抗力球應用於下背痛、中風及老年人復健療效之回顧

Review: the Effects of Using the Swiss Ball Exercise during the Rehabilitation of Low Back Pain, Stroke and Elderly Patients

10.6200/TCMJ.2012.9.4.01

楊琇雯(Hsiu-Wen Yang)；羅鳳嬌(Feng-Chiao Lo)；陳建廷(Chien-Ting Cheng)；王若芷(Rou-Zhi Wang)；賴安柔(An-Jou Lai)

抗力球 ； 復健 ； 下背痛 ； 中風 ； 老年人 ； Swiss ball ； rehabilitation ； lower back pain ； stroke ； elderly

北市醫學雜誌

9卷4期（2012 / 12 / 01）

309 - 318

繁體中文

目的：本文目的在回顧抗力球應用於復健療效之實證研究，以提供臨床運用或未來研究參考。方法：於Pubmed, Google Scholar文獻搜尋引擎，鍵入關鍵字：swiss ball, gym ball, rehabilitation搜尋2001~2012年之英文文獻。結果：抗力球訓練可應用於下背痛患者以減緩下背痛、減少下背痛於日常活動之影響、提昇身心健康指數、提昇軀幹控制、平衡、肌力及柔軟度。結論：抗力球訓練應用於下背痛，中風患者或是老人復健有顯著的療效於減緩疼痛，增加平衡能力、軀幹控制，提升生理健康及自我效能。本文獻回顧希望未來可應用於臨床及研究，並更深入探討步態分析、行動能力及生活品質之影響。

Objective: The objective of this review article is to analyze the efficacy of using the Swiss ball exercise during rehabilitation and to explore its potential clinical application as well as future research in this area. Methods: The review article searched for efficacy studies written in English from 2001 to October 2012 via PubMed, Google Search and Medline. The inclusion criterion of studies was the use of the Swiss ball exercise for intervention. Results: The Swiss ball training exercise, when used to rehabilitate patients with low back pain seems to reduce pain levels, to reduce disease severity, to decrease the impact of disease on daily life and to improve the well-being of the patients. Furthermore, the exercise seemed also to improve trunk control and balance among stroke patients. Finally, it also seems to promote upper and lower limb strength, upper and lower limb flexibility and functional balance ability among the elderly. Conclusion: Swiss ball training shows positive benefits when used with various types of patients. It seems to be able to reduce pain, to improve functional balance, to improve trunk control and to produce an improved quality of life and better self-efficacy. Future research should explore the effect of Swiss ball training on gait, mobility and the various diseasespecific aspects of quality of life.