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題名:輕度失能老人的體能復健介入與評估之個案研究
作者:吳承恩
作者(外文):WU,CHENG-EN
校院名稱:中華大學
系所名稱:管理博士學位學程
指導教授:李開偉
學位類別:博士
出版日期:2023
主題關鍵詞:長期護理中心輕度失能康復關節活動範圍long-term care centermildly disabledrehabilitationrange of joint motion
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衰老會造成身體的變化,包括活動能力和肌肉功能的喪失。它可能導致身體能力受損和生活品質下降,過去研究的身體活動康復計畫常涉及健身器材的使用。本研究的目的是調查不使用健身器材的身體活動康復計畫是否可以改善輕度失能老年人的關節活動範圍、握力和步態速度。台灣一家長期護理中心的40名老年人參與本研究,並被分成對照組和實驗組。實驗組的受測者參加了為期八週的身體活動復健計畫,對照組的受測者則未參加。在八週之前和之後測量了所有受測者的身體關節活動範圍、握力和步態速度。結果顯示,參加該計畫後,實驗組受測者的所有關節活動範圍、握力和步態速度均顯著(p<0.05)提高。實驗組男性和女性受測者的關節活動範圍改善範圍分別為3.8%至71%和7.8%至75%。男性受測者的步態速度(50%)比女性受測者(22.9%)有更大的改善。另一方面,女性受測者握力的增加幅度(25.4%)比男性受測者(20.3%)高。另一方面,對照組的關節活動範圍、握力和步態速度在同一時期沒有顯著變化。結果顯示,本研究採用的身體活動康復計畫可有效提高參加計畫表老人的關節活動範圍、握力和步態速度。這項研究顯示,在不使用健身器材的情況下進行為期八週的身體活動康復計畫有益於減少患有輕度殘疾的老年人的肌肉減少症。
Ageing is related to changes in physical health, including loss of mobility and muscle function. It can lead to impaired physical capability and reduced quality of life. The physical activity rehabilitation program (PARP) in the literature normally involved using gym apparatus. The purpose of this study was to investigate whether a physical activity rehabilitation program without using gym apparatus could improve the range of joint motion (ROM), grip strength, and gait speed of older adults with mild disabilities. Forty older adults in a long-term care center in Taiwan joined as human participants and were split into the control and experimental groups. The participants in the experimental group joined a PARP for eight weeks. The participants in the control group did not join. The ROM of bodily joints, grip strength, and gait speed of all participants were measured both before and after the eight-week period. The results showed that all the ROMs, grip strength, and gait speed of the participants in the experimental group increased significantly(p<0.05) after attending the program. The improvement of the ROMs for male and female participants in the experimental group ranged from 3.8% to 71% and from 7.8% to 75%, respectively. Male participants had greater improvement on gait speed (50%) than their female counterparts (22.9%). Female participants, on the other hand, had greater improvement on grip strength (25.4%) than their male counterparts (20.3%). The ROM, grip strength, and gait speed of the control group, on the other hand, did not change significantly during the same period. The results showed that the PARP adopted in this study was effective in increasing the ROM, grip strength, and gait speed of those who had joined the PARP. This study shows that an eight-week PARP without the use of gym apparatus was beneficial in reducing sarcopenia in elderly people with mild disabilities.
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