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題名：墊上核心訓練對慢性下背痛患者腰椎穩定肌力、局部血流、運動知覺及功能改善之影響
書刊名：運動生理暨體能學報
作者：陳竑廷 引用關係／鍾雨純／吳慧君
作者(外文)：Chen, Hung-ting／Chung, Yu-chun／Wu, Huey-june
出版日期：2015
卷期：21
頁次：頁13-25
主題關鍵詞：非特異性下背痛；軀幹本體感覺；背伸肌反應測試；Nonspecific lower back pain；Somatic proprioception；Back extensor response testing
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(1) 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:1
  • 共同引用共同引用:23
  • 點閱點閱:2
目的：探討介入墊上核心訓練後，對慢性下背痛患者椎穩定肌力、肌耐力、局部血流、運 動知覺及功能障礙之影響。方法：以30名慢性下背痛女性患者為研究對象。隨機分成墊上核心 訓練組（MST）及控制組（C），前測完成後，MST組訓練為期6週、每週2次、每次60分鐘，並 於訓練後的1週內後測。資料以混合設計二因子變異數分析統計。結果：一、MST組訓練後疼痛 自覺及背肌肌電反應時間顯著下降，且優於C組；二、MST組訓練後氧合血紅素及血氧飽和度顯 著下降，且背肌力矩峰值及本體感覺復位度均顯著進步。結論：參與6週墊上核心訓練者比未介 入訓練前顯著改善下背痛患者疼痛、運動知覺、局部血流及肌力，尤其在疼痛及背肌肌電反應 時間的改善也比未經訓練者來得佳。
Purpose: To investigate the effectiveness of mat science training (MST) in improving the lumbar stability, muscle strength, muscular endurance, local blood flow, kinesthesia, and dysfunctions in patients with chronic lower back pain. Methods: Thirty women with chronic lower back pain participated in the study and were randomly assigned to MST group and control group. The MST group completed a 6-week program involving two 60-minute MST sessions per week after pre-test. Upon completing the program, the participants were tested again within one week. Data were analyzed using a two-way mixed design analysis of variance. Results: The visual analog scale and response time of the MST group was significantly decreased, and significantly lower than that of the control group. The oxy-Hb and SpO2 were decreased significantly, and the isokinetic peak torque of lumbar muscles, re-positioning accuracy were improved significantly in MST group. Moreover, compared with the control group, the response time was significantly higher in MST group after training. Conclusion: The 6-week MST program significantly improved the perceived pain, kinesthesia, local blood flow, and lumbar muscle strength. Moreover, the significant improvements in pain and response time was found for the participants who completed training.
期刊論文
1.張佳玲、張瀞文、吳慧君(20080500)。抗力球肌力訓練與器械式阻力訓練對大學生核心肌肉適能之比較研究。運動生理暨體能學報，7，41-50。new window  延伸查詢new window
2.邱俊傑(20040200)。慢性下背痛治療新觀念--核心復健運動。臺北市醫師公會會刊，48(2)，54-59。  延伸查詢new window
3.林姵吟、徐煒杰、鄭景峰(20150600)。以近紅外線光譜儀探討遞增負荷運動對大腦與肌肉氧飽和度之影響。運動生理暨體能學報，20，13-21。new window  延伸查詢new window
4.陳怡臻、鍾孟玲(20080600)。墊上核心訓練課程之結構分析。彰化師大體育學報，7，11-18。new window  延伸查詢new window
5.楊明達、鄭羽潔、詹貴惠(20150600)。抗力球訓練對射箭選手肌肉功能、平衡能力與運動表現的影響。體育學報，48(2)，139-148。new window  延伸查詢new window
6.Demoulin, C.、Crielaard, J. M.、Vanderthommen, M.(2007)。Spinal muscle evaluation in healthy individuals and low-back-pain patients: A literature review。Joint Bone Spine，74(1)，9-13。  new window
7.Davidson, M.、Keating, J. L.(2002)。A comparison of five low back disability questionnaires: Reliability and responsiveness。Physical Therapy，82(1)，8-24。  new window
8.Curnow, D.、Cobbin, D.、Wyndham, J.、Boris Choy, S. T.(2009)。Altered motor control, posture and the Pilates method of exercise prescription。Journal of Bodywork and Movement Therapies，13(1)，104-111。  new window
9.Bejia, I.、Younes, M.、Jamila, H. B.、Khalfallah, T.、Ben Salem, K.、Touzi, M.(2005)。Prevalence and factors associated to low back pain among hospital staff。Joint Bone Spine，72(3)，254-259。  new window
10.Airaksinen, O.、Brox, J. I.、Cedraschi, C.、Hildebrandt, J.、Klaber-Moffett, J.、Kovacs, F.(2006)。European guidelines for the management of chronic nonspecific low back pain。European Spine Journal，15(Suppl. 2)，S192-S300。  new window
11.Henry, S. M.、Hitt, J. R.、Jones S. L.、Bunn, J. Y.(2006)。Decreased limits of stability in response to postural perturbations in subjects with low back pain。Clinical Biomechanics，21(9)，881-892。  new window
12.Hayden, J. A.、van Tulder, M. W.、Malmivaara, A. V.、Koes, B. W.(2005)。Meta-analysis: Exercise therapy for nonspecific low back pain。Annals of Internal Medicine，142(9)，765-775。  new window
13.Gregory, D. E.、Brown, S. H.、Callaghan, J. P.(2008)。Trunk muscle responses to suddenly applied loads: Do individuals who develop discomfort during prolonged standing respond differently?。Journal of Electromyography and Kinesiology，18(3)，495-502。  new window
14.Donzelli, S.、Di Domenica, E.、Cova, A. M.、Galletti, R.、Giunta, N.(2006)。Two different techniques in the rehabilitation treatment of low back pain: A randomized controlled trial。Europa Medicophysica，42(3)，205-210。  new window
15.Kauppila, L. I.、Mikkonen, R.、Mankinen, P.、Pelto-Vasenius, K.、Mäenpää, I.(2004)。MR aortography and serum cholesterol levels in patients with long-term nonspecific lower back pain。Spine，29(19)，2147-2152。  new window
16.Karahan, A.、Kav, S.、Abbasoglu, A.、Dogan, N.(2009)。Low back pain: Prevalence and associated risk factors among hospital staff。Journal of Advanced Nursing，65(3)，516-524。  new window
17.Kankaanpää, M.、Colier, W. N.、Taimela, S.、Anders, C.、Airaksinen, O.、Kokko-Aro, S. M.(2005)。Back extensor muscle oxygenation and fatigability in healthy subjects and low back pain patients during dynamic back extension exertion。Pathophysiology，12(4)，267-273。  new window
18.Jull, G. A.、Richardson, C. A.(2000)。Motor control problems in patients with spinal pain: A new direction for therapeutic exercise。Journal of Manipulative and Physiological Therapeutics，23(2)，115-117。  new window
19.Rydeard, R.、Leger, A.、Smith, D.(2006)。Pilates-based therapeutic exercise: Effect on subjects with nonspecific chronic low back pain and functional disability: A randomized controlled trial。Journal of Orthopaedic and Sports Physical Therapy，36(7)，472-484。  new window
20.Newcomer, K.、Laskowski, E. R.、Yu, B.、Larson, D. R.、An, K. N.(2000)。Repositioning error in low back pain: Comparing trunk repositioning error in subjects with chronic low back pain and control subjects。Spine，25(2)，245-250。  new window
21.Newcomer, K.、Laskowski, E. R.、Yu, B.、Johnson, J. C.、An, K. N.(2001)。The effects of a lumbar support on repositioning error in subjects with low back pain。Archives of Physical Medicine and Rehabilitation，82(7)，906-910。  new window
22.Miyamoto, G. C.、Costa, L. O. P.、Galvanin, T.、Cabral, C. M. N.(2013)。Efficacy of the addition of modified Pilates exercises to a minimal intervention in patients with chronic low back pain: A randomized controlled trial。Physical Therapy，93(3)，310-320。  new window
23.Kell, R. T.、Bhambhani, Y.(2008)。Relationship between erector spinae muscle oxygenation via in vivo near infrared spectroscopy and static endurance time in healthy males。European Journal of Applied Physiology，102(2)，243-250。  new window
24.Sorosky, S.、Stilp, S.、Akuthota, V.(2008)。Yoga and pilates in the management of low back pain。Current Reviews Musculoskeletal Medicine，1(1)，39-47。  new window
25.Smidt, N.、de Vet, H. C.、Bouter, L. M.、Dekker, J.、Arendzen, J. H.、de Bie, R. A.(2005)。Effectiveness of exercise therapy: A best-evidence summary of systematic reviews。Australian Journal of Physiotherapy，51(2)，71-85。  new window
26.Sherman, K. J.、Cherkin, D. C.、Erro, J.、Miglioretti, D. L.、Deyo, R. A.(2005)。Comparing yoga, exercise, and a selfcare book for chronic low back pain: A randomized, controlled trial。Annuals of International Medicine，143(12)，849-856。  new window
27.Taelman, J.、Vanderhaegen, J.、Robijns, M.、Naulaers, G.、Spaepen, A.、Van Huffel, S.(2011)。Estimation of muscle fatigue using surface electromyography and near-infrared spectroscopy。Advances in Experimental Medicine and Biology，701，353-359。  new window
28.Verbunt, J. A.、Seelen, H. A.、Vlaeyen, J. W.、van de Heijden, G. J.、Heuts, P. H.、Pons, K.(2003)。Disuse and deconditioning in chronic low back pain: Concepts and hypotheses on contributing mechanisms。European Journal of Pain，7(1)，9-21。  new window
29.Yoshitake, Y.、Ue, H.、Miyazaki, M.、Moritani, T.(2001)。Assessment of lower-back muscle fatigue using electromyography, mechanomyography, and near-infrared spectroscopy。European Journal of Applied Physiology，84(3)，174-179。  new window
30.Williams, K. A.、Petronis, J.、Smith, D.、Goodrich, D.、Wu, J.、Ravi, N.(2005)。Effect of Iyengar yoga therapy for chronic low back pain。Pain，115(1/2)，107-117。  new window
31.Wallwork, T. L.、Stanton, W. R.、Freke, M.、Hides, J. A.(2009)。The effect of chronic low back pain on size and contraction of the lumbar multifidus muscle。Manual Therapy，14(5)，496-500。  new window
圖書
1.唐幼馨(2006)。天天完美瑜珈提斯。臺北市：方智。  延伸查詢new window
2.吳慧君(2006)。運動能力的生理學評定。台北：師大書苑。  延伸查詢new window
3.王安利(2008)。運動醫學。北京：人民體育出版社。  延伸查詢new window
4.Isacowitz, R.、Clippinger, K. S.(2011)。Pilates anatomy。Champaign, IL：Human Kinetics。  new window
5.Kaminoff, L.、Matthews, A.、Ellis, S.(2007)。Yoga anatomy。Champaign, IL：Human Kinetics。  new window
其他
1.行政院衛生署中央健康保險局(2013)。醫院總額台北分區執行概況，http://www.nhi.gov.tw/resource/Webdata/22987_1_1020103-101%e5%b9%b4%e7%ac%ac4%e6%ac%a1%e8%81%af%e7%b9%ab%e6%9c%83%e8%ad%b0%e5%a0%b1%e5%91%8a%e6%a1%88%e4%b8%80%e9%86%ab%e9%99%a2%e7%b8%bd%e9%a1%8d%e8%87%ba%e5%8c%97%e5%88%86%e5%8d%80%e5%9f%b7%e8%a1%8c%e6%a6%82%e6%b3%81.pdf。  new window
2.Aerobics and Fitness Association of America(2009)。Mat science，http://www.afaa.com/。  new window
 
 
 
 
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