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題名:綜合性運動訓練對改善老年人跌倒因素之成效
書刊名:大專體育
作者:余祥義曾建興 引用關係
作者(外文):Yu, Hsiang-iTseng, Chien-hsing
出版日期:2011
卷期:114
頁次:頁76-84
主題關鍵詞:老化肌肉力量平衡能力行走能力AgingMuscular strengthBalance abilityWalking ability
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(4) 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:4
  • 共同引用共同引用:39
  • 點閱點閱:168
跌倒是老年人常見的事故傷害,此現象將導致日常活動功能衰退及降低生活品質,進而耗費國家醫療資源,如何有效地預防與改善,儼然已成為重要的公共衛生議題。基於跌倒非單一因素所致,歸納相關實證研究後得知採用涵蓋有氧運動、肌力訓練、伸展運動及平衡訓練的綜合性運動訓練為較佳運動療法。爰此,本文透過文獻回顧方式首先剖析造成老年人跌倒的危險因素及其評估方式,隨後提出綜合性運動訓練改善跌倒因素的具體成效;結果發現綜合性運動訓練可促進下肢肌力、平衡能力、行走能力等跌倒因素,並兼具減緩骨質流失與促進骨骼健康之功用,有效降低發生跌倒的風險。最後,冀望本論述結果能提供老年醫學及公共衛生單位作為發展預防老年人跌倒策略之參考。
Falling is a common problem to cause injuries in the elderly. Falls leads to decline physical function and activities of daily living and reduce quality of life in older adults, and also results in enormous medical cost. Therefore, it has become the most important issues in public health to effectively prevent falls and improve functions in the elderly. However, the cause of falls is multifactor and complicated. Through the scientific evidence, the effective training program should include the combination of aerobic exercise, strengthening exercise, stretching, and balance exercise. In this review, we reported the falls factors in the elderly and the assessment of falls and summarized the therapeutic outcomes of using integrated exercise training. After proper training, older adults can improve their muscle strength in lower limbs, balance and walking abilities, reduce the loss of bone density and increase healthy bones to effectively prevent the falls risk. Finally, we hope this article may serve as a reference for developing elderly falls strategies in geriatric medicine and public health.
期刊論文
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3.Carvalho, M. J.、Marques, E.、Mota, J.(2009)。Training and detraining effects on functional fitness after a multicomponent training in older women。Gerontology,55,41-48。  new window
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6.李亞芸、吳英、蔡亦為、李雪楨、王瑞瑤、楊雅如(20061000)。運動訓練對預防老年女性跌倒之效益:統合分析。物理治療,31(5),273-284。  延伸查詢new window
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8.林茂榮、黃慧芬(20081200)。老人跌倒之預防介入策略。臺灣公共衛生雜誌,27(6),447-462。new window  延伸查詢new window
9.Rubenstein, L. Z.、Josephson, K. R.(2002)。The epidemiology of falls and syncope。Clinics in Geriatric Medicine,18(2),141-158。  new window
10.陳玉枝、林麗華、簡淑芬(20020900)。住院病患傷害性跌倒的影響因素與其醫療資源耗用之相關性。慈濟護理雜誌,1(3),66-77。  延伸查詢new window
11.林茂榮、王夷暐(20040800)。社區老人跌倒的危險因子與預防。臺灣公共衛生雜誌,23(4),259-271。new window  延伸查詢new window
12.陳怡如、黃璉華、鄭舜平(20050400)。預防老人跌倒之運動訓練研究趨勢探討。臺灣公共衛生雜誌,24(2),93-102。new window  延伸查詢new window
13.Binder, E. F.、Brown, M.、Sinacore, D. R.、Steger-May, K.、Yarasheski, K. E.、Schechtman, K. B.(2004)。Effects of extended outpatient rehabilitation after hip fracture: A randomized controlled trial。JAMA,292(7),837-846。  new window
14.Costello, E.、Edelstein, J.、Fispo, C.(2008)。Update on falls prevention for community-dwelling older adults: Review of single and multifactorial intervention programs。Journal of Rehabilitation Research and Development,45(8),1135-1152。  new window
15.Delbaere, K.、Bourgois, J.、Van Den Noortgate, N.、Vanderstraeten, G.、Willems, T.、Cambier, D.(2006)。A home-based multidimensional exercise program reduced physical impairment and fear of falling。Acta Clinica Belgica,61(6),340-350。  new window
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17.Park, S.、Kwon, Y.、Youn, M. I. S.、Kim, E.、Kim, C.、Park, H.(2005)。The effect of multi-component exercise training on mobility, muscle mass, bone mineral density in community-dwelling elderly women。Journal of Physical Education and Medicine,6(1),1-9。  new window
18.Park, H.、Kim, K.、Komatsu, T.、Park, S.、Mutoh, Y.(2008)。Effect of combined exercise training on bone, body balance, and gait ability: A randomized controlled study in community-dwelling elderly women。Journal of Bone and Mineral Metabolism,26(3),254-259。  new window
19.Kenny, R. A.、Rubenstein, L. Z.、Martin, F. C.、Tinetti, M. E.(2001)。Guideline for the prevention of falls in older persons。Journal of the American Geriatrics Society,49(5),664-672。  new window
20.Kwon, Y.、Park, S.、Kim, E.、Park, J.(2008)。The effects of multi-component exercise training on VO2 max, muscle mass, whole bone mineral density and fall risk in community-dwelling elderly women。Japanese Journal of Physical Fitness and Sports Medicine,57(3),339-348。  new window
21.Lopes, K. T.、Costa, D. F.、Santos, L. F.、Castro, D. P.、Bastone, A. C.(2009)。Prevalence of fear of falling among a population of older adults and its correlation with mobility, dynamic balance, risk and history of falls。Revista Brasileira de Fisioterapia,13(3),223-229。  new window
22.Stone, K. L.、Seeley, D. G.、Lui, L. Y.、Cauley, J. A.、Ensrud, K.、Browner, W. S.(2003)。BMD at multiple sites and risk of fracture of multiple types: Long-term results from the study of osteoporotic fractures。Journal of Bone and Mineral Research,18(11),1947-1954。  new window
23.Tiedemann, A.、Shimada, H.、Sherrington, C.、Murray, S.、Lord, S.(2008)。The comparative ability of eight functional mobility tests for predicting falls in community-dwelling older people。Age and Ageing,37(4),430-435。  new window
會議論文
1.Rose, D. J.(2004)。The role of exercise in reducing falls and fall-related injuries in older adults。Washington, DC。  new window
研究報告
1.曹昭懿、林桑伊、張谷州、李雪楨、陳石池、楊榮森等(2009)。老人跌倒整合預防保健介入模式建置先驅研究。臺北市。  延伸查詢new window
圖書
1.林桑伊(2009)。老人跌倒預防。臺北市:合記。  延伸查詢new window
2.American Physical Therapy Association(2003)。Guide to physical therapist practice。Alexandria, VA:American Physical Therapy Association。  new window
其他
1.內政部統計處(2009)。97年底人口結構分析,http://sowf.moi.gov.tw/stat/week/week9804.doc, 20090515。  延伸查詢new window
2.行政院衛生署(2008)。主要死亡原因死亡人數、死亡率─按特定年齡組及性別分,http://www.doh.gov.tw/CHT2006/DisplayStatisticFile.aspx?d=69027&s=1。  延伸查詢new window
3.蔡益堅,葉純志,藍祚運,張文瓊,曾德運(2007)。1999年與2005年臺灣地區老人跌倒狀況之比較─2005 年國民健康訪問暨藥物濫用調查結果,http://enews.nhri.org.tw/enews_list_new2.php?volume_indx=198&showx=showarticle&article_indx=5630&enews_dt=2007-5604-5626。  延伸查詢new window
 
 
 
 
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