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研究生: 黃泰諭
Haung, Tai-Yu
論文名稱: 八週密集太極拳訓練對女性老年人下肢肌力及平衡能力之影響
The Effects of 8-week Intensive Tai Chi Training on Lower Extremity Isokinetic Strength and Balance Performance of the Female Older Adults.
指導教授: 方進隆
Fang, Chin-Lung
學位類別: 碩士
Master
系所名稱: 體育學系
Department of Physical Education
論文出版年: 2006
畢業學年度: 94
語文別: 中文
論文頁數: 65
中文關鍵詞: 太極拳老年人肌力平衡
英文關鍵詞: Tai Chi Chuan, older adults, strength, balance
論文種類: 學術論文
相關次數: 點閱:277下載:54
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  • 本研究目的為探討經八週密集太極拳訓練對女性老年人下肢肌力與平衡能力的影響,以30位女性老年人(平均66.1 ± 4.02歲)為研究對象,隨機分配於太極拳訓練組與控制組(每組各十五名),訓練組接受每週五次,每次60分鐘,運動強度約為最大心跳率之55%~65%的太極拳訓練,同時也探討多久的訓練才能對肌力及平衡能力有顯著的改善效果,本研究以多面向福樂進階平衡量表(Fullerton Advanced Balance scale , FAB scale)進行全面性的評估。受試者於訓練前、中(第4週)及後(第8週),接受下肢等速肌力測驗及各項平衡能力測驗,所得之資料採混合設計二因子變異數分析(mixed design two-way ANOVA)進行統計分析。結果發現:一、八週密集的訓練後,太極拳組在下肢總等速肌力、膝關節伸肌及髖關節內收肌有顯著的改善(p <.05),但與對照組比較則沒有顯著差異。二、太極拳組的10個項目總平衡能力在四週與八週訓練後皆有顯著改善(p <.05),其中六個項目(前傾取筆、原地轉圈、直線走、開眼單腳站立、擺頭行走及後傾反應等)均有顯著差異,與對照組比較有顯著的改善(p <.05)。結論:八週密集太極拳訓練後,對女性老年人在多面向平衡能力及下肢肌力皆有顯著的改善。

    Objectives: The main purpose of this study was to investigate the effects of 8-week intense Tai Chi exercise training (5 days per week, 60 min each session, with intensity of 55% and 65% MHR) on lower extremity isokinetic strength and balance in the female older adults. Methods: Thirty community-residing women (average age was 66.10 ± 4.02 yr) were recruited as subjects and randomly assigned to Tai Chi Chuan group (TCG, 15 subjects) and control group (CG, 15 subjects) equally. Additionally, how long the intensive Tai Chi training could significantly improve lower extremity strength and balances also been investigated. A more dimensional Fullerton Advanced Balance scale, FAB scale, and the isokinetic torque of eight lower extremity strength were administered before, at 4-week and 8-week during training. The collected data were analyzed by mixed design two-way ANOVA. Results: 1) the sum isokinetic torque of eight lower extremity strength, the knee extensor and hip adductor of TCG were significantly improved (p<.05) after 8 weeks of training. 2) the total score of 10 FAB items of TCG were significantly improved after 4 weeks and 8 weeks of intensive Tai Chi training (p<.05), and 6 items of FAB, including reaching forward to retrieve an object, turning in a full circle to right and left, tandem walk, standing on one leg(eyes open), walk with head turns, reactive postural control, were also significantly improved after training (p<.05). Conclusions: Eight-week intensive Tai Chi training can both significantly improve multiple dimensions of balance performances and the lower extremity strength of female older adults.

    目 次 中文摘要……………………………………………………………………Ⅰ 英文摘要……………………………………………………………………Ⅱ 謝誌…………………………………………………………………………Ⅲ 目次…………………………………………………………………………Ⅳ 表次…………………………………………………………………………Ⅶ 圖次…………………………………………………………………………Ⅷ 第壹章 緒論………………………………………………………………1 第一節 前言………………………………………………………………1 第二節 問題背景…………………………………………………………2 第三節 研究目的…………………………………………………………4 第四節 研究範圍與限制…………………………………………………4 第五節 研究假設…………………………………………………………5 第六節 名詞操作性定義…………………………………………………5 第七節 研究的重要性……………………………………………………6 第貳章 文獻探討…………………………………………………………7 第一節 太極拳運動………………………………………………………7 第二節 太極拳運動對運動生理之影響…………………………………9 一、心血管與呼吸系統…………………………………………………9 二、骨骼肌系統…………………………………………………………10 三、柔軟度………………………………………………………………10 四、身體組成……………………………………………………………11 第三節 太極拳訓練之介入對老年人平衡能力之相關研究……………..11 一、靜態平衡能力………………………………………………………11 二、動態平衡能力及感覺組合系統……………………………………12 第四節 太極拳訓練對肌肉力量之相關研究……………………………14 一、等長收縮肌力………………………………………………………14 二、等速收縮肌力………………………………………………………15 第五節 本章總結…………………………………………………………17 第參章 研究方法…………………………………………………………18 第一節 實驗對象…………………………………………………………18 第二節 實驗設計…………………………………………………………18 第三節 實驗日期…………………………………………………………19 第四節 實驗地點…………………………………………………………19 第五節 實驗流程圖………………………………………………………20 第六節 實驗方法與步驟…………………………………………………21 一、受試者之準備………………………………………………………21 二、太極拳訓練課程進度及內容………………………………………21 三、下肢等速肌力及各項平衡能力測驗………………………………22 第七節 資料處理與分析…………………………………………………30 第肆章 結果………………………………………………………………31 第一節 八週密集太極拳訓練對女性老年人之影響……………………31 一、全體受測者基本生理資料…………………………………………31 二、太極拳組與對照組前測基本生理資料……………………………33 第二節 八週密集太極拳訓練對女性老年人平衡能力之影響…………36 附圖 ……………………………………………………………………38 第三節 八週密集太極拳訓練對女性老年人下肢肌力之影響…………41 附圖 ……………………………………………………………………43 第伍章 討論與結論………………………………………………………46 第一節 討論………………………………………………………………46 一、受測者基本資料及前測成績之探討………………………………46 二、八週密集太極拳訓練對女性老年人平衡能力之影響……………47 三、八週密集太極拳訓練對女性老年人下肢等速肌力之影響………49 第二節 結論與建議………………………………………………………51 一、結論…………………………………………………………………51 二、建議…………………………………………………………………52 引用文獻……………………………………………………………………53 附錄一 受試者須知………………………………………………………58 附錄二 受試者同意書……………………………………………………59 附錄三 健康情況調查表…………………………………………………60 附錄四 複合身體功能問卷………………………………………………61 附錄五 福樂進階平衡量表記分單………………………………………64

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