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研究生: 王思淵
論文名稱: 酒精對老年人平衡能力、反應時間及下肢肌力之影響
指導教授: 方進隆
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: 54
中文關鍵詞: 老年人酒精平衡能力反應時間下肢肌力
英文關鍵詞: elderly, alcohol, balance, reaction time, lower-extremity strength
論文種類: 學術論文
相關次數: 點閱:214下載:24
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  • 本研究主要目的在探討老年人攝取酒精飲料對平衡能力、反應時間及下肢肌力等功能的影響。以15位六十五歲以上,平常無飲酒或輕度飲酒習慣的男性老年人為受試對象,其平均年齡、身高、體重,分別為77.9±8.4歲、167.1±7.0公分、67.9±11.8公斤。初步研究以呼氣酒測器測出酒精濃度值介於0.047-0.238毫克/公升之間,是用來決定受試者每公斤體重適當的飲酒量。喝酒前後受試者接受下列五項測驗:1,閉眼單足站立;2,靜態伸展;3,8呎起立-走;4,反應時間;5,30秒坐椅站立測驗;後測於前測後一天,每位受試者攝取每公斤體重2.5毫升酒精濃度為10.5﹪的紅酒,三十分鐘後實施與前測相同的測驗。所得資料以相依t考驗比較處理,結果如下:1, 前測閉眼單足站立(2.5±1.3秒)成績顯著優於(p<.05)後測(1.1±0.26秒);2,靜態伸展測驗前測(34.9±6.707公分)成績顯著優於(p<.05)後測(32.3±7.334公分);3,8呎起立-走測驗前測成績(7.6±2.554秒)顯著優於(p<.05)後測(8.5±3.755秒);4,反應時間測驗前測(0.911±0.283秒)與後測(0.894±0.371秒)成績未達顯著差異;5,30秒坐椅站立測驗前測(12.3±3.97次)與後測(12.1±3.07次)成績未達顯著差異。結論:老年人攝取酒精後靜態平衡能力、動態平衡能力與敏捷性明顯降低。

    The purpose of this study was to investigate the effect of alcohol drink on the balance, reaction time and lower-extremity strength of the elderly. Fifteen male senior residents above 65 years old, who either do not drink or only a little, were recruited as the subjects, the mean age, height, and weight of the subjects were 77.9±8.4 years, 167.1±7.0 cm, and 67.9±11.8 kg, respectively. A pilot study was used to determine the proper drinking volume per kg body weight of the subject to reach the alcohol concentration between 0.047-0.238 mg/L by respiratory device. The subjects were asked to take the following tests before and after alcohol drink, including 1, one-leg stance with eyes closed; 2, functional reach test; 3, 8 feet up and go test; 4, reaction time; 5, 30 seconds chair stand test. After 30 minutes from taking 2.5 ml/kg red wine containing 10.5% alcohol, each subject performed the same tests as the previous tests without drinking alcohol. The post-test was arranged one day apart from pre-test to avoid the fatigue from testing. The collected data were analyzed with dependent t test and the results were as followed: 1, the one-leg stance with eyes closed (2.5± 1.3 seconds), the functional reach test (34.9±6.7 cm), and the 8 feet up and go test (7.6 ±2.6 seconds) without drinking alcohol were significantly better (P<.05) than that of taking alcohol (1.1±0.3 seconds; 32.3±7.3 cm and 8.5±3.8 seconds, respectively). 2, the reaction time (0.9±0.3 seconds) and 30 seconds chair stand test (12.3±4.0 times) without taking alcohol were not significantly different (P>.05) from that of taking alcohol (0.9±0.4 seconds and 12.1±3.1 times). The alcohol drinking has negative effect on static balance, dynamic balance and agility of the elderly.

    第壹章 緒論…………………………………………………………1 一、問題背景…………………………………………………………………1 二、研究的重要性……………………………………………………………3 三、研究目的…………………………………………………………………3 四、研究假設…………………………………………………………………3 五、研究範圍與限制…………………………………………………………4 六、名詞操作性定義…………………………………………………………5 第貳章 文獻探討……………………………………………………7 一、人體老化之相關文獻……………………………………………………7 二、老人跌倒之影響因素……………………………………………………8 三、酒精對人體的影響………………………………………………………12 四、測量工具…………………………………………………………………15 五、結語………………………………………………………………………18 第叁章 研究方法……………………………………………………19 一、受試對象…..……………………………………………………………19 二、實驗時間…………………………………………………………………19 三、實驗地點…………………………………………………………………21 四、實驗方法與步驟…………………………………………………………21 五、實驗流程圖………………………………………………………………28 六、實驗中止的準則…………………………………………………………30 七、資料處理…………………………………………………………………30 第肆章 結果…………………………………………………………31 一、 受試者基本資料分析………………………………………………….31 二、 各個測驗項目前後測結果比較……………………………………….31 第伍章 討論……………………………………………………….37 一、 各實驗項目的飲酒前後測結果比較………………………………….37 二、 結論…………………………………………………………………….41 三、 建議…………………………………………………………………….41 引用文獻……………………………………………………………42 一、中文部份…………………………………………………………………42 二、英文部份…………………………………………………………………44 後篇部份 附錄一、受試者須知與同意書………………………………………………50 附錄二、受試者基本資料及健康評量問卷…………………………………51 附錄三、受試者基本資料表…………………………………………………52 附錄四、測驗資料……………………………………………………………53 表次 表2-1 酒精在血液中的濃度對人體的影響…………………………………13 表3-1 呼氣酒測值與血液中酒精濃度的對照表……………………………20 表4-1 受試者基本資料表……………………………………………………31 表4-2 各個測驗項目前後測結果比較表……………………………………32 圖次 圖1-1 實驗所指定酒精飲料…………………………………………………5 圖3-1 閉眼單足站立照片……………………………………………………22 圖3-2 靜態伸展測驗照片……………………………………………………24 圖3-3 8呎起立-走測驗照片…………………………………………………25 圖3-4 反應時間測驗照片……………………………………………………26 圖3-5 30秒坐椅站立測驗照片………………………………………………27 圖3-6 實驗流程圖…………………………………………………………28 圖4-1 閉眼單足站立平均數據比較圖………………………………………33 圖4-2 靜態伸展測驗平均數據比較圖………………………………………34 圖4-3 8呎起立-走測驗平均數據比較圖……………………………………34 圖4-4 反應時間測驗平均數據比較圖……………………………………….35 圖4-5 30秒坐椅站立測驗平均數據比較圖…………………………………35

    一、中文部分
    中華民國八十八年台灣地區衛生統計。行政院生署(1999)。
    王順正(1992)。人體平衡能力的測量。中華體育,6(2),頁83-91。
    交通部(1988)。駕駛人行為反應之研究酒精對駕駛人生理影響之實驗分析。台北市:交通部運輸研究所編印。
    行政院主計處(2003)。http://www.dgbasey.gov.tw/
    吳萬福(1984)。體育運動心理學實驗指引。台北市:台灣學生書局。
    林正常、衛沛文(1978)。酒精對反應時間與等長肌力的影響。亞洲體育,1(3),頁47-51。
    林清和(1996)。運動學習程式學。台北市:文史哲出版社。
    林麗娟(1993)。運動與老化。中華體育,7(3),頁120-125。
    胡名霞、林慧芬(1984)。成人站立平衡之研究-感覺整合與年齡效應之分析。中華物療誌,19(1),頁66-77。
    范姜逸敏(2001)。靜態平衡能力測量法效度之比較研究。國立台灣師範大學體育研究所碩士論文。台灣:台北市。
    梁文薔(1990)。酒對營養有什麼影響。健康世界第170輯。台北市:健康世界雜誌社,頁6-10。
    張哲誌、周騰達(1994)。老人跌倒的預防。基層醫學,9(9),頁170-174。
    張至滿(1986)。體育測量與評價。台北市:水牛出版社。
    葉清華、薛淑琳(1998)。運動與老化。大專體育,36,頁73-77。
    葉英堃(1991)。酒精與飛行安全。航空醫學會會刊,5(1),頁17-18。
    楊寬郁(1994)。不同濃度酒精飲料對安靜與步行時生理反應的影響。台灣師範大學體育研究所碩士論文。台灣:台北市。
    傅麗蘭(1999)。獨居老人跌倒情形、歩態、居家環境及身體功能評估。中華物療誌。24(2)。頁1-8。
    鄭名涵(2003)。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,國立台灣師範大學體育研究所碩士論文。台灣:台北市。
    鄭景峰(2001)。酒精會影響運動表現嗎?中華體育,15(2),頁106-113。
    闕帝宜(2001)。Alcohol之探討。中華民國醫檢會報,16(3),頁37-44。
    藍青(1996)。高齡者運動醫學。國民體育季刊,25(1),頁84-90。
    謝瀛華(1991)。銀髮生涯--高齡問題知多少。牛頓出版股份有限公司,頁38。

    二、英文部分
    American College of Sports Medicine.(1982). The use of alcohol in sports. Medicine and Science in Sports and Exercise,14,9-11.
    Bobo,M.W.(1971). Effects of alcohol upon maximum oxygen uptake, lung ventilation,and heart rate.Research Quarterly,43,1-6.
    Bohannon,R.W.(1995).Sit-to-stand test for measuring performance Of lower extremity muscles.Perceptual and MotorSkills,80, 163-166.
    Chang, H.A. & Krebs, D.E.(1999). Dynamic balance control in elders: Gait initiation assessment as a screening tool. Archives of Physical Medicine and Rehabilition, 80,490-494.
    Campbell, A.J., Reinkin, J., Allen, B.C., et al.(1981).Fall in the old age: a study of frequency and related clinical factors. Age Aging,10,264-270.
    Csuka,M.,& McCarty,D.J.(1985).Simple method for measurement of lower extremity muscle strength.American Journal of Medi- cine,78,77-81.
    Duncan,P.W., Weiner,D.K., Chandler,J. & Studenski,S.(1990). Func- tional reach:a new clinical measure of balance.Journal of Gerontology.45(6) 192-199.
    Daubney,M.E.,& Culham,E.G.(1999).Lower-extremity muscle force and blance performance in adults aged 65 years and older.Physical Therapy,79(12),1177-1185.
    Ekbom,K., Hed, R., Kirstein, L.& Astrom,K.E. ( 1964). Muscular affections in chronic aholism. Archives of Neurology, 10, 449-458.
    Fahlgren, H., Hed,R.& Lundmark,C.,( 1957). Myonecrosis and myog- lobinuria in alcohol and barbiturate intoxication. Acta Medical Scandinavica,405-412.
    Felstenthal, G.& Stem, B.D.(1996).Principles of geriatric rehabili- tation. Philadelphia, W.B. Saunders Company.
    Figura,F., Cama,G., Capranica,L., Guidetti,L.,& Pulejo,C.(1991). Assesment of static balance in children.The Journal of Sport Medicine and Physical Fitness,31(2),235-242.
    Horak,F.B.,(1991). Assumption underlying motor for neurologic reha- bilitation In:Lister Mj(ed).Contemporary management of motor control problems.Alexandria,VA:Fonndation for physical Therapy.
    Hed,R., Lundmark,C., Fahlgren,H. & Orell, S.( 1962). Acute muscular syndrome in chronic alcoholism. Acta Medical Scandina- vica,171, 585-599.
    Hillbom, M., Kaste,M.,( 1978). Does ethanol intoxication promote brain infarction in young adult? Lancet 2,1181-1183.
    Hillbom,M., Kaste,M.,(1981). Does alcohol intoxication precipitate aneurismal subarachnoid hemorrhage? Journal of Neurology Neurosurgery and Psychiatry, 44,523-526.
    Jones,C.J., Rikli,R.E.& Beam,W.C.(1999).A 30-chair-stand test as a measure of lower body strength in community-residing older adults.Research Quarterly for Exercise & Sport.70(2),113-122.
    Lewis, C.B.,(1985).Clinical implications of musculoskeletal changes with age.In Lewis CB(ed):Aging:The Health Care Challen- ge.Philadelpha,FA Davis.
    Lands,W.E.M.(1998).A review of alcohol clearance in humans. Alcohol,15(2),147-160.
    Murray, M., Seireg,A.(1975). A Normal postural stability and steadi- ness:Quantitative assessment. Journal of Bone and Joint Surgery, 57A, 510-516.
    Murry, P.& Gardner, G.M.(1980). Mollinger LA,et al:Strength of isometric and isokinetic contractions:Knee muscles of men aged 20-86. Physical Therapy,60,412-419.
    Medell,J.L.& Alexander,N.B.(2000). A clinical measure of maximal and rapid stepping in older women.Journal of Gerontology Medical Science,55A(8),429-433.
    Miotto,J.M.,Chodzko-Zajko,W.J.,Reich,J.L.,&Supler,M.M.(1999).Reliability and validity of the Fullerton Functional Fitness Test:An independent replication study.Journal of Aging and Physical activity,7,339-353
    Neiman, J., Lang,A.E., Fornazzari, L., Carlen, P.L.,(1990).Movement disorders in alcoholism: A review. Neurology, 40, 741-746.
    Nyberg,L.& Gustafson,Y.(1995).Patient falls in stroke rehabili- tation:A challenge to rehabilitation strategies.Stroke, 26, 838-842.
    Nelson,D.O.(1959).Effects of ethyl alcohol on the performance of selected gross motor tests.Research Quarterly,30,312-320.
    Patla,A.E., Frank,J.S., Winter,D.A., Rietdyk,S., Prentice,S.,& Prasad,S.,(1993). Age-related changes in balance control system:Initiation of stepping.Clinical Biomech,8,179-184.
    Podsiadlo,D.,& Richardson,S.(1991).The timed ”Up & Go”:a test of basic functional mobility for frail elderly persons.Journal of the American Geriatrics Society.39(2),142-150.
    Rosen,M.J., Sorkin,J.D., Goldberg,A.P.& Hagberg,J.H.(1998). Predictors of aged-associated decline in maximal aerobic capacity:a comparison of four statistical models.Journal of Applied Physiology,84(6),2163-2170.
    Rich, E.C., Siebold, C.& Champion, B.(1985).Alcohol related acute atrial fibrillation. A case-controlled study and review of 40 patients. Archives Internal Medicine, 145, 830-833.
    Stephen, K.C., Hauser, W.A., Brust, J.C.M.& Susher, M.( 1988). Alcohol consumption and withdrawal in new-onset seizures. New England Journal Medicine ,319,666-673.
    Tinetti,M.E., Doucette,J.,Claus,E.,& Marottoli ,R.(1995). Risk factors for serious injury during falls by older persons in the community. Journal of the American Geriatrics Society,43(11),1214-1222.
    Tang,P.F.& Woollacott,M.H.(1998). Inefficient postural responses to unexpected slips during walking in older adults.Journal of Gerontology Medical Science,53(6),471-480.
    Tang, P.F. & Woollacott, M.H.(1999). Phase-dependent modulation of proximal and distal postural responses to slips in young and older adult. Journal of Gerontology Medical Science, 54(2), 89-102.
    Tinetti, M.E., Williams,T.F. & Mayewski(1986). Fall risk index for elderly patients based on number of chronic disabiliis. American Journal Medicine,80,429-434.
    Topper, A.K., Maki, B.E. & Holliday, P.J.(1993). Are activity-based assessments of balance and gait in the elderly predictive of risk of falling and / or type of fall. Journal of The American Geriatrics Society, 41,479-487.
    Woolacott, M.H. & Tang, P.F.(1997). Balance control during walking in the older adults: Research and its implicatoions. Physical Therapy ,77,646-660.
    Woolley, S.M., Czaja, S.J. & Drury, C.G.(1997). An assessment of falls elderly men and woman. Journal of Gerontology, 52A(12),80-87.
    Wagner,J.C.(1991).Enhancement of athletic performance with drugs:An overview.Sports Medicine,12(4),250-256.
    Williams,M.H.(1971).Effect of small and moderate doses of alcohol on exercise heart rate and oxygen comsumption. Research Quarterly,43,94-104.
    Yukitoshi,A., Shephard,R.J.(1992). Aging and Muscle Function. Sport Medicine, 14(6),376-392.
    Yoshii, F., Kobakake, K., Shinohara, Y.& Takagi,S.(1985).Neurol- ogical manifestations in chronic alcoholics.Tokai Journal of Experimental and Clinical Medicine ,10,615-620.

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