臺灣博碩士論文加值系統

　　台灣的人口結構逐漸往高齡化社會發展。研究證實運動對於老年人有所幫助，較多的老年人開始從事身體活動。就跌倒而言，老年人擔心發生這類意外傷害將影響到他們的日常生活，希望能夠藉由運動能夠改善或維持平衡能力。
　　在台灣舊式的團體課程類型多屬有氧運動，較少於課程中介入肌力訓練，本研究目的為探究增加介入肌力訓練的團體運動與普通的有氧運動對於國內老年人平衡能力之影響，並探討兩種課程中何種對於老年人平衡能力有較大的效益。
　　在台中市軍功社區與陳平社區取自願參與檢測並符合篩選條件受試者，各社區約15-20名。填寫健康狀況問卷、體能活動適應問卷、體適能檢測受試者同意書後即參與前測，檢測靜態平衡能力與功能性體適能；兩社區隨機分有氧肌力組與有氧組介入運動課程，每週2次、每次1小時，共32堂課；運動課程結束後，隨即進行後測。
　　有氧肌力組有17名，有氧組有14名完成前後測與運動課程。有氧肌力組與有氧組進步幅度比較，統計結果指出平衡能力測試在非慣用腳前後站立（p<.05）有顯著差異，功能性體適能測試在兩分鐘抬膝（p<.05）、功能性伸直（p<.001）有顯著差異。
　　雖然本研究結果針對運動課程是否加入肌力訓練並沒有顯著改善老年人平衡能力，但由數據可知在團體運動課程中加入肌力訓練確實有改善平衡能力的趨勢，表示介入有氧肌力運動課程能使老年人花費相同的時間，取得更大的功效。日後社區進行相關團體課程時，提供老年人用以改善其平衡能力，並使較少走出戶外的老年人投入運動參與。

　　Group exercise programs for elderly in Taiwan communities were almost composed of aerobic and stretching exercises, but with no strength training.
　　To compare the effect of balance ability and functional fitness in elderly participates in either aerobic exercise program or aerobic exercise program with 20-min strength training.
　　Forty independent participants over sixty-five years old were recruited from two communities. First, participants wrote HHQ and PAR-Q. Exercise intervention included 1-hr exercise program, twice a week, for totally sixteen weeks. Aerobic exercise intervention included 30-min aerobic exercise, while strength training intervention was composed of 10-min aerobic exercise, and 20-min strength training, both groups required to do 10-min warm-up, 10-min cool down, and 10-min stretching. The measurement for statical balance were single leg stand with open/close eyes, parallel stance, tandem stance; for functional fitness was Senior Fitness Test (SFT), which included testing on aerobic endurance, lower-body strength, agility, dynamic balance, low-body flexibility, and functional balance ability. Both groups were tested before and after the 16 weeks exercise intervention programs. Pair t-test and repeated measure t-test were used to compare the difference between pre- and post-test of aerobic group and strength training group.
　　Tandem stance(p<.05) were significantly difference between strength training group and aerobic exercise group. The SFT of strength training group was significantly higher than the aerobic group in the scores of 2-min step test(p< .05), and functional reach(p< .001).
　　Combining strength training intervention to group exercise programs had improved the functional fitness for the older adults.

中文部分：
田詠惠、林貴福（2006）。走路運動對老年人平衡能力之影響。運動生理暨體能學報，5，39-46。
行政院衛生署國民健康局（2006）。民國92年台灣地區中老年身心社會生活狀況長期追蹤（第五次）調查成果報告。臺中市：行政院衛生署國民健康局。
吳貴琍、武為瓊（2004）。太極拳對中老年人平衡能力的影響。運動生理暨體能學報，（1），90-98。
邱沛雯、李振鴻、陳淑雅、林秀真（2007）。視覺對不同年齡層靜態姿勢穩定度的影響：初步研究。中台灣醫誌，12（1），20-28。
李淑芳、劉淑燕（2008）。老年人功能性體適能。臺北市：華都文化。
林慧芬、胡名霞（1995）。成年人站立平衡之研究－動態平衡測驗之年齡效應。中華物理治療雜誌，20（1），81-90。
胡名霞、林慧芬（1994）。成年人站立平衡之研究－感覺整合與年齡效應之分析。中華物理治療雜誌，19（1），66-77。
胡名霞（2006）。動作控制與動作學習（第二版）。臺北縣中和市：金名圖書。
陳怡璇、林松佑、周玟玲、李雪楨、王瑞瑤、楊雅如（2008）。太極拳對老年人平衡及行走能力之療效：統合分析。物理治療，33（1），49-58。
黃永昌、邱文信（2007）。平衡能力之探討。大專體育，（92），132-139。
傅麗蘭（1998）。平衡運動訓練前後老年人之平衡表現及步寬的改變。中華物理治療雜誌，23（2），98-105。
彭鈺人、張淑玲、楊昌陸（2007）。太極拳訓練對提高老年族群平衡能力的功效。體育學系系刊，（7），117-131l。
劉惠賢、許亞瑛（2004）。老人居家安全預防跌倒。健康世界，（218），80-82。

英文部分：
American Geriatrics Society, British Geriatrics Society, and American Academy of, Orthopaedic Surgeons Panel on Falls Prevention. (2001). Guideline for the Prevention of Falls in Older Persons. Journal of the American Geriatrics Society, 49(5), 664–672, May.
Bird M, Hill KD, Ball M, Hetherington S, Williams AD. (2010). The long-term benefits of a multi-component exercise intervention to balance and mobility in healthy older adults. Archives of gerontology and geriatrics, 21, April.
Brouwer B.J., Walker C., Rydahl S.J., and Culham E.G. (2003). Reducing Fear of Falling in Seniors Through Education and Activity Programs: A Randomized Trial. Journal of the American Geriatrics Society, 51(6), 829-834.
Carter ND, Khan KM, Petit MA, Heinonen A, Waterman C, Donaldson MG, Janssen PA, Mallinson A, Riddell L, Kruse K, Prior JC, Flicker L, McKay HA. (2001). Results of a 10 week community based strength and balance training programme to reduce fall risk factors: a randomized controlled trial in 65-75 year old women with osteoporosis. British journal of sports medicine, 35(5):348-51. Oct.
Cyarto EV, Brown WJ, Marshall AL, Trost SG. (2008). Comparison of the effects of a home-based and group-based resistance training program on functional ability in older adults. American Journal of Health Promotion, 23(1), 13-17
Engels HJ, Drouin J, Zhu W, Kazmierski JF. (1998). Effects of low-impact, moderate-intensity exercise training with and without wrist weights on functional capacities and mood states in older adults. Gerontology, 44(4), 239-44
Howe T.E., Rochester L., Jackson A., Banks P.M., and Blair V.A. (2007). Exercise for improving balance in older people (Review). Cochrane Database Syst Rev. 17 (4):CD004963, October.
Horak F. B. (1997). Clinical assessment of balance disorders. Gait and Posture, 6, 76-84.
Islam M.M., Nasu E., Rogers M.E., Koizumi D., Rogers N.L., and Takeshima N. (2004). Effects of combined sensory and muscular training on balance in Japanese older adults. Preventive Medicine, 39(6), 1148–55.
Kaneda K., Sato D., Wakabayashi H., Hanai A., and Nomura T. (2008). A comparison of the effects of different water exercise programs on balance ability in elderly people. Journal of aging and physical activity, 16(4), 381-92.
Karlsson MK, Nordqvist A, Karlsson C. (2008). Physical activity, muscle function, falls and fractures. Food and nutrition research, 52, 1-7.
Liu-Ambrose T, Donaldson MG, Ahamed Y, Graf P, Cook WL, Close J, Lord SR, Khan KM. (2008). Otago home-based strength and balance retraining improves executive functioning in older fallers: a randomized controlled trial. Journal of the American Geriatrics, 56(10), 1821-30, October.
Lippincott Williams and Wilkins. (2010). ACSM's guidelines for exercise testing and prescription (8th ed). American College of Sports Medicine.
McMurdo M.E., and Rennie L. (1993). A Controlled Trial of Exercise by Residents of Old People's Homes. Age and Ageing, 22(1), 11-5.
Misic MM, Valentine RJ, Rosengren KS, Woods JA, Evans EM. (2009). Impact of training modality on strength and physical function in older adults. Gerontology, 55(4), 411-6.
Monica J. D. and Warwick L. S. (2000). Exercise, Mobility and Aging. Sports Medicine, 29 (1), 1-12.
Morrison S, Colberg SR, Mariano M, Parson HK, Vinik AI. (2010). Balance training reduces falls risk in older individuals with type 2 diabetes. Diabetes care,33(4), 748-50, April.
Nelson M.E., Rejeski W.J., Blair S.N., Duncan P.W., Judge J.O., King A.C., Macera C.A., and Castaneda-Sceppa C. (2007). Physical Activity and Public Health in Older Adults: Recommendation from the American College of Sports Medicine and the American Heart Association. Medicine and Science in Sports and Exercise. 39(8), 1435-45.
Protas E.J., and Tissier S. (2009). Strength and speed training for elders with mobility disability. Journal of aging and physical activity, 17, 257-271.
Pyykko I., Jantti P., and Aalto H. (1990). Postural control in elderly subjects. Age and Ageing, 19(3), 215-221, May.
Rikli R. E. and Jones C. J. (2001). Senior fitness test manual. Champaign, IL: Human Kinetics.
Rochat S, Martin E, Piot-Ziegler C, Najafi B, Aminian K, Büla CJ. (2008). Falls self-efficacy and gait performance after gait and balance training in older people. Journal of the American Geriatrics Society, 56(6), 1154-1156.
Rothschild J.M., Bates D.W., and Leape L.L. (2000). Preventable medical injuries in older patients. Archives of International Medicine, 160(18), 2717-28.
Rubenstein L.Z., Josephson K.R., Trueblood P.R., Loy S., Harker J.O., Pietruszka F.M., and Robbins A.S. (2000). Effects of a Group Exercise Program on Strength, Mobility, and Falls Among Fall-Prone Elderly Men. Journal of Gerontology: Medical Sciences, 55(6), M317–21.
Schoenfelder D.P., and Rubenstein L.M. (2004). An Exercise Program to Improve Fall-Related Outcomes in Elderly Nursing Home Residents. Applied Nursing Research, 17(1), 21-31.
Shigematsu R., Chang M., Yabushita N., Sakai T., Nakagaichi M., Nho H., and Tanaka K. (2002). Dance-based aerobic exercise may improve indices of falling risk in older women. Age and Ageing, 31(4), 261-6.
Sung K. (2009). The effects of 16-week group exercise program on physical function and mental health of elderly Korean women in long-term assisted living facility. Journal of Cardiovascular Nursing, 24(5), 344-351.
Susan B. O., Thomas J. S. (2007). Physical Rehabilitation (5th ed.). Philadelphia, Pennsylvania：F.A. DAVIS COMPANY.
Villareal DT, Banks M, Sinacore DR, Siener C, Klein S. (2006). Effect of weight loss and exercise on frailty in obese older adults. Archives of internal medicine, 24, 166(8), 860-866.
Waneen W. S., Karen L. F., Priscilla G. M. (2005) .Physical dimensions of aging (2nd ed.). Champaign, IL: Human Kinetics.
Williams MA, Stewart KJ. (2009). Impact of strength and resistance training on cardiovascular disease risk factors and outcomes in older adults. Clinics in geriatric medicine,25(4):703-14, November.
Winter D.A.（1995）. Human balance and posture control during standing and walking. Gait and Posture, 3(4), 193-214, December.
Wolf S.L., Barnhart H.X., Ellison G.L., and Coogler C.E. (1997). The Effect of Tai Chi Quan and Computerized Balance Training on Postural Stability in Older Subjects. Physical Therapy, 77(4), 371-384, April.
Zhang J.G., Ishikawa-Takata K., Yamazaki H., Morita T., and Ohta T. (2006). The effects of Tai Chi Chuan on physiological function and fear of falling in the less robust elderly: An intervention study for preventing falls. Archives of Gerontology and Geriatrics, 42(2), 107–16.

網路部分：
World Health Organization。Mental health。Retrieved April 30, 2010, form http://www.who.int/topics/mental_health/en/index.html.
World Health Organization。Ageing。Retrieved April 30, 2010, form http://www.who.int/topics/ageing/en/index.html.
內政部統計處（2005）。調查統計摘要，老年狀況調查摘要分析。2010年4月30日取自http://www.moi.gov.tw/stat/。
內政部統計處（2009）。老人居住安排與長期照顧選擇之探討。2010年4月30日取自http://www.moi.gov.tw/stat/topic.aspx。
內政部統計處（2009，12月底）。老人長期照顧、安養機構概況。2010年4月30日取自http://www.moi.gov.tw/stat/。
內政部戶政司（2010，2月26日）。歷年年底人口數三階段年齡結構、依賴比、老化指數及扶養比。2010年4月30日取自http://www.ris.gov.tw/version96/stpeqr00.html
內政部社會司（2009，7月8日）。老人福利法。2010年4月30日取自http://sowf.moi.gov.tw/04/02/02_1.htm。
行政院衛生署（2010，6月8日）。98年死因統計記者會~民國98年死因結果分析。2010年6月8日取自http://www.doh.gov.tw/CHT2006/DM/DM2_2.aspx?now_fod_list_no=11122andclass_no=440andlevel_no=3。