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Evidence-Based Complementary and Alternative Medicine
Volume 2014, Article ID 402314, 6 pages
http://dx.doi.org/10.1155/2014/402314
Research Article

Musculoskeletal Strength, Balance Performance, and Self-Efficacy in Elderly Ving Tsun Chinese Martial Art Practitioners: Implications for Fall Prevention

1Institute of Human Performance, The University of Hong Kong, Pokfulam, Hong Kong
2Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
3School of Science and Health, University of Western Sydney, Penrith, NSW, Australia
4Department of Health and Physical Education, Hong Kong Institute of Education, Tai Po, Hong Kong
5Physiotherapy Department, David Trench Rehabilitation Centre, Hong Kong

Received 3 April 2014; Accepted 8 September 2014; Published 29 October 2014

Academic Editor: Juan M. Manzaneque

Copyright © 2014 Shirley S. M. Fong et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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 , greater lower limb muscular strength , better functional balance performance , and greater balance confidence than the nonpractitioners. Additionally, only the FTSTS time revealed a significant association with the BBS score . 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.