研究生: |
柯柏任 Ko, Bo-Jen |
---|---|
論文名稱: |
太極拳運動對中老年人與老年人立定垂直跳表現之影響 The effect of Tai Chi Chuan Exercise Training on Countermovement Jump Performances in the Middle-Aged Elderly and Elderly |
指導教授: |
黃長福
Huang, Chen-Fu |
學位類別: |
博士 Doctor |
系所名稱: |
體育學系 Department of Physical Education |
論文出版年: | 2017 |
畢業學年度: | 105 |
語文別: | 中文 |
論文頁數: | 184 |
中文關鍵詞: | 功率 、老化 、下肢勁度 、關節活動度 、預先收縮 |
英文關鍵詞: | power, older, stiffness, range of motion, pre-stretch |
DOI URL: | https://doi.org/10.6345/NTNU202203407 |
論文種類: | 學術論文 |
相關次數: | 點閱:219 下載:0 |
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中老年人與老年人隨著年齡慢慢增加,身體機能也慢慢衰退,研究指出65歲以上的老年人,身體的肌肉量會以每年1~2%的速度流失,因此造成下肢機能的衰退,進而影響到日常功能性動作的完成,也會增加日常生活中跌倒的風險,而跌倒此一因子對老年人來說具有非常大的影響,可能造成長期臥床,更有甚者就此不起。預防勝於治療的觀念慢慢廣為大眾所接受,欲降低老年人生活中功能性的退化,研究指出適度的運動可減緩老年人肌肉退化,而太極拳因結合吐納呼吸、拉筋伸展與可自由調整運動強度的特性,為適合中老年人與老年人的運動。過去研究中老年人與老年人太極拳的相關研究中,較缺乏各關節力矩與功率的相關研究,且立定垂直跳常被用來做為下肢檢測的便利性方法,因此本研究擬採用立定垂直跳動作為研究工具,並利用高速攝影機(Vicon MX13+, Germantown, Oxford, UK, 250Hz),測力板(Kistler 9281, Kistler Instrumente AG, Winterthur, Switzerland, 1000Hz),肌肉電訊號(Noraxon U.S.A. Inc., Arizona, USA, 1500Hz)等儀器收集身體活動資料,經過分析後,所得參數使用二因子變異數分析來進行統計分析(α = .05),如達差異則利用bonferroni法進行事後比較。結果發現年齡會帶來退化的結果,而太極拳族群與健康休閒族群相比有較佳的跳躍能力;下蹲期時太極拳族群有較佳的下肢關節活動度;起跳期時的運動學與動力學參數普遍為太極拳族群優於健康休閒組族群;著地時則為中老年人有較好的表現,太極拳族群則在下肢勁度有較好的表現。依照本研究結果,鼓勵中老年人與老年人可以規畫長期規律的參與太極拳運動,以訓練下肢各肌群力量,期望減緩下肢肌肉因老化所造成的退化,除將影響日常生活功能程度減低外,並希望可降低中老年人與老年人跌倒發生風險。
This study sought to compare the biomechanical parameters of the lower extremities during a standing counter movement jump between elderly people who are engaged in a long-term regular practice of tai chi chuan and the general population of healthy elderly people. Each group included 24 participants, and 48 middle-aged elderly and elderly people participated in this study. Ten Vicon Motion System infrared cameras (Vicon MX13+, Germantown, Oxford, UK, 250Hz), two Kistler force plates (Kistler 9281, Kistler Instrumente AG, Winterthur, Switzerland, 1000Hz), Noraxon EMG (Noraxon U.S.A. Inc., Arizona, USA, 1500Hz), and Vicon Nexus software were used for the real-time measurement of the kinematic and dynamic parameters during a standing counter movement jump. Visual 3D software was used for the calculations. The data were standardized and analyzed using independent two way ANOVA, and α = .05 was set as the significance level. There was significant difference found in the jump height between the tai chi chuan group and the healthy group, and between the middle-aged elderly and the elder. Peak knee moment, peak ankle moment, peak hip power, peak knee power, and peak ankle power during the takeoff phase were significantly greater in the tai chi chuan group than in the healthy group. Tai chi chuan group also have greater lower limber stiffness, suggesting that tai chi chuan helped slow the degradation of lower limber. It is recommended that the elderly engage in long-term tai chi chuan practice.
中文文獻
王薇琪 (2007)。台灣地區老人外傷性腦受傷之流行病學研究探討(未出版之碩士論文)。臺北醫學大學,台北市。
行政院主計總處 (2016,12月25日)。現住人口數按五歲年齡組分。資料取自http://sowf.moi.gov.tw/stat/month/list.htm。
行政院衛生署中央健康保險局 (2016,12月25日)。民國100年核定全民健康保險費率精算報告。資料取自http://www.nhi.gov.tw/Resource/webdata/20998_2_100年精算報告(101年1月).pdf。
許太彥 (2003)。國小學童不同軟硬表面著地下肢勁度調節之機轉及其影響(未出版之博士論文)。國立台灣師範大學,台北市。
黃長福 (1997)。不同高度著地動作的生物力學分析。台北市:漢文書。
外文文獻
Altman, A. R., & Davis, I. S. (2012). A kinematic method for footstrike pattern detection in barefoot and shod runners. Gait Posture, 35(2), 298-300. doi:10.1016/j.gaitpost.2011.09.104
Anne, O. B., & Chad, R. S. (2014). Muscle capacity and physical function in older women: What are the impacts of resistance training? Journal of Sport and Health Science, 3(3), 179–188.
Arampatzis, A., Bruggemann, G. P., & Klapsing, G. M. (2001). Leg stiffness and mechanical energetic processes during jumping on a sprung surface. Medicine and Science in Sports and Exercise, 33(6), 923-931.
Baker, D. (1996). Improving Vertical Jump Performance Through General, Special, and Specific Strength Training: A Brief Review. The Journal of Strength and Conditioning Research, 10(2), 131-136.
Baratta, R., Solomonow, M., Zhou, B. H., Letson, D., Chuinard, R., & D'Ambrosia, R. (1988). Muscular coactivation. The role of the antagonist musculature in maintaining knee stability. The American Journal of Sports Medicine, 16(2), 113-122.
Bassey, E. J., Bendall, M. J., & Pearson, M. (1988). Muscle strength in the triceps surae and objectively measured customary walking activity in men and women over 65 years of age. Clinical Science (Lond), 74(1), 85-89.
Bernardi, M., Rosponi, A., Castellano, V., Rodio, A., Traballesi, M., Delussu, A. S., & Marchetti, M. (2004). Determinants of sit-to-stand capability in the motor impaired elderly. Journal of Electromyography and Kinesiology, 14(3), 401-410. doi:http://dx.doi.org/10.1016/j.jelekin.2003.09.001
Butler, R. J., Crowell, H. P., 3rd, & Davis, I. M. (2003). Lower extremity stiffness: implications for performance and injury. Clinical Biomechanics, 18(6), 511-517.
Carlson, K., Magnusen, M., & Walters, P. (2009). Effect of various training modalities on vertical jump. Research in Sport Medicine, 17(2), 84-94. doi:10.1080/15438620902900351
Cavanagh, P. R., & Lafortune, M. A. (1980). Ground reaction forces in distance running. Journal of Biomechanics, 13(5), 397-406.
Chi, J. C., Huang, C. F., Kernozek, T. W., & Hsieh, Y. Y. (2013). Counter movement jump performance between older adults with and without regular tai chi exercise training. Archives of Budo, 9(3), 249-254.
Chimera, N. J., Swanik, K. A., Swanik, C. B., & Straub, S. J. (2004). Effects of Plyometric Training on Muscle-Activation Strategies and Performance in Female Athletes. Journal of Athletic Training, 39(1), 24-31.
Chung, P. H., Lin, G. L., Liu, C., Chuang, L. R., & Shiang, T. Y. (2013). The effects of tai chi chuan combined with vibration training on balance control and lower extremity muscle power. journal of Sports Science and Medicine, 12(1), 19-26.
Clark, J. E., & Phillips, S. J. (1989). Developmental stability in jumping. Developmental Psychology, 25(6), 929-935. doi:10.1037/0012-1649.25.6.929
Clin Biomech (Bristol, A. H., C. (2012). The effectiveness of resisted movement training on sprinting and jumping performance. Journal of Strength and Conditioning Research, 26(1), 299-306. doi:10.1519/JSC.0b013e3182185186
Coventry, E., O'Connor, K. M., Hart, B. A., Earl, J. E., & Ebersole, K. T. (2006). The effect of lower extremity fatigue on shock attenuation during single-leg landing. Clinical Biomechanics, 21(10), 1090-1097. doi:10.1016/j.clinbiomech.2006.07.004
Dall, P., & Kerr, A. (2009). Frequency of the sit to stand task: An observational study of free-living adults. Applied Ergonomics, 41(1), 58-61.
Dempster, W. T. (1955). Space requirements of the seated operator: geometrical, kinematic, and mechanical aspects of the body, with special reference to the limbs. WADC Technical Report 55159 (WADC-55-159, AD-087-892), 55-159.
Demura, S., Sato, S., Minami, M., & Kasuga, K. (2003). Gender and age differences in basic ADL ability on the elderly: comparison between the independent and the dependent elderly. Journal of Physiological Anthropology and Applied Human Science, 22(1), 19-27.
DeVita, P., & Hortobagyi, T. (2000). Age causes a redistribution of joint torques and powers during gait. Journal of Applied Physiology, 88(5), 1804-1811.
Devita, P., & Skelly, W. A. (1992). Effect of landing stiffness on joint kinetics and energetics in the lower extremity. Medicine and Science in Sports and Exercise, 24(1), 108-115.
Ditroilo, M., Forte, R., Benelli, P., Gambarara, D., & De Vito, G. (2010). Effects of age and limb dominance on upper and lower limb muscle function in healthy males and females aged 40–80 years. Journal of sports sciences, 28(6), 667-677.
Dutto, D. J., & Braun, W. A. (2004). DOMS-associated changes in ankle and knee joint dynamics during running. Medicine and Science in Sports and Exercise, 36(4), 560-566.
Farley, C. T., & Morgenroth, D. C. (1999). Leg stiffness primarily depends on ankle stiffness during human hopping. Journal of Biomechanics, 32(3), 267-273.
Ferrari, R., Fuchs, S. C., Kruel, L. F., Cadore, E. L., Alberton, C. L., Pinto, R. S., . . . Umpierre, D. (2016). Effects of Different Concurrent Resistance and Aerobic Training Frequencies on Muscle Power and Muscle Quality in Trained Elderly Men: A Randomized Clinical Trial. Aging and Disease, 7(6), 697-704. doi:10.14336/ad.2016.0504
Fiatarone, M. A., Marks, E. C., Ryan, N. D., Meredith, C. N., Lipsitz, L. A., & Evans, W. J. (1990). High-intensity strength training in nonagenarians. Effects on skeletal muscle. Jama, 263(22), 3029-3034.
Flanagan, E. P., & Harrison, A. J. (2007). Muscle dynamics differences between legs in healthy adults. Journal of Strength and Conditioning Research, 21(1), 67-72. doi:10.1519/r-18495.1
Fong, S.-M., & Ng, G. Y. (2006). The Effects on Sensorimotor Performance and Balance With Tai Chi Training. Archives of Physical Medicine and Rehabilitation, 87(1), 82-87. doi:http://dx.doi.org/10.1016/j.apmr.2005.09.017
Fuzhong, L., Harmer, P., Fisher, K. J., McAuley, E., Chaumeton, N., Eckstrom, E., & Wilson, N. L. (2005). Tai Chi and Fall Reductions in Older Adults: A Randomized Controlled Trial. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 60(2), 187-194. doi:10.1093/gerona/60.2.187
Gatts, S., & Woollacott, M. (2006). Neural mechanisms underlying balance improvement with short term Tai Chi training. Aging Clinical and Experimental Research, 18(1), 7-19. doi:10.1007/BF03324635
Gatts, S. K., & Woollacott, M. H. (2007). How Tai Chi improves balance: biomechanics of recovery to a walking slip in impaired seniors. Gait Posture, 25(2), 205-214. doi:10.1016/j.gaitpost.2006.03.011
Grood, E. S., Suntay, W. J., Noyes, F. R., & Butler, D. L. (1984). Biomechanics of the knee-extension exercise. Effect of cutting the anterior cruciate ligament. The Journal of Bone and Joint Surgery, 66(5), 725-734.
Gross, M. M., Stevenson, P. J., Charette, S. L., Pyka, G., & Marcus, R. (1998). Effect of muscle strength and movement speed on the biomechanics of rising from a chair in healthy elderly and young women. Gait and Posture, 8(3), 175-185. doi:http://dx.doi.org/10.1016/S0966-6362(98)00033-2
Gyllensten, A. L., Hui-Chan, C. W. Y., & Tsang, W. W. N. (2010). Stability Limits, Single-Leg Jump, and Body Awareness in Older Tai Chi Practitioners. Archives of Physical Medicine and Rehabilitation, 91(2), 215-220. doi:http://dx.doi.org/10.1016/j.apmr.2009.10.009
Harmer, P. A., & Li, F. (2008). Tai Chi and falls prevention in older people. Medicine Sport Science, 52, 124-134. doi:10.1159/000134293
Hoffman, J. R., Ratamess, N. A., Cooper, J. J., Kang, J., Chilakos, A., & Faigenbaum, A. D. (2005). Comparison of loaded and unloaded jump squat training on strength/power performance in college football players. Journal of Strength and Conditioning Research, 19(4), 810-815. doi:10.1519/r-16774.1
Horak, F. B., & Nashner, L. M. (1986). Central programming of postural movements: adaptation to altered support-surface configurations. Journal of Neurophysiology, 55(6), 1369-1381.
Hortobagyi, T., & DeVita, P. (1999). Altered movement strategy increases lower extremity stiffness during stepping down in the aged. The Journals of Gerontology. Series A, Biological sciences and medical sciences, 54(2), B63-70.
Hughes, M. A., Myers, B. S., & Schenkman, M. L. (1996). The role of strength in rising from a chair in the functionally impaired elderly. Journal of Biomechanics, 29(12), 1509-1513. doi:http://dx.doi.org/10.1016/S0021-9290(96)80001-7
Hui, S. S. C., Woo, J., & Kwok, T. (2009). Evaluation of energy expenditure and cardiovascular health effects from Tai Chi and walking exercise. Hong Kong Medical Journal, 15(2), 4-7.
Irrgang, J. J. (1993). Modern trends in anterior cruciate ligament rehabilitation: nonoperative and postoperative management.
Clinics in Sports Medicine, 12(4), 797-813.
Izquierdo, M., Aguado, X., Gonzalez, R., Lopez, J. L., & Hakkinen, K. (1999). Maximal and explosive force production capacity and balance performance in men of different ages. European Journal of Applied Physiology and Occupational Physiology, 79(3), 260-267. doi:10.1007/s004210050504
Jakobsen, M. D., Sundstrup, E., Randers, M. B., Kjaer, M., Andersen, L. L., Krustrup, P., & Aagaard, P. (2012). The effect of strength training, recreational soccer and running exercise on stretch-shortening cycle muscle performance during countermovement jumping. Human Movement Science, 31(4), 970-986. doi:10.1016/j.humov.2011.10.001
Janssen, W. G., Bussmann, H. B., & Stam, H. J. (2002). Determinants of the sit-to-stand movement: a review. Physical Therapy, 82(9), 866-879.
Jensen, J. L., Phillips, S. J., & Clark, J. E. (1994). For young jumpers, differences are in the movement's control, not its coordination. Research Quarterly for Exercise and Sport, 65(3), 258-268. doi:10.1080/02701367.1994.10607627
Judge, J. O., Davis, R. B., 3rd, & Ounpuu, S. (1996). Step length reductions in advanced age: the role of ankle and hip kinetics. The Journals of Gerontology. Series A, Biological sciences and medical sciences, 51(6), M303-312.
Kerrigan, D. C., Todd, M. K., Della Croce, U., Lipsitz, L. A., & Collins, J. J. (1998). Biomechanical gait alterations independent of speed in the healthy elderly: evidence for specific limiting impairments. Archives of Physical Medicine and Rehabilitation, 79(3), 317-322.
Kuitunen, S., Komi, P. V., & Kyrolainen, H. (2002). Knee and ankle joint stiffness in sprint running. Medicine and Science in Sports and Exercise, 34(1), 166-173.
Kwok, J. C., Hui-Chan, C. W., & Tsang, W. W. (2010). Effects of Aging and Tai Chi on Finger-Pointing Toward Stationary and Moving Visual Targets. Archives of Physical Medicine and Rehabilitation, 91(1), 149-155. doi:http://dx.doi.org/10.1016/j.apmr.2009.07.018
Kyrolainen, H., & Komi, P. V. (1995). The function of neuromuscular system in maximal stretch-shortening cycle exercises: Comparison between power- and endurance-trained athletes. Journal of Electromyography and Kinesiology, 5(1), 15-25.
Lan, C., Chen, S.-Y., & Lai, J.-S. (2004). Relative Exercise Intensity of Tai Chi Chuan is Similar in Different Ages and Gender. The American Journal of Chinese Medicine, 32(01), 151-160. doi:doi:10.1142/S0192415X04001746 %M 15154294
Lan, C., Chen, S.-Y., Lai, J.-S., & Wong, M.-K. (2001). Heart Rate Responses and Oxygen Consumption during Tai Chi Chuan Practice. The American Journal of Chinese Medicine, 29(03n04), 403-410. doi:doi:10.1142/S0192415X01000423 %M 11789583
Lan, C., Chou, S.-W., Chen, S.-Y., Lai, J.-S., & Wong, M.-K. (2004). The Aerobic Capacity and Ventilatory Efficiency During Exercise in Qigong and Tai Chi Chuan Practitioners. The American Journal of Chinese Medicine, 32(01), 141-150. doi:doi:10.1142/S0192415X04001734 %M 15154293
Lara-Sanchez, A. J., Zagalaz, M. L., Berdejo-Del-Fresno, D., & Martinez-Lopez, E. J. (2011). Jump peak power assessment through power prediction equations in different samples. The Journal of Strength and Conditioning Research, 25(7), 1957-1962. doi:10.1519/JSC.0b013e3181e06ef8
Lelard, T., Doutrellot, P.-L., David, P., & Ahmaidi, S. (2010). Effects of a 12-Week Tai Chi Chuan Program Versus a Balance Training Program on Postural Control and Walking Ability in Older People. Archives of Physical Medicine and Rehabilitation, 91(1), 9-14. doi:http://dx.doi.org/10.1016/j.apmr.2009.09.014
Lephart, S. M., Ferris, C., Riemann, B., & Myers, J. (2001). Gender differences in neuromuscular patterns and landing strategies. Clinical Orthopaedics and Related Research, 401, 162-169.
Li, J. X., Hong, Y., & Chan, K. M. (2001). Tai chi: physiological characteristics and beneficial effects on health. British Journal of Sports Medicine, 35(3), 148-156.
Li, J. X., Xu, D. Q., & Hong, Y. (2009). Changes in muscle strength, endurance, and reaction of the lower extremities with Tai Chi intervention. Journal of Biomechanics, 42(8), 967-971. doi:10.1016/j.jbiomech.2009.03.001
Lin, M. R., Hwang, H. F., Wang, Y. W., Chang, S. H., & Wolf, S. L. (2006). Community-based tai chi and its effect on injurious falls, balance, gait, and fear of falling in older people. Physical Therapy, 86(9), 1189-1201. doi:10.2522/ptj.20040408
MacDonald, N., Baker, R., & Cheatham, S. W. (2016). THE EFFECTS OF INSTRUMENT ASSISTED SOFT TISSUE MOBILIZATION ON LOWER EXTREMITY MUSCLE PERFORMANCE: A RANDOMIZED CONTROLLED TRIAL. International Journal of Sports Physical Therapy, 11(7), 1040-1047.
Maciaszek, J., Osiński, W., Szeklicki, R., & Stemplewski, R. (2007). Effect of Tai Chi on Body Balance: Randomized Controlled Trial in Men with Osteopenia or Osteoporosis. The American Journal of Chinese Medicine, 35(01), 1-9. doi:doi:10.1142/S0192415X07004564 %M 17265545
Mak, M. K., & Ng, P. L. (2003a). Mediolateral sway in single-leg stance is the best discriminator of balance performance for Tai-Chi practitioners. Archives of Physical Medicine and Rehabilttation, 84(5), 683-686.
Mak, M. K., & Ng, P. L. (2003b). Mediolateral sway in single-leg stance is the best discriminator of balance performance for Tai-Chi practitioners. Archives of Physical Medicine and Rehabilttation, 84(5), 683-686.
Manderoos, S., Wasenius, N., Laine, M. K., Kujala, U. M., Malkia, E., Kaprio, J., . . . Eriksson, J. G. (2016). Mobility and muscle strength in male former elite endurance and power athletes aged 66-91 years. Scandinavian journal of medicine & science in sports. doi:10.1111/sms.12775
McBride, J. M., McCaulley, G. O., & Cormie, P. (2008). Influence of preactivity and eccentric muscle activity on concentric performance during vertical jumping. The Journal of Strength and Conditioning Research, 22(3), 750-757. doi:10.1519/JSC.0b013e31816a83ef
McClenton, L. S., Brown, L. E., Coburn, J. W., & Kersey, R. D. (2008). The effect of short-term VertiMax vs. depth jump training on vertical jump performance. Journal of Strength and Conditioning Research, 22(2), 321-325. doi:10.1519/JSC.0b013e3181639f8f
McMahon, J. J., Murphy, S., Rej, S. J., & Comfort, P. (2016). Countermovement Jump Phase Characteristics of Senior and Academy Rugby League Players. International Journal of Sports Physiology and Performance, 1-23. doi:10.1123/ijspp.2016-0467
Mitchell, C. J., & Sale, D. G. (2011). Enhancement of jump performance after a 5-RM squat is associated with postactivation potentiation. European Journal of Applied Physiology, 111(8), 1957-1963. doi:10.1007/s00421-010-1823-x
Moxley Scarborough, D., Krebs, D. E., & Harris, B. A. (1999). Quadriceps muscle strength and dynamic stability in elderly persons. Gait and Posture, 10(1), 10-20. doi:http://dx.doi.org/10.1016/S0966-6362(99)00018-1
Muehlbauer, T., Besemer, C., Wehrle, A., Gollhofer, A., & Granacher, U. (2012). Relationship between strength, power and balance performance in seniors. Gerontology, 58(6), 504-512. doi:10.1159/000341614
Nigg, B. M. (1985). Biomechanics, load analysis and sports injuries in the lower extremities. Sports Medicine, 2(5), 367-379.
Paasuke, M., Ereline, J., & Gapeyeva, H. (2003). Age-related differences in knee extension rate of isometric force development and vertical jumping performance in women. The Journal of Sports Medcine and Physical Fitness, 43(4), 453-458.
Pereira, A., Izquierdo, M., Silva, A. J., Costa, A. M., Gonzalez-Badillo, J. J., & Marques, M. C. (2012). Muscle performance and functional capacity retention in older women after high-speed power training cessation. Experimental Gerontology, 47(8), 620-624. doi:10.1016/j.exger.2012.05.014
Qin, L., Choy, W., Leung, K., Leung, P. C., Au, S., Hung, W., . . . Chan, K. (2005). Beneficial effects of regular Tai Chi exercise on musculoskeletal system. Journal of Bone and Mineral Metabolism, 23(2), 186-190.
Schenkman, M., Hughes, M. A., Samsa, G., & Studenski, S. (1996). The Relative Importance of Strength and Balance in Chair Rise by Functionally Impaired Older Individuals. Journal of the American Geriatrics Society, 44(12), 1441-1446. doi:10.1111/j.1532-5415.1996.tb04068.x
Schipplein, O. D., & Andriacchi, T. P. (1991). Interaction between active and passive knee stabilizers during level walking. Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society, 9(1), 113-119. doi:10.1002/jor.1100090114
Sheppard, J., Hobson, S., Barker, M., Taylor, K., Chapman, D., McGuigan, M., & Newton, R. (2008). The Effect of Training with Accentuated Eccentric Load Counter-Movement Jumps on Strength and Power Characteristics of High-Performance Volleyball Players. International Journal of Sports Science and Coaching, 3(3), 355-363. doi:10.1260/174795408786238498
Skelton, D. A., Greig, C. A., Davies, J. M., & Young, A. (1994). Strength, power and related functional ability of healthy people aged 65-89 years. Age Ageing, 23(5), 371-377.
So, H., Ju, K., Park, I., Song, R., Kim, H., & Ahn, S. (2013). Effects of Tai Chi exercise on muscle strength, balance, flexibility and bone mineral density of community dwelling elderly women. Korean Journal of Adult Nursing, 25, 105-112.
Song, Q. H., Zhang, Q. H., Xu, R. M., Ma, M., Zhao, X. P., Shen, G. Q., . . . Wang, Y. (2014). Effect of Tai-chi exercise on lower limb muscle strength, bone mineral density and balance function of elderly women. International Journal of Clinical and Experimental Medicine, 7(6), 1569-1576.
Steven, M., Robert, T. S., & Sarita, R. S. (1993). Minor Head Trauma Assessment, Management, and Rehabilitation. New York: Sprinder-Verlag New York Incorporation.
Stevens, K., Lang, I., Guralnik, J., & Melzer, D. (2008). Epidemiology of balance and dizziness in a national population: findings from the English Longitudinal Study of Ageing. Age and ageing, 37(3), 300-305.
Swartz, E. E., Decoster, L. C., Russell, P. J., & Croce, R. V. (2005). Effects of Developmental Stage and Sex on Lower Extremity Kinematics and Vertical Ground Reaction Forces During Landing. Journal of Athletic Training, 40(1), 9-14.
Taylor-Piliae, R. E., & Froelicher, E. S. (2004). Effectiveness of Tai Chi exercise in improving aerobic capacity: a meta-analysis. . The Journal of Cardiovascular Nursing, 19(1), 48-57.
Taylor-Piliae, R. E., Hoke, T. M., Hepworth, J. T., Latt, L. D., Najafi, B., & Coull, B. M. (2014). Effect of Tai Chi on Physical Function, Fall Rates and Quality of Life Among Older Stroke Survivors. Archives of Physical Medicine and Rehabilitation, 95(5), 816-824. doi:http://dx.doi.org/10.1016/j.apmr.2014.01.001
Thornton, E. W., Sykes, K. S., & Tang, W. K. (2004). Health benefits of Tai Chi exercise: improved balance and blood pressure in middle-aged women. Health Promotion International, 19(1), 33-38.
Tuunainen, E., Rasku, J., Jantti, P., & Pyykko, I. (2014). Risk factors of falls in community dwelling active elderly. Auris Nasus Larynx, 41(1), 10-16. doi:10.1016/j.anl.2013.05.002
Viitasalo, J. T., Salo, A., & Lahtinen, J. (1998). Neuromuscular functioning of athletes and non-athletes in the drop jump. European Journal of Applied Physiology and Occupational Physiology, 78(5), 432-440. doi:10.1007/s004210050442
Winter, D. A., Patla, A. E., Frank, J. S., & Walt, S. E. (1990). Biomechanical walking pattern changes in the fit and healthy elderly. Physical Therapy, 70(6), 340-347.
Wolfson, L., Whipple, R., Derby, C., Judge, J., King, M., Amerman, P., . . . Smyers, D. (1996). Balance and strength training in older adults: intervention gains and Tai Chi maintenance. Journal of the American Geriatrics Society, 44(5), 498-506.
Wu, G., Guan, Y., & Zhan, X. (2008). Effect of salinity on the activity, settling and microbial community of activated sludge in sequencing batch reactors treating synthetic saline wastewater. Water Science and Technology, 58(2), 351-358.
Wu, G., Keyes, L., Callas, P., Ren, X., & Bookchin, B. (2010). Comparison of Telecommunication, Community, and Home-Based Tai Chi Exercise Programs on Compliance and Effectiveness in Elders at Risk for Falls. Archives of Physical Medicine and Rehabilitation, 91(6), 849-856. doi:http://dx.doi.org/10.1016/j.apmr.2010.01.024
Wu, G., & Keyes, L. M. (2006). Group tele-exercise for improving balance in elders. Telemedicine Journal and E-health, 12(5), 561-570. doi:10.1089/tmj.2006.12.561
Wu, G., Zhao, F., Zhou, X., & Wei, L. (2002). Improvement of isokinetic knee extensor strength and reduction of postural sway in the elderly from long-term Tai Chi exercise. Archives of Physical Medicine and Rehabilitation, 83(10), 1364-1369.
Xu, D., Hong, Y., Li, J., & Chan, K. (2004). Effect of tai chi exercise on proprioception of ankle and knee joints in old people. British Journal of Sports Medicine, 38(1), 50-54. doi:10.1136/bjsm.2002.003335
Xu, D. Q., Li, J. X., & Hong, Y. (2006). Effects of long term Tai Chi practice and jogging exercise on muscle strength and endurance in older people. British Journal of Sports Medicine, 40(1), 50-54. doi:10.1136/bjsm.2005.019273
Yeh, G. Y., Wood, M. J., Lorell, B. H., Stevenson, L. W., Eisenberg, D. M., Wayne, P. M., . . . Phillips, S. R. S. (2004). Effects of tai chi mind-body movement therapy on functional status and exercise capacity in patients with chronic heart failure: A randomized controlled trial. The American Journal of Medicine, 117(8), 541-548. doi:http://dx.doi.org/10.1016/j.amjmed.2004.04.016
Yu, B., Lin, C. F., & Garrett, W. E. (2006). Lower extremity biomechanics during the landing of a stop-jump task. Clinical Biomechanics, 21(3), 297-305. doi:10.1016/j.clinbiomech.2005.11.003
Zhuang, J., Huang, L., Wu, Y., & Zhang, Y. (2014). The effectiveness of a combined exercise intervention on physical fitness factors related to falls in community-dwelling older adults. Clinical Interventions in Aging, 9, 131-140. doi:10.2147/cia.s56682