水中運動訓練對於老年人跨越障礙物步態參數的影響

Effect of Aquatic Exercise Training on Gait Parameters during Obstacle Crossing in Older Adults

10.3966/207332672017061401006

張怡雯(Yi-Wen Chang)；陳俐蓉(Li-Jung Chen)；羅明葵(Ming-Kuei Lo)；陳緯蓉(Wei-Rung Chen)；吳鴻文(Hong-Wen Wu)

足部間隙 ； 領導腳 ； 跟隨腳 ； foot clearance ； leading foot ； trailing foot

華人運動生物力學期刊

14卷1期（2017 / 06 / 01）

36 - 43

繁體中文

目的：本研究目的為分析水中運動訓練對於老年人跨越障礙物時間、空間參數的影響。方法：13位老年人自願參與者參與本研究，研究介入為8週水中運動，參與者進行每週2次，每次60分鐘的水中運動課程，在水中運動計畫前、後進行跨越障礙物動作分析，利用攝影機拍攝參與者跨越障礙物的矢狀面動作，分析的步態參數包含步長、足部間隙和跨越速度，使用相依樣本t考驗比較前、後測的差異，統計顯著水準設定α =.05。結果：本研究結果發現8週水中運動計畫之後，老年人顯著增加跨越障礙物時步長和跨越速度(p ＜ .05)，但並不改變領導腳及跟隨腳足部相對於障礙物的垂直間隙距離。結論：本研究結果顯示水中運動對於增進老年人跨越障礙物的能力有正向效益。

Purpose: The purpose of this study was to investigate the effect of aquatic exercise training on spatiotemporal parameters during obstacle crossing in older adults. Methods: There were thirteen participants volunteered in this study. The intervention was an eight-week aquatic exercise program, twice a week and 60 minutes in duration. A camera was used to capture the foot motion during obstacle crossing before and after intervention. The outcome variables were stride length, foot clearance and crossing velocity. Paired t-test was used to compare the difference between pre-test and post-test. The significant level was set as α =.05. Results: Post-test showed a significantly greater stride length and faster crossing velocity than pre-test (p ＜ .05). However, there was no significant difference on foot clearance of leading foot and trailing foot. Conclusion: This study suggested that aquatic exercise training demonstrated a positive effect on the enhancement of obstacle crossing in older adults.

1. 李麗晶、卓俊伶(2009)。水適能運動的概念與實務。中華體育季刊，23(2)，1-10。
   連結：
2. 黃泰諭、張哲榕、林曼蕙、方進隆(2005)。十週水中有氧訓練對女性老年人功能性體適能之影響。運動生理暨體育學報，3，121-129。
   連結：
3. 錢桂玉、甘乃文、林雅麗(2012)。水中運動訓練對中老年人健康之效益。運動生理暨體能學報，14，11-21。
   連結：
4. 國家發展委員會(2016.8.18) 。取自http://www.ndc.gov.tw/Content_List.aspx?n=695E69E28C6AC7F3
5. 衛生福利部統計處(2015.6.17) 。取自http://www.mohw.gov.tw/CHT/DOS/Statistic.aspx?f_list_no=312&fod_list_no=5488
6. 衛生福利部國民健康署(2016.8.09) 。取自http://www.hpa.gov.tw/BHPNet/Web/News/News.aspx?No=201608080001
7. 內政部統計處(2016.7.23) 。取自http://www.moi.gov.tw/stat/news_content.aspx?sn=10820&page=0
8. Abbasi, A.,Sadeghi, H.,Tabrizi, H. B.,Bagheri, K.,Ghasemizad, A.,Asl, A. k.(2011).Effect of whole body vibration, aquatic balance and combined training on neuromuscular performance, balance and walking ability in male elderly able-bodied individual.World Applied Sciences Journal,15(1),84-91.
9. Begg, R. K.,Sparrow, W. A.(2000).Gait characteristics of young and older individuals negotiating a raised surface: implications for the prevention of falls.Journal of Gerontology: Medical Sciences,55(3),M147-M154.
10. Borg, G. A.(1982).Psychophysical bases of perceived exertion.Medicine and Science in Sports and Exercise,14(5),377-381.
11. Chou, L. S.,Kaufman, K. R.,Brey, R. H.,Draganich, L. F.(2001).Motion of the whole body's center of mass when stepping over obstacles of different heights.Gait and Posture,13(1),17-26.
12. Chu, K. S.,Eng, J. J.,Dawson, A. S.,Harris, J. E.,Ozkaplan, A.,Gylfadóttir, S.(2004).Water-based exercise for cardiovascular fitness in people with chronic stroke: a randomized controlled trial.Archives of Physical Medicine and Rehabilitation,85(6),870-874.
13. Draganich, L. F.,Kuo, C. E.(2004).The effects of walking speed on obstacle crossing in healthy young and healthy older adults.Journal of Biomechanics,37(6),889-896.
14. Fletcher, P. C.,Hirdes, J. P.(2002).Risk factors for falling among community-based seniors using home care services.Journal of Gerontology: Medical Sciences,57(8),M504-M510.
15. Grabiner, P. C.,Biswas, S. T.,Grabiner, M. D.(2001).Age-related changes in spatial and temporal gait variables.Archives of Physical Medicine and Rehabilitation,82(1),31-35.
16. Hahn, M. E.,Chou, L. S.(2004).Age-related reduction in sagittal plane center of mass motion during obstacle crossing.Journal of Biomechanics,37(6),837-844.
17. Hausdorff, J. M.,Rios, D. A.,Edelberg, H. K.(2001).Gait variability and fall risk in community-living older adults: a 1-year prospective study.Archives of Physical Medicine and Rehabilitation,82(8),1050-1056.
18. Hosseini, S. S.,Mirzaei, B.,Panahi, M.,Rostamkhany, H.(2011).Effect of aquatic balance training and detraining on neuromuscular performance, balance and walking ability in healthy older men.Middle-East Journal of Scientific Research,9(5),661-666.
19. Hsu, H. C.,Jhan, L. J.(2008).Risk factors of falling among the elderly in Taiwan.Taiwan Geriatrics and Gerontology,3(2),141-154.
20. Kang, H. G.,Dingwell, J. B.(2008).Separating the effects of age and walking speed on gait variability.Gait and Posture,27(4),572-577.
21. Ko, D. S.,Jung, D. I.,Jeong, M. A.(2014).Analysis of core stability exercise effect on the physical and psychological function of elderly women vulnerable to falls during obstacle negotiation.Journal of Physical Therapy Science,26(11),1697-1700.
22. Lamoureux, E.,Sparrow, W. A.,Murphy, A.,Newton, R. U.(2003).The effects of improved strength on obstacle negotiation in community-living older adults.Gait and Posture,17(3),273-283.
23. Lee, H. J.,Chou, L. S.(2006).Detection of gait instability using the center of mass and center of pressure inclination angles.Archives of Physical Medicine and Rehabilitation,87(4),569-575.
24. Lim, H. S.,Roh, S. Y.,Yoon, S.(2013).An 8-week aquatic exercise program is effective at improving gait stability of the elderly.Journal of Physical Therapy Science,25(11),1467-1470.
25. Lim, H. S.,Yoon, S.(2014).The influence of short-term aquatic training on obstacle crossing in gait by the elderly.Journal of Physical Therapy Science,26(8),1219-1222.
26. Lim, H. S.,Yoon, S.(2014).The training and detraining effects of 8 weeks of water exercise on obstacle avoidance in gait by the elderly.Journal of Physical Therapy Science,26(8),1215-1218.
27. Lu, T. W.,Chen, H. L.,Chen, S. C.(2006).Comparisons of the lower limb kinematics between young and older adults when crossing obstacles of different heights.Gait and Posture,23(4),471-479.
28. O'Loughlin, J. L.,Robitaille, Y.,Boivin, J. F.,Suissa, S.(1993).Incidence of and risk factors for falls and injurious falls among the community-dwelling elderly.American Journal of Epidemiology,137(3),342-354.
29. Overstall, P. W.,Exton-Smith, A. N.,Imms, F. J.,Johnson, A. L.(1977).Falls in the elderly related to postural imbalance.British Medical Journal,1,261-264.
30. Owings, T. M.,Grabiner, M. D.(2004).Variability of step kinematics in young and older adults.Gait and Posture,20(1),26-29.
31. Rubenstein, L. Z.,Josephson, K. R.(2002).The epidemiology of falls and syncope.Clinics in Geriatric Medicine,18,141-158.
32. Sanders, M. E.,Takeshima, N.,Rogers, M. E.,Colado, J. C.,Borreani, S.(2013).Impact of the S.W.E.A.T. water-exercise method on activities of daily living for older women.Journal of Sports Science and Medicine,12,707-715.
33. Schmitz, A.,Silder, A.,Heiderscheit, B.,Mahoney, J.,Thelen, D. G.(2009).Differences in lower-extremity muscular activation during walking between healthy older and young adults.Journal of Electromyography and Kinesiology,19(6),1085-1091.
34. Takeshima, N.,Rogers, M. E.,Watanabe, E.,Brechue, W. F.,Okada, A.,Yamada,T.,Hayano, J.(2002).Water based exercise improves health related aspects of fitness in older women.Medicine and Science in Sports and Exercise,33(3),544-551.
35. Yennan, P.,Stuputtitada, A.,Yuktanandana, P.(2010).Effect of aquatic exercise and land-based exercise on postural sway in elderly with knee osteoarthritis.Asian Biomechanics,4(5),739-745.
36. Zhang, C.,Mao, D.,Riskowski, J. L.,Song, Q.(2011).Strategies of stepping over obstacles: The effects of long-term exercise in older adults.Gait and Posture,34(2),191-196.

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