Basic Search / Detailed Display

Author: 蔡季瑄
TSAI,CHI-SYUAN
Thesis Title: 彼拉提斯運動介入對女性更年期症狀及軀幹等長肌耐力之影響
Effects of Pilates exercise on climacteric symptoms and isometric endurance of trunk muscles in perimenopausal women
Advisor: 王鶴森
Degree: 碩士
Master
Department: 體育學系
Department of Physical Education
Thesis Publication Year: 2011
Academic Year: 99
Language: 中文
Number of pages: 53
Keywords (in Chinese): 停經核心肌群泌尿症狀
Keywords (in English): menopause, core muscles, urinary symptoms
Thesis Type: Academic thesis/ dissertation
Reference times: Clicks: 91Downloads: 21
Share:
School Collection Retrieve National Library Collection Retrieve Error Report
  • 目的:探討8週彼拉提斯運動介入對女性更年期症狀困擾之影響。方法:受試者為60名自願參與本研究之更年期女性,平均年齡49.2 ± 3.3歲,隨機分為實驗組及對照組各30名。實驗組施以每週三次,每次60分鐘的彼拉提斯運動,對照組完全不介入任何的運動,實驗期間所有受試者亦皆未接受任何醫學治療。實驗共為期8週,並於實驗前、後記錄受試者的更年期症狀困擾量表(包含:心血管及自主神經症狀、骨關節症狀、泌尿症狀、生殖症狀、心理精神症狀)及軀幹等長肌耐力測試,所得資料以混合設計二因子變異數分析檢驗運動介入的效果。結果:經混合設計二因子變異數分析,發現在更年期五大症狀中除生殖症狀外,其餘之四大症狀及軀幹等長肌耐力之交互作用皆達顯著 (p<.05)。實驗組在運動介入後之心血管及自主神經症狀、骨關節症狀、泌尿症狀及心理精神症狀之平均分數均顯著低於控制組 (心血管及自主神經症狀:4.77 ± 3.48分vs.7.87 ± 4.76分;骨關節症狀:1.47 ± 1.00分vs. 3.57 ± 1.90分;泌尿症狀:2.80 ± 2.32分vs. 5.03 ± 3.13分;心理精神症狀:9.03 ± 6.60分vs.14.43 ± 8.51分) (p<.05);另外,實驗組之腹肌及背肌等長肌耐力亦顯著優於控制組(腹肌等長肌耐力:53.80 ± 36.5秒 vs. 33.90 ± 28.23秒;背肌等長肌耐力:(66.20 ± 40.03秒vs. 45.83 ± 33.34秒) (p<.05)。結論:8週彼拉提斯運動可以有效改善更年期女性之軀幹等長肌耐力,同時亦可有效改善除生殖症狀外的更年期症狀。

    Objective: To investigate the effects of 8-week Pilates’s exercise intervention on climacteric symptoms in perimenopausal women. Methods: 60 perimenopausal women were recruited in this study (mean age 49.2 ±3.3 years). The participants were randomized to either an intervention group (IG; n=30) or a control group (CG; n=30). The IG received an 8-week Pilates’s intervention (3 times per week for 60 minutes); the CG did not. Climacteric symptoms and isometric endurance of trunk muscles were recorded before and after experiment period. Results: A significant mixed design ANOVA interaction was found for cardiovascular symptoms (CS), autonomic nervous symptoms (ANS), bone and joint symptoms (BJS), urinary symptoms (US), psychological symptoms (PS) and isometric endurance of trunk muscles (IETS) (p<.05) but not for reproductive symptoms. The IG showed significantly lower scores on CS, ANS, BJS, US, and PS after intervention compared to the CG (p<.05). In addition, The IG also showed significantly increased isometric endurance of trunk muscles than the CG (p<.05). Conclusion: An 8-week Pilates’s exercise intervention can effectively improve climacteric symptoms and increase isometric endurance of trunk muscles in perimenopausal women.

    目次 封面....................................................i 中文摘要.................................................ii 英文摘要.................................................iii 致謝....................................................iv 目次....................................................v 表次....................................................vii 圖次....................................................vii 第壹章 緒論 一、問題背景..............................................1 二、研究目的..............................................3 三、研究假設..............................................3 四、名詞操作性定義.........................................3 第貳章 文獻探討 一、更年期症狀............................................5 二、彼拉提斯運動與女性健康..................................5 三、更年期症狀與核心肌群的關係...............................8 四、本章總結.............................................10 第參章 研究方法與步驟 一、研究設計.............................................11 二、研究對象.............................................11 三、實驗時間與地點........................................11 四、實驗方法與步驟........................................12 五、更年期症狀困擾量表.....................................13 六、軀幹等長肌耐力........................................13 七、運動介入方式..........................................14 八、資料處理.............................................19 第肆章 結果 一、彼拉提斯運動與軀幹等長肌耐力.............................20 二、彼拉提斯運動與更年期症狀................................22 第伍章 討論 一、彼拉提斯運動與軀幹等長肌耐力.............................27 二、彼拉提斯運動與更年期症狀................................27 三、結論與建議...........................................30 引用文獻................................................31 附錄一 參與研究說明.......................................36 附錄二 受試者同意書.......................................37 附錄三 更年期症狀困擾量表..................................38 附錄四 著作授權同意書.....................................41 附錄五之一 腹肌等長肌耐力的混合設計二因子變異數分析摘要表........42 附錄五之二 背肌等長肌耐力的混合設計二因子變異數分析摘要表........42 附錄五之三 更年期症狀困擾的混合設計二因子變異數分析摘要表........42 附錄五之四 心血管及自主神經症狀的混合設計二因子變異數分析摘要表...42 附錄五之五 骨關節症狀的混合設計二因子變異數分析摘要表...........43 附錄五之六 泌尿症狀的混合設計二因子變異數分析摘要表.............43 附錄五之七 生殖症狀的混合設計二因子變異數分析摘要表.............43 附錄五之八 心理精神症狀的混合設計二因子變異數分析摘要表..........43 表次 表1 彼拉提斯運動介入對女性健康之影響.........................7 表2 彼拉提斯運動課程內容..................................14 表3 彼拉提斯運動動作圖示及說明.............................15 圖次 圖 1 影響更年期症狀的相關因素..............................8 圖 2 實驗流程圖.........................................12 圖3 腹肌等長肌耐力測試....................................13 圖4 背肌等長肌耐力測試....................................14 圖 5 彼拉提斯運動對更年期腹肌等長肌耐力的影響.................20 圖 6 彼拉提斯運動對更年期背肌等長肌耐力的影響.................21 圖 7 彼拉提斯運動對更年期症狀困擾的影響......................22 圖 8 彼拉提斯運動對更年期心血管及自主神經症狀的影響.............23 圖 9 彼拉提斯運動對更年期骨關節症狀的影響.....................24 圖 10 彼拉提斯運動對更年期泌尿症狀的影響......................25 圖 11 彼拉提斯運動對更年期心理精神症狀的影響...................26

    李秋香(2003)。尿失禁婦女骨盆底肌肉運動介入之成效及其相關因素探討。未出版碩士論文,中山醫學大學,台中市。
    宋敏如(2006)。瑜珈運動對更年期婦女疲憊、健康體能與更年期症狀困擾成效
    之探討。未出版碩士論文,國立台北護理學院,臺北市。
    呂怡慧 (2008)。應力性尿失禁婦女之骨盆底肌肌力與腹橫肌收縮能力之探討。未出版碩士論文,國立陽明大學,臺北市。
    邱俊傑(2005)。彼拉提斯與核心復健運動。臺北市:原水文化。
    洪雅綺(2003)。彼拉德斯訓練技巧於健身指導中應用。大專體育,65,25-33。
    洪秀娟(2006)。經由腹橫肌間接訓練骨盆底肌對尿失禁婦女之療效:隨機分 
      組控制試驗。未出版碩士論文,國立臺灣大學,臺北市。
    曹麗英(1998)。台灣婦女更年期經驗之探討-處於多變化時期。護理研究,6 (6),448-460。
    曹麗英、蘇美禎、邱小鳳(2002)。中西醫求醫婦女更年期症狀困擾情形之探討。長庚科技學刊,1-102。
    許恒壹、秦佳鈴(2008)。停經症候群-耳鳴病例討論。台灣中醫臨床醫學雜
    誌,14 (3),252-255。
    陳志豪(2010)。八週皮拉提斯訓練對女大學生各項體能影響。未出版碩士論
      文,國立彰化師範大學,彰化市。
    張玨、張菊惠(1998)。婦女健康與醫療化:以停經/更年期為例。婦女與兩性學刊,9,145-185。
    曾雅莉(2005)。彼拉提斯核心運動介入對下背痛患者的效果探討。未出版碩士
    論文,國立屏東教育大學,屏東市。
    張夢珍(2008)。核心復健運動-pilates 彼拉提斯。藝術欣賞,4,67-73。
    楊雅如、王子綺、楊正蕾、王瑞瑤(2002)。軀幹肌肉表現測試:相關性以及量
    測方法信度之探討。物理治療,27 (4),165-173。
    劉桂蘭(2005)。更年期自療事典。臺北市:三采。
    潘芙蓉(2007)。彼拉提斯運動計畫對促進社區肥胖中老年人身心健康之成效探
    討。未出版碩士論文,輔英科技大學,高雄縣。
    遲舒云(2009)。應力性尿失禁婦女腹橫肌與腰部多裂肌肌肉休息厚度及期收縮
    變化。未出版碩士論文,國立台灣大學,臺北市。
    謝菁珊(2004)。彼拉提斯Pilates塑身新風格。臺北市:麥田出版社。
    鐘麗珊(2008)。彼拉提斯運動介入於脊椎不適患者之療效研究。未出版碩士論文,國立陽明大學,臺北市。

    二、英文部分:
    Altan, L., Korkmaz, N., Bingol, U., & Gunay, B. (2009). Effect of pilates training on
    people with fibromyalgia syndrome: a pilot study. Archives of Physical
    Medicine and Rehabilitation, 90 (12), 1983-1988.
    Brehm, B. A., & Iannotta, J. G. (1998). Women and physical active lifestyle
    enhance health and wellbeing. Journal of Health Education, 29(2), 89-92.
    Booth-LaForce, C., Thurston, R. C., & Taylor, M. R. (2007). A pilot study of a Hatha
    yoga treatment for menopausal symptoms. Maturitas, 20, 57(3), 286-295.
    Bosch, P. R., Traustadóttir, T., Howard, P., & Matt, K. S. (2009). Functional and
    physiological effects of yoga in women with rheumatoid arthritis: a pilot
    study. Alternative Therapies in Health and Medicine, 15(4), 24-31.
    Chan, K., Qin, L., Lau, M., Woo, J., Au, S., Choy, W., Lee, K., & Lee, S. (2004).
    Arandomized, prospective study of the effects of Tai Chi Chun exercise on
    bone mineral density in postmenopausal women. Archives Physical Medicine
    and Rehabilitation, 85(5), 717-722.
    Cass, I., & Runowicz, C. D. (1998). Nonhormonal alternatives to treating menopausal symptoms. The American Journal of Manag Care, 4(5), 732-738.
    Chen, S. Y. (2004). The development and testing of the pelvic floor muscle exercise
    self-efficacy scale. Journal of Nursing Research, 12, 257-266.
    Culligan, P. J., Scherer, J., Dyer, K., Priestley, J. L., Guingon-White, G., Delvecchio,
    D., & Vangeli, M. (2010). A randomized clinical trial comparing pelvic floor
    muscle training to a Pilates exercise program for improving pelvic muscle
    strength. International Urogynecology Journal and Pelvic Floor Dysfunction, 21,401-408.
    Cleland, J., Schulte, C., & Durall, C. (2002). The role of therapeutic exercise in
    treating instability-related lumbar spine pain. A systematic review. Journal of
    Back Musculoskeletal Rehabilitation, 16, 105-115.
    Dhikav, V., Karmarkar, G., Gupta, R., Verma, M., Gupta, R., Gupta, S., & Anand, K.
    S. (2010). Yoga in female sexual functions. The Journal of Sexual Medicine, 7(2
    pt 2 ), 964-970.
    Eyigor, S., Karapolat, H., Yesil, H., Uslu, R., & Durmaz, B. (2010). Effects of pilates
    exercises on functional capacity, flexibility, fatigue, depression and quality of life
    in female breast cancer patients: a randomized controlled study. Unpublished
    doctoral dissertation, Physical Therapy and Rehabilitation Department, Faculty
    of Medicine, Ege University, Izmir, Turkey.
    Greendale, G. A., Lee, N. P., & Arriola, E. R. (1999). The Menopause. The Lancet,
    353, 571-580.
    Hodges G. J., Sharp, L., Stephenson, C., Patwala, A.Y., George, KP., Goldspink, D.
    F., & Cable N. T. (2010). The effect of 48 weeks of aerobic exercise training on
    cutaneous vasodilator function in post-menopausal females. European Journal
    of Applied Physiology, 108(6), 1259-1267.
    Hung, H. C., Hsiao, S. M., Chih, S. Y., Lin, H. H., & Tsauo, J. Y. (2010). An
    alternative intervention for uninary incontinence: Retraining diaphragmatic,
    deep abdominal and pelvic floor muscle coordinated function. Manual
    Therapy,15, 273-279.
    Javnbakht, M., Hejazi Kenar, R., & Ghasemi, M. (2009). Effects of yoga on
    depression and anxiety of women. Complementary Therapies in Clinical
    Practice, 15(2), 102-104.
    Jeffreys, I. (2002). Developing a progressive core stability program . Strength &
    Conditioning Journal, 24(5), 65-66.
    June, K., & Aaron, L. (2004). Pilates and physical education: A natural fit. Journal of
    Physical Education, Recreation & Dance, 75(4), 34-51.
    Jago, R., Jonker, M. L., Missaghian, M., & Baranowski, T. (2006). Effect of 4
    weeks of Pilates on the body composition of young girls. Preventive Medicine,
    42(3), 177-180.
    Kushi, L. H., Fee, R. M., Folsom, A. R., Mink, P. J., Anderson, K. E., & Sellers, T. A.
    (1997) . Physical activity and mortality in post-menopausal women. Journal of
    the American Medical Association, 227, 1287-1292.
    Kloubec, J. A. (2010). Pilates for improvement of muscle endurance, flexibility,
    balance, and posture. Journal of Strength and Conditioning Research , 24(3),
    661-667.
    Memmo, P., Kim, K., Solomon, J., Savarese, R., & Nadler, S. F. (2002). Core
    strengthening: Influence on performance of a timed shuttle run. Archives of
    Physical Medicine and Rehabilitation, 83, 1661.
    Minassian, V. A., Stewart, W. F., & Wood, G.C. (2008). Urinary incontinence in
    women: Varuation in prevalence estimates and risk factors. Obstetrics and
    Gynecology, 111, 324-331.
    Okamoto, T., Masuhara, M., & Ikuta, K. (2009). Home-based resistance training
    improves arterial stiffness in healthy premenopausal women. European Journal
    of Applied Physiology, 107(1), 113-117.
    Scharbo-DeHaan, M., & Brucker, M. C. (1991). The perimenopausal period:
    Implications for nurse-midwifery practice. Journal of Nurse-Midwifery, 36(1),
    9-16.
    Skrzypulec, V., Dabrowska, J., & Drosdzol, A. (2010) The influence of physical
    activity level on climacteric symptoms in menopausal women. The Journal of
    the International Menopause Society, 13(4), 355-361.
    Subak, L. L., Brubaker, L., Chai, T. C., Creasman, J. M., Diokno, A. C., Good, P. S.,
    Kraus, S. R., Kusek, J. W., Leng, W. W., Lukacz, E. S., Norton, P., & Tennstedt,
    S. (2008). High costs of urinary incontinence among women electing surgery to
    treat stress incontinence. Obstet Gynecol, 111, 899-907.
    World Health Organization. (1996). Research on the menopause. Progress in
    Human Reproduction Research, 40, 1-8.

    下載圖示
    QR CODE