, Australia
| | - X Guo
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong
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Musculoskeletal strength, balance performance, and self-efficacy in elderly ving tsun chinese martial art practitioners: implications for fall prevention. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2014; 2014:402314. [PMID: 25530782 PMCID: PMC4228803 DOI: 10.1155/2014/402314] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/03/2014] [Accepted: 09/08/2014] [Indexed: 11/17/2022]
Abstract
Objectives. To (1) compare the bone strength, lower limb muscular strength, functional balance performance, and balance self-efficacy between Ving Tsun (VT) martial art practitioners and nonpractitioners and (2) identify the associations between lower limb muscular strength, functional balance performance, and balance self-efficacy among the VT-trained participants. Methods. Thirty-five VT practitioners (mean age ± SD = 62.7 ± 13.3 years) and 49 nonpractitioners (mean age ± SD = 65.9 ± 10.5 years) participated in the study. The bone strength of the distal radius, lower limb muscular strength, functional balance performance, and balance self-efficacy were assessed using an ultrasound bone sonometer, the five times sit-to-stand test (FTSTS), the Berg balance scale (BBS), and the Chinese version of the activities-specific balance confidence scale, respectively. A multivariate analysis of covariance was performed to compare all the outcome variables between the two groups. Results. Elderly VT practitioners had higher radial bone strength on the dominant side (P < 0.05), greater lower limb muscular strength (P = 0.001), better functional balance performance (P = 0.003), and greater balance confidence (P < 0.001) than the nonpractitioners. Additionally, only the FTSTS time revealed a significant association with the BBS score (r = -0.575, P = 0.013). Conclusions. VT may be a suitable health-maintenance exercise for the elderly. Our findings may inspire the development of VT fall-prevention exercises for the community-dwelling healthy elderly.
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