EVALUATION OF TAl CHI CHUAN (TCC) TRAINING EFFECTS ON MUSCULOSKELTAL SYSTEM IN HEALTHY YOUNG SUBJECTS

Öz

Tai Chi Chuan (TCC) can be defined as a series of graceful movements that are made for a spiritual, mental and physical health. The purpose of our <. udy was to evaluate the effects of 37 TCC movements as exercise training on balance, kinesthetic sense and flexibility in sedentary university students, 23 students as TCC group aged 20 ± 2,76 (16 female, 9 male). and 14 students as a control group aged 20,02 ± 3,07 (9 female. 5 male) were participated in and practiced 8 weeks (3 days a week) TCC exercise program. Each session consisted of 20 r-i.uutes of warm-up (3- min. breathing controlled walk. calistening and stretching c xcrcises) 24 minutes of practiced 37 postures Yang style TCC program (originally 108 postures) and 10 minutes cool-down exercises, Static and dynamic balance. sit and reach test, flexibility tests and kinesthetic sense were evaluated before and after TCC training, Static balance with eyes closed. dynamic balan. c with eyes open, flexibility (hyperextension and sit and reach tests) and in kinesthetic sense were improved with statistical significance after TCC training 1;><0.05). 8 weeks TCC training has improved the balance. flexibility and kinesthe uc sense in sedentary young subjects as in elderly. TCC is a low-technology exercise and can be easily implemented in different communities, TCC has potenti ..,1 benefits in health promotion. and is appropriate for implementation in community.

Anahtar Kelimeler

• TCC,flexibility

TAl CHI CHUAN (TCC) EGiTiMiNiN SAGLIKLI GENÇ BiREYLERDE MUSCULOSKEL TAL SiSTEM ÜZERiNE ETKiLERiNiN DEGERLENDiRiLMESi

Öz

T'ai Chi Ch'uan'i (TCC) bir ruh, zihin ve beden sagligl icin yapilan bir rakirn uyurnlu hareketler olarak ranu.ilayabiliriz. Calisrnarruza TCC egitiminin universite ogrencilerindeki muskuloskletal etkilerinin degerlendirilmesi arnaciyla Kutahya Durnlupmar Oniversitesi Saghk Yuksekokulu Fizik Tedavi ve Rehabilitusyon Bolurnunde okuyan yas ortalamasi 20.54 ± 2.76.23 ogrenci TCC gurubu ( 10 krz, 9 erkek) ve yas ortalamasi 20.02 ± 3.07 14 ogrenci Kontrol gurubu ( 9 kiz. 5 crkek) olarak 37 ogrenci dahil edilmistir. TCC gurubuna 8 hafta boyunca h.uiada :I olmak uzere 20 dk ismrna ( 3 dk solunum kontrollu yuruyus, gerrne \;~ kalistrr ik egzersizler), 24 dakika 37 adet Yang stili TCC hareketleri ve :O dk .>f.· ,:uma prograrru yapunlrrusur. Degerlendirrne parametreleri olarak statik ve dinarnik denge testleri, Quadriceps ve hamstring kaslarmm kas kuvveti, govde esneklik ve sit and reach testleri, omuzun 30, 45 ve 60 derecelerdeki rotasyonlan kullarularak kincsic.ik duyu, degerlendirilmistir. TCC egitimi sonrasmda gozler kapali pozisyonda statik denge, gozler acik dinamik denge, govde esnekliklerinden hiperekstan-iyr. '.i» sit and reach restlerinde kontrol gurubuna gore istatistiksel olarak anl.ir.}. ;.,.J;; te saglarurken; TCC gurubunu ek olarak kendi icinde degerlendirilmr-si+l: :;ilim sonrasmda dominant ve nondominant quadriceps ve hamstring ka, ..1'.'\ ::iflde istatistiksel olarak anlamh artma saptanrrusnr ( p<0.05). 8 Haftal.k ." . c!],.timi denge, esneklik ve alt ekstremite kuvvetini literaturle uyu.nl: C'larJk aiunrkcn, kardiyopulmoner fonksiyonlarda gelisme saglanrnarrusnr. TCr:: egitimi.iiu ':agllkli bireylerde guvenli ve etkili oldugu, klinik sartlarda kullarulabilecegi bel; ..lcnmis ..•r.

Anahtar Kelimeler

• Tai Chi Cr.uan,cgzersiz,rnuskulosr ietal,denge. fleks.bilite

Kaynakça

1. [1] Chine SPOtts, 1983. Simplified "Taijiquan", 2nd Ed. Beijing: China Publications Center, pp.J-S.
2. [2] Wolf, S.L., C. Coogler, T. Xu, 1997. Exploring the basis for Tai Chi Chuan as a therapeutic exercise approach. Arch Phys Med RehabiI.,78:886-92.
3. [3] Jiang, J.X., 1984. An observation on the effect of Tai Chi Quan on serum HDL-C and other blood lipids. Chin J Sports Med, 3:99- 101 (in Chinese).
4. [4] Xu, S.W., Z.H. Fan, 1988. Physiological studies of Tai Ii Quan in Chine. Med Sports Sci, 28:70-80.
5. [5] Lan, c., I.S. Lai, S.Y. Chen, 2002. Tai Chi Chuan: an ancient wisdom on exercise and health promotion. Sports Med., 32:217- 24.
6. [6] Tse, S.-K., D.M. Bailey, 1992. T'ai chi and postural control in the well elderly. Am J Occup Ther, 46:295-300.
7. [7] Schaller, KJ., 1996. Tai Chi Chih: An exercise option for older adults. J Gerontol Nurs, 22:12-7.
8. [8] Mak, M.K., P.L. Ng, 2003. Mediolateral sway in single-leg stance is the best discriminator of balance performance for Tai-Chi practitioners. Arch Phys Med RehabiI., 84:683-6.

9. [9] Wong, A.M., v.c. Lin, S.W. Chou, F.T. Tang, P.Y. Wong, 200l. Coordination exercise and postural stability in elderly people: Effect ofTai Chi Chuan. Arch Phys Med RehabiI., 82:608-12.
10. [10] Shih, J., 1997. Basic Beijing twenty-four forms of T'ai Chi exercise and average velocity of sway. Percept Mot Skills, 84:287-90.
11. [11] Lan, C., J.S. Lai, S.Y. Chen, M.K. Wong, 1998. 12-month Tai Chi training in the elderly: its effect on health fitness. Med Sci Sports Exerc., 30:345-51.
12. [12] Lan, C, I.S. Lai, M.K. Wong, M.L. Yu, 1996. Cardiorespiratory function, flexibility, and body composition among geriatric Tai Chi Chuan practitioners. Arch Phys Med Rehabil., 77:612-6.
13. [13] Hong, Y., J.X. Li, P.D. Robinson, 2000. Balance control, flexibility, and cardiorespiratory fitness among older Tai Chi practitioners. Br J Sports Med. 34:29-34.
14. [14] Pincivero, D.M., B. Bachmeier, A.J. Coelho, 2001. The effects of joint angle and reliability on knee proprioception. Med Sci Sports Exerc., 33:1708-12.
15. [15] Kaplan, F.S., J.E. Nixon, M. Reitz, L. Rindfleish, J. Tucker, 1985. Age-related changes in proprioception and sensation of joint position. Acta Orthop Scand., 56:72-4.
16. [16] Lai, I.S., e. Lan, M.K. Wong, S.H. Teng, 1995. Two-year trends in cardiorespiratory function among older Tai Chi Chuan practitioners and sedentary subjects. J Am Geriatr Soc., 43: 1222- 7.
17. [17] Tsai, J.e., W.H. Wang, P. Chan, L.J. Lin, c.n. Wang, B. Tomlinson, M.H. Hsieh, H.Y. Yang, J.e. Liu, 2003. The beneficial effects of Tai Chi Chuan on blood pressure and lipid profile and anxiety status in a randomized controlled trial. J Altern Complement Med., 9:747-54.
18. [18] Wolfson, L., R. Whipple, C. Derby, J. Judge, M. King, P. Amerman, J. Schmidt, D. Smyers, 1996. Balance and strength training in older adults: intervention gains and Tai Chi maintenance. J Am Geriatr Soc., 44:498-506.
19. [19] Wolf, S.L., H.X. Barnhart, N.G. Kutner, E. McNeely, e. Coogler, T. Xu, 1996. Reducing frailty and falls in older persons: an investigation of Tai Chi and computerized balance training.FICSIT Group. Frailty and Injuries: Cooperative Studies of Intervention Techniques. J Am Geriatr Soc., 44:489-97.
20. [20] Jacobson, B.H., H.C. Chen, C. Cashel, L. Guerrero, 1997. The effect of T'ai Chi Chuan training on balance, kinesthetic sense, and strength. Percept Mot Skills. 84:27-33.
21. [21] Yan, J.H., 1999. Tai chi practice reduces movement force variability for seniors. J Gerontal A BioI Sci Med Sci., 54:M629- 34.