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研究生:陳牧如
研究生(外文):Mu-Ju Chen
論文名稱:成年人軀幹肌耐力與下背痛失能程度之關聯性探討
論文名稱(外文):A study of relationship between endurance of trunk muscles and disability level of low back pain in adults
指導教授:林燕慧林燕慧引用關係林正常林正常引用關係
指導教授(外文):Yang-Hua LinJung-Charng Lin
學位類別:碩士
校院名稱:國立體育學院
系所名稱:教練研究所
學門:民生學門
學類:競技運動學類
論文種類:學術論文
論文出版年:2003
畢業學年度:91
語文別:中文
論文頁數:85
中文關鍵詞:肌耐力下背痛失能程度
外文關鍵詞:muscular endurancelow back paindisability
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摘 要
本研究主要目的是探討成年人軀幹肌耐力與下背痛失能程度的相關,希望獲知與下背痛失能程度相關最密切的肌耐力測試項目,供國人參照使用。受測對象為197名的男女自願參加者,平均年齡為34.7±8.3歲(範圍為25-60歲)。本研究的軀幹肌耐力測驗共有四種,分別為一分鐘仰臥起坐、一分鐘俯臥舉體、靜態軀幹屈曲和靜態軀幹伸展;下背痛失能程度評估則是以國內學者葉洵惠(民88)以及陳淑媚(民87)修正自國外問卷發展出的「日常生活影響程度量表(The modified Roland and Morris Disability Questionnaire)」為評估工具。所得資料以皮爾遜積差相關、斯皮爾曼等級相關、逐步多元迴歸、獨立樣本t檢定、曼-惠特尼U考驗、單因子變異數、克-瓦二氏單因子等級變異數分析和薛費法事後檢定等統計方法進行分析,主要研究結果顯示:(一)受試者的年齡與仰臥起坐、俯臥舉體呈顯著負相關,但與下背痛失能程度無顯著的相關。(二)受試者的身體質量指數與軀幹肌耐力、下背痛失能程度都無顯著的相關。(三)不同性別在四種軀幹肌耐力測驗成績間都有顯著的差異性,但在下背痛失能程度上無達顯著的差異。(四)不同規律運動經驗者在俯臥舉體上也有顯著的差異。(五)不同自述性下背痛病史在下背痛失能程度上有顯著的差異。(六)仰臥起坐與下背痛失能程度有顯著的負相關,並且「下背痛失能程度=3.48-0.04×(一分鐘仰臥起坐)」。從以上結果我們可以推論:仰臥起坐測驗成績差者,其下背痛失能程度就會越大。
Abstracts
The study was aimed to investigate the relationship between the endurance of trunk muscles and disability level due to low back pain(LBP), which was expected to be used as. An appropriate predict or indicator can be found.
Methods: One hundred ninety—eight volunteers adults are subjects of the study, average age is 34.7±8.3 years old(range from 25-60 years. One-minute modified sit-ups, one-minute upper trunk lift, and isometric abdominal curl up and Sorensen test were assessed. The modified Roland and Morris Disability Questionnaire were applied to identify the LBP disability. The obtained data were analyzed by Pearson correlation, Spearman rank correlation, stepwise regression, independent t-test, Mean- Whithey U test, one-way ANOVA, Kruskal-Wallis one-way ANOVA by ranks and Scheffe method with SPSS 10.0.
Results: (1)Age is negatively correlated with sit-ups and trunk-lifts, but is not correlated with LBP disability. (2) BMI is not correlated with muscular endurance and LBP disability. (3)Different gender made significant difference to four tests of muscular endurance, but did not make to LBP disability. (4)Different regular exercise made significant difference to trunk-lifts. (5)Different history of LBP made significant difference to LBP disability. (6)sit-ups are negative correlated with LBP disability, and ”LBP disability degree=3.48-0.04×(one-minute sit-ups)”.
Conclusion: Degree of LBP disability was highly correlated with the poor of the sit-ups test.
論文目次
中文摘要------------------------------------------------------------Ⅰ
英文摘要------------------------------------------------------------Ⅲ
目次-----------------------------------------------------------------Ⅴ
表次-----------------------------------------------------------------Ⅶ
圖次-----------------------------------------------------------------Ⅷ
第一章 緒 論-------------------------------------------------1
第一節 研究動機與背景-------------------------------------1
第二節 研究目的---------------------------------------------3
第三節 研究假設---------------------------------------------3
第四節 研究範圍與限制-------------------------------------4
第五節 名詞解釋---------------------------------------------5
第二章 文獻探討----------------------------------------------7
第一節 下背痛失能的相關因子------------------------------7
第二節 評估下背痛失能程度問卷之相關研究------------- 10
第三節 軀幹肌耐力與下背痛失能的關係-------------------13
第四節 軀幹肌耐力測試的方法------------------------------15
第三章 研究方法----------------------------------------------20
第一節 研究對象---------------------------------------------20
第二節 測驗時間---------------------------------------------20
第三節 測驗地點---------------------------------------------20
第四節 研究方法與程序-------------------------------------21
第五節 下背痛評估-------------------------------------------30
第六節 資料處理與統計分析-------------------------------32
第四章 結果--------------------------------------------------------33
第一節 受試者基本資料-------------------------------------33
第二節 軀幹肌耐力測驗成績--------------------------------37
第三節 下背痛失能程度調查-------------------------------- 41
第四節 下背痛失能程度與軀幹肌耐力測驗成績部分-----48
第伍章 討論--------------------------------------------------------50
第一節 受試者基本資料-------------------------------------50
第二節 軀幹肌耐力測驗成績--------------------------------52
第三節 下背痛失能程度調查-------------------------------- 55
第四節 下背痛失能程度與軀幹肌耐力測驗成績部分-----58
第陸章 結論與建議-------------------------------------------59
第一節 結論---------------------------------------------------59
第二節 建議---------------------------------------------------60
參考文獻-----------------------------------------------------------61
附錄-----------------------------------------------------------------70
附錄一 實驗說明---------------------------------------------70
附錄二 基本資料---------------------------------------------71
附錄三 下背疼痛功能限制程度問卷-------------------------73
附錄四 測驗紀錄表---------------------------------------76
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