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Published in: Trials 1/2023

Open Access 01-12-2023 | Research

Effects of Ving Tsun sticking-hand training on lower limb sensorimotor performance among community-dwelling middle-aged and older adults: a randomized controlled trial

Authors: Shirley S. M. Fong, Louisa M. Y. Chung, Timothy T. T. Yam, Joanne W. Y. Chung, Young-Hyeon Bae, Yang Gao, Jessie S. M. Chan, Hsing-Kuo Wang

Published in: Trials | Issue 1/2023

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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.
Literature
1.
go back to reference Sibley KM, Thomas SM, Veroniki AA, Rodrigues M, Hamid JS, Lachance CC, et al. Comparative effectiveness of exercise interventions for preventing falls in older adults: a secondary analysis of a systematic review with network meta-analysis. Exp Gerontol. 2021;143:111151.CrossRefPubMed Sibley KM, Thomas SM, Veroniki AA, Rodrigues M, Hamid JS, Lachance CC, et al. Comparative effectiveness of exercise interventions for preventing falls in older adults: a secondary analysis of a systematic review with network meta-analysis. Exp Gerontol. 2021;143:111151.CrossRefPubMed
2.
go back to reference Shumway-Cook A, Woollacott MH. Motor control: translating research into clinical practice. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2007. Shumway-Cook A, Woollacott MH. Motor control: translating research into clinical practice. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2007.
3.
go back to reference Song Q, Zhang X, Mao M, Sun W, Zhang C, Chen Y, et al. Relationship of proprioception, cutaneous sensitivity, and muscle strength with the balance control among older adults. J Sport Health Sci. 2021;10:585–93.CrossRefPubMedPubMedCentral Song Q, Zhang X, Mao M, Sun W, Zhang C, Chen Y, et al. Relationship of proprioception, cutaneous sensitivity, and muscle strength with the balance control among older adults. J Sport Health Sci. 2021;10:585–93.CrossRefPubMedPubMedCentral
4.
go back to reference Penn IW, Sung WH, Lin CH, Chuang E, Chuang TY, Lin PH. Effects of individualized tai-chi on balance and lower-limb strength in older adults. BMC Geriatr. 2019;19:235.CrossRefPubMedPubMedCentral Penn IW, Sung WH, Lin CH, Chuang E, Chuang TY, Lin PH. Effects of individualized tai-chi on balance and lower-limb strength in older adults. BMC Geriatr. 2019;19:235.CrossRefPubMedPubMedCentral
5.
go back to reference Zou L, Han J, Li C, Yeung AS, Hui SSC, Tsang WWN, et al. Effects of tai chi on lower limb proprioception in adults aged over 55: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2019;100:1102–13.CrossRefPubMed Zou L, Han J, Li C, Yeung AS, Hui SSC, Tsang WWN, et al. Effects of tai chi on lower limb proprioception in adults aged over 55: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2019;100:1102–13.CrossRefPubMed
6.
go back to reference Fong SSM. Martial arts for health: translating research into practice. CA: OMICS Group Incorporation; 2014. Fong SSM. Martial arts for health: translating research into practice. CA: OMICS Group Incorporation; 2014.
7.
go back to reference Wayne PM, Fuerst ML. The Harvard Medical School Guide to Tai Chi. Boston: Harvard Health Publications; 2013. Wayne PM, Fuerst ML. The Harvard Medical School Guide to Tai Chi. Boston: Harvard Health Publications; 2013.
8.
go back to reference Chung JWY, Fong SSM, Gao Y, Yam TTT, Chak YTC, Leung JCY, et al. 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.PubMed Chung JWY, Fong SSM, Gao Y, Yam TTT, Chak YTC, Leung JCY, et al. 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.PubMed
9.
go back to reference Fong SSM, Guo X, Cheung APM, Jo ATL, Lui GKW, Mo DKC, et al. Elder Chinese martial art practitioners have higher radial bone strength, hand-grip strength, and better standing balance control. ISRN Rehabil. 2013;2013:185090. Fong SSM, Guo X, Cheung APM, Jo ATL, Lui GKW, Mo DKC, et al. Elder Chinese martial art practitioners have higher radial bone strength, hand-grip strength, and better standing balance control. ISRN Rehabil. 2013;2013:185090.
10.
go back to reference Fong SSM, Ng SSM, Liu KPY, Pang MYC, Lee HW, Chung JWY, et al. Musculoskeletal strength, balance performance, and self-efficacy in elderly Ving Tsun Chinese martial art practitioners: implications for fall prevention. Evid Based Complement Alternat Med. 2014;2014:402314.CrossRefPubMedPubMedCentral Fong SSM, Ng SSM, Liu KPY, Pang MYC, Lee HW, Chung JWY, et al. Musculoskeletal strength, balance performance, and self-efficacy in elderly Ving Tsun Chinese martial art practitioners: implications for fall prevention. Evid Based Complement Alternat Med. 2014;2014:402314.CrossRefPubMedPubMedCentral
11.
go back to reference Fong SSM, Ng SSM, Cheng YTY, Wong JYH, Yu YET, Chow GCC, et al. 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. Evid Based Complement Alternat Med. 2016;2016:4013989.CrossRefPubMedPubMedCentral Fong SSM, Ng SSM, Cheng YTY, Wong JYH, Yu YET, Chow GCC, et al. 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. Evid Based Complement Alternat Med. 2016;2016:4013989.CrossRefPubMedPubMedCentral
12.
go back to reference Fong SSM, Chan JSM, Bae YH, Yam TTT, Chung LMY, Ma AWW, et al. Musculoskeletal profile of middle-aged Ving Tsun Chinese martial art practitioners: a cross-sectional study. Med (Baltimore). 2017;96:e5961.CrossRef Fong SSM, Chan JSM, Bae YH, Yam TTT, Chung LMY, Ma AWW, et al. Musculoskeletal profile of middle-aged Ving Tsun Chinese martial art practitioners: a cross-sectional study. Med (Baltimore). 2017;96:e5961.CrossRef
13.
go back to reference 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.CrossRefPubMedPubMedCentral 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.CrossRefPubMedPubMedCentral
14.
go back to reference Ma AWW, Wang HK, Chen DR, Chen YM, Chak YTC, Chan JWY, et al. Chinese martial art training failed to improve balance or inhibit falls in older adults. Percept Mot Skills. 2019;126:389–409.CrossRefPubMed Ma AWW, Wang HK, Chen DR, Chen YM, Chak YTC, Chan JWY, et al. Chinese martial art training failed to improve balance or inhibit falls in older adults. Percept Mot Skills. 2019;126:389–409.CrossRefPubMed
15.
go back to reference Valdes-Badilla P, Ramirez-Campillo R, Herrera-Valenzuela T, Branco BHM, Guzman-Munoz E, Mendez-Rebolledo G, et al. Effectiveness of Olympic combat sports on balance, fall risk or falls in older adults: a systematic review. Biol. 2022;11:74.CrossRef Valdes-Badilla P, Ramirez-Campillo R, Herrera-Valenzuela T, Branco BHM, Guzman-Munoz E, Mendez-Rebolledo G, et al. Effectiveness of Olympic combat sports on balance, fall risk or falls in older adults: a systematic review. Biol. 2022;11:74.CrossRef
16.
go back to reference Abazari R, Akbari H, Rostami M. Influence of Wing Chun Kung Fu basic stance on postural control of amateur practitioners. In 2020 27th National and 5th International Iranian Conference on Biomedical Engineering (ICBME). Tehran: IEEE; 2020. p. 71–4. Abazari R, Akbari H, Rostami M. Influence of Wing Chun Kung Fu basic stance on postural control of amateur practitioners. In 2020 27th National and 5th International Iranian Conference on Biomedical Engineering (ICBME). Tehran: IEEE; 2020. p. 71–4.
17.
go back to reference Fong SSM. Ving Tsun martial art for health (1) – understanding Siu Lim Tao. Hong Kong: Systech Technology and Publications Ltd.; 2016. Fong SSM. Ving Tsun martial art for health (1) – understanding Siu Lim Tao. Hong Kong: Systech Technology and Publications Ltd.; 2016.
18.
go back to reference Fong SM, Ng GY. The effects on sensorimotor performance and balance with tai chi training. Arch Phys Med Rehabil. 2006;87:82–7.CrossRefPubMed Fong SM, Ng GY. The effects on sensorimotor performance and balance with tai chi training. Arch Phys Med Rehabil. 2006;87:82–7.CrossRefPubMed
19.
go back to reference Ashton-Miller JA, Wojtys EM, Huston LJ, Fry-Welch D. Can proprioception really be improved by exercises? Knee Surg Sport Traumatol Arthrosc. 2001;9:128–36.CrossRef Ashton-Miller JA, Wojtys EM, Huston LJ, Fry-Welch D. Can proprioception really be improved by exercises? Knee Surg Sport Traumatol Arthrosc. 2001;9:128–36.CrossRef
20.
go back to reference Poole JL. Application of motor learning principles in occupational therapy. Am J Occup Ther. 1991;45:531–7.CrossRefPubMed Poole JL. Application of motor learning principles in occupational therapy. Am J Occup Ther. 1991;45:531–7.CrossRefPubMed
21.
go back to reference Clarkson HM. Musculoskeletal assessment: joint range of motion and manual muscle testing. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2000. Clarkson HM. Musculoskeletal assessment: joint range of motion and manual muscle testing. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2000.
22.
go back to reference Instrument Lafayette. Lafayette Manual Muscle Test System: user instructions. Lafayette: Lafayette Instrument Company; 2012. Instrument Lafayette. Lafayette Manual Muscle Test System: user instructions. Lafayette: Lafayette Instrument Company; 2012.
23.
go back to reference Wang CY, Olson SL, Protas EJ. Test-retest strength reliability: hand-held dynamometry in community-dwelling elderly fallers. Arch Phys Med Rehabil. 2002;83:811–5.CrossRefPubMed Wang CY, Olson SL, Protas EJ. Test-retest strength reliability: hand-held dynamometry in community-dwelling elderly fallers. Arch Phys Med Rehabil. 2002;83:811–5.CrossRefPubMed
24.
go back to reference Jan MH, Chai HM, Lin YF, Lin JCH, Tsai LY, Ou YC, et al. Effects of age and sex on the results of an ankle plantar-flexor manual muscle test. Phys Ther. 2005;85:1078–84.CrossRefPubMed Jan MH, Chai HM, Lin YF, Lin JCH, Tsai LY, Ou YC, et al. Effects of age and sex on the results of an ankle plantar-flexor manual muscle test. Phys Ther. 2005;85:1078–84.CrossRefPubMed
25.
go back to reference Xu D, Li J, Hong Y. Tai Chi movement and proprioceptive training: a kinematics and EMG analysis. Res Sports Med. 2003;11:129–43.CrossRef Xu D, Li J, Hong Y. Tai Chi movement and proprioceptive training: a kinematics and EMG analysis. Res Sports Med. 2003;11:129–43.CrossRef
Metadata
Title
Effects of Ving Tsun sticking-hand training on lower limb sensorimotor performance among community-dwelling middle-aged and older adults: a randomized controlled trial
Authors
Shirley S. M. Fong
Louisa M. Y. Chung
Timothy T. T. Yam
Joanne W. Y. Chung
Young-Hyeon Bae
Yang Gao
Jessie S. M. Chan
Hsing-Kuo Wang
Publication date
01-12-2023
Publisher
BioMed Central
Published in
Trials / Issue 1/2023
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-023-07133-2

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