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研究生:黃和慧
研究生(外文):HUANG, HO-HUI
論文名稱:彈性帶阻力訓練改善老年族群其手握力之成效系統性回顧與整合分析
論文名稱(外文):The Effectiveness of Elastic Band Resistance Training to Improved Hand Grip Strength among the Elderly—A Systematic Review with Meta-analysis
指導教授:董和銳董和銳引用關係
指導教授(外文):TUNG, HO-JUI
口試委員:藍守仁嚴雅音董和銳
口試委員(外文):LAN, SHOU-JENYEN, YA-YINTUNG, HO-JUI
口試日期:2017-07-12
學位類別:碩士
校院名稱:亞洲大學
系所名稱:健康產業管理學系長期照護組
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2017
畢業學年度:105
語文別:中文
論文頁數:64
中文關鍵詞:彈性帶阻力訓練手握力老年族群整合分析
外文關鍵詞:elastic bandresistance traininghandgrip strengthelderlymeta-analysis
相關次數:
  • 被引用被引用:2
  • 點閱點閱:844
  • 評分評分:
  • 下載下載:99
  • 收藏至我的研究室書目清單書目收藏:3
目標:肌力會因年齡增長而日益衰退,阻力訓練證實可以讓老年人增加肌力,彈性帶阻力訓練是種適用於老年族群鍛鍊肌力的運動,手握力是肌力表現中的一項,握力測量是一種簡單且便宜的方式,有研究發現手握力比心臟收縮壓更能預測死亡風險。本研究旨在回顧彈性帶阻力訓練應用於老年族群的實證文獻,以整合分析來探討彈性帶阻力訓練改善老年族群其手握力之成效。
方法:使用關鍵字在PubMed、EBSCO、The Cochrane Library、PEDro和Airiti Library華藝線上圖書館等電子資料庫中搜羅相關實証文獻。再以Review Manager 5.3 (RevMan5.3)統計軟體來進行整合分析。
結果:各文獻整合後,I²=21%,SMD為2.29(95%信賴區間為1.44,3.13),由於95%信賴區間不包含0,其結果顯示彈性帶阻力訓練對老年族群的手握力具有成效。另外,針對12週和24週不同的介入週期進行次群組分析,其結果顯示12週和24週的彈性帶阻力訓練介入對老年族群的手握力皆有顯著影響。
結論:彈性帶阻力訓練對改善老年族群的手握力具有顯著之成效。

Objective: Muscle strength decreases as people age. Literature indicates that resistance training could increase muscle strength among the elders. Elastic band resistance training is appropriate for older adults to maintain their muscle strength. Evidence shows that handgrip strength is an crucial predictor for nutrition status and mortality among older people. In this study, a thorough review of studies, evaluating the effectiveness of elastic band resistance training to increasing handgrip strength among older populations was conducted. A meta-analysis on the findings of the selected studies was performed to further evaluate effectiveness of elastic band resistance training in improving handgrip strength.
Methods: The following databases were selected: PubMed, EBSCO, Cochrane Library, PEDro, and Airiti Library. The overall effect size was using Review Manager 5.3 (RevMan5.3), which was calculated for all comparisons.
Results: The results of the meta-analysis of the literature is I² = 21% and the SMD is 2.29 (95% confidence interval is between 1.44 and 3.13). Since the 95% confidence interval does not include zero, the results show that elastic band resistance training was effective in improving handgrip strength among older populations.
Conclusions: Elastic band resistance training has a significant effect in improving the handgrip strength among the elderly.

目 錄
中文摘要
英文摘要
第一章緒論1
第一節研究背景1
第二節研究動機2
第三節研究目的3
第二章文獻探討4
第一節彈性帶4
1.1彈性帶的種類4
1.2彈性帶的特性4
1.3彈性帶的使用方法5
第二節阻力訓練7
2.1 阻力訓練7
2.2 漸進式阻力訓練9
2.3 老年人阻力訓練的漸進模式10
2.4 以彈性帶為基礎的阻力訓練11
第三節 肌力的定義、等長肌力和肌少症13
3.1 肌力的定義13
3.2 等長肌力14
3.3 肌少症15
第四節握力的定義、握力測量方式與握力計種類17
4.1 握力的定義17
4.2 握力測量方式17
4.3 握力計種類18
第三章研究方法19
第一節形成過程19
第二節文獻檢索與篩選21
第三節文獻品質的評估方法24
第四節研究變項摘錄25
第五節發表偏誤檢測27
第六節整合資料分析28
第四章研究結果30
第一節文獻搜尋與篩選結果30
1.1文獻搜尋結果30
1.2文獻篩選結果31
第二節文獻回顧彙整結果33
第三節文獻品質評估結果35
第四節發表偏誤結果36
第五節整合分析結果37
第五章結論與建議39
第一節結論39
第二節建議40
第三節研究限制41
參考文獻42
附表48
附圖61
附錄64
表目錄
表1Thera-Band®伸長比率與阻力對照表48
表2博格自我感覺用力程度評級表(6–20分)49
表3亞洲版早期肌少症檢測指標表50
表4各資料庫文獻檢索篇數表50
表5系統性回顧文獻特徵表51
表6文獻品質評估結果表57
表7整合分析文獻特徵表58
圖目錄
圖1文獻篩選流程圖61
圖2彈性帶阻力訓練與手握力文獻發表偏誤之漏斗圖62
圖3彈性帶阻力訓練與手握力成效整合分析之森林圖62
圖4彈性帶阻力訓練於12/24週介入成效的次群組分析之森林圖63





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