全身振動訓練對神經損傷個體之效益

10.6223/qcpe.2404.201012.2005

林威秀；黎俊彥

下肢肌力 ； 本體感覺 ； 姿勢穩定

中華體育季刊

24卷4期（2010 / 12 / 01）

43 - 50

繁體中文

全身振動訓練是一種新式的訓練模式，此訓練個體僅需以不同姿勢站立於震動平臺上，無需具備專項運動能力，且能有效降低運動時滑倒與跌倒風險，因此相當適合體能不佳或不宜參與激烈運動的神經損傷患者。本文蒐集新近全身振動訓練與神經損傷（如帕金森氏症、多發性硬化、腦性麻痺、脊髓損傷與中風）相關之研究，並探討此訓練效益之學理機轉，結果顯示每週3次、每次約10分種的低振幅（2～5mm）高頻率（25～50Hz）或低頻率（2～6Hz）之全身振動訓練，可有效增進神經損傷患者之下肢肌力、本體感覺功能與身體姿勢穩定控制，其機轉應與訓練後改善的神經肌肉調適與大腦皮質功能有關，而肌肉質量與活化收縮的增加，證實全身振動訓練對神經損傷患者兼具周邊與中樞神經系統之雙向效益。

1. 莊榮仁、相子元(2008)。全身式震動對不同運動型態運動員的影響。大專體育學刊，10(3)，123-135。
   連結：
2. 莊榮仁、相子元、念裕祥(2008)。不同頻率全身式垂直振動對運動員身體之響應。體育學報，41(4)，29-42。
   連結：
3. 蔡崇濱、顏克典(2007)。振動訓練在提昇肌力表現的應用。中華體育季刊，21(2)，90-97。
   連結：
4. Abercromby, A. F.,Amonette, W. E.,Layne, C. S.,McFarlin, B. K.,Hinman, M. R.,Paloski, W. H.(2007).Vibration exposure and biodynamic responses during whole-body vibration training.Medicine & Sciences in Sports & Exercise,39(10),1794-1800.
5. Ahlborg, L.,Andersson, C.,Julin, P.(2006).Whole-body vibration compared with resistance training: Effect on spasticity, muscle strength and motor performance in adults with cerebral palsy.Journal of Rehabilitation Medicine,38(5),302-308.
6. Bartolic, A.,Pirtosek, Z.,Rozman, J.,Ribaric, S.(2005).Postural stability of Parkinson's disease patients is improved by decreasing rigidity.European Journal of Neurology,12(2),156-159.
7. Bogaerts, A.,Delecluse, C.,Claessens, A. L.,Coudyzer, W.,Boonen, S.,Verschueren, S. M.(2007).Impact of whole-body vibration training versus fitness training on muscle strength and muscle mass in older men: A 1-year randomized controlled trial.Journals of Gerontology Series A: Biological Sciences and Medical Sciences,62(6),630-635.
8. Bosco, C.,Iacovelli, M.,Tsarpeia, O.,Cardianle, M.,Bonifazi, M.,Tihany, J.(2000).Hormonal response to whole-body-vibration in men.European Journal of Applied Physiology,81(6),449-454.
9. Bronte-Stewart, H. M.,Minn, A. Y.,Rodrigues, K.,Buckley, E. L.,Nashner, L. M.(2002).Postural instability in idiopathic Parkinson's disease: The role of medication and unilateral pallidotomy.Brain,25(9),2100-2112.
10. Cardinale, M.,Rittweger, J.(2006).Vibvation exercise makes your muscles and bones stronger: Fact or fiction.Journal of the British Menopause Society,12(1),12-18.
11. Delecluse, C.,Roelants, M.,Verschueren, S.(2003).Strength increase after whole-body vibration compared with resistance training.Medicine & Sciences in Sports & Exercise,35(6),1033-1041.
12. Dimitrova, D.,Horak, F. B.,Nutt, J. G.(2004).Postural muscle response to multidirectional translations in patients with Parkinson's disease.Journal of Neurophysiology,91(1),489-501.
13. Ebersbach, G.,Edler, D.,Kaufhold, O.,Wissel, J.(2008).Whole body vibration versus conventional physiotherapy to improve balance and gait in Parkinson's disease.Archieves of Physical Medicine and Rehabilitation,89(3),399-403.
14. Haas, C. T.,Turbanski, S.,Kessler, K.,Schmidtbleicher, D.(2006).The effects of random whole-body-vibration on motor symptoms in Parkinson's disease.Neuro Rehabiltation,21(1),29-36.
15. Hoffman, L. R.,Field-Fote, E. C.(2007).Cortical reorganization following bimanual training and somatosensory stimulation in cervical spinal cord injury: A case report.Physical Therapy,87(2),208-223.
16. Jackson, K. J.,Merriman, H. L.,Vanderburgh, P. M.,Brahler, C. J.(2008).Acute effects of whole-body vibration on lower extremity muscle performance in persons with multiple sclerosis.Journal of Neurological Physical Therapy,32(4),171-176.
17. Lambert, C. P.,Archer, R. L.,Evans, W. J.(2001).Muscle strength and fatigue during isokinetic exercise in individuals with multiple sclerosis.Medicine & Sciences in Sports & Exercise,33(10),1613-1619.
18. Luo, J.,McNamara, B.,Moran, K.(2005).The use of vibration training to enhance muscle strength and power.Sports Medicine,35(1),23-41.
19. Moezy, A.,Olyaei, G.,Hadian, M.,Razi, M.,Faghihzadeh, S.(2008).A comparative study of whole body vibration training and conventional training on knee proprioception and postural stability after anterior cruciate ligament reconstruction.British Journal of Sports Medicine,42(5),373-378.
20. Ness, L. L.,Field-Fote, E. C.(2009).Whole-body vibration improves walking function in individuals with spinal cord injury: A pilot study.Gait & Posture,30(4),436-440.
21. Raimundo, A. M.,Gusi, N.,TomasCarus, P.(2009).Fitness efficacy of vibratory exercise compared to walking in postmenopausal women.European Journal of Applied Physiology,106(5),741-748.
22. Rehn, B.,Lidstrom, J.,Skoglund, J.,Lindstrom, B.(2007).Effects on leg muscular performance from whole-body vibration exercise: A systematic review.Scandinavian Journal of Medicine & Science in Sports,17(1),2-11.
23. Roelants, M.,Delecluse, C.,Verschueren, S.(2004).Whole-body-vibration training increases knee-extension strength and speed of movement in older women.Journals of the American Geriatrics Society,52(6),901-908.
24. Schuhfried, O.,Mittermaier, C.,Jovanovic, T.,Pieber, K.,Paternostro-Sluga, T.(2005).Effects of whole body vibration training in patient with multiple sclerosis: A pilot study.Clinical Rehabilitation,19(8),834-842.
25. Schyns, F.,Paul, L.,Finlay, K.,Ferguson, C.,Nobel, E.(2009).Vibration therapy in multiple sclerosis: A pilot study exploring its effects on tone, muscle force, sensation and functional performance.Clinical Rehabilitation,23(9),771-781.
26. Trans, T.,Aaboe, J.,Henriksen, M.,Christensen, R.,Bliddal, H.,Lund, H.(2009).Effect of whole body vibration exercise on muscle strength and proprioception in females with knee osteoarthritis.The Knee,16(4),256-261.
27. Turbanski, S.,Haas, C. T.,Schmidtbleicher, D.(2005).Effects of random whole-body vibration on postural control in Parkinson's disease.Research in Sports Medicine,13(3),243-256.
28. Van Nes, I. J. W.,Geurts, A. C.,Hendricks, H. T.,Duysens, J.(2004).Short-term effects of whole-body vibration on postural control in unilateral chronic stroke patients: Preliminary evidence.American Journal of Physical Medicine & Rehabilitation,83(11),867-873.
29. Verschueren, S. M.,Swinnen, S. P.,Desloovere, K.,Duysens, J.(2003).Vibration-induced changes in EMG during human locomotion.Journal of Neurophysiology,89(3),1299-1307.

1. 蕭盛文、尚憶薇(2015)。全身震動刺激應用於腦性麻痺患者身體功能改善之探討。中華體育季刊，29(1)，37-42。