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題名:不同知覺動作訓練週期對高齡者平衡控制能力之成效分析
書刊名:長榮運動休閒學刊
作者:吳孟恬詹元碩 引用關係
出版日期:2011
卷期:5
頁次:頁21-28
主題關鍵詞:神經肌肉控制跌倒站立姿勢身體擺動Neuromuscular systemFallStanding postureBody sway
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(2) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:9
  • 點閱點閱:25
研究目的:老年人因神經肌肉控制能力退化,造成身體無法維持穩定而跌倒,平衡控制需要倚賴感覺、動作及認知系統,本研究以知覺動作訓練介入強化老年人平衡控制能力,並探討有效訓練過期之妥適性。研究方法:研究對象為23位老年人(平均年齡69.5±5.5歲),知覺動作訓練介入12週,每週3次,每次30至40分鐘,於訓練0週、6週、12週執行POSTUROMED(上標 ®)平衡系統檢測,測試五種站立姿勢:睜眼自然站、閉眼自然站、雙腳合併站、雙腳半前後站(semi-tandem)及雙腳前後站(tandem),以250Hz頻率偵測20秒內身體擺動狀態,分別觀察:橫軸(X軸)、矢狀軸(Y軸)及整體擺動距離。統計使用重複測量變異數分析(repeated measure ANOVA)比較不同訓練週期之成效,並以Tukey HSD多重比較法找出差異組別。結果:本研究發現12週長週期訓練影響平衡控制能力表現較6週訓練改善明顯,於睜眼自然站、閉眼自然站及雙腳合併站之整體、X軸及Y軸擺動距離皆達顯著差異(p<.05),在雙腳半前後站之整體及Y軸擺動距離達顯著差異(p<.05),而在雙腳前後站僅呈現Y軸擺動距離顯著影響(p<.05)。結論:對於高齡者而言,長過期知覺動作訓練比短週期知覺動作訓練更能有效提升平衡控制能力。
Purpose: Age-related changes in neuromuscular control contribute to impairments in balance control and increase fall risks in older adults. Maintaining balance is based on the sensor, motor and cognitive system. Therefore, the purpose of this study was to detect the effect training period to compare the effects of a long and short training period (six and twelve weeks) on balance control in elderly. Methods: Twenty-three healthy older adults (mean age 69.5±5.5 yr.) performed 30 to 40 minutes sensorimotor training three times per week for 12 weeks. Three parameters about balance were observed including transversal X, sagittal Y and total body sway distance. The postural assessment system (POSTUROMED(superscript ®)) with 250 Hz was used to measure 20 seconds of body sways before, middle and after training (at 0, 6, 12-week). Various Postures were measured including standing naturally with eyes open and closed, standing with feet together as well as standing in a semi-tandem and a tandem stand. For the analysis the SPSS 12.0 statistical software was used; repeated measure ANOVA and Tukey HSD were conducted. Results: The 12-week long training period affected the outcome even more significantly than the 6-week short training period. In comparison with the 6-week training period, subjects decreased their transversal X, sagittal Y and total body sway distance in the natural standing position with eyes open and closed and feet together stand (p<.05). Subjects also decreased their sagittal Y and total body sway distance in the semi-tandem stand (p<.05). The tandem stand, however, only revealed significant difference on the sagittal Y body sway (p<.05). Conclusion: the long period training in elderly has better effects on balance control than the short period training program.
期刊論文
1.Shumway-Cook, A.、Woollacott, M.(2000)。Attentional demands and postural control: The effect of sensory context。Journals of Gerontology Series A: Biological Sciences & Medical Sciences,55(1),M10-M16。  new window
2.Brown, L. A.、Shumway-Cook, A.、Woollacott, M. H.(1999)。Attentional demands and postural recovery: The effects of aging。Journal of Gerontology: Sciences and Medical Sciences,54(4),165-171。  new window
3.Berg, K. O.、Maki, B. E.、Williams, J. I.、Holliday, P. J.、Wood-Dauphinee, S. L.(1992)。Clinical and laboratory measures of postural balance in an elderly population。Archives of Physical Medicine & Rehabilitation,73(11),1073-1080。  new window
4.Brauer, S. G.、Woollacott, M.、Shumway-Cook, A.(2002)。The influence of a concurrent cognitive task on the compensatory stepping response to a perturbation in balance-impaired and healthy elders。Gait & Posture,15,83-93。  new window
5.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
6.Westlake, K. R.、Wu, Y.、Cullham, E. G.(2007)。Sensory-Specific Balance Training in Older Adults : Effect on Position, Movement, and Velocity Sense at the Ankle。Physical Therapy,87(5),560-571。  new window
7.Bryan, W.、Harter, N.(1897)。Studies in the physiology and psychology of telegraphic language。Psychological Review,4,27-53。  new window
8.Granacher, U.、Gollhofer, A.、Strass, D.(2006)。Training induced adaptations in characteristics of postural reflexes in elderly men。Gait & Posture,24(4),459-466。  new window
9.Gauchard, G. C.、Gangloff, P.、Jeandel, C.、Perrin, P. P.(2003)。Physical activity improves gaze and postural control in the elderly。Neuroscience Research,45,409-417。  new window
10.Kaesler D. S.、Mellifont R. B.、Kelly P. S.、Taaffe D. R.(2007)。A novel balance exercise program fox postural stability in older adults : A pilot study。Journal of Bodywork and Movement Therapies,11(1),37-43。  new window
學位論文
1.陳蒂勻(2004)。知覺動作訓練課程對ADHD兒童動作能力影響之個案研究(碩士論文)。國立屏東師範學院。  延伸查詢new window
2.陳淑美(2006)。國民小學特殊教育教師對感覺統合實施現況之調查研究。國立新竹教育大學,新竹市。  延伸查詢new window
圖書
1.張嘉澤(2008)。訓練學。臺灣運動能力診斷協會。  延伸查詢new window
2.Wilmore, J. H.、Costill, D. L.(2004)。Physiology of sport and exercise。Champaign, IL:Human Kinetics。  new window
3.胡名霞(2006)。動作控制與動作學習。臺北市:金名圖書。  延伸查詢new window
4.羅鈞令(1998)。感覺整合與兒童發展。臺北:心理。  延伸查詢new window
5.Rose, D, J.(2003)。Fallproof!:A Comprehensive Balance & Mobility Training Program。  new window
6.Boer, J. R.(2006)。Charakterisierung des Balanceverhaltens von Gesunden, Hüft-und Kniepatienten auf dem Posturomed。Tubingen。  new window
7.Nashner, L. M.(1990)。Sensory, neuromuscular, and biomechanical contributions to human balance。Balance: Proceedings of the APTA Forum。Virginia。  new window
其他
1.行政院衛生署國民健康局(2007)。民國94年國民健康訪間調查「1999年與2005年台灣地區老人跌倒狀況之比較」,http://www.bhp.doh.gov.tw/bhpnet/portal/Them。  延伸查詢new window
 
 
 
 
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