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:295 下載:24 |
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 |
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.
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.