基于跨理论模型的太极拳运动在类风湿关节炎患者康复中应用的研究进展

Research Progress on the Application of Tai Chi Exercise Based on the Transtheoretical Model in the Rehabilitation of Patients with Rheumatoid Arthritis

摘要: 类风湿关节炎(RA)是一种慢性自身免疫性疾病，患者运动依从性低是康复管理的难点。跨理论模型(TTM)将行为改变视为动态分阶段的过程，为健康行为干预提供了理论框架。太极拳作为低强度身心运动，在改善RA患者关节功能、缓解症状方面显示出潜在价值。本文系统综述TTM的理论基础及其在RA患者运动干预中的应用现状，分析太极拳在RA康复中的研究进展，探讨基于TTM的太极拳干预的可行性与存在问题，以期为RA综合康复管理提供理论依据。

Abstract: Rheumatoid arthritis (RA) is a chronic autoimmune disease, and low exercise adherence among patients remains a challenge in rehabilitation management. The Transtheoretical Model (TTM) views behavior change as a dynamic and stage-based process, providing a theoretical framework for health behavior interventions. Tai Chi, as a low-intensity mind-body exercise, has shown potential value in improving joint function and alleviating symptoms in RA patients. This paper systematically reviews the theoretical basis of TTM and its application in exercise interventions for RA patients, analyzes the research progress of Tai Chi in RA rehabilitation, and explores the feasibility and existing problems of Tai Chi interventions based on TTM, aiming to provide a theoretical basis for comprehensive rehabilitation management of RA.