臺灣博碩士論文加值系統

　研究目的:本研究以30-70歲腦中風患者為研究對象，藉由懸吊運動的訓練結合傳統物理治療，對慢性腦中風患者日常生活自理能力、平衡能力、行走能力的表現。研究方法：受試者為彰化某區域教學醫院復健科門診的慢性腦中風患者。採類實驗設計，將研究對象分為實驗組 (N=10) 及控制組 (N=10)，實驗組為15分鐘懸吊運動訓練加45分鐘傳統物理治療，控制組為60分鐘傳統物理治療，為期8週，每週2次。受試者參與介入前後進行各變項評估，包括巴氏量表 (Barthel index)、伯格氏平衡量表(Berg Balance Scale; BBS)、計時起身行走測試 (Time Up and Go; TUG)。結果:兩組在介入前人口變項、臨床表徵及評估資料都沒有顯著差異。經分析結果顯示，實驗組在巴氏量表 (91.5±10.5及97.5±5.4, p=.013)、伯格氏平衡量表分數 (45.7±4.64及52.8　±2.2, p＜.001)、計時行走測試 (21.6±9.32及15.3±6.39, p＜.001) 都有顯著進步。結論：懸吊運動訓練結合傳統物理治療介入對慢性腦中風患者平衡能力是有正向成效。

Purpose: The purpose of this study was to investigate if the sling exercise combine with traditional physical therapy could improve activities of daily living function and balance function and ambulation ability in 30-70 years old stroke patients. Methods: Participants
were chronic stroke patients in an outpatient rehabilitation department of a regional teaching hospital in Changhua. Quasi-experimental designed was used in this study. All participants were divided into experimental group (N=10) and control group (N=10). Participants in experimental group received 15 minutes sling exercise and 45 minutes traditional physical therapy while participants in control group received 60 minutes traditional physical therapy. Both experimental group and control group intervened 2 times per week and last 8 weeks. Participants received received some measurements including Barthel index, Berg Balance Scale (BBS), and Time Up and Go (TUG) at pre and pro intervention. Results: There were no significant differences in demographic data, clinical characteristics, and evaluation data before intervention in both groups. The analysis results show that there were significant improvements in Barthel index, BBS and TUG in experimental group. Conclusion: Sling exercise combine with traditional physical therapy had positive effects on balance function of chronic stroke patients.

目錄
摘要 I
Abstract II
目錄 III
表目錄 V
圖目錄 VI
第壹章、緒論 1
第一節 研究背景 1
第二節 研究動機 2
第三節 研究目的與問題 4
第四節 研究假設 4
第五節 名詞解釋 5
第貳章、文獻探討 7
第一節 腦中風患者的病因與臨床表徵 7
第二節 腦中風患者之平衡能力 10
第三節 腦中風常見的平衡治療 10
第四節 懸吊運動訓練原理及應用 12
第五節 懸吊運動訓練對降低肌肉張力、平衡相關文獻 14
第叁章、研究方法 22
第一節 研究架構與設計 22
第二節 研究對象 24
第三節 研究工具 25
第四節 研究歩驟 33
第五節 實驗流程 35
第六節 資料分析 35
第肆章、研究結果 36
第一節 研究對象人口學變項、日常生活能力、平衡能力、行走能力前測的表現 36
第二節懸吊運動及傳統復健對於日常生活能力、平衡能力、行走速度之比較 40
第三節 總結 46
第伍章、 討論 47
第一節 日常生活能力之探討 47
第二節 介入後平衡能力之改變 48
第陸章、 結論與建議 49
第一節 結論 50
第二節 研究限制 50
第三節 建議 51
參考文獻........................52

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