遊戲式運動影響苗栗社區衰弱前期老人身體功能與運動動機之先導研究

Effect of Game-Based Exercise on Physical Function and Exercise Motivation of the Pre-Frail Elderly in Miaoli Community: A Pilot Study

10.5297/ser.202203_24(1).0009

張佐任(Tso-Jen Chang)；劉玫舫(Mei-Fang Liu)；張文典(Wen-Dien Chang)；吳鴻文(Hong-Wen Wu)；陳淑雅(Shu-Ya Chen)

運動自我效能 ； 運動享樂感 ； 遊戲元素 ； exercise self-efficiency ； exercise enjoyment ； game elements

大專體育學刊

24卷1期（2022 / 03 / 31）

128 - 142

繁體中文;英文

本研究目的為探討遊戲式運動對衰弱前期老人身體功能、運動自我效能與運動享樂感的影響。招募苗栗市2間社區活動中心20位衰弱前期老人，隨機分派至遊戲運動組或有氧運動組。遊戲式運動將遊戲元素融入有氧、肌力、平衡等訓練中，強調趣味性、社交性和低競技性。有氧運動為配合音樂節拍，進行四肢連續且有節奏的運動。運動介入前後檢測身體功能，包括10m走路測試、坐站5次、兩腳前後站和功能性前伸。12週介入後填寫運動自我效能與運動享樂感問卷，以曼－惠特尼U檢定驗證變化量之組間差異。結果顯示：遊戲運動組呈現顯著改善，而有氧運動組則呈現改善趨勢但未達顯著差異。兩組前後測變化量在功能性前伸達到組間顯著差異。此外，遊戲運動組之運動自我效能與運動享樂感皆顯著高於有氧運動組。本研究結論：融入遊戲元素的運動訓練能促進衰弱前期老人的身體功能，且顯著影響其運動自我效能與運動享樂感，提升運動動機。

The purpose of this study was to explore the effect of game-based exercise on physical function, exercise self-efficacy and exercise enjoyment of the pre-frail elderly. A total of 20 pre-frail elders were recruited from two community care centers in Miaoli City, and randomly assigned them into game-based exercise group or aerobic exercise group. The game-based exercise program, which integrated game elements into aerobic exercise, muscle strengthening, and balance training were designed to emphasize fun, sociability and low competition. Aerobic exercise program was a continuous and rhythmic exercise of the limbs in accordance with the music rhythm. Both groups completed the assessments of physical functions, including 10-m walk test, 5 times sit to stand test, tandem stand test, and functional reach test before and after the training. The questionnaires of exercise self-efficacy and exercise enjoyment were completed after 12-week training. The Mann-Whitney U test was used to examine the group differences. Results showed that the game-based exercise group had a significant improvement. The aerobic exercise group showed tendency in improvement, although they did not reach statistically significant differences. However, there was a significant difference between the groups in the pre-post change of functional reach test. In addition, the exercise self-efficacy and exercise enjoyment scores of the game-based exercise group were significantly higher than that of the aerobic exercise group. Based these findings, we concludes that the game-based exercise training can promote physical function of the elderly in the early stage of frailty. Furthermore, game-based exercise training influenced the exercise self-efficacy and exercise enjoyment of elderly, and enhanced their motivation for exercise.

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