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題名:不同活動型態高齡女性平衡能力之研究
書刊名:運動與遊憩研究
作者:沈竑毅 引用關係洪偉欽 引用關係成和正
作者(外文):Shen, Hong-yiHong, Wei-chinChen, Ho-cheng
出版日期:2007
卷期:2:2
頁次:頁129-142
主題關鍵詞:開眼單足站立測驗靜態平衡能力One-leg stance testBalance
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(3) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:64
  • 點閱點閱:30
研究背景:在衛生醫療、生化科技快速的進步的同時,國人平均壽命延長,隨而影響人口結構與經濟層面。也由於社會型態轉變所衍生出的種種問題,使「高齡化國家」成為目前世界各國密關注的課題。伴隨老化過程,人的平衡能力會逐漸退化,失去平衡是高齡者發生跌倒的最主要原因,同時也耗費鉅額的社會成本與醫療資源。研究顯示平衡能力可以透過不同運動型態、不同訓練及規律運動習慣等方式獲得改善。因此,本研究目的:在探討規律運動與坐式生活高齡女性平衡能力之差異性。研究方法:採開眼單足站立測驗(one-leg stance test, eyes-open),以測量靜態平衡能力,研究對象:為嘉義地區高齡女生,經方便取樣80人,平均年齡為75.96±8.47歲,分規律運動組(41人)與坐式生活組(39人),並將高齡者分成65-74歲(36人)、75-84歲(25人)、85歲以上(19人)三組。統計方法為敘述性統計與獨立樣本二因子變異分析(two-way ANOVA),顯著水準定為α=.05。研究結果:(一)規律運動與坐式生活高齡者平衡能力無顯著差異(p>.05);(二)規律運動組與坐式生活組在平衡能力無顯著差異(p>.05)。(三)高齡者三組在平衡能力有顯著差異(p<.05),經Bonferroni事後比較發現65-74歲組平衡能力優於85歲以上組。研究結論:規律運動對於高齡者女性在平衡能力提升效果有限,推論為高齡者女性可能由肌力與骨質疏鬆的衰退程度快速,且平日規律的運動強度不夠,使得年齡因素在平衡能力的表現上還是佔主要的關鍵因子。因此,建議未來能加以測量骨質密度與下肢肌力同時做比較,以釐清問題所在。
The lifespan of our people has been greatly extended with the continuing improvement in health care and rapid development of biotechnology. This has resulted not only in a change in the infrastructure of our population but also our economy as well. The subsequent social problems evolved from an aging population have led to worldwide concern and extensive discussion. The ability to balance generally decreases as one progress into old age and often, this is accompanied by an increase in falls. Fall-related injuries have imposed a negative impact in economic and socials cost and also high costs in public health service. Studies have shown that the ability to balance can be improved with different exercise prototypes, physical training and regular exercise regimens. Thus, the objective of our study is to investigate the difference in the ability a balance between geriatric females who exercise regularly and those who lead a sedentary lifestyle. METHOD: By performing a one-leg stance test with eyes open, the ability of stationary balance is measured. Subjects involved are 80 females with an average age of 75.96±8.47 years old. They are first divided into two groups according to lifestyle, the group that perform regular exercise (41 females) and the other 39 who are inactive. The subjects are further divided into three groups according to age. They are the 65-74 years old group, the 75-84 years old group and the 85 years old and above age group where there are 36, 25 and 19 females respectively. The two-way ANOVA and descriptive statistics are employed with a significance level of α=.05. RESULTS: 1. No significant difference was found in the ability to balance with different lifestyles for geriatric females (p>.05). 2. No significant difference was found in the ability to balance between the groups with different lifestyles (p>.05). 3. Significant difference was found among the three different age groups in the ability to balance and after the Bonferroni correction, the 65-74 age group showed better abilities to the 85 and above age group. CONCLUSION: It is revealed in this study that regular exercise has limited effect on enhancing the ability to balance. We deduce this to be the result of the rapid degeneration of muscle strength and loss of bone density and insufficiency in the intensity of regular exercise, leaving old age to be the main factor that determines the ability of balance. Thus, we propose that additional tests in bone density and muscle strength of the lower extremities be done in order to clarify the possibilities of other factors.
期刊論文
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