簡易檢索 / 詳目顯示

研究生: 賴學暐
Hsei-Wei Lai
論文名稱: 規律運動對老年女性在平地行走與上下階梯的影響
The effect of regular exercise for female elders during walking, stair ascent and decent
指導教授: 張家豪
Chang, Jia-Hao
學位類別: 碩士
Master
系所名稱: 體育學系
Department of Physical Education
論文出版年: 2011
畢業學年度: 99
語文別: 中文
論文頁數: 36
中文關鍵詞: 運動學身體質心足底壓力中心
英文關鍵詞: kinematics, center of mass, center of pressure
論文種類: 學術論文
相關次數: 點閱:157下載:17
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:藉由平地行走、上下階梯三種日常生活動作,了解規律運動對老年女性在平衡控制上的差異。方法:本研究是以20名65~75歲之健康老年女性,分為規律運動組(平均年齡:67.20±2.53歲)與非規律運動組(平均年齡:67.10±3.35歲)為受試者,以三維動作分析系統擷取老年女性平地行走與上下階梯之動作數據,以測力板同步收取足底壓力中心。以二因子混和設計區分有無規律運動與不同動作(平地行走與上下階梯)對老年女性的平衡控制上是否有差異,顯著水準為α = .05。結果:規律運動組與非規律運動組在各項參數上均無差異。但在不同動作上,平地行走之前後方向之身體質心移動範圍與身體質心速度為三種動作中最高(p<.05);下階梯之左右方向身體質心移動範圍與身體質心速度為三種動作中最高(p<.05),但左右方向之壓力中心移動範圍為三種動作中最小(p<.05)。結論:根據本研究的分類,有無規律運動不會影響老年女性的平衡控制表現。

    Purpose: To compare the effect of regular exercise for female elders by balance control during walking, stair ascent and decent. Method: 20 healthy female elders (age: 65~75) were divided into exercise group (age: 67.20±2.53) and non-exercise group (age:67.10±3.35). A 3D motion analysis system was used to capture and record movements of the elderly female participants during walking, stair ascent and decent. And a force platform was used to collect the data of center of pressure synchronously. The different in parameters were tested by two way mix design ANOVA, the significant level was as α = .05. Result: There were non-significant differences between two groups during walking, stair ascent and decent. But, there were significant differences among movements (walking, stair ascent and decent). Anterior-posterior direction of COM displacement and COM velocity was greater during walking (p<.05). Medial-lateral direction of COM displacement and COM velocity was greater (p<.05) and medial-lateral of COP displacement was smaller during stair decent (p<.05). Conclusion: Based on the criterion of dividing the groups, the regular exercise did not have the effect on the ability of balance control for female elders.

    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 一、問題背景 1 二、研究問題 2 三、研究目的 2 四、研究假設 2 五、研究範圍 2 六、研究限制 3 七、名詞操作性定義 3 八、研究的重要性 4 第貳章、文獻探討 5 一、規律運動與平衡控制 5 二、女性與平衡 7 三、步態與平衡 7 四、文獻總結 9 第參章、研究方法 10 一、研究對象 10 二、實驗時間與地點 10 三、儀器設備 10 四、實驗方法 13 五、實驗步驟 15 六、參數分析 16 七、統計分析 19 第肆章、結果與討論 20 一、平地行走與上、下階梯之步態時間與距離參數 20 二、平地行走與上、下階梯對平衡能力之影響 22 三、平地行走與上、下階梯對關節活動範圍之影響 24 四、平地行走與上、下階梯對足底壓力中心之影響 29 五、綜合討論 30 第伍章、結論與建議 31 一、結論 31 二、建議 32 參考文獻 33

    Andriacchi, T.P., Andersson, G.B.J., Fermier, R.W., Stern, D., Galante,
    J.O., (1980). A study of lower-limb mechanics during
    stair-climbing. The journal of Bone and Joint Surgery. 62 (5),
    749–757
    Arai, T., Obuchi, S., Inaba, Y., Shiba, Y., Satake, K. (2009). The
    relationship between physical condition and change in balance
    functions on exercise intervention and 12-month follow-up in
    Japanese community-dwelling older people. Archives of
    Gerontology and Geriatrics, (48), 61–66
    Barr, A. E. (1998). Gait analysis. In J. Spivak & J. Zuckerman (Eds.),
    Orthopaedics-A Comprehensive study Guide. New York:
    McGraw-Hill.
    Bird, M., Hill, K. D., Ball, M., Hetherington, S., Williams, A. D. (2011).
    The long-term benefits of a multi-component exercise intervention
    to balance and mobility in healthy older adults. Archives of
    Gerontology and Geriatrics, 52(2), 211-216
    Chou, L. S., Kaufman, K. R., Brey, R.H., Draganich, L. F. (2001). Motion
    of the whole body's center of mass when stepping over obstacles of
    different heights. Gait and Posture, 13, 17-26
    Cochrane, T., Munro, J., Davey, R., Nicholl, J. (1998). Exercise, physical
    function and health perceptions of older people. Physiotherapy,
    84(12), 598-602
    Cock, D. A., Vanrenterghem, J., Willems, T., Witvrouw, E., Clercq, D.
    D. (2008). The trajectory of the centre of pressure during barefoot
    running as a potential measure for foot function. Gait and Posture,
    (27), 669-675
    Cochrane, T., Munro, J., Davey, R., Nicholl, J. (1998). Exercise, physical
    function and health perceptions of older people. Physiotherapy,
    (l84),598-602
    Frigo, C., Crenna, P., Jensen L. M. (1996). Moment-angle relationship at
    lower limb joints during human walking at different velocities.
    Journal of Electromypgraphy and Kinesiol, (6), 177-190
    Gobbi, L. T. B., Oliveira-Ferreira, M. D. T., Caetano, M. J. D.,
    Lirani-Silva, E., Barbieri, F. A., Stella, F., & Gobbi, S. (2009).
    Exercise programs improve mobility and balance in people with
    Parkinson’s disease. Parkinsonism and Related Disorders, 15(3),
    S49–S52
    Grabiner, M. D., Troy, K. L. (2005). Attention demanding tasks during
    treadmill walking reduce step width variability in young adults.
    Journal of NeuroEngineering and Rehabilitation, 2(25), 1-6
    Guskiewicz, K.M., Perrin, D.H., (1996). Research and clinical
    applications of assessing balance. Journal of Sport Rehabilitation,
    (5), 45–63.
    Hausdorff, J. M., Balash, J., Giladi, N. (2003). Effects of Cognitive
    Challenge on Gait Variability in Patients with Parkinson’s Disease.
    Journal of Geriatric Psychiatry and Neurology, 16, 53-58
    Herna´ndez a, A., Silder A., Heiderscheit, B. C., Thelen, D. G. (2009).
    Effect of age on center of mass motion during human walking. Gait
    and Posture, (30), 217–222
    Hollman, J. H., Kovash, F. M., Kubik, J. J., Linbo, R. A. (2007).
    Age-related differences in spatiotemporal markers of gait stability
    during dual task walking. Gait & Posture, 26, 113-119
    Hsue, B. J., Miller, F., Su, F. C. (2009). The dynamic balance of the
    children with cerebral palsy and typical developing during gait.
    Part II: Instantaneous velocity and acceleration of COM and COP
    and their relationship. Gait and Posture, (29), 471-476
    Kaesler, D. S., Mellifont, R. B., Kelly, B. S., Taaffe, D. R. (2007). A
    novel balance exercise program for postural stability in older adults:
    A pilot study. Journal of Bodywork and Movement Therapies, 11(1),
    37–43
    Kang, H. G., Dingwell, J. B. (2008). Separating the effects of age and
    walking speed on gait variability. Gait and Posture, (27), 572–577
    Kaptoge, S., Benevolenskaya, L. I., Bhalla, A. K., Cannata, J. B., Boonen,
    S., Falch, A. J., Felsenberg, D., Finn, J. D., Nuti, R., Hoszowski,
    K., Lorenc, R., Miazgowski,T., Jajic, I. Lyritis, G., Masaryk, P.,
    Naves-Diaz, M., Poor, G., Reid, D. M., Scheidt-Nave, C., Stepan, J.
    J.,Todd, C. J., Weber, K., Woolf, A. D., Roy, D. K., Lunt, M., Pye,
    S. R., O’Neill, T. W., Silman, A. J., Reeve, J. (2005). Low BMD is
    less predictive than reported falls for future limb fractures in
    women across Europe: results from the European Prospective
    Osteoporosis Study. Bone, (36), 387– 398
    Krishnamoorthy, V., Yang, J. F., Scholz,J. P. (2005). Joint coordination
    during quiet stance: effects of vision. Experimental Brain Research,
    164, 1-17
    Kuo, A. D. (1995). An optimal control model for analyzing human
    postural balance. IEEE Transactions on Biomedical Engineering,
    42, 87-101
    Lee, H. J., Chou, L. S. (2007). Balance control during stair negotiation in
    older adults. Journal of Biomechanics, 40(11), 2530-2536
    Macfadyen, B. J., & Winter, D. A. (1988). An integrated biomechanical
    analysis of normal stair ascent and descent. Journal of biomechanics, 21(9), 733-744
    Mackinnon, C. D. & Winter, D. A. (1993). Control of whole body balance
    in the frontal plane during human walking. Journal of
    Biomechanics, 26(6), 633-644
    Madureira, M. M., Bonfá, E., Takayama, L., Pereira, R. M. R. (2010). A
    12-month randomized controlled trial of balance training in elderly
    women with osteoporosis: Improvement of quality of life.
    Maturitas , (66), 206–211
    Mian, O. S., Narici, M. V., Minetti, A. E., Baltzopoulos, V. (2007). Centre
    of mass motion during stair negotiation in young and older men.
    Gait and Posture, 26(3), 463–469
    Novak, A. C., Brouwer, B. (2011). Sagittal and frontal lower limb joint
    moments during stair ascent and descent in young and old er adults.
    Gait and Posture, 33(1), 54-60
    Pai, Y. C., Patton, J. (1997). Center of mass velocity-position predictions
    for balance control. Journal of biomechanics, 30(4), 347-354
    Pai, Y. C., Roger, M. K., Patton, J., Cain, T. D., Hanke, T. A. (1998).
    Static versus dynamic predictions of protective stepping
    following waist-pull perturbations in young and older adults.
    Journal of biomechanics, (31), 1111-1118
    Prince, F., Corriveau, H., Hkbert, R., Winter, D. A. (1997). Gait in elderly.
    Gait and Posture, 5, 128-135
    Protopapadaki, A., Drechsler, W. I., Cramp, M. C., Coutts, F. J., Scott, O.
    M. (2007). Hip, knee, ankle kinematics and kinetics during stair
    ascent and descent in healthy young individuals. Clinical
    Biomechanics, 22(2), 203–210
    Riener, R., Rabuffetti, M., Frigo,C. (2002). Stair ascent and descent at
    different inclinations. Gait and Posture, (15), 32–44
    Riley, P. O., DellaCroce, U., Kerrigan, D. C. (2001). Effect of age on
    lower extremity joint moment contributions to gait speed. Gait &
    Posture, 14, 264-270
    Schultz, A.B., Ashton-Miller, J.A., Alexander, N.B. (1997). What leads
    to age and gender differences in balance maintenance and
    recovery? Muscle and Nerve Supplement , 5, S60-S64
    Sheldon, J. H. (1960). On the natural history of falls in old age. British
    Medical Journal, 2, 1685-1690
    Startzell, J. S., Owens, D. A., Mulfinger, L. M., Cavanagh, P. R. (2000).
    Stair Negotiation in Older People: A Review. Journal of the
    American Geriatrics Society, 48(5), 567-580
    Tideiksaar, R. (1988). Falls in elderly. Bulletin of the New York Academy
    of Medicine, 64(2), 145-163
    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(26), 1701-1707.
    Ülger, Ö., Yagli, N. V. (2011). Effects of yoga on balance and gait
    properties in women with musculoskeletal problems: A pilot study.
    Complementary Therapies in Clinical Practice, 17(1), 13-15
    Vaillant, J., Vuillerme N., Martigné, P., Caillat-Miousse, J. L., Parisot, J.,
    Nougier, V., & Juvin, R. (2006). Balance, aging, and osteoporosis:
    effects of cognitive exercises combined with physiotherapy. Joint
    Bone Spine , 73(4), 414–418
    Winter, D. A. (1995). Human balance and posture control during standing
    and walking. Gait and Posture, 3 (4), 193-214
    Wojcik, L. A., Thelen, D. G., Schultz, A. B., Ashton-Miller, J. A.,
    Alexander, N. B. (2001). Age and gender differences in peak lower
    extremity joint torques and ranges of motion used during
    single-step balance recovery from a forward fall. Journal of
    Biomechanics, (34), 67-73
    Wong, A. M. K., Chou, S. W., Huang, S. C., Lan, C., Chen, H. C., Hong,
    W. H., Chen, C. P.C., & Pei, Y. C. (2011). Does different exercise
    have the same effect of health promotion for the elderly?
    Comparison of training-specific effect of Tai Chi and swimming on
    motor control. Archives of Gerontology and Geriatrics, 53(4),
    e133-e137

    下載圖示
    QR CODE