簡易檢索 / 詳目顯示

研究生: 何虹臻
Ho, Hung-Chen
論文名稱: 肌肉疲勞後拔罐對動作表現之影響
The effects of cupping therapy on physical performance after muscle fatigue
指導教授: 李恆儒
Lee, Heng-Ju
學位類別: 碩士
Master
系所名稱: 體育學系
Department of Physical Education
論文出版年: 2019
畢業學年度: 107
語文別: 中文
論文頁數: 55
中文關鍵詞: 生物力學生理學組織恢復
英文關鍵詞: Biomechanics, Physiology, Tissue recovery
DOI URL: http://doi.org/10.6345/NTNU201900086
論文種類: 學術論文
相關次數: 點閱:223下載:44
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 目的:此篇研究的目的為探討肌肉疲勞後進行拔罐介入,對於動作表現及肌肉氧飽和度的影響。方法:本篇研究收錄40名具規律運動習慣之健康男性,平均分配至靜態恢復、拔罐、主動恢復、拔罐合併主動恢復組中;收取的受試者半年內如下肢有損傷、曾接受過拔罐介入、拔罐部位有破皮、出血以及無法接受拔罐的副作用等,皆予以排除。實驗過程使用等速肌力儀及1臺近紅外線光譜儀測量疲勞前、後及接受介入後三十分鐘內等速下最大肌力及肌肉氧飽和度。統計方法以混和設計雙因子變異數分析進行組別與恢復時間的比較 (α = .05),如達顯著差異,使用Bonferroni 法進行事後比較。結果:肌肉疲勞後進行不同介入,對於動作表現的恢復無顯著差異,肌肉氧飽和度中不同參數的結果則不同,總血紅素在拔罐組中高於拔罐合併主動恢復組,去氧血紅素在拔罐合併主動恢復組中則低於靜態及主動恢復組,而拔罐及拔罐合併主動恢復組的組織氧合指標,也高於靜態及主動恢復組。此外,恢復時間的增加對於動作表現不僅無法促進恢復,在恢復15分鐘後反而開始低於肌肉疲勞前的表現;肌肉氧飽和度的參數,僅總血紅素、氧合血紅素有隨時間增加而數值上升的趨勢,且在恢復20到30分鐘起與介入後當下有顯著的差異。結論:拔罐以及拔罐合併主動恢復能夠促進組織的氧飽和情形,因此,能夠使用此兩種介入提升組織的氧合程度,作為促進組織恢復的方式。

    Purpose: The aim of this study was to detect the effects of cupping therapy influencing physical performance and muscle oxygen saturation. Methods: This study recruited forty healthy male who have regular exercise habit. They were randomly assigned to cupping, active recovery, cupping combined active recovery and static recovery groups. If these subjects have lower extremities injury in half of a year, have cupping therapy experiences in lower extremities, the site of cupping is bleeding or scratch and unable to accept the side effect of cupping was excluded. Isokinetic dynamometer and one near-infrared spectroscopy were used to detect isokinetic maximal volunteer contraction and oxygen saturation of muscle before fatigue until after the cupping therapy for 30 minutes. Two-way ANOVA was conducted to compare the effects of groups and recovery time. The significant level was set at α= .05. Post hoc comparisons were performed using the Bonferroni test. Results: There were no significant difference for physical performance recovery between four kinds of intervention after muscle fatigue. In the muscle oxygen saturation, total hemoglobin was significantly higher in the cupping than in the cupping combined active recovery group. Deoxy-hemoglobin was significantly lower in cupping combined active recovery than in static and active recovery groups. In addition, the tissue saturation index in cupping and cupping combine active recovery groups was also higher than static and active recovery group. Furthermore, the increase of recovery time was not only unable to promote tissue recovery, but decreased the physical performance after recovery 15 minutes. For the saturation index, there were only total hemoglobin and oxy-hemoglobin increased with time. The parameters were significantly different between after intervention and after 20 to 30 minutes of recovery. Conclusion: Both cupping and cupping combined active recovery could promote the tissue oxygen saturation. Therefore, these two kinds of intervention can be used as the way to facilitate tissue recovery due to the elevation of the tissue oxygenation.

    中文摘要 i 英文摘要 ii 目次 iv 第壹章 緒論 1 第一節 問題背景 1 第二節 研究的重要性 3 第三節 研究目的 3 第四節 研究假設 4 的五節 名詞操作型定義 4 第貳章 文獻探討 5 第一節 肌肉疲勞與運動表現 5 第二節 拔罐治療 7 第三節 動態與靜態恢復 9 第四節 文獻總結 11 第參章 實驗方法 12 第一節 研究架構 12 第二節 研究對象 13 第三節 實驗儀器與設備 13 第四節 實驗設計與流程 15 第五節 資料處理與分析 19 第肆章 結果 20 第一節 受試者基本資料 20 第二節 疲勞後不同介入與恢復時間對動作表現之影響 21 第三節 疲勞後不同介入與恢復時間對肌肉氧飽和濃度之影響 23 第伍章 討論與結論 28 第一節 疲勞後不同介入對動作表現之影響 28 第二節 疲勞後不同恢復時間對動作表現之影響 30 第三節 疲勞後不同介入與恢復時間對總血紅素之影響 32 第四節 疲勞後不同介入與恢復時間對氧合血紅素之影響 34 第五節 疲勞後不同介入與恢復時間對去氧血紅素之影響 37 第六節 疲勞後不同介入與恢復時間對組織氧合指標之影響 39 第七節 結論 41 第八節 建議 42 引用文獻 43 附錄 51

    林恭儀、戴承杰、林展弘 (2017)。古老的醫療技能-細說拔罐。台北市中醫醫學雜誌,23(1),9-13。
    施松彬 (2005)。臨床拔罐發揮。台灣中醫臨床醫學雜誌,11(3),231-238。
    黃彥霖、張晃源、程文欣、謝易親、高從耀、王順正 (2013)。振動式動態恢復對衰竭運動後血乳酸清除的影響。體育學報,46(4),319-327。
    Ahmaidi, S. A. I. D., Granier, P., Taoutaou, Z. O. H. R. A., Mercier, J., Dubouchaud, H. E. R. V. É., & Prefaut, C. (1996). Effects of active recovery on plasma lactate and anaerobic power following repeated intensive exercise. Medicine and Science in Sports and Exercise, 28(4), 450-456.
    Allman, B. L., & Rice, C. L. (2001). Incomplete recovery of voluntary isometric force after fatigue is not affected by old age. Muscle & Nerve, 24(9), 1156-1167.
    Ballantyne, B. T., & Shields, R. K. (2010). Quadriceps fatigue alters human muscle performance during a novel weight bearing task. Medicine & Science in Sports & Exercise, 42(9), 1712-1722. doi: 10.1249/MSS.0b013e3181d85527
    Barbieri, F. A., Beretta, S. S., Pereira, V. A., Simieli, L., Orcioli-Silva, D., dos Santos, P. C. R., ... & Gobbi, L. T. B. (2016). Recovery of gait after quadriceps muscle fatigue. Gait & Posture, 43, 270-274.
    Chi, L. M., Lin, L. M., Chen, C. L., Wang, S. F., Lai, H. L., & Peng, T. C. (2016). The effectiveness of cupping therapy on relieving chronic neck and shoulder pain: A randomized controlled trial. Evidence-Based Complementary and Alternative Medicine, 2016, 1-7. doi: 10.1155/2016/7358918
    Dawson, M. J., Gadian, D. G., & Wilkie, D. R. (1978). Muscular fatigue investigated by phosphorus nuclear magnetic resonance. Nature, 274(5674), 861.
    Edwards, R. H. (1981). Human muscle function and fatigue. Human Muscle Fatigue: Physiological Mechanisms, 1-18.
    El Sayed, S. M., Mahmoud, H. S., & Nabo, M. M. H. (2013). Methods of wet cupping therapy (Al-Hijamah): in light of modern medicine and prophetic medicine. Alternative & Integrative Medicine, 1-16.
    Fairchild, T. J., Armstrong, A. A., Rao, A., Liu, H. A. W. K., Lawrence, S. T. E. V. E., & Fournier, P. A. (2003). Glycogen synthesis in muscle fibers during active recovery from intense exercise. Medicine and Science in Sports and Exercise, 35(4), 595-602.
    Ferguson, S. A., Allread, W. G., Le, P., Rose, J., & Marras, W. S. (2013). Shoulder muscle fatigue during repetitive tasks as measured by electromyography and near-infrared spectroscopy. Human factors, 55(6), 1077-1087.
    Gupta, S., Goswami, A., Sadhukhan, A. K., & Mathur, D. N. (1996). Comparative study of lactate removal in short term massage of extremities, active recovery and a passive recovery period after supramaximal exercise sessions. International Journal of Sports Medicine, 17(2), 106-110.
    Hill, C. A., Thompson, M. W., Ruell, P. A., Thom, J. M., & White, M. J. (2001). Sarcoplasmic reticulum function and muscle contractile character following fatiguing exercise in humans. The Journal of physiology, 531(3), 871-878.
    Iwahara, F., Ito, M., & Asami, T. (2003). Effect of cooling down on blood lactate removal and anaerobic workout in exhaustive cycle ergometer exercise. Japanese Journal of Physical Fitness and Sports Medicine, 52(5), 499-511.
    Iwamoto, K., Mizukami, M., Asakawa, Y., Yoshio, M., Ogaki, R., & Takemura, M. (2016). Effects of friction massage of the popliteal fossa on dynamic changes in muscle oxygenation and ankle flexibility. Journal of physical therapy science, 28(10), 2713-2716.
    Kabbara, A. A., & Allen, D. G. (1999). The role of calcium stores in fatigue of isolated single muscle fibres from the cane toad. The Journal of physiology, 519(1), 169-176.
    Kargarfard, M., Lam, E. T. C., Shariat, A., Shaw, I., Shaw, B. S., & Tamrin, S. B. M. (2015). Efficacy of massage on muscle soreness, perceived recovery, physiological restoration and physical performance in male bodybuilders. Journal of Sports Sciences, 34(10), 959-965. doi: 10.1080/02640414.2015.1081264
    Khan, A. A., Jahangir, U., & Urooj, S. (2013). Management of knee osteoarthritis with cupping therapy. Journal of Advanced Pharmaceutical Technology & Research, 4(4), 217-223. doi: 10.4103/2231-4040.121417
    Kim, T. H., Kang, J. W., Kim, K. H., Lee, M. H., Kim, J. E., Kim, J. H., ...Hong, K. E. (2012). Cupping for treating neck pain in video display terminal(VDT) users: a randomized controlled pilot trial. Journal of Occupational Health, 54, 416-426.
    Koizumi, K., Fujita, Y., Muramatsu, S., Manabe, M., Ito, M., & Nomura, J. (2011). Active recovery effects on local oxygenation level during intensive cycling bouts. Journal of Sports Sciences, 29(9), 919-926.
    Kojidi, M. M., Okhovatian, F., Rahimi, A., Baghban, A. A., & Azimi, H. (2016). Comparison between the effects of passive and active soft tissue therapies on latent trigger points of upper trapezius muscle in women: single-blind, randomized clinical trial. Journal of Chiropractic Medicine, 15(4), 235-242.
    Kubo, K., Ikebukuro, T., Tsunoda, N., & Kanehisa, H. (2008). Changes in oxygen consumption of human muscle and tendon following repeat muscle contractions. European Journal of Applied Physiology, 104(5), 859.
    Laughlin, M. H., & Schrage, W. G. (1999). Effects of muscle contraction on skeletal muscle blood flow: when is there a muscle pump? Medicine and science in sports and exercise, 31(7), 1027-1035.
    Lee, S. H., & Davis, E. J. (1979). Carboxylation and decarboxylation reactions. Anaplerotic flux and removal of citrate cycle intermediates in skeletal muscle. Journal of Biological Chemistry, 254(2), 420-430.
    Li, J. Q., Guo, W., Sun, Z. G., Huang, Q. S., Lee, E. Y., Wang, Y., & Yao, X. D. (2017). Cupping therapy for treating knee osteoarthritis: The evidence from systematic review and meta-analysis. Complementary Therapies in Clinical Practice, 28, 152-160. doi: 10.1016/j.ctcp.2017.06.003
    Li, T., Li, Y., Lin, Y., & Li, K. (2017). Significant and sustaining elevation of blood oxygen induced by Chinese cupping therapy as assessed by near-infrared spectroscopy. Biomedical Optics express, 8(1), 223-229.
    Li, T., Lin, Y., Shang, Y., He, L., Huang, C., Szabunio, M., & Yu, G. (2013). Simultaneous measurement of deep tissue blood flow and oxygenation using noncontact diffuse correlation spectroscopy flow-oximeter. Scientific Reports, 3.
    Li, T., Sun, Y., Chen, X., Zhao, Y., & Ren, R. (2015). Noninvasive diagnosis and therapeutic effect evaluation of deep vein thrombosis in clinics by near-infrared spectroscopy. Journal of Biomedical Optics, 20(1), 010502-010502.
    Lopes, F. A., Panissa, V. L., Julio, U. F., Menegon, E. M., & Franchini, E. (2014). The effect of active recovery on power performance during the bench press exercise. Journal of Human Kinetics, 40(1), 161-169.
    Martin, N. A., Zoeller, R. F., Robertson, R. J., & Lephart, S. M. (1998). The comparative effects of sports massage, active recovery, and rest in promoting blood lactate clearance after supramaximal leg exercise. Journal of Athletic Training, 33, 30-35.
    McAinch, A. J., Febbraio, M. A., Parkin, J. M., Zhao, S., Tangalakis, K., Stojanovska, L., & Carey, M. F. (2004). Effect of active versus passive recovery on metabolism and performance during subsequent exercise. International Journal of Sport Nutrition and Exercise Metabolism, 14(2), 185-196.
    McEniery, C. M., Jenkins, D. G., & Barnett, C. (1997). The relationship between plasma potassium concentration and muscle torque during recovery following intense exercise. European Journal of Applied Physiology and Occupational Physiology, 75(5), 462-466.
    McErlain-Naylor, S., King, M., & Pain, M. T. G. (2014). Determinants of countermovement jump performance: a kinetic and kinematic analysis. Journal of Sports Sciences, 32(19), 1805-1812.
    Mcmullen, K. L., Cosby, N. L., Hertel, J., Ingersoll, C. D., & Hart, J. M. (2011). Lower extremity neuromuscular control immediately after fatiguing hip-abduction exercise. Journal of Athletic Training, 46(6), 607-614.
    Mehta, P., & Phapte, V. (2015). Cupping therapy: A prudent remedy for a plethora of medical ailments. Journal of Traditional and Complementary Medicine, 5, 127-134. doi: 10.1016/j.jtcme.2014.11.036
    Mika, A., Mika, P., Fernhall, B., & Unnithan, V. B. (2007). Comparison of recovery strategies on muscle performance after fatiguing exercise. American Journal of Physical Medicine & Rehabilitation, 86(6), 474-481.
    Miller, R. G., Giannini, D., Milner‐Brown, H. S., Layzer, R. B., Koretsky, A. P., Hooper, D., & Weiner, M. W. (1987). Effects of fatiguing exercise on high‐energy phosphates, force, and EMG: Evidence for three phases of recovery. Muscle & Nerve, 10(9), 810-821.
    Minett, G. M., & Duffield, R. (2014). Is recovery driven by central or peripheral factors? A role for the brain in recovery following intermittent-sprint exercise. Frontiers in physiology, 5, 24.
    Minshull, C., Eston, R., Rees, D., & Gleeson, N. (2012). Knee joint neuromuscular activation performance during muscle damage and superimposed fatigue. Journal of Sports Sciences, 30(10), 1015-1024. doi: 10.1080/02640414.2012.682084
    Pupo, J. D., Detanico, D., & Santos, S. G. D. (2014). The fatigue effect of a simulated futsal match protocol on isokinetic knee torque production. Sports Biomechanics, 13(4), 332-340. doi: 10.1080/14763141.2014.981202
    Roberts, L. A., Muthalib, M., Stanley, J., Lichtwark, G., Nosaka, K., Coombes, J. S., & Peake, J. M. (2015). Effects of cold water immersion and active recovery on hemodynamics and recovery of muscle strength following resistance exercise. American Journal of Physiology-Regulatory, Integrative and Comparative Physiology, 309(4), R389-R398.
    Romero-Franco, N., & Jiménez-Reyes, P. (2016). Effects of warm-up and fatigue on knee joint position sense and jump performance. Journal of Motor Behavior, 49(2), 117-122. doi: 10.1080/00222895.2016.1152222
    Rozenfeld, E., & Kalichman, L. (2016). New is the well-forgotten old: the use of dry cupping in musculoskeletal medicine. Journal of Bodywork and Movements Therapies, 20, 173-178. doi: 10.1016/j.jbmt.2015.11.009
    Rupp, T., & Perrey, S. (2008). Prefrontal cortex oxygenation and neuromuscular responses to exhaustive exercise. European Journal of Applied Physiology, 102(2), 153-163.
    Saha, F. J., Schumann, S., Cramer, H., Hohmann, C., Choi, K. E., Rolke, R., ... & Lauche, R. (2017). The effects of cupping massage in patients with chronic neck pain-a randomised controlled trial. Complementary Medicine Research, 24(1), 26-32.
    Shadgan, B., Reid, W. D., Gharakhanlou, R., Stpublisher-ids, L., & Macnab, A. J. (2009). Wireless near-infrared spectroscopy of skeletal muscle oxygenation and hemodynamics during exercise and ischemia. Journal of Spectroscopy, 23(5-6), 233-241.
    Shang, Y., Lin, Y., Henry, B. A., Cheng, R., Huang, C., Chen, L., ...Yu, G. (2013). Noninvasive evaluation of electrical stimulation impacts on muscle hemodynamics via integrating diffuse optical spectroscopies with muscle stimulator. Journal of Biomedical Optics, 18(10), 1-11. doi:10.1117/1.JBO.18.10.105002
    Sheppard, J. M., Cronin, J. B., Gabbett, T. J., McGuigan, M. R., Etxebarria, N., & Newton, R. U. (2008). Relative importance of strength, power, and anthropometric measures to jump performance of elite volleyball players. The Journal of Strength & Conditioning Research, 22(3), 758-765.
    Smith, K. J., & Billaut, F. (2010). Influence of cerebral and muscle oxygenation on repeated-sprint ability. European journal of applied physiology, 109(5), 989-999.
    Spencer, M. K., Yan, Z. H. E. N., & Katz, A. B. R. A. M. (1991). Carbohydrate supplementation attenuates IMP accumulation in human muscle during prolonged exercise. American Journal of Physiology-Cell Physiology, 261(1), C71-C76.
    Subudhi, A. W., Dimmen, A. C., & Roach, R. C. (2007). Effects of acute hypoxia on cerebral and muscle oxygenation during incremental exercise. Journal of Applied Physiology, 103(1), 177-183.
    Subudhi, A. W., Olin, J. T., Dimmen, A. C., Polaner, D. M., Kayser, B., & Roach, R. C. (2011). Does cerebral oxygen delivery limit incremental exercise performance? Journal of Applied Physiology, 111(6), 1727-1734.
    Suzuki, S., Takasaki, S., Ozaki, T., & Kobayashi, Y. (1999). A tissue oxygenation monitor using NIR spatially resolved spectroscopy. The International Society for Optical Engineering, 3597, 582-592.
    Tham, L. M., Lee, H. P., & Lu, C. (2006). Cupping: From a biomechanical perspective. Journal of Biomechnics, 39, 2183-2193. doi: 10.1016/j.jbiomech.2005.06.027
    Thompson, B. J., Conchola, E. C., & Stock, M. S. (2015). Effects of age and muscle action type on acute strength and power recovery following fatigue of the leg flexors. Age, 37(6), 111.
    Thorlund, J. B., Michalsik, L. B., Madsen, K., & Aagaard, P. (2008). Acute fatigue‐induced changes in muscle mechanical properties and neuromuscular activity in elite handball players following a handball match. Scandinavian Journal of Medicine & Science in Sports, 18(4), 462-472.
    Tiidus, P. M., & Shoemaker, J. K. (1995). Effleurage massage, muscle blood flow and long-term post-exercise strength recovery. International Journal of Sports Medicine, 16(7), 478-483.
    Tillin, N. A., Pain, M. T. G., & Folland, J. (2013). Explosive force production during isometric squats correlates with athletic performance in rugby union players. Journal of Sports Sciences, 31(1), 66-76.
    Valenzuela, P. L., de la Villa, P., & Ferragut, C. (2015). Effect of two types of active recovery on fatigue and climbing performance. Journal of sports science & medicine, 14(4), 769.
    Van Beekvelt, M. C., Colier, W. N., Wevers, R. A., & Van Engelen, B. G. (2001). Performance of near-infrared spectroscopy in measuring local O2 consumption and blood flow in skeletal muscle. Journal of Applied Physiology, 90(2), 511-519.
    Verburg, E., Dutka, T. L., & Lamb, G. D. (2006). Long-lasting muscle fatigue: partial disruption of excitation-contraction coupling by elevated cytosolic Ca2+ concentration during contractions. American Journal of Physiology-Cell Physiology, 290(4), C1199-C1208.
    Vøllestad, N. K. (1997). Measurement of human muscle fatigue. Journal of Neuroscience Methods, 74(2), 219-227.
    Weerapong, P., Hume, P. A., & Kolt, G. S. (2005). The mechanisms of massage and effects on performance, muscle recovery and injury prevention. Sports Med, 35(3), 235-256.
    Weltan, S. M., Bosch, A. N., Dennis, S. C., & Noakes, T. D. (1998). Influence of muscle glycogen content on metabolic regulation. American Journal of Physiology-Endocrinology and Metabolism, 274(1), E72-E82.
    Weltman, A. R. T. H. U. R., Stamford, B. A., & Fulco, C. (1979). Recovery from maximal effort exercise: lactate disappearance and subsequent performance. Journal of Applied Physiology, 47(4), 677-682.
    Wiltshire, E. V., Poitras, V., Pak, M., Hong, T., Rayner, J., & Tschakovsky, M. (2010). Massage impairs postexercise muscle blood flow and "lactic acid" removal. Medicine & Science in Sports & Exercise, 42(6), 1062-1071. doi: 10.1249/MSS.0b013e3181c9214f
    Wisløff, U., Castagna, C., Helgerud, J., Jones, R., & Hoff, J. (2004). Strong correlation of maximal squat strength with sprint performance and vertical jump height in elite soccer players. British Journal of Sports Medicine, 38(3), 285-288.
    Yao, P., Guo, W., Sheng, X., Zhang, D., & Zhu, X. (2014, August). A portable multi-channel wireless NIRS device for muscle activity real-time monitoring. In Engineering in Medicine and Biology Society (EMBC), 2014 36th Annual International Conference of the IEEE (pp. 3719-3722). IEEE.
    Yokoi, Y., Yanagihashi, R., Morishita, K., Fujiwara, T., & Abe, K. (2014). Effects of exposure to normobaric hyperoxia on the recovery of local muscle fatigue in the quadriceps femoris of young people. Journal of Physical Therapy Science, 26(3), 455-460.

    下載圖示
    QR CODE