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研究生:曾暐晉
研究生(外文):Wei-Chin Tseng
論文名稱:長期漸增式肌力訓練對高齡者下肢肌肉功能 與功能性體適能之影響
論文名稱(外文):Effects of long-term progressive strength training on muscle functional and functional physical fitness in old men
指導教授:陳忠慶陳忠慶引用關係
指導教授(外文):Trevor C. Chen
學位類別:碩士
校院名稱:國立嘉義大學
系所名稱:體育與健康休閒研究所
學門:民生學門
學類:運動休閒及休閒管理學類
論文種類:學術論文
畢業學年度:100
語文別:中文
論文頁數:46
中文關鍵詞:老化肌肉質量下肢肌力訓練肌肉酸痛
外文關鍵詞:agingmuscle masslower limb strength trainingmuscle soreness
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背景:老化促使人體肌肉功能、生理與身體機能下降,進而降低執行日常活動之能力以及跌倒的風險。肌力訓練是目前被認為具有降低老化引起上述風險的方式之一。目的:探討12週漸增式離心與向心肌力訓練對提升高齡者之下肢肌肉功能與功能性體適能的特殊影響。方法:招募24位>60歲健康男性作為受測對象,隨機分配至:漸增離心 (ET)、向心 (CT) 肌力訓練組或控制組 (CON) 中 (每組n=8)。其中,ET與CT組統一使用二隻膝伸肌群接受連續12週每週1次的漸增式離心或向心肌力訓練 (ET組:10%~100%強度,CT組:50%~100%強度)。CON組12週訓練期間無接受任何肌力訓練。所有受試者在第1週訓練前、第12週訓練後,各接受一次膝伸肌最大等速向心肌力 (MVC-30、MVC-210)、速度發展率 (RVD-30、RVD-210)、8呎起立-走路、30秒連續坐站與6分鐘走路測驗。以二因子混合設計變異數分析,考驗每一個依變項在不同組別之間的差異情況。結果:ET與CT組在12週肌力訓練後MVC、RVD、8呎起立-走路與30秒連續坐站表現皆有顯著上升 (p<.05),但ET與CT在組別之間並無明顯差異。CON在無任何訓練介入下,所有依變項皆無顯著改變 (p>.05)。結論:ET與CT組在12週肌力訓練後,能顯著提升下肢肌肉功能與功能性體適能。但值得注意的是,透過漸增式離心訓練,隨著訓練週期強度增高並無增加肌肉酸痛情形。因此,高齡者透過漸增式離心訓練,不僅可避免肌肉酸痛產生,也能有效提升下肢肌肉功能與功能性體適能。未來,本研究的結果可提供給高齡者日後參與健身促進或抗老化之運動處方的參考。
Background: Muscle functional and physiological decrease with aging, and reduce the ability of the daily activities, increase the risk of falling. Strength training has been considered to be efficiently reduced one of the risks in the aging. Purpose: The purpose of this study was to compare the changes in lower limb muscle function and functional fitness in response to progressive eccentric- and concentric-only training in old men. Methods: Twenty-four old men were recruited in the study, and then were randomly assigned into progressive eccentric- (ET, n=8) and concentric-only groups (CT, n=8), or a control group (CON, n=8). The subjects in the ET and CT groups were completed a 12-week training program using a leg extension machine. Maximal voluntary isokinetic contraction at 30°/s and 210°/s (MVC-30 & MVC-210), rate of velocity development at 30°/s and 210°/s (RVD-30 & RVD-210), 8 feet up and go, 30s chair stand up, and 6-min go were measured before, and after 12-week training. Data were analyzed by a two-way mixed design of analysis of variance. Results: After 12 weeks progressive strength training, there were significantly greater improvement in the performance of MVC, RVD, 8 feet up and go, and 30s chair stand up in the ET and CT groups (p<.05), without significant difference in all measures between the ET and CT groups was observed. Compared to baseline, there was not a significant changes in all measures after 12-week of observation for the CON group. Conclusion: The results of this study showed that ET and CON progressive strength training in old men could be effectively produced the same extent of improvements of MVC, RVD, and functional physical fitness. Furthermore, muscle soreness was not induce during the 12-week of ET regardless of progressive increased in training intensity. Therefore, progressive ET can be used one of effective and safe training programmes for old indiduals or the results of this study can be provided as the reference for old individuals when they persuit to promote their healthy or anti-aging.
中文摘要 i
英文摘要 ii
目次 iv
表次 vii
圖次 viii
第一章 緒論
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 6
第六節 研究重要性 6
第二章 文獻探討
第一節 老化對骨骼肌肉的影響 8
第二節 老化對功能性體適能的影響 10
第三節 單一回合離心與向心運動對高齡者肌肉損傷之影響 11
第四節 長期阻力 (離心與向心) 訓練對高齡者肌肉損傷之影響 13
第五節 結語 14
第三章 研究方法
第一節 受試者 16
第二節 實驗步驟與流程 16
第三節 實驗工具與測驗方法 18
第四節 實驗控制 20
第五節 統計分析 20
第四章 結果
一、12週肌力訓練前各依變項反應
(一) 下肢肌肉功能參數
1. 最大自主等速收縮肌力 22
2. 下肢肌群速度發展率 22
(二) 下肢功能性體適能
1. 8呎起立-走路 23
2. 30秒連續坐站 23
3. 6分鐘走路總距離與RPE反應值 23
二、12週肌力訓練中各依變項反應
(一) 肌力 24
(二) 肌肉酸痛 (SOR) 24
(三) 運動自覺量表 (RPE) 26
三、12週肌力訓練後各依變項反應
(一) 下肢肌肉功能參數
1. 最大自主等速收縮肌力 27
2. 下肢肌群速度發展率 28
(二) 下肢功能性體適能
1. 8呎起立-走路 30
2. 30秒連續坐站 30
3. 6分鐘走路總距離與RPE反應值 31
第五章 討論
(一) 12週肌力訓練參數 33
(二) 下肢肌肉功能參數 34
(三) 下肢功能性體適能參數 35
第六章 結論
結論 37
參考文獻
參考文獻 38
附錄
附錄一 受試者須知及參與同意書 44
附錄二 受試者健康情況調查表 46

表次
表3-1 受試者基本資料 16
表4-1 各組別在12週訓練前MVC前測值 22
表4-2 各組別在12週訓練前RVD前測值 23
表4-3 各組別在12週訓練前下肢功能性體適能前測值 24



圖次
圖3-1 實驗流程與步驟圖 19
圖4-1 不同三組受試者在不同時間肌力的變化程度 25
圖4-2 ET組與CT組受試者在不同時間肌力的變化情形 25
圖4-3 ET組與CT組受試者在不同時間肌肉酸痛的變化情形 26
圖4-4 ET組與CT組受試者在不同時間RPE的變化情形 26
圖4-5 不同三組受試者在不同時間MVC-30的變化程度 27
圖4-6 不同三組受試者在不同時間MVC-210的變化程度 28
圖4-7 不同三組受試者在不同時間RVD-30的變化程度 29
圖4-8 不同三組受試者在不同時間RVD-210的變化程度 29
圖4-9 不同三組受試者在不同時間8呎起立-走路的變化程度 30
圖4-10 不同三組受試者在不同時間30秒連續坐站的變化程度 31
圖4-11 不同三組受試者在不同時間6分鐘走路距離的變化程度 32
圖4-10 不同三組受試者在不同時間6分鐘走路時RPE的變化程
度 32


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