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研究生:張瑜珊
研究生(外文):Yu-Shan Chang
論文名稱:振動訓練與阻力訓練介入對高齡者肌肉功能表現之影響
論文名稱(外文):Effect of whole body vibration training and resistance training on muscle function and performance in elders
指導教授:黃啟煌黃啟煌引用關係
指導教授(外文):Chi-Huang Huang
口試委員:李水碧朱彥穎
口試委員(外文):LI,SHUEI-BIJHU,YAN-YING
口試日期:2014-06-09
學位類別:碩士
校院名稱:國立體育大學
系所名稱:運動保健學系
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
論文出版年:2015
畢業學年度:103
語文別:中文
論文頁數:36
中文關鍵詞:老化衰弱下肢肌肉活化程度
外文關鍵詞:agingfrailtylower limb muscle activation
相關次數:
  • 被引用被引用:2
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  • 下載下載:96
  • 收藏至我的研究室書目清單書目收藏:2
研究目的:人隨著年紀的增長,老化的現象是不可避免的,但如何維持高齡者的肌肉功能表現,是目前大家共同努力的目標,所以本研究以不同運動模式介入比較高齡者下肢肌肉活化程度變化情形。研究方法:以桃園縣龜山鄉某社區之高齡者為受試者對象,年齡介於67-84歲之社區高齡者共分為兩組(振動訓練組:11名;阻力訓練組:7名)。振動組實施頻率為20-30Hz,振幅為2mm,阻力組是進行椅子坐站運動,持續時間與休息時間為30秒,並漸進式調整姿勢與強度,每週三次,共執行八週不同型態之運動。前後測以利用加拿大健康和老化研究之「臨床衰弱量表」中文訪談版(Chinese-Canadian Study of Health and Aging Clinical Frailty Scale, CSHA-CFS)問卷檢測參與者之衰弱程度,以及利用肌電圖記錄八英呎計時起走(Timed Up & Go)測驗過程中慣用腳之股外側肌、股二頭肌、腓腸肌肌肉活化程度。統計分析:以混合設計二因子變異數分析比較不同下肢運動參與者之前後測下肢活化程度之變化。結果:受試者衰弱程度皆介於2-3級。下肢肌肉肌電活化程度經八週振動訓練組與阻力訓練組後結果顯示並無顯著差異,但從描述性統計數據來分析,振動組及阻力組的股外側肌肌肉活化程度皆有增加趨勢。結論:肌肉活化程度經八週訓練沒有減弱,因此無論是振動訓練或阻力訓練皆能維持高齡者的肌肉功能表現。
Purpose: The phenomenon of senescence is inevitable while one’s age is increasing. How to maintain muscle function and performance of the elderly individuals is a common goal for us nowadays. This study investigated the effect of two different exercise modes on lower limb muscle activation in elders. Methods: Participants (aged between 67-84 years old) form a community in Guishan Township, Taoyuan County were assigned to either a whole body vibration group (Group WBV, n = 11) or a resistance training group (Group RT, n = 7). The frequency and amplitude of WBV protocol was set at 20-30 Hz and 2 mm, respectively. The RT protocol included sit-to-stand exercise. The training session was performed 3 times per week for 8 weeks with progressive intensity levels. The duration of work and rest was both set at 30 seconds. The Chinese-Canadian Study of Health and Aging Clinical Frailty Scale (CSHA-CFS) was used to determine the level of frailty in these subjects at pre- and post-training. The degree of muscle activation in one dominant leg including the vastus lateralis, biceps femoris, and gastrocnemius was recorded by electromyography (EMG) during the 8-foot timed up-and-go test. Statistics: A mixed-design 2-way ANOVA was used to compare the degree of lower limb muscle activation between different exercise modes and between pre- and post-training. Results: The level of frailty in these participants was between grade 2-3. There was no significant difference in EMG data between Group WBV and Group RE following 8-week training. However, there was a trend of increase in the degree of muscle activation of the vastus lateralis in both Group WBV and Group RE based on the result of descriptive statistics. Conclusion: The degree of muscle activation did not decrease following 8-week training, thus both WBV and RT could maintain muscle function and performance in elders.
目錄
第壹章 緒論
第一節 研究背景與動機.................................................................................1
第二節 研究目的.......................................................................................4
第三節 研究假設.......................................................................................4
第四節 研究限制.......................................................................................4
第貳章 文獻探討
第一節 高齡者與衰弱現象................................................................................5
第二節 振動刺激對肌肉反應之機轉.........................................................................6
第三節 全身性振動運動對高齡者的肌肉功能之效益............................................................7
第四節 阻力運動對高齡者的肌肉功能之效益.................................................................8
第參章 研究方法
第一節 研究對象........................................................................................11
第二節 實驗地點........................................................................................12
第三節 研究工具........................................................................................12
第四節 實驗步驟與流程...................................................................................15
第五節 資料處理與統計分析................................................................................22
第肆章 結果與討論
第一節 振動運動與阻力運動介入對衰弱症程度.................................................................23
第二節 振動運動與阻力運動介入對高齡者下肢肌肉活化程度變化情形................................................24
第伍章 結論與建議
第一節 結論........................................................................................ ....27
第二節 建議.............................................................................................27
參考文獻
中文部份.................................................................................................28
英文部份.................................................................................................30
附錄
附錄一 基本資料表.......................................................................................34
附錄二. 加拿大健康和老化研究之「臨床衰弱量表」中文訪談版
(CSHA-CFS)問卷..................................................................................35
附錄三 IRB審核同意書 ...................................................................................36

中文部份
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朱寧(2012)。全身性振動運動對高齡者肌肉功能表現之效益,國立體育大學運動保健學系。碩士論文。
江政凌(2010)。不同頻率全身性震動對不同身體活動量之中高齡男性下肢肌肉徵招之影響。國立體育大學運動保健學系。碩士論文。
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吳柏翰、葉乃菁、林正常 (2010)。全身性振動伸展訓練對女性高齡者關節活動度之影響大專體育學刊,第12卷 第3期,88-97頁。
洪偉欽、沈竑毅(2007)。老化與平衡能力。嘉大體育健康休閒期刊,6卷2期, 119-129頁。
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曾鈺婷、蔡佳良(2010)。阻力運動訓練對老年人認知功能之輔助效益,大專體育 第111期,75-82頁。
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英文部分
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Bogaerts, A., Delecluse, C., Claessens, A. L., Coudyzer, W., Boonen, S., & Verschueren, S. M. (2007a). Impact of whole-body vibration training versus fitness training on muscle strength and muscle mass in older men: A 1-year randomized controlled trial. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 62, 630-635.
Borst, S.E. (2004). Interventions for sarcopenia and muscle weakness in older people. Age and Aging, 33(6), 548-555
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1. 王姿惠、陳五洲(2013)。阻力訓練與高齡者肌力及肌耐力之探討,中正體育學刊,3期,19-26。
2. 王姿惠、陳五洲(2013)。阻力訓練與高齡者肌力及肌耐力之探討,中正體育學刊,3期,19-26。
3. 林俊達、黎俊彥(2010)。全身振動訓練對老年人下肢肌力與姿勢穩定之效益,中華體育季刊,24卷3期,102-108頁。
4. 林俊達、黎俊彥(2010)。全身振動訓練對老年人下肢肌力與姿勢穩定之效益,中華體育季刊,24卷3期,102-108頁。
5. 李水碧(2004)。重量訓練與骨質密度之探討,大專體育,64,134-140。
6. 李水碧(2004)。重量訓練與骨質密度之探討,大專體育,64,134-140。
7. 吳柏翰、葉乃菁、林正常 (2010)。全身性振動伸展訓練對女性高齡者關節活動度之影響大專體育學刊,第12卷 第3期,88-97頁。
8. 吳柏翰、葉乃菁、林正常 (2010)。全身性振動伸展訓練對女性高齡者關節活動度之影響大專體育學刊,第12卷 第3期,88-97頁。
9. 洪偉欽、沈竑毅(2007)。老化與平衡能力。嘉大體育健康休閒期刊,6卷2期, 119-129頁。
10. 洪偉欽、沈竑毅(2007)。老化與平衡能力。嘉大體育健康休閒期刊,6卷2期, 119-129頁。
11. 詹美華(2005)。老年人肌力衰退之機轉與再強化之要訣。物理治療,30卷6期,285-292頁
12. 詹美華(2005)。老年人肌力衰退之機轉與再強化之要訣。物理治療,30卷6期,285-292頁
13. 蔡佳良、黃啟煌(2004)。從肌力訓練的角度來看運動對老年人的重要性,大專體育,72,185-191。
14. 蔡佳良、黃啟煌(2004)。從肌力訓練的角度來看運動對老年人的重要性,大專體育,72,185-191。
15. 曾鈺婷、蔡佳良(2010)。阻力運動訓練對老年人認知功能之輔助效益,大專體育 第111期,75-82頁。