研究生: |
陳俊杰 Chun-Chieh Chen |
---|---|
論文名稱: |
十二週太極拳訓練對氣喘兒童肺功能與心肺耐力的影響 The Effects of 12-Week Tai Chi Chuan Training on Lung Function and cardiovascular Fitness of Asthmatic Children |
指導教授: |
方進隆
Fang, Chin-Lung |
學位類別: |
碩士 Master |
系所名稱: |
體育學系 Department of Physical Education |
論文出版年: | 2005 |
畢業學年度: | 93 |
語文別: | 中文 |
論文頁數: | 91 |
中文關鍵詞: | 氣喘 、氣喘兒童 、太極拳訓練 、肺功能 、心肺功能 |
英文關鍵詞: | Asthma, Tai Chi Chuan, Lung function, Cardiovascular fitness |
論文種類: | 學術論文 |
相關次數: | 點閱:376 下載:35 |
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 |
規律運動有助於氣喘症狀的改善,但太極拳運動對於氣喘兒童的益處,則少人加以探討。本研究主要目的在探討12週太極拳訓練對氣喘兒童肺功能與心肺耐力的影響。以32名患有氣喘國小學童(平均年齡9.77±1.79歲與體重36.66±12.59公斤)為研究對象,隨機分派至實驗組與控制組。實驗組受試者除體育課外,另接受為期12週、每週三次、每次45分鐘、強度為最大心跳率的45-60%的陳式太極拳訓練;控制組除體育課外,不從事其他運動訓練。受試者分別於訓練前、訓練6週及12週後接受肺功能檢測,檢測項目包括肺活量、第一秒吐氣量和尖峰呼氣流速 ,並於訓練前及12週訓練後進行800公尺心肺耐力檢測。所得資料以獨立樣本t-test和混合設計二因子變異數(two-way ANOVA)分析比較,顯著水準定為p<0.05。 結果發現:一、12週太極拳訓練後,對氣喘兒童休息狀態下的肺活量、第一秒吐氣量和尖峰呼氣流速皆有明顯改善(p<0.05)。二、太極拳訓練對氣喘兒童運動後肺活量和第一秒吐氣量進步幅度顯著比控制組大 (P<.05) , 但進步百分比則無明顯差異。三、太極拳訓練對運動後喝冰水肺功能和心肺耐力皆無明顯進步。結論:12週太極拳規律訓練,可改善氣喘兒童休息狀態下的肺功能, 對於運動後的部分肺功能有助益。
Regular exercise has benefits for releasing the symptoms of asthma; however, few researches have been conducted to exam the values of Tai Chi Chuan for the asthmatic children. The purposes of this research were to investigate the effects of 12-week Tai Chi Chuan training on lung function and cardio-respiratory fitness of asthmatic students. Thirty two asthmatic students ( average age was 9.77±1.79 years and body weight was 36.66±12.59kgs) were recruited as the subjects and randomly assigned into experimental group (EG) and control group (CG). The subjects of EG had received 12 week Chen-Style Tai Chi Chuan training, 3 days per week, 45 minutes each day with the intensity of 45-60% Maximal heart rate. The CG subjects received no training except 2 hours PE class activity each week for both groups. The Lung function test of each subject was taken before training、6 and 12 weeks after training, including the forced vital capacity (FVC), forced expiratory volume in one second (FEV1) and peak expiratory flow rate (PEF). The 800 meters run and walk test was measured before and after 12 weeks training. The collected data was analyzed by independent t-test and mixed two-way ANOVA and the results were as followed: 1. The FVC, FEV1 and PEF of lung function showed a significant increase (p<0.05) in a state of rest after 12 weeks of training. 2. The increased rate of post-exercise FVC and FEV1 of EG were significantly greater than that of CG (p<0.05) after 12 week of training. However, the ratio of improvement were not significant between EG and CG. 3. The lung function (FVC, FEV1 and PEF) after exercise with ice drink and cardiovascular fitness were not significant increase after training. The 12-week Tai Chi Chuan training showed positive effects on lung function of asthma-children in the rest state and post exercise condition.
中文部分
方進隆編著(1992)。運動與健康-減肥健身與疾病的運動處方增定版。台北市:漢文書店。107-114。
王順正編著(1998)。運動與健康。台北市:浩原文化。
王家弘(1998)。氣喘病的發炎機轉。臨床醫學41,225-229。
石覺(1984)。太極拳圖解。中華民國太極拳協會編篡。
行政院衛生署(2000)。氣喘診療指引。臺北:行政院衛生署。
行政院衛生署(2003)。氣喘與我。臺北:行政院衛生署國民健康局。
行政院環保署(2000)。氣喘護照手冊。空氣污染防制基金編印。
吳克恭(2002)。兒童氣喘。臨床醫學,49(1),。
吳家興(1998)。台灣北部國中學生氣喘盛行率調查,中華衛誌,17(3),214-225。
吳家興、林瑞雄、謝貴啞、邱文達、陳美麗、邱淑堤、黃國晉、劉文良、邱宏毅、蕭慧娟、方淑慧、陳雄文、林嘉明、宋鴻樟(1989)。台灣北部國中學生氣喘盛行率調查。中華衛誌,17(3),214-223。
牧瀨好弘(2000)。媽媽!我的氣喘痊癒了(林秀娟編譯)。台北市:婦女與生活社,(原著於1998出版)。
林貴幅(1995)。運動性氣喘的管理。台灣師大體育研究,第一期,139-155。林麗容(2002)。太極拳運動訓練對輕度高血壓患者血壓、血脂肪濃度及焦
慮成效之探討。未出版之碩士論文,國立台北醫學院護理研究所碩士論文,台北市。
洪文平(2003)。游泳運動介入對氣喘兒童的影響。未出版之碩士論文,國立台灣大學體育研究所,台北市。
陳清榮(1992)。如何面對氣喘兒童。台北市:頂淵文化。
陳擰宏、謝孟哲、徐麗娟合譯(1999)。氣喘病的預防與治療。台北市:允晨文化。
陳淑如、張文英、鄭綺(2001)。氣喘兒童的運動指導。長庚護理,12(3),234-238。
陳淑如、張文英、潘美蓉、鄭綺(2002)。氣喘兒童兒童身體活動狀態、自我效能及其生活品質。醫護科技學刊,4(1),1-14。
陳茂源、謝貴雄(1995)。氣喘病之定義、診斷及分類。中華民國微生物及免疫學雜誌,28(4),1-4。
張詳三(1981)。張氏實用太極拳。螳螂拳委員會。
張永賢(1994)。探討太極拳運動訓練對中老年人的運動效益。國術研究,3(1),57-64。
黃美涓(2000)。身體病弱學生輔導手冊。載於特殊教育學生輔導手冊,10,1-50。
黃璟隆(1999)。台灣氣喘病的過去現在與未來。長庚醫訊,20(3),1-2。
黃彩玉(2003)。以平衡計分卡建立學齡前兒童氣喘照護評量。國防醫學院護理研究所碩士論文,台北市。
張祐剛(2001)。臺北市青少年氣喘及肺功能相關因數之探討。未出版之碩士論文,國立台灣大學環境衛生研究所,台北市。
曾令儀(2004,2月20日)。。學童練功有人氣喘過敏不藥而癒。聯合報,15版。
詹明樹(2000)。武術太極拳。未出版之碩士論文,國立體育學院教練研究所,桃園。
Gershwin, M. E., & Klingelhofer, E. L. (2002). 氣喘不用怕-氣喘患者生活完全指南(鄭清榮譯)。台北市:原水文化。(原著,2001年出版)。
鄭曼青(1986)。鄭子太極拳十三篇。台北市:蘭溪圖書出版有限公司。
鄧時海(1990)。太極拳根源研究。台北市:楊太極武藝總會。
蔣立琦、黃景隆、呂明昌(1999),學齡氣喘兒童素質因素與自我處理行為之調查及夏令營對之其影響。護理研究,7(4),307-319。
鮑爾‧哈納威(1999)。氣喘病的預防及治療。(陳濘宏、謝孟哲、徐麗娟合譯)。台北市:允成文化。
戴旭志、蕭朝山(2001)。傳統太極拳應用在休閒運動及醫療發展過程的潛在因素。大專體育,53,113-120。
謝貴雄(1995)。小兒氣喘病的預防與處理。中華民國小兒科醫學雜誌,36(增刊B),9-20。
藍青、賴金鑫、連倚南(1993).太極拳訓練對初學者心肺功能的促進效果.國術研究,2(1),53-62。
藍青、賴金鑫(1994)。太極拳訓練對中老年人心肺功能之促進及維持效果。1994年海峽兩岸國術學術研討會,桃園:國立體育學院,63-83。
藍青、賴金鑫、黃美涓(1999)。太極拳訓練對中老年人心肺功能之促進及維持效果。中華復健醫誌,27(2),63-69。
西文部分
AIRIAP(Asthma Insights and Reality in Asia Pacific). Singapore. 2001.
Behrman, R. E., Kliegman, R. M., Nelson, W. E. &Vaughan, V. C.(1992). Texetbook of Pediatrics (14th ed.), 587-596.
Boult, L. P., & Turcott, H. (1991) . Influence of water content of inspired air during and after exercise on induced bronchostriction. European Respiratory Journal,4, 979-984.
Lan, C., Lai, J. S., and Chen, S. Y.(2002). Tai Chi Chuan An ancient wisdom on exercise and health promotion. Sports Medicine ,32 (4), 217-224.
Disabella, V. (1998). Exercise for asthma patients: little risk, big rewards. The Physician and Sports Medicine. 26(6), 75-78.
Fitch, K. D., Morton, A. R., & Blanksby, B. A. (1976) . Effects of swimming training on children with asthma. Archives of Disease in Childhood, 51, 190-194.
Gong, H. (1992). Breathing easy : exercise despite asthma. Physician and Sports Medicine, 20 (3), 163-167.
Gorman, Christine. (2002). Why Tai Chi is the perfect exercise. Time Europe, 160(8), 57, 3/4p, 1.
Grossbach, L. I. (1980). Successful weaning of ventilator dependent patients. Top Clinic Nursing, 2(3), 45-65.
Helenius, I. J., Tikkanen, H. O., & Haahtela, T. (1996). Exercise-induced bronchospasm at low temperature in elite runners. Thorax,51,628-629.
Hendrickson, L., & Glesson, (1994). Exercise- induce asthma : A clinical perspective. Lung, 172(1),1-14.
Hsieh K.H., & Shen, J. J.(1988). Prevalence of children asthma in Taipei, Taiwan and other asian pacific countries . Journal of Asthma, 25, 73-82.
Huang, S. W., Veiga, R., Sila, U., Reed, E., & Hines, S. (1989). The effect of swimming in asthmatic children-participants in a swimming program in the city of Baltimore. Journal of Asthma, 26(2), 117-121.
Jee, S. H., He, J., & Whelton, P. K. (1992). The effect of coffee on blood pressure: A meta-analysis of controlled clinical trials. American Journal of Epidemiology.
Kendrik, Z. V. (2000). Decreasing activity limits for asthma patients. Online The Physician and Sports medicine, 28(10). Available ahttp:/www.physsportsmed.com/issues/2000/10-00
Koh, T. C. (1982). Tai Chi and ankylosing spondylitis: A personal
experience. American Journal of Chinese Medicine, 10(1-4), 59-61. Kutner, N. G., Barnhart, H., Wolf, S. L., McNeely, E., & Xu, T. (1997).
Self-report benefits of Tai Chi practice by old adults. Journal of Gerontology :Psychological Sciences, 52B(5), 242-246.
Lan, C, Chen, S. Y., Lai, J. S., et al. (2001). Heart rate responses and oxygen consumption during Tai Chi Chuan practice. American Journal of Chinese Medicine, 29,403-410.
Lan, C., Chen, S. Y., Lai, J. S., et al. (1998). 12-month Tai Chi training in the
elderly : its effect on health fitness. Medicine and Science in Sports and Exercise, 30, 345-351.
Lan, C., Lai, J. S., Wong, M. K., et al. (1996). Cardiorespiratory function, flexibility, and body composition among geriatric Tai Chi Chuan practitioners. Archives Physical Medicine Rehabil , 77, 612-616.
Mahler, D. A. (1993). Exercise-induce asthma. Medicine and Science in Sports and Exercise,25(5), 554-561.
McFadden, D. R., Gilbert, I. A.(1994 ). Exercise-induce asthma. The New England Journer of Medicine, 330 (19), 1362-1367.
Mckenzie, D. C., McLuckie, S. L., & Stirling, D. R. (1994). The protective effects of continuous and interval exercise in athletes with exercise-induced asthma. Medicine and Science in Sports and Exercise,26(8). 951-956.
Morton A. R., & Fitch, K. D. (1993). Comparison of maximum voluntary ventilation through the mouth and nose. Australian Journal of Science and Medicine in Sport, 25(2), 40-42.
Neder, J. A., Nery, L. E., Silva, A. C., Carbral, A. L. B., & Fernandes, A. L. G . (1999).Short term effects of aerobic training in the clinical management of moderate to severe asthma in children. Thorax, 54, 202-206.
NHLBI/WHO Workshop Report.( 1995). Global strategy for asthma management and prevention. National Institutes of Health. National Heart, Lung, and Blood Institute. Bethesda, MD. Publication No. 95-3659.
Nixon, P. A. (1996). Role of exercise in the evaluation and management of pulmonary disease in children and youth. Medicine and Science in Sports and Exercise. 28(4), 414-420.
Osied, S. (1982). Asthma and physical activity. Scandinavian Journal of Social Medicine, 29 (Suppl.), 227-234.
Rikli, R. E., & Jones, C. J. (1999). Development and validation of a functional fitness test for community-residing older adults. Journal of Aging and Physical Activity, 7, 129-161.
Rimmer , J. H.(1989). A vigorous physical education program for children with exercise induced asthma. Journal of Physical Education. 90-95.
Sawyer, M. G., Spurrier, N., Whaites, L.,Kennedy, D., Martin,A. J.,&Baghurst, P.(2000). The relationship between asthma severity, family functioning and the health –related quality of children with asthma. Quality if Life Research. 9(10), 1105-1115.
Schneider D, Leung R. (1991). Metabolic and cardiorespiratory responses to the performance of Wing Chun and Tai Chi Chuan exercise. Medicine and Science in Sports and Exercise, 12, 319-23.
Sheffer, A. L.(1991). Definition and diagnosis. The Journal of Allergy and Clinical Immunology , 88(3), 427-438.
Sherrill, C. (1997). Adapted Physical Activity, Recre-action and Sport; Crossdisciplinary and Lifespan (5th ed.).New York: McGraw Hill.
Storm, W. W. (1999). Exercise-induced asthma : Diagenosis and treatment for the recreation or elite athlete. Medicine and Science in Sports and Exercise, 31(Suppl 1),S33-S38.
Sun, X. S., Xu, Y. G., & Xia, Y. J.,(1989). Determination of E-rosetteforming lymphocyte in aged subjects with Tai Ji Quan exercise. Medicine and Science in Sports and Exercise, 10, 217-219.
Tan, R. A., & Spector, S. L. (1998). Exercise-induce asthma. Sports Medicine, 25(1), 1-6.
Tse SK, Bailey DM. (1992). Tai Chi and postural control in the well eldery. American Journal of Occupation Thearpy; 46, 295-300.
Wardel, C. P., & Isbister, C. (2000) . Swimming program for children with asthma. Medical Journal Australia, 173(4), 647-649.
William Pierson & Voy Robert O. (1986). The U.S. Olympic Committee Experience with Exercise Induced Bronchospasm ,18(3), 331-333.
WHO (1997). The World Health Report.
WHO (2001). Bronchial asthma. Online WHO.
Xu, S. W., Fan, Z. H, (1988). Physiological students of Tai Ji Quan in China. China Sports Medicine,28, 70-80.