團體運動課程對樂齡族跌倒評估結果影響之研究

Study on the Influence of Group Exercise Course on the Falls Evaluation Results of Senior Citizens

向薇潔(Wei-Chieh Hsiang)

PPA跌倒評估 ； 樂齡 ； 預防跌倒 ； PPA falls assessment ； Senior citizens ； Prevention of falls

輔仁大學體育學刊

18期（2019 / 07 / 31）

78 - 98

繁體中文

本研究以明新科技大學106學年度樂齡大學高齡長輩為對象，進行一學期的團體運動課程，搭配PPA生理概廓評估進行前後測，數據經SPSS統計軟體以獨立樣本T檢定進行分析，研究統計顯示，經過一學期的體適能社團-運動健康促進課程，PPA生理概廓評估前後測項目均未達顯著差異，但後測結果優於前測。顯示經過運動健康促進活動課程，除了能夠增加身體功能的環境適應能力，還能增加肌肉神經反應能力，成功達到延緩老化。對於高齡長輩「PPA跌倒評估」檢測項目中的前後測結果皆未達到顯著差異（P＜.05）；說明本研究所採用的團體運動課程，對於高齡長輩跌倒預防方面，沒有明顯的助益。由此可知，跌倒預防必須經由特別設計的課程，如以平衡、腳踝、膝關節、髖關節等相關肌力、動靜態平衡等運動課程，與一般以體適能提升之團體運動課程有所區別。未來可針對平衡防跌設計相關課程，以達到高齡長輩保命、防跌、獨立、樂活的高齡友善環境之最終目標，同時亦可為高齡長輩在預防跌倒之評估檢測增添一項可實施之項目。

Targeting the seniors in the Senior University of Minghsin University of Science and Technology in 2017, this study conducted one-semester group exercise course combined with the pre-test and the post-test of physiology profile assessmentof PPA. The data obtained was analyzed by the SPSS statistical software by means of independent-sample T test. According to the research statistics, after one-semester health promotion through exercisein the physical fitness club, there is no significant difference between the pre-test and post-test of the physiology profile assessment, but the post-test results were better than those of the pre-test, which indicated that the course of health promotion through exercise. In addition to improve the seniors' ability to adapt to the environment, it can strengthen the response ability of muscle nerve and successfully delay aging of the seniors. For the results of the pre-test and post-test of PPA falls assessment did not have significant differences (P ＜.05), it is shown that the group exercise course adopted in this study has no obvious benefit for the prevention of falls of the seniors. It can be seen that the prevention of falls must be realized through specially designed courses like balance of ankle, knee joints, hip joints and other muscle force, and exercise courses like dynamic and static balance, which are different from the group exercise courses aimed at the improvement of the elders' physical fitness. In the future, related courses can be designed for the prevention of falls in order to save life of the seniors and prevent the falls, create an age-friendly environment with independence and LOHAS and also add an implementable project for the seniors during the evaluation and test of prevention of falls.

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