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研究生:蔡曜駿
研究生(外文):Yao-Chun Tsai
論文名稱:12週防跌操訓練對社區老年人平衡能力之影響
論文名稱(外文):The Influences of The Twelve-week Fall Prevention Exercise on The Balance Ability of The Elderly in Communities
指導教授:許太彥許太彥引用關係
指導教授(外文):Tai-Yen Hsu
口試委員:陳重佑張志凌
口試委員(外文):Chung-Yu ChenChih-Ling Chang
口試日期:2011-01-07
學位類別:碩士
校院名稱:國立臺中教育大學
系所名稱:體育學系碩士班
學門:教育學門
學類:專業科目教育學類
論文種類:學術論文
論文出版年:2011
畢業學年度:99
語文別:中文
論文頁數:71
中文關鍵詞:老年人平衡能力跌倒下肢肌力防跌操
外文關鍵詞:elderbalance abilityfalllower-extremity strengthfall prevention exercise
相關次數:
  • 被引用被引用:7
  • 點閱點閱:322
  • 評分評分:
  • 下載下載:34
  • 收藏至我的研究室書目清單書目收藏:0
老化是一種複雜且無法避免的自然現象,就人體構造而言,身體的各項機能與組織會隨著歲月的增長而逐漸退化,其中平衡能力是最明顯的現象;平衡能力是指身體重心穩定維持在支撐底面積上的能力,同時也是人體各項動作維持與運作最關鍵的角色。因為平衡能力的下降可能增加跌倒的發生機率,並因而導致嚴重後果與醫療負擔。有鑑於此,國內外相關領域學者也都積極在發展各種預防老年人跌倒的策略,其中「防跌操」就是一項近年來新興開發的活動項目,而所謂「防跌操」是為了積極提升老年人的下肢肌力與平衡能力,請相關學者設計一套屬於老年人的「防跌操」運動,主要目的是希望藉由這樣的運動來強化身體柔軟度與提升肌力表現,進而延緩肌力的衰退並增進人體姿勢平衡控制能力,達到預防老年人跌倒之效果。
但到目前為止「防跌操」效果尚未經實驗證明,故本研究主要探討12週的防跌操訓練對於社區老年人的平衡能力影響情況,將臺中市大甲區、太平區、沙鹿區的社區老年人分成一般運動組、防跌操組、控制組各18名,利用Kistler測力板(100Hz)與3公尺計時起走方式,取得動、靜態平衡及下肢肌力相關參數,再讓實驗組進行為期12週的防跌操訓練,待訓練後,仍舊以相同方式進行後測,最後將測驗所得到的資料以成對樣本t檢定及單因子變異數分析,進行比較前、後測的結果與組別之間的差異,藉此檢視防跌操訓練是否對平衡能力有所提升。
研究結果:各項數據中顯示,防跌操組在前、後測的比較、與組間相比,其左、右腳站立時間、移動平均速度、3公尺起走時間及下肢發力率的表現上,都有顯著的進步(p<.05),因此可以確定,防跌操運動是適合老年人從事的運動,也是一項值得推廣的預防性運動。

Aging is complex and inevitable natural phenomenon. Speaking of the human body structure, as years go by, body’s each function and organization will degenerate gradually and the balance ability is the most obvious one. The balance ability refers to the ability that the body center of gravity to maintain stably on the base of support, and it is also the most essential role for human body to maintain and operate each movement. Since the balance ability drops, fall will occur and tremendous medical fees will come along as well. In view of this, researchers have developed various methods of fall prevention for the elderly. Fall prevention exercise is one of the newly-developed exercises during recent years. The fall prevention exercise designed by the scholars is a series of exercise for the elderly. Designers expect that the fall prevention exercise can enhance flexibility and strength, postpone degeneration of strength, promote the balance control ability of human postures, and then prevent the elderly from tumbling.
However, how the fall prevention exercise works has not been testified yet. Therefore, the goal of the research lies in investigating the 12-week fall prevention exercise training influencing the balance ability of the elderly in communities. The subjects were 54 senior citizens in communities from Dajia District, Taiping District, and Shalu District in Taichung City and they were evenly divided into the common exercise group, fall prevention exercise group, and control group. Kistler force platform (100Hz) and 3-meter walking were employed to measure the parameters of the static balance, dynamic balance, and lower-extremity strength. Then the fall prevention exercise group took the 12-week fall prevention exercise training and it took the posttest after the training was finished. The data were analyzed by the paired sample t test and one-way ANOVA to compare the results of the pretest and posttest and difference among groups and then examine whether the fall prevention exercise training promotes the balance ability.
The result indicated that the fall prevention exercise enhanced the performance of the time of right or left foot standing, average moving speed, 3-meter walking time, and the rate of develop force of lower-extremity strength (p < .05). Consequently, the fall prevention exercise is adequate for the elderly to take and it is also a preventive exercise for everyone to popularize.

目 錄
摘 要 I
英文目錄 II
目 錄 III
表目錄 V
圖目錄 VI
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 4
第四節 研究範圍 5
第五節 研究限制 6
第六節 名詞解釋 7
第貳章 文獻探討 9
第一節 老化現象之探討 9
第二節 老年人的平衡能力與跌倒之相關探討 12
第三節 運動對平衡的影響 17
第四節 平衡能力測量方式 23
第五節 文獻探討總結 26
第參章 研究方法與步驟 27
第一節 實驗架構與設計 27
第二節 研究對象與實驗日期 29
第三節 實驗器材與設備 30
第四節 實驗場地佈置 31
第五節 實驗步驟與流程 32
第六節 資料處理與分析 34
第肆章 結果與討論 37
第一節 受試者基本資料 37
第二節 一般運動組、防跌操組、控制組的前、後測驗結果之比較 38
第三節 防跌操組與一般運動組和控制組的測驗結果之組間比較 46
第伍章 結論與建議 53
第一節 結論 53
第二節 建議 55
參考文獻 56
一、中文部份 56
二、西文部份 58
附 錄 66


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