簡易檢索 / 詳目顯示

研究生: 何欣諭
Ho, Hsin-Yu
論文名稱: 增進老人平衡控制能力的徒手阻力循環訓練計畫
Effect of Bodyweight Resistance Circuit Training Program on Improve Balance Control in Older Adults
指導教授: 林貴福
Lin, Kuei-Fu
口試委員: 吳慧君
Wu, Hui-Jun
趙榮瑞
Zhao, Rong Rui
學位類別: 碩士
Master
系所名稱: 竹師教育學院 - 運動科學系碩士在職專班
In-Service Master Program of Kinesiology
論文出版年: 2022
畢業學年度: 110
語文別: 中文
論文頁數: 47
中文關鍵詞: 高齡者預防跌倒自體負重訓練肌力
外文關鍵詞: elderly, fall prevention, bodyweight resistance, muscle strength
相關次數: 點閱:2下載:0
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 背景:阻力運動能有效改善神經肌肉適能與骨質密度,提升老人平衡控制能力。目的:依自行組合的徒手阻力循環訓練計畫,驗證對老人平衡控制能力的效果。方法:以身體健康且自願完成本研究老人34名,年齡介於65-79歲,隨機分為徒手阻力循環訓練組(N=17)與控制組(N=17)。訓練組進行持續8週,每週2次,每次60分鐘,運動強度介於運動自覺努力量表5-8(CR10等級)中高等費力程度;控制組則維持正常生活作息與活動。所有研究對象都需要完成實驗前與實驗後的平衡控制能力檢測,包括代表肌力的30秒椅子坐立、代表靜態平衡的開眼單足立,代表動態平衡的2.44公尺椅子起坐繞物。所得資料以描述性統計分析受試者基本資料,並使用混合設計二因子變異數分析,並以薛費法(Scheffe)進行事後比較。所有差異考驗的顯著水準訂為α =.05。結果:實驗組接受訓練後,下肢肌力優於控制組(p < .05);實驗組與控制組動態平衡表現,不因有無接受訓練而有所不同(p > .05);實驗組單腳靜態平衡優於控制組(p < .05),但兩組在雙腳間無差異(p > .05)。結論,老人經過8週自編徒手阻力循環訓練可改善下肢肌力與單腳靜態平衡,可望有助於減少跌倒發生機率,並提升身體適能及生活品質。


    Background: Resistance exercise can effectively improve neuromuscular fitness and bone density, and enhance balance control in the elderly. Purpose: Establish a bodyweight resistance circuit training program for elderly to improve the balance control ability. Method: Thirty-four healthy elderly people aged 65-79 years old who voluntarily completed the study were randomly divided into an unarmed resistance cycle training group (N=17) and a control group (N=17). The training group performed 60 minutes of exercise twice a week for 8 weeks at a level of effort in the middle to high range of the Conscious Effort Scale 5-8 (CR10 scale); the control group maintained their normal routine and activities. All subjects were required to complete pre- and post-experimental balance control tests, including a 30-second chair sit-to-stand for muscle strength, an open-eye uniped stance for static balance, and a 2.44-meter chair sit-up-and-wrap for dynamic balance. The data obtained were analyzed using descriptive statistics for basic subject data and a mixed design two-way analysis of variance with post hoc comparisons using Scheffe's method. Result: lower extremity muscle strength was better in the experimental group than in the control group after training (p < .05); dynamic balance performance did not differ between the experimental and control groups with or without training (p > .05); static balance was better in the experimental group than in the control group on one foot (p < .05), but there was no difference between the two groups on both feet (p > .05). Conclusion, 8 weeks of self-programmed unassisted resistance cycle training for the elderly can improve lower limb muscle strength and static balance of one foot, which is expected to help reduce the incidence of falls and improve physical fitness and quality of life.

    目次 中文摘要……………………………………………………………………………………Ⅰ 英文摘要…………………………………………………………………………………Ⅱ 謝致………………………………………………………………………………………Ⅳ 目次…………………………………………………………………………………………Ⅴ 表次………………………………………………………………………………………Ⅶ 圖次………………………………………………………………………………………Ⅷ 第壹章 緒論…………………………………………………………………………1 第一節 問題背景………………………………………………………………………1 第二節 研究目的………………………………………………………………………3 第三節 研究假設………………………………………………………………………3 第四節 名詞操作性定義………………………………………………………………3 第五節 研究範圍與限制……………………………………………………………5 第貳章 文獻探討………………………………………………………………………6 第一節 影響肌力與平衡的機轉………………………………………………………6 第二節 老人從事阻力訓練對平衡能力的影響………………………………………7 第三節 徒手阻力循環訓練……………………………………………………………7 第四節 運動對老人的效益…………………………………………………………10 第五節 本章小結……………………………………………………………………10 第參章 研究方法………………………………………………………………………11 第一節 研究設計……………………………………………………………………11 第二節 研究對象……………………………………………………………………11 第三節 研究流程……………………………………………………………………12 第四節 研究工具與測量方法………………………………………………………13 第五節 資料處理與方法……………………………………………………………17 第肆章 結果………………………………………………………………………18 第一節 研究對象基本資料…………………………………………………………18 第二節 徒手阻力循環訓練對下肢肌力的影響……………………………………19 第三節 徒手阻力循環訓練對動態平衡的影響……………………………………21 第四節 徒手阻力循環訓練對靜態平衡的影響……………………………………22 第五節 本章小結……………………………………………………………………27 第伍章 討論……………………………………………………………………………28 第一節 老人進行徒手阻力運動……………………………………………………28 第二節 徒手訓練對老人上肢平衡控制能力的成效………………………………28 第三節 徒手訓練對老人核心平衡控制能力的成效………………………………29 第四節 徒手訓練對老人下肢平衡控制能力的成效………………………………29 第陸章 結論與建議……………………………………………………………………30 參考文獻……………………………………………………………………………31 附錄………………………………………………………………………………………37 附錄一 2017身體活動準備度問卷(2017PAR-Q+)………………………………37 附錄二 個人基本資料與運動經驗紀錄表…………………………………………47   表次 表1 運動自覺努力量表…………………………………………………………………5 表2 徒手阻力循環訓練課程動作………………………………………………………8 表3 徒手阻力循環進退階動作…………………………………………………………13 表4 研究對象基本資料統計表…………………………………………………………18 表5 下肢肌力參數平均值與標準差……………………………………………………19 表6 下肢肌力變異數分析摘要表………………………………………………………19 表7 下肢肌力單純主要效果變異數分析摘要表………………………………………20 表8 動態平衡參數平均值與標準差……………………………………………………21 表9 動態平衡單純主要效果變異數分析摘要表…………………………………22 表10 靜態平衡參數平均值與標準差…………………………………………………22 表11 動態平衡單純主要效果變異數分析摘要表……………………………………24 表12 靜態平衡右腳擺動面積單純主要效果變異數分析摘要表……………………25 表13 靜態平衡左腳擺動面積單純主要效果變異數分析摘要表……………………26 表14 靜態平衡右腳擺動長度單純主要效果變異數分析摘要表……………………26   圖次 圖1 研究流程……………………………………………………………………………12 圖2 椅子起坐繞物………………………………………………………………………16 圖3 靜態平衡能力測量儀器-測力板…………………………………………………16 圖4 30秒椅子坐立……………………………………………………………………17 圖5 徒手阻力循環訓練介入後下肢肌力次數…………………………………………19 圖6 徒手阻力循環訓練介入後動態平衡秒數…………………………………………21 圖7 徒手阻力循環訓練介入後靜態平衡擺盪面積……………………………………23 圖8 徒手阻力循環訓練介入後靜態平衡擺盪長度……………………………………23

    何松彥、陳竑廷、鍾雨純、王止俞、劉祐君、吳慧君(2018)。短時間高強度循環訓練對中高齡女性身體組成、代謝症候群、下肢肌力及相關血液指標之影響,體育學報,51(2),155-168。
    林建志、戴詠璇、李恆儒(2018)。自不同弓箭步的膝關節肌群活化與力矩之比較,體育學報,51(3),333-344。
    林貴福、陳家信、朱真儀、陳著、江宗麟、邱晨然、林育槿、任曉、徐志翔 (2021)。高齡者活動設計與指導。禾楓書局有限公司。
    林貴福、劉錦謀、毛祚彥、李伯均、徐志翔(2015)。肌力訓練。禾楓書局有限公司。
    胡巧欣、魏健峰、吳一德(2021)。漸進式阻力訓練與維生素D對中老年婦女功能性體適能的影響,運動與遊憩研究,16(1),61-78。
    國家發展委員會(2020)。中華民國人口推估(2020至2070)。取自https://pop-proj.ndc.gov.tw/chart.aspx?c=5&uid=4110&pid=60
    張祐華、盧淑雲、林貴福(2020)。單次運動與長期運動對認知功能的影響。中華體育季刊,34(1),35-48。
    黃森芳、陳杰(2020)。運動有效降低臨床醫療花費。北市醫學雜誌,17(3),257-271。
    溫芯寧、宋聖芬、吳宏蘭(2021)。機構老人低自尊概念分析。榮總護理,38(1),47-53。
    劉雅甄(2021)。12週動體視力訓練對高齡者與超高齡者視覺與平衡能力之影響。體育學報,54(1),13-22。
    衛生福利部(2017)。全民身體活動指引。https://www.hpa.gov.tw/Pages/EBook.aspx?nodeid=1411
    衛生福利部(2020)。2.4.7老人長期照顧、安養機構概況。https://dep.mohw.gov.tw/DOS/cp-2977-13854-113.html
    黎俊彥、林威秀(2003)。身體姿勢的平衡控制機轉。中華體育季刊,17(2),66-72。
    Asian Working Group for Sarcopenia(2014)。亞洲肌肉減少症工作組的共識報告。https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6322506/#afy169C125
    Anker, S. D., Morley, J. E., & von Haehling, S. (2016). Welcome to the ICD‐10 code for sarcopenia. Journal of Cachexia, Sarcopenia and Muscle, 7(5), 512-514.
    Archila, L. R., Bostad, W., Joyner, M. J., & Gibala, M. J. (2021).Simple bodyweight training improves cardiorespiratory fitness with minimal time commitment: A contemporary application of the 5BX approach. International Journal of Exercise Science,14 (3), 93-100.
    Carpes, F. P., Reinehr, F. B., & Mota, C. B. (2008). Effects of a program for trunk strength and stability on pain, low back and pelvis kinematics, and body balance: A pilot study. Journal of Bodywork and Movement Therapies, 12 (1), 22-30.
    Cho, B. L., Scarpace, D., & Alexander, N. B. (2004). Tests of stepping as indicators of
    mobility, balance, and fall risk in balance-impaired older adults. Journal of the
    American Geriatrics Society, 52, 1168-1173.
    Dirks, M. L., Wall, B. T., van de Valk, B., Holloway, T. M., Holloway, G. P., Chabowski, A., Goossens, G. H.,& van Loon, L. J. (2016). One week of bed rest leads to substantial muscle atrophy and induces whole-body insulin resistance in the absence of skeletal muscle lipid accumulation. Diabetes, 65 (10), 2862-2875.
    Fragala, M. S., Cadore, E. L., Dorgo, S., Izquierdo, M., Kraemer, W. J., Peterson, M. D., & Ryan, E. D. (2019). Resistance training for older adults: Position statement from the national strength and conditioning association. The Journal of Strength & Conditioning Research, 33 (8).
    Harrison, J. S. (2010). Bodyweight training: A return to basics. Strength & Conditioning Journal, 32 (2), 52-55.
    Haff, G. G., & Triplett, N. T. (2015). Essentials of strength training and conditioning, 4th edition. Human kinetics.
    Huxel Bliven, K. C., & Anderson, B. E. (2013). Core stability training for injury prevention. Sports Health, 5(6), 514-522.
    Hollingsworth, J. C., Young, K.C., Abdullah, S. F., Wadsworth, D. D., Abukhader, A., Elfenbein, B., & Holley, Z. (2020). Protocol for Minute Calisthenics: A randomized controlled study of a daily, habit-based, bodyweight resistance training program. BMC Public Health, 20 (1), 1-9.
    Kamel, H. K. (2003). Sarcopenia and aging. Nutrition Reviews, 61 (5), 157-167.
    Kanda, K., Mori, Y., Yamasaki, K., Kitano, H., Kanda, A., & Hirao, T. (2019). Long-term effects of low-intensity training with slow movement on motor function of elderly patients: A prospective observational study. Environmental Health and Preventive Medicine, 24 (1), 44.
    Kikuchi, N., & Nakazato, K. (2017). Low-load bench press and push-up induce similar muscle hypertrophy and strength gain. Journal of Exercise Science & Fitness, 15 (1), 37-42.
    Kim, M., Kim, M., Oh, S., & Yoon, B. (2018). The effectiveness of hollowing and bracing strategies with lumbar stabilization exercise in older adult women with nonspecific low back pain: A quasi-experimental study on a community-based rehabilitation. Journal of Manipulative and Physiological Therapeutics, 41(1), 1-9.
    Ko, Y. C., Chie, W. C., Wu, T. Y., Ho, C. Y., & Yu, W. R. (2021). A cross-sectional study about the relationship between physical activity and sarcopenia in Taiwanese older adults. Scientific Reports, 11 (1), 1-9.
    Kotarsky, C. J., Christensen, B. K., Miller, J. S., & Hackney, K. J. (2018). Effect of progressive calisthenic pushup training on muscle strength and thickness. The Journal of Strength & Conditioning Research, 32(3),pp. 651-659.
    Langton, B., & King, J. (2018). Utilizing body weight training with your personal training clients. ACSM's Health & Fitness Journal, 22(6), 44-51.
    Lee, H., Kim, I. G., Sung, C., Jeon, T. B., Cho, K., Ha, Y. C., Park, K. S., Yoo, J. L., Kang, G. H., & Kim, J. S. (2019). Exercise training increases skeletal muscle strength independent of hypertrophy in older adults aged 75 years and older. Geriatrics & Gerontology International, 19 (3), 265-270.
    McRae, G., Payne, A., Zelt, J. G., Scribbans, T. D., Jung, M. E., Little, J. P., & Gurd, B. J. (2012). Extremely low volume, whole-body aerobic–resistance training improves aerobic fitness and muscular endurance in females. Applied Physiology, Nutrition, and Metabolism, 37 (6), 1124-1131.
    Mitchell, C. J., Churchward-Venne, T. A., West, D. W., Burd, N. A., Breen, L., Baker, S. K., & Phillips, S. M. (2012). Resistance exercise load does not determine training-mediated hypertrophic gains in young men. Journal of Applied Physiology, 113 (1), 71-77.
    Ozaki, H., Kitada, T., Nakagata, T., & Naito, H. (2017). Combination of body mass‐based resistance training and high‐intensity walking can improve both muscle size and O2 peak in untrained older women. Geriatrics & Gerontology International, 17 (5), 779-784.
    Pedersen, B. K., & Saltin, B. (2015). Exercise as medicine–evidence for prescribing exercise as therapy in 26 different chronic diseases. Scandinavian Journal of Medicine &Science in Sports, 25, 1-72.
    Pinho, R. A., Aguiar, A. S., & Radák, Z. (2019). Effects of resistance exercise on cerebral redox regulation and cognition: An interplay between muscle and brain. Antioxidants, 8 (11), 529.
    Rogers, J., & Bloom, F. E. (1985). Neurotransmitter metabolism and function in the aging central nervous system. In C. E. Finch & E. L. Schneider, Handbook of the Biology of Aging. 645-691. New York: Van Nostrand Reinhold.
    Saftari, L. N., & Kwon, O. S. (2018). Ageing vision and falls: A review. Journal of Physiological Anthropology, 37 (1), 1-14.
    Sherrington, C., Fairhall, N., Kwok, W., Wallbank, G., Tiedemann, A., Michaleff, Z. A., Ng, A. C. M., & Bauman, A. (2020). Evidence on physical activity and falls prevention for people aged 65+ years: Systematic review to inform the WHO guidelines on physical activity and sedentary behavior. International Journal of Behavioral Nutrition and Physical Activity, 17 (1), 1-9.
    Thompson, W. R., (2021). Worldwide survey of fitness trends for 2021. ACSM's Health & Fitness Journal,25 (1), 10-19.
    Volaklis, K. A., Halle, M., & Meisinger, C. (2015). Muscular strength as a strong predictor of mortality: A narrative review. European Journal of Internal Medicine, 26 (5), 303-310.
    Watanabe, Y., Tanimoto, M., Oba, N., Sanada, K., Miyachi, M., & Ishii, N. (2015). Effect of resistance training using bodyweight in the elderly: Comparison of resistance exercise movement between slow and normal speed movement. Geriatrics & Gerontology International,15 (12), 1270-1277.
    Wen, C. P., Wai, J. P. M., Tsai, M. K., Yang, Y. C., Cheng, T. Y. D., Lee, M. C., Chan, H. T., Tsao, K. Y., Tsai, S. P., & Wu, X. (2011). Minimum amount of physical activity for reduced mortality and extended life expectancy: A prospective cohort study. The Lancet, 378 (9798), 1244-1253.
    Yamauchi, J., Nakayama, S., & Ishii, N. (2009). Effects of bodyweight‐based exercise training on muscle functions of leg multi‐joint movement in elderly individuals. Geriatrics & Gerontology International, 9(3), 262-269.

    QR CODE