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研究生: 張立盈
Li-Ying Chang
論文名稱: 環狀式油壓阻力訓練對於老年女性 肌少症之效益
Effects of hydraulic-resistance circuit training for sarcopenia elder women
指導教授: 相子元
Shiang, Tzyy-Yuang
學位類別: 碩士
Master
系所名稱: 運動競技學系
Department of Athletic Performance
論文出版年: 2012
畢業學年度: 100
語文別: 中文
論文頁數: 103
中文關鍵詞: 老化爆發力最大等長肌力心肺耐力握力
英文關鍵詞: aging, power, maximal isometric voluntary contraction strength, cardiopulmonary endurance, grip
論文種類: 學術論文
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目的:探討12週油壓阻力訓練前、後,以及伴隨一個月不運動對於老年女性肌少症之功能性體適能、肌肉型態和爆發力影響。方法:招募65歲以上肌少症老年女性,隨機分配成運動組和控制組各12名,透過老年人功能性體適能電子測量儀、超音波和等速肌力儀進行測量。使用二因子混合設計觀察2組別和前、後測表現,並以相依樣本t檢定分析運動組前、後測和1個月不運動後之間差異(α =. 05)。結果:運動組30秒站立、2.44公尺坐起繞物、功能性前伸以及2分鐘踏步明顯改善;RF肌肉厚度和VL在肌肉收縮時之肌束長度顯著增加;爆發力大幅提升。經一個月不運動後坐椅體前彎和2分鐘踏步顯著衰退;RF肌肉厚度持續增加;VL肌束長度顯著減少;爆發力顯著退步。結論:經12週訓練對於RFD和MT均有顯著進步,受到肌肉神經系統功能改善,加快肌纖維之徵招,隨後肌肉組織開始增生和肥大,大幅提升整體功能性體適能表現。

Purpose: This study examined the influence of hydraulic-resistance circuit training and short-term detraining on the senior fitness, muscle architecture and rate of force development (RFD) for sarcopenia elder women. Methods: The subjects are 24 sarcopenia elder women who are evenly divided into hydraulic group (HDRE) and control group (CON). Subjects were examined by the senior fitness test, ultrasound and the biodex isokinetic dynamometer. Two factors mixed design (two-way ANOVA) was used to analyze pre- and post-tests between groups, and paired-samples t test was used to analyze pre-, post- and detraining-tests, significant level was set α=.05. Results: After 12 weeks hydraulic-resistance circuit training, the 30 seconds sit to stand test, the 2.44 meters up and go test, the functional reach test and the 2 minutes step were significantly increased. The thickness of rectus femoris (RF) were significantly increased, but fascicle length of the vastus lateralis (VL) was significantly decreased. RFD and impulse were significantly increased. Conclusions: RFD and muscle thickness were increased significantly after 12 weeks hydraulic resistance training. Hydraulic resistance circuit training could be beneficial to neuromuscular system functions. It shows that HDRE training could increase immediately for the recruitment of muscle fibers and be hypertrophy later. Therefore hydraulic circuit training could be the economic way to improve the functional fitness of the elderly women.

中文摘要 i 英文摘要 ii 致謝詞 iii 目次 iv 表次 vi 圖次 vii 第壹章 緒論 01 一、研究背景 01 二、研究問題 09 三、研究目的 10 四、研究假設 11 五、研究限制 12 六、名詞操作性定義 12 七、研究的重要性 14 第貳章 文獻探討 15 一、肌少症和肌肉型態學 15 (一)不同年齡層之肌少症盛行率 15 (二)肌少症之產生機制與分期 18 (三)安靜和動態收縮下肌肉型態變化情形 21 二、爆發力和功能性體適能表現 23 (一)爆發力和功能性體適能重要性 23 三、油壓阻力訓練 26 (一)短期油壓阻力訓練立即的效果 26 (二)長期油壓阻力訓練對於學童、年輕人和殘疾者效果 27 (三)長期油壓阻力訓練對老年人效果 27 六、文獻總結 29 第參章 研究方法 30 一、實驗對象與地點 30 二、實驗儀器與設備 30 三、實驗步驟 33 (一)身體組成測量 33 (二)下肢瞬發力測量 33 (三)肌肉型態測量 34 (四)老人功能性體適能測量 36 四、實驗流程 40 五、資料處理與統計分析 43 第肆章 結果 44 一、受試者基本資料 44 二、測量參數 44 第伍章 討論 72 一、老年人功能性體適能差異 72 二、下肢肌肉型態、肌力和瞬發力表現 75 三、結埨 80 四、建議 81 引用文獻 82 附錄一 受試者須知暨同意書 90 附錄二 受試者基本資料 93 個人小傳 95 圖次 圖1-1-1-1 台灣地區未來幼年、青壯年及高齡人口比率 02 圖1-6-3-1 股外側肌之肌肉型態變化情形 13 圖2-1-2-1 股外側肌肌肉纖維數量變化情形 17 圖2-1-2-2 不同年齡層以核磁共振下大腿肌肉型態表現 17 圖2-1-2-3 不同年齡層最大肌力比較 18 圖2-1-3-1 肌少症的產生機制圖 19 圖2-1-3-2 肌少症判定流程 19 圖3-2-1-1 握力器 31 圖3-2-2-1 生物電阻儀器 31 圖3-2-3-1 等速肌力儀 32 圖3-2-4-1 即時超音波影像儀器 32 圖3-3-3-1 即時超音波實際測量情況 35 圖3-3-3-2 即時超音波影像 35 圖3-3-3-3 ImageJ軟體計算肌束角度和長度 36 圖3-3-4-1 開眼單足立測驗 36 圖3-3-4-2 坐椅體前彎測驗 37 圖3-3-4-3 坐起繞物測驗 38 圖3-3-4-4 30秒坐站測驗 38 圖3-3-4-5 2分鐘踏步測驗 39 圖3-3-4-6 功能性前伸測驗 39 圖3-4-1-1 實驗流程圖 40 圖3-4-2-2 油壓器材擺放方式 40 圖4-2-2-3 肌力指數 60 表次 表1-1-3-1不同地區之老年人肌少症盛行率 05 表1-1-3-2美國境內老年肌少症之相關統計資料 05 表2-1-1-1不同年齡層之肌少症比率 16 表2-1-3-1肌少症產生機制 18 表2-1-3-2肌少症之分期 19 表2-4-1-1短期油壓阻力訓練立即的效果 27 表2-4-2-1長期油壓阻力訓練對於學童、年輕人和殘疾者效果 27 表2-4-3-1長期油壓阻力訓練對老年人效果 28 表3-4-2-1六台油壓阻力器材次序 41 表3-4-3-1老年人運動處方設定 42 表3-4-3-2 RPE自覺量表 42 表4-1-1-1各組受試者身體組成 44 表4-2-1-1功能性體適能項目 45 表4-2-2-1肌肉型態之肌肉厚度 50 表4-2-2-2肌肉型態之肌束角度和肌束長度 56 表4-2-2-4瞬發力和衝量 60 表4-2-2-5身體組成和高齡者體適能指標之統計分析結果 69 表4-2-2-6肌肉型態指標之統計分析結果 70 表4-2-2-7瞬發力和衝量之統計分析結果 71

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