目的：比較有無規律運動男性老年人平衡能力與步態之差異，並探討平衡能力與步態之關聯性。方法：本研究招募60位65-75歲男性老年人，分成規律運動組30人與無規律運動組30人，分別接受平衡能力與走路步態之測驗，平衡能力以測力板測量開眼雙腳站立、閉眼雙腳站立、開眼單腳站立與閉眼單腳站立四項測驗；步態則以智慧型能量消耗與活動紀錄器 (Intelligent Device for Energy Expenditure and Activity, IDEEA)監測100公尺正常速度與最快速度走步態參數之表現。統計方法以獨立樣本t-test考驗兩組於平衡能力與步態間之差異，並以皮爾森相關係數分析平衡能力與步態的相關性，顯著水準為α< .05。結果：規律運動組四項平衡能力測驗的壓力中心 (COP) 軌跡移動總距離均顯著小於無規律運動組 (p < .05)；步態方面，兩組於正常速度走步態參數皆無顯著差異 (p > .05)，而在最快速度走方面，兩組於完成時間、雙腳支撐期、站立期百分比與雙腳支撐期百分比達顯著差異 (p < .05)之外，其他步態參數皆無顯著差異 (p > .05)；平衡能力與步態間，無論正常速度或最快速度走與平衡能力方面均無顯著相關 (p > .05)。結論：本研究結果指出規律運動有助於老年男性之平衡和步態表現；同時，老年男性之平衡能力與行走100公尺的步態表現並無相關性。

Purpose: The purposes of this study were to compare the difference of balance and gait between the regular and non-regular exercise of male elderly. Methods: Sixty male elderly who aged between 65-75 were recruited as subjects, including regular exercise group (n=30) and non-regular exercise group (n=30). Balance was assessed by Kistler force plate and 100-meter walking test while gait was assessed by Intelligent Device for Energy Expenditure and Activity (IDEEA). The differences of all parameters from either balance or gait between two groups were investigated by independent sample t-test. Besides, the correlation between balance and gait was assessed through Pearson’s product-moment correlation. Results: Regular exercise group had significantly better (p< .05) performance than non-regular group in balance. There is no difference between two groups in normal speed gait (p > .05). Regular exercise group had significantly better (p< .05) performance than non-regular one in the items of time, double support phase, stance phase % and double support phase % of fast speed gait (p < .05). There was no correlation between balance and gait items (p > .05). Conclusion: These results indicated that the regular exercise could have benefit for balance and gait performance of elderly men. Meanwhile, balance ability for the elderly men had no relationship with gait performance during 100-meter walk.

一、中文部份
內政部統計處（2009）。2009年12月2日，取自內政部統計資訊服務網：http://www.moi.gov.tw。
方進隆（1992）。規律運動與健康促進和疾病預防。中華體育季刊，5(4)，1-7。
世界衛生組織。2009年12月2日，取自世界衛生組織(World Health Organization, WHO) 網址：http://www.who.int。
田詠惠、林貴福（2007）。走路運動對老年人平衡能力之影響。運動生理暨體能學報，5，39-45。
朱文玥（2006）。助行器參數對虛弱老人步行生物力學之影響。未出版碩士論文，國立陽明大學，臺北市。
李世國（2003）。有無規律慢跑運動中老年人平衡能力與下肢肌力之比較研究。未出版碩士論文，國立臺灣師範大學，臺北市。
李尹鑫、張家豪、王宏正（2008）。不同地區老年人平衡能力之研究－以關渡地區及花蓮秀林鄉為例。2008臺灣運動生物力學學會及臺灣生物力學學會暨學術研討會和國科會醫學工程學門成果發表會論文集，1-6。臺中市：國立臺中教育大學。
吳芳成（2005）。十週元極舞運動介入對中老年女性下肢肌力與平衡能力之影響。未出版碩士論文，國立臺灣師範大學，臺北市。
林珮欣、VanSwearingen, J. M.（1993）。老年人手握力測試與步態之相關性。中華民國物理治療學會雜誌，18(2)，177-190。
林銀秋（2003）。健康老年人的跌倒危機─骨骼肌肉系統及步態分析之討論。中華體育季刊，17(3)，70-74。
林慧芬、胡名霞（1995）。成年人站立平衡之研究-動態平衡測驗之年齡效應。中華民國物理治療學會雜誌，20(1)，81-90。
洪升呈（2005）。身體活動對老年人心理健康的影響。大專體育，78，153-157。
美國疾病控制與預防中心。2009年12月2日，取自美國疾病控制與預防中心(Centers for Diseases Control and Prevention, CDC) 網址：http://www.cdc.gov/。
唐銘斌（2008）。從事不同運動型態對國小女童平衡能力之影響。未出版碩士論文，國立臺南大學，臺南市。
徐淑芬(2006)。老年人與年輕人不同速度步行足底壓力分佈相關參數之研究。未出版碩士論文，國立體育學院，桃園縣。
秦毛漁、盧德發、盧美惠（2008）。社區老人跌倒相關因素之探討。護理雜誌，55(3)，39-48。
張哲榕（2005）。水中有氧運動的介入對老年女性平衡能力及下肢肌力之影響。未出版碩士論文，國立臺灣師範大學，臺北市。
張梅蘭、王子娟、劉作仁、李淑美、梁家豐、徐道昌（1998）。老人跌倒者與非跌倒者平衡能力之定量評估。中華民國物理治療學會雜誌，23(4)，255-268。
張詠家（2008）。老年族群平衡能力評估之探討。未出版碩士論文，國立陽明大學，臺北市。
傅麗蘭、楊政峰（1999）。獨居老人跌倒情形、步態、居家環境及身體功能評估。中華民國物理治療學會雜誌，24(2)，53-62。
黃泰諭（2005）。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。未出版碩士論文，國立臺灣師範大學，臺北市。
趙叔蘋（2008）。改善高齡者步行能力之因素探討。中華體育季刊，22(2)，34-44。
劉影梅（2004）。國際身體活動量表臺灣中文版之發展與信效度驗證。未出版碩士論文，國立臺灣大學，臺北市。
鄭名涵（2002）。不同運動型態中老年人平衡能力、反應時間與下肢肌力之比較。未出版碩士論文，國立臺灣師範大學，臺北市。

二、英文部分
Alexander, N. B. (1996). Gait disorders in older adults. Journal of American Geriatrics Society, 44, 434-451.
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 and Rehabilitation, 73(11), 1073-1080.
Burnfield, J. M., Few, C. D., Mohamed, O. S., & Perry, J. (2004). The influence of walking speed and footwear on plantar pressures in older adults. Clinical Biomechanics, 19 (1), 78–84.
Caspersen, C. J., Powell, K. E., & Christenson, G.M. (1985). Physical activity, exercise, physical fitness: definitions and distinctions for health-related research. Public Health Report, 100(2), 126-131.
Corriveau, H., Hebert, R., Raiche, M., & Prince, F. (2004). Evaluation of postural stability in the elderly with stroke. Archives of Physical Medicine and Rehabilitation, 85(7), 1095-1101.
Dettmann, M. A., Linder, M. T., & Sepic, S. B. (1987). Relation ships among walking performance, postural stability, and functional assessments of the hemiplegic patient. American Journal of Physical Medicine, 66(2), 77-90.
Elble, R. J., Sienko Thomas, S., Higgins, C., & Colliver, J. (1991). Stride-dependent changes in gait of older people. Journal of Neurology,238, 1-5.
Gabell, A., & Nakay, U. S. L. (1984). The effect of age on variability in gait. Journal of Gerontology, 39, 662-666.
Gehlsen, G. M., & Whaley, M. H. (1990). Falls in elderly: Part I, Gait. Archives of Physical Medicine and Rehabilitation,71 (10), 735-738.
Grabiner, P. C., Biswas, S. T., Grabiner, M. D. (2001). Age-related changes in spatial and temporal gait variables. Archives of Physical Medicine and Rehabilitation, 82 (1), 31–35.
Li, F., Fisher, K. J., Harmer, P., Irbe, D., Tearse, R. G., & Weimer, C. (2004). Tai Chi and self-rated quality of sleep and daytime sleepiness in older adults: a randomized controlled trial. Journal of the American Geriatrics Society, 52, 892-900.
Mackey, A. H., Stott, N. S., Walt, S. E. (2008). Reliability and validity of an activity monitor (IDEEA) in the determination of temporal–spatial gait parameters in individuals with cerebral palsy. Gait and Posture, 28(4), 634-639.
Maffiuletti, N. A., Gorelick, M., Quervain, I. K., Bizzini, M., Munzinger, J. P., Tomasetti, S., & Stacoff, A. (2008). Concurrent validity and intrasession reliability of the IDEEA accelerometry system for the quantification of spatiotemporal gait parameters. Gait and Posture, 27(1), 160-163.
Maki, B. E., Holliiday, P. J., Fernie, G. R. (1990). Aging and postural control, a comparison of spontaneous- and induced-sway balance test. Journal of the American Geriatrics Society, 38, 1-9.
Marsh, A. P., Vance, R. M., Frederick, T. L., Hesselmann, S. A., & Rejesk, W. J. (2007). Objective assessment of activity in older adults at risk for mobility disability. Medicine and Science in Sports and Exercise, 39(6), 1020-1026.
Melzer, I., Benjuya, N., & Kaplanski, J. (2003). Effect of regular walking on postural stability in the elderly. Gerontology, 49, 240-245.
Mian, O.S., Thom, J. M., Ardigo, L. P., Morse, C. I., Narici, M. V., Minetti, A. E. (2007). Effect of a 12-month physical conditioning programme on the metabolic cost of walking in healthy older adults. European Journal of Applied Physiology, 100(5), 499-505.
Murray, M. P., Seireg, A. A., & Sepic, S. B. (1975). Normal postural stability and steadiness- quantitative assessment. The Journal of Bone and Joint Surgery, 57,510-515.
Ostrosky, K. M., VanSwearingen, J. M., Burdett, R. G., & Gee, Z. ( 1994). A comparison of gait characteristics in young and old subjects. Physical Therapy, 74, 637-646.
Perry, J. (1992). Gait Analysis: normal and pathological function. New York: Benson, H. C.
Peterka, R. J., & Black, F. O. (1990). Age-related changes in human posture control: sensory organization tests. Journal of Vestibular Research, 1(1), 73-85.
Skinner, H. B., & Effeney, D. J. (1985). Gait analysis in amputees. American Journal of Physical Medicine, 64 (2), 82-89.
Tinetti, M. E., Speechley, M., & Ginter, S. F. (1988). Risk factors for falls among elderly persons living in the community. The New England Journal of Medicine, 319, 1707-1707.
Tseng, Y.H., Jaw, S.P., Lin, T. L., & Ho, C. C. (2003). Exercise motivation and processes of change in community-dwelling older persons. Journal of Nursing Research, 11(4), 269-276.
VanSwearingen, J. M., Paschal, K. A., Bonino, P., & Yang, J. F. (1996). The modified gait abnormality rating scale for recognizing the risk of recurrent falls in community-dwelling elderly adults. Physical Therapy, 76, 994-1002.
Wall, J. C., Hogan, D. B., Turnbull, G. I., & Fox, R. A. (1991). The kinematics of idiopathic gait disorder. A comparison with healthy young and elderly females. Scandinavian journal of rehabilitation medicine, 23(3), 159-64.
Whittle, M.W. (2007). Gait Analysis: an introduction (4th ed.). Edinburgh New York: Butterworth – Heinemann.
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, 340-347.
Woollacott, M. H., Shumway-Cook, A., & Nashner, L. M. (1986). Aging and posture control：changes in sensory organization and muscular coordination. International Journal of Aging & Human Developmen, 23(2), 97-114.
Zhang, J. G., Ishikawa-Takata, K., Yamazaki, H., Morita, T., & Ohta, T. (2006). The effects of Tai Chi Chung on physiological function and fear of falling in the less robust elderly: an intervention study for preventing falls. Archives of Gerontology and Geriatrics, 42, 107-116.
Zhang, K., Pi-Sunyer, F. X., & Boozer, C. N. (2004). Improving energy expeniture estination for physical activity. Medicine and Science in Sports and Exercise, 36, 883-889.
Zhang, K., Werner, P., Sun, M., Pi-Sunyer, F. X., & Boozer, C.N. (2003). Measurement of human daily physical activity. Obesity Rrsearch, 11(1), 33-40.