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研究生:徐珩翔
研究生(外文):Heng Hsiang Hsu
論文名稱:以八周的腳踏車訓練介入帕金森氏症患者針對力學與疲勞問題的療效
論文名稱(外文):The Effect of Cycling Training on Force and Fatigue Parameters of Individuals with Parkinson ’s disease
指導教授:張雅如張雅如引用關係
指導教授(外文):Y. J. Chang
學位類別:碩士
校院名稱:長庚大學
系所名稱:物理治療學系
學門:醫藥衛生學門
學類:復健醫學學類
論文種類:學術論文
論文出版年:2015
畢業學年度:103
論文頁數:163
中文關鍵詞:腳踏車疲勞帕金森氏症
外文關鍵詞:cyclingfatigueParkinson's disease
相關次數:
  • 被引用被引用:2
  • 點閱點閱:376
  • 評分評分:
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:0
目錄
指導教授推薦書
口試委員會審定書
致謝 iii
中文摘要 iv
英文摘要 v
目錄 vi
表目錄 x
圖目錄 xi
第一章 緒論 - 1 -
1.1 研究背景與目的 - 1 -
1.2 研究目的 - 9 -
1.3 研究假設 - 9 -
1.4 名詞解釋與操作型定義 - 9 -
第二章 文獻回顧 - 15 -
2.1 基底核之解剖構造與功能 - 15 -
2.2 帕金森氏症之病理機制及疲勞問題 - 16 -
2.3帕金森氏症之診斷、症狀與疾病分級 - 18 -
2.4疲勞的分類與實驗室測量方式 - 20 -
2.5.1 運動訓練對於改善中樞神經迴路有幫助 - 24 -
2.5.2 腳踏車耐力訓練對於延長運動耐受度有幫助 - 27 -
2.6 不同運動強度會影響疲勞的產生 - 29 -
第三章 研究方法與步驟 - 33 -
3.1 研究設計 - 33 -
3.2 研究對象 - 33 -
3.3 實驗儀器 - 34 -
3.4 實驗步驟 - 37 -
3.5 資料處理與分析 - 41 -
3.6 統計分析 - 42 -
第四章 實驗結果 - 61 -
4.1.1 疲勞運動參數 - 62 -
4.1.2 最大自主收縮 - 62 -
4.1.3自主活化程度 - 63 -
4.1.4 電刺激肌肉收縮 - 64 -
4.2 帕金森氏病組在介入前、介入後四周、介入後八周之比較 …- 64 -
4.2.1 最大自主收縮 - 65 -
4.2.2 自主活化程度 - 65 -
4.2.3 電刺激肌肉收縮 - 66 -
4.2.4 4.5公尺行走測試 - 66 -
4.2.5運動耐受度 - 67 -
4.2.6 貝克憂鬱量表 - 68 -
4.2.7疲勞嚴重程度量表 - 68 -
4.2.8 帕金森睡眠品質量表 - 68 -
4.2.9 多面向疲勞量表 - 69 -
4.2.9.1 多面向疲勞量表-動機不足 - 69 -
4.2.9.2 多面向疲勞量表-活動不足 - 69 -
4.2.9.3 多面向疲勞量表-整體疲勞 - 70 -
4.2.9.4 多面向疲勞量表-心理疲勞 - 70 -
4.2.9.5 多面向疲勞量表-生理疲勞 - 71 -
4.2.10 中樞疲勞指數 - 71 -
4.2.11 周邊疲勞指數 - 71 -
4.2.12 整體疲勞指數 - 72 -
第五章 討論 - 95 -
5.1結果與假設的支持與反對 - 95 -
5.2 低阻力腳踏車造成自主活化程度顯著下降 - 96 -
5.3 高低阻力腳踏車均引起最大自主收縮顯著下降 - 98 -
5.4 高低阻力腳踏車均引起電刺激肌肉收縮顯著下降 - 99 -
5.5 八周腳踏車訓練後,股四頭肌最大自主收縮與整體疲勞指數的變化 - 100 -
5.6 八周腳踏車訓練後,股四頭肌自主活化程度與中樞疲勞指數的變化 - 103 -
5.7 八周腳踏車訓練後,股四頭肌電刺激肌肉收縮與周邊疲勞指數的變化 - 105 -
5.8 八周腳踏車訓練後,運動耐受度與主觀疲勞量表的變化 ……..- 106 -
5.9 八周腳踏車訓練後,自評憂鬱量表的變化 - 108 -
5.10 八周腳踏車訓練後,4.5公尺行走速度的變化 - 109 -
5.11 結論 - 109 -
5.12 臨床意義與應用 - 109 -
5.13 研究限制與未來研究方向 - 110 -
參考文獻 - 111 -
附錄 - 119 -

表目錄
【表3-1】疲勞嚴重程度量表 - 43 -
【表3-2】帕金森睡眠品質量表 - 45 -
【表3-3】貝克憂鬱量表 - 47 -
【表3-4】自覺用力係數 - 50 -
【表3-5】多面向疲勞量表 - 51 -
【表4-1】健康成年人組受試者基本資料 - 73 -
【表4-2】受試者在不同阻力以及疲勞前後,最大自主收縮、自主活化程度、以及電抽搐肌肉收縮之比較 - 75 -
【表4-3】帕金森氏病組受試者基本資料 - 76 -
【表4-4】帕金森氏病患介入前、中、後,最大自主收縮、自主活化程度、電刺激肌肉力量之比較 - 77 -
【表4-5】帕金森氏病患介入前、中、後,完成運動時自覺用力係數、貝克憂鬱量表、疲勞嚴重程度量表、帕金森睡眠品質量表、4.5公尺行走測試、多面向疲勞量表之比較 - 78 -
【表4-6】帕金森氏病患介入前、介入八周後,在多面向疲勞量表五個面向分數之比較 - 79 -
【表4-7】帕金森氏病患在介入前、介入四周後、介入八周後,在中樞疲勞指數、周邊疲勞指數、整體疲勞指數之比較 - 80 -

圖目錄
【圖2-1】疲勞力學測試 - 32 -
【圖3-1】周邊神經電刺激器 - 53 -
【圖3-2】示波器 - 53 -
【圖3-3】力矩訊號放大器 - 54 -
【圖3-4】力矩放大器校正圖 - 54 -
【圖3-5】訊號擷取系統 - 55 -
【圖3-6】自製力矩測量系統 - 55 -
【圖3-7】改裝腳踏車系統 - 56 -
【圖3-8】實驗一(健康成年人)之實驗流程圖 - 58 -
【圖3-9】實驗二(帕金森病組)之實驗流程圖 - 58 -
【圖3-10】測試流程圖 - 59 -
【圖3-11】最大自主力量基準值 - 60 -
【圖3-12】剩餘力量 - 60 -
【圖4-1】不同阻力疲勞運動前,受試者股四頭肌最大自主收縮. - 81 -
【圖4-2】不同阻力疲勞運動前後,受試者股四頭肌最大自主收縮變化 - 82 -
【圖4-3】不同阻力疲勞運動前,受試者股四頭肌自主活化程度. - 83 -
【圖4-4】不同阻力疲勞運動前後,受試者股四頭肌自主活化程度 - 84 -
【圖4-5】不同阻力疲勞運動前,受試者股四頭肌電刺激肌肉收縮 - 85 -
【圖4-6】 不同阻力疲勞運動前後,受試者股四頭肌電刺激肌肉收縮 - 86 -
【圖4-7】帕金森氏症患者股四頭肌最大自主收縮,在介入前、中、後的變化 - 87 -
【圖4-8】帕金森氏症患者股四頭肌自主活化程度,在介入前、中、後的變化 - 88 -
【圖4-9】帕金森氏症患者股四頭肌電刺激肌肉收縮,在介入前、中、後的變化 - 89 -
【圖4-10】帕金森氏症患者自覺用力係數,在介入前、中、後的變化 - 90 -
【圖4-11】貝克憂鬱量表,在介入前、後的變化 - 90 -
【圖4-12】疲勞嚴重程度量表,在介入前、後的變化 - 91 -
【圖4-13】帕金森睡眠品質量表,在介入前、後的變化 - 91 -
【圖4-14】健康受試者-低阻力疲勞運動代表資料 - 92 -
【圖4-15】健康受試者-高阻力疲勞運動代表資料 - 93 -
【圖4-16】帕金森病組-訓練前後原始資料 - 94 -

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張芳宇,&;lt;輔以股四頭肌神經肌肉電刺激與自主膝伸直運動對於帕金森氏病患者疲勞之訓練效果>,長庚大學,碩士論文,民國102年
黃婉婷,&;lt;探討腳踏車訓練對脊髓小腦共濟失調症患者交互抑制的影響>,長庚大學,碩士論文,民國98年

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