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The effects of Tai Chi Chuan combined with unstable resistance training on knee muscle strength and dynamic balance in female college students

A randomized controlled study protocol

Bibliographic Data

ID22073997
AuthorsJiping He (Shanxi University), Xiaoyun Su (Shanxi University, corresponding author), Lin Wang (0000-0003-3048-1776, Shanxi University), Jie Men (0000-0003-4019-1529, Shanxi Medical University), Qinyuan Yu (Jiading District Central Hospital)
Year2026
Volume14
Pages1868830-1868830
Publication date2026-05-29
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2026.1868830
PMID42293609
OpenAlexW7162786053
LanguageEN
References cited43

Background: Insufficient physical activity and prolonged sedentary behavior among college students are associated with reduced lower-limb muscle strength, impaired dynamic balance, and increased susceptibility to sports-related knee injury. Female college students may be especially vulnerable because of sex-specific neuromuscular and biomechanical characteristics. Tai Chi Chuan may improve proprioceptive control and coordinated knee muscle activation, whereas unstable resistance training may rapidly enhance strength and neuromuscular stabilization. Whether a combined programme can produce complementary central-peripheral benefits remains to be verified in a rigorously designed randomized trial. Methods: This protocol describes a single-center, parallel-group, randomized controlled trial. Fifty-seven healthy female college students aged 18-22 years will be recruited from Fenyang College, Shanxi Medical University, and randomly allocated in a 1:1:1 ratio to a Tai Chi Chuan group (TCC), unstable resistance training group (URT), or Tai Chi Chuan combined with unstable resistance training group (T + URT). All interventions will last 8 weeks, with three 60-min sessions per week. The primary outcomes will be dominant-leg knee extensor peak torque, knee flexor peak torque, and hamstring-to-quadriceps ratio measured using an isokinetic strength testing system at 60 degrees/s. Secondary outcomes will include overall stability index, anteroposterior stability index, and mediolateral stability index under eyes-open and eyes-closed conditions measured with the Biodex Balance System. Assessments will be conducted at baseline and after the 8-week intervention. Intention-to-treat and per-protocol analyses will be used. Missing data will be handled using multiple imputation where appropriate. Discussion: This trial is designed to determine whether Tai Chi Chuan combined with unstable resistance training provides superior improvements in knee muscle function and dynamic balance compared with either intervention alone. Trial registration: https://itmctr.ccebtcm.org.cn, Identifier (ITMCTR2026000456)

Balance training · Dynamic balance · Physical strength · Proprioception · Randomized controlled trial · Resistance training · Balance, Gait, and Falls Prevention · Sports injuries and prevention · Sports Performance and Training

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