| Purpose: We introduce the ingenuity and vitodynamics principles oftraditional Chinese shadowboxing, which is a traditional Chinese bodybuildingmovement into the treatment convalescent care of paraplegia patients in the baseof applying modern rehabilitation technology, carry out refinement and wesummarized a method of rehabilitation training with Chinese traditionalcharacter .This study majors in description of Taiji rehabilitation treatment andits effect on paraplegia rehabilitative treatment.42 paraplegia patients were randomly divided into two sets. one set with 22patients which is called taiji set applied with Taiji rehabilitation treatment andthe other set with 20 patients which is called movement group introducedmovement therapy.Methods: The way that taiji set mainly applies ⑴Conation(training ofimagining exercises ).⑵Movement of QI (breath exercises) : Tongue collidesupper jaw, nose make tardy, exquisite, even and long abdominal breathing.⑶Shape movement :Upper arm resistive movement in matching intention andspirit, utilizingthe "tuishou" training of shadowboxing.⑷Training of elongatingbody and limbs.⑸Whirling the shoulder in recumbent position.⑹Standing andsitting ⑺Balance exercises in sitting position.⑻Standing balance exercises. ⑼Walking exercises. The control group introduced movement ther-apy.After average 14 months' reha-bilitative training, we contrast motor function,sensory functio-n and activity of daily living in the two sets.Appling the marking standard of spinal cord injury revised by AmericanSpinal Injury Association in 2000, we give a mark of motor and sensory indexof ASIA , Modified Barthel index ,and make statistic analysis with evaluatedconsequence.Results: 1.The patients′ score of ASIA′S motor index in Taiji set isobviously higher than that of motor index in movement group (P<0.01).2. The score of ASIA′S sensory index in Taiji set is obviously higherthan that of sensory index in movement group (P<0.05).3. The Modified Barthel index in taiji set is obviously higher than thatof movement group (P<0.01),Conclusions: The primary malfunction offor paraplegia patients causeby spinal cord injury are motor dysfunction, sensoryfunction andbelow impaired plane. The therapy dysfunction object is to improve andelevate the patients' living selfcare ability. Taiji rehabilitation treatment is akind of active exercises that controled by cerebrum. It not only contain theadvantage of modern rehabilitative training, but also make scientific use ofthree active states that contain conation, movement of QI and shape movementin different period of rehabilitation care. Finally Taiji rehabilitation treatmentleads to harmonious and nature state of patients' attention, breath andmovement. Sight adjustment action, lumbar vertebrae as axis, and truncal spiralmovement are emphasized and the proximate end to bring along the distalend and trunk tobring along limbs. Utilizing normal muscles groups of trunkand upper limb to drive the paralyzed muscle of the lower limb.It is a style ofentire and harmonious rehabilitation training.The chief effects of Taiji rehabilitation treatment: ⑴ "conation",conation is a kind of imaginations that ima-gine exercising that is a way ofiterative analogous training in the mind not accompanying evident bodykinematics.Conation may activate, reinforce and consummate intracephalic"flow chart" that is as same as practical exercises;thereby it is helpful to learnor accomplish exercising. Undertaking "conation" may promote cerebrumtransmitting sensory impulse that stimulates the functional recover of spinalcordthrough favorably spinal cord to limbs. ⑵movement of QI assumes breath,breathing style of shadowboxing is abdominal respiration which requests slow,exquisite, equal and long .This kind of breath is profit for increasing movementextent of diaphragmatic muscle and breathing capacity, decreasing residualvolume. This breath may increase areas of bronchic cell that profit forexchange of oxygen and carbon dioxide, elevate blood oxygen content andorganism immunity, prevent infection of interior lung .The patients' bothhands placing on the abdominal wall is easy to feeling the movement ofmuscles of abdomen, raising force of resistance in abdomen profit for exercisingmuscles of abdomen and diaphragmatic muscle. Increasing abdominalpressure and tension of ligament in belly cavity profits for control of defecationand micturition. In the combination of breath, rhythmic muscular contract andrelaxation improve functional disturbance of limbs in different degree fullythrough exercise of spastic muscle. ⑶ Shape movement: All contents ofrehabilitation training belong to the exercises of "Shape movement" in stage ofrecovery, it is a kind of training with harmonious tension in the controlof mind and breath that is different from modern rehabilitative treatment. It is akind of exercise of internal strength that obviously elevates the controllability ofvarious kinds of functional position. Paraplegia patients whose truncal muscleand full or partial both lower extremities are paralyzed below impaired planecause not to move or sustain body equilibrium. Trunk is core of human bodymotion, human body motions in daily living, such as having a meal or putting onclothes contain acraland truncal flexions, extends and turnings it is extraordinaryimportant for keeping body equilibrium of paraplegia patients throughencouraging functional recovery of trunkal muscle. Taiji rehabilitationtreatment as a whole spiral mov-ement that request waist as master reaction,body spurring on limbs makes an emphasis on exercises of waist and trunk .Thespiral movement makes the normal truncal muscle group spur on paralyzedmuscle group, at the same time trunk movement spur on limbs movement.Taiji rehabilitation treatment is also a whole movement that organicallycombines with mind, breath and shape. In the control of cerebrum and matchingbreath, it makes excitement and restraint of cerebral cortex exactly alternateaccording to invariable procedure and makes muscle contract and extend inconcordance. So it canpromote normal action pattern and restrain abnormalposture and action pattern , it can elevate motor controllability and transferpatients' latent capacity which turn to the capability that can overcome disorderand elevate patients' living self-care ability.
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