臺灣博碩士論文加值系統

中國傳統整復推拿是一種歷史悠久且具備多種功效之按摩技術，具有改善疲勞後的運動恢復表現及酸痛程度。雖然，該技術已被使用於促進健康與消除疲勞達數百年之久，但卻未曾有人探討整復推拿對於運動疲勞後表現恢復的效果。本研究目的在於探討中醫推拿對於運動疲勞恢復能力與運動表現之影響，共有17健康運動員(年齡：21.2 ± 0.3 yrs)參與本研究並隨機分成兩組 (中醫按摩組9位、動態恢復組8位)，在實驗開始前皆先進行前測，測量項目包含股四頭肌肌力、關節活動度、垂直跳高度、疼痛程度與肌肉損傷指標檢測，接著以重複深蹲跳試驗讓參與者達到肌肉疲勞，再進行第二次測驗，測驗後，實驗組介入單次12分鐘的推拿按摩，控制組則單純執行動態活動，最後執行後測，疼痛程度、垂直跳高度與肌肉損傷指標則於後側後24與48小時各再檢測一次；本研究資料採用二因子變異數重複量數分析去比較多次測驗間的最大等長肌力、垂直跳高度、關節活動度、酸痛程度與肌肉損傷指標。本研究發現，雖然兩組受試者皆在第24與48日時引發明顯較高的肌肉損傷指標，但無論他們在不同時期的最大等長肌力、垂直跳高度、關節活動度與酸痛程度皆無明顯差異。結論，本研究證實急性劇烈運動後，立即進行中國傳統按摩對運動後恢復期間運動表現下降和減緩運動誘發肌肉損傷沒有明顯效益。

Chinese traditional massage is a popular therapeutic modality in Chinese medicine, and this massage technique is based upon the theories of acupuncture points and meridian. Although this massage method has been used for hundred years for therapeutic and healthy purpose, it has not been well evident whether there are benefits of Chinese traditional massage on post-exercise recovery. To investigate the effectiveness of traditional Chinese massage on exercise performance and muscle damaging status afteran acute bout of jumping exercise. Seventeen healthy male subjects (21.2 ± 0.3 yrs) participated in this study and were randomly divided into two groups (active recovery group, AR, n=8; Chinese traditional massage group, CMSG, n=9). All subjects performed a single bout of depth squat jump exercise (10 jumps/set; 12 set for total; set interval: 1 min). After the completion of exercise, AR group were subjected for active recovery on a stationary bike (50W for 12 min), and CMSG group were subjected for a 12-min Chinese traditional massage. The vertical jump performance, maximum isometric strength, and blood CK levels were measured at before exercise, after exercise, after massage, and 48h after exercise. The statistical comparisons for all measured parameters were used two-way ANOVA with repeated measurement. Both groups showed significantly greater blood CK levels at 48 h post-exercise (AR: 368.5±38.2 u/g; CMSG: 369.2±58.2 u/g) in compared with baseline, immediately after exercise, and after massage, whereas there were no statistical significance between-groups (p>0.05). The maximum isometric muscle strength (MVC) and vertical jump performance at different times were not different at any time point between groups (p>0.05). In conclusion, we observed that performing Chinese traditional massage immediately after acute strenuous exercise has no effects on attenuating the declines in vertical jump performance and exercise-induced muscle damage during post-exercise recovery.

目　　次
中文摘要 i
英文摘要 ii
目　　次 iii
表　　次 v
圖　　次 vi
第一章 緒論
第一節 研究背景 1
第二節 研究目的 2
第三節 研究範圍與假設 3
第四節 名詞操作型定義 4
第五節 研究的重要性 4
第二章 文獻探討
第一節 肌肉疲勞之介紹 6
第二節 推拿按摩之起源與理論 7
第三節 改善急性肌肉疲勞恢復成效之相關研究文獻 13
第四節 運動按摩或推拿對運動員表現之研究 23
第五節 總結 27
第三章 研究方法
第一節 研究對象 28
第二節 研究時間與地點 28
第三節 研究工具 29
第四節 研究方法與流程 31
第五節 資料分析 36
第四章 研究結果
第一節 受試者基本資料與實驗參與情形 37
第二節 推拿按摩對於垂直跳高之表現影響 38
第三節 推拿按摩對標準化之最大等長收縮力量表現影響 39
第四節 推拿按摩對自覺痠痛情形之影響 40
第五節 推拿按摩對肌酸激酶值之影響 42
第五章 討論
第一節 推拿按摩對運動表現之影響 43
第二節 推拿按摩對運動誘發肌肉痠痛程度之影響 45
第三節 推拿按摩對運動誘發肌肉損傷之影響 47
第四節 小結 48
第六章 結論
參考文獻
中文部分 50
外文部分 50
附錄
附錄一　手法流程詳細介紹 55
附錄二　受試者說明暨同意書 70

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