遠紅外線照射對肱二頭肌運動後肌肉損傷恢復之影響

Effects of Far-Infrared Ray Irradiation on Muscle Damage Recovery of Biceps Brachii after Exercise

許聖宗

光療 ； 電磁波 ； 肌肉保健 ； light therapy ； electromagnetic wave ； muscle health

長榮大學運動競技學系(所)學位論文

2017年

碩士

劉于詮

繁體中文

目的：探討遠紅外線照射對肱二頭肌運動後肌肉損傷恢復的影響。方法：分為前導研究與主要研究。前導研究之一為遠紅外線機體的開發。前導研究之二為遠紅外線照射對肌肉母細胞的影響。主要研究為遠紅外線照射對肱二頭肌運動後肌肉損傷恢復之影響。主要研究的方法是以招募8名健康男大生為參與者，並設計以雙盲交叉平衡次序的方式進行。所有參與者在實驗前皆接受關節活動度 (ROM)、痠痛知覺指數 (VAS)、肱二頭肌的最大等長肌力 (MVC) 與血液肌酸激酶 (CK) 等測試。實驗時，參與者接受共30次反覆的肱二頭肌80% MVC之離心運動，於運動後立即 (P0) 量測ROM、VAS、MVC及CK，然後隨機分派進行遠紅外線 (FIR) 或紅光 (CON) 兩種不同的恢復方式介入。兩種不同的恢復方式的時間點為運動後立即 (P0)、運動後第24、48、72小時 (P24，P48，P72)。運動後第24、48、72、96小時 (P24，P48，P72，P96) 再次量測ROM、VAS、MVC及CK。21天後，參與者重覆進行上述實驗，並交換進行不同的恢復方式。所得數據以相依樣本二因子 (恢復方式 × 時間) 變異數分析進行分析，本研究顯著水準訂為 α = .05。結果：在前導研究中，我們不僅引入發光二極體並結合陶瓷粉末製造出具有遠紅外線波長的機體，並證實本遠紅線可以增進肌肉母細胞的生長。主要研究的結果顯示，以遠紅外線介入於運動後恢復期中，其運動後之CK (P48, P72, P96) 與VAS (P48, P72, P96) 數值顯著低於控制組；其運動後之MVC (P24, P48, P72, P96) 與ROM (P48, P72, P96) 數值顯著高於控制組。結論：遠紅外線介入對肱二頭肌運動後的肌肉損傷恢復方面有正面效益。

Objective: The purpose of this was to investigate the effects of far-infrared ray irradiation on muscle damage recovery of biceps brachii after exercise. Methods: It was separated three studies: two pilot studies and the main study. The pilot studies were focused on the development of FIR module and on the test of FIR module on the C2C12 cells. In the main study, eight healthy males of college students participated in this study and were divided into the FIR (far-infrared treated) and the CON (red light treated) groups, for a randomized, double-blind cross-over designed study. Range of motion (ROM), visual analog scale of pain score (VAS), maximal voluntary isometric contraction of biceps brachii (MVC) and creatine kinase (CK) levels were measured prior to the experiment (Pre). Participants subjected to 30 repeated bouts of eccentric exercise with 80% MVC level in different measured readings (ROM, VAS, MVC, and CK) were accordingly divided into the CON and FIR groups. Then threat the FIR and CON groups with the far-infrared and the (visible) red light respectively, in 0, 24, 48 and 72 hours (P0, P24, P48, P72). All scales of the four reading items (ROM, VAS, MVC, and CK) were taken in 24, 48, 72 and 96 hours (P24, P48, P72, P96). In addition, a two-way analysis of variance (treatment × point in time) was used in this study. The statistical significance was set at α = .05. Results: In the pilot studies, a new FIR module was developed by using ceramic powder and introducing LED design, and proved to enhance the growth of C2C12 cells. The main study: After exercise, FIR’s response of CK (P48, P72, P96) and VAS (P48, P72, P96) were significantly lower than those of CON’s. Furthermore, FIR’s response of MVC (P24, P48, P72, P96) and ROM (P48, P72, P96) were significantly higher than those of CON’s. Conclusion: The exercise-induced muscle damage of biceps brachii can be recovered effectively by FIR treatment.

1. 陳忠慶、陳信良、鍾承融、吳昶潤 (2007)。不同肌力測驗方式對評估離心運動引起肌肉損傷反應的比較。大專體育學刊，9(2)，117-129。
   連結：
2. Bagnato, G. L., Miceli, G., Atteritano, M., Marino, N., & Bagnato, G. F. (2012). Far infrared emitting plaster in knee osteoarthritis: A single blinded, randomised clinical trial. Reumatismo, 64(6), 388-394.
   連結：
3. Brown, S., Day, S., & Donnelly, A. (1999). Indirect evidence of human skeletal muscle damage and collagen breakdown after eccentric muscle actions. Journal of Sports Sciences, 17(5), 397-402.
   連結：
4. Byrne, C., Twist, C., & Eston, R. (2004). Neuromuscular function after exercise-induced muscle damage. Sports Medicine, 34(1), 49-69.
   連結：
5. Chen, T. C., Lin, K. Y., Chen, H. L., Lin, M. J., & Nosaka, K. (2011). Comparison in eccentric exercise-induced muscle damage among four limb muscles. European Journal of Applied Physiology, 111(2), 211-223.
   連結：
6. Cidral-Filho, F. J., & Martins, D. F. (2014). Neurobiological mechanisms and perspectives on far-infrared emitting ceramic materials for pain relief. Journal of Yoga and Physical Therapy, 4(2), 159.
   連結：
7. Clarkson, P. M. (1997). Eccentric exercise and muscle damage. International Journal of Sports Medicine, 18(S4), S314-S317.
   連結：
8. Clarkson, P. M., & Hubal, M. J. (2002). Exercise-induced muscle damage in humans. American Journal of Physical Medicine and Rehabilitation, 81(11), S52-S69.
   連結：
9. Clarkson, P. M., Nosaka, K., & Braun, B. (1992). Muscle function after exercise-induced muscle damage and rapid adaptation. Medicine and Science in Sports and Exercise, 24(5), 512-520.
   連結：
10. Doth, A. H., Hansson, P. T., Jensen, M. P., & Taylor, R. S. (2010). The burden of neuropathic pain: A systematic review and meta-analysis of health utilities. PAIN, 149(2), 338-344.
    連結：
11. Gangadharan, V., & Kuner, R. (2013). Pain hypersensitivity mechanisms at a glance. Disease Models and Mechanisms, 6(4), 889-895.
    連結：
12. Hausswirth, C., Louis, J., Bieuzen, F., Pournot, H., Fournier, J., Filliard, J. R., & Brisswalter, J. (2011). Effects of whole-body cryotherapy vs. far-infrared vs. passive modalities on recovery from exercise-induced muscle damage in highly-trained runners. PloS one, 6(12), e27749.
    連結：
13. Inoue, S., & Kabaya, M. (1989). Biological activities caused by far-infrared radiation. International Journal of Biometeorology, 33(3), 145-150.
    連結：
14. Kim, M. Y., Ahn, J. Y., Choi, S. Y., Hwang, D. S., Lee, J. M., Jang, J. B., Lee, K. S., & Lee, C. H. (2013) Analysis of DITI, HRV about the effect of far infrared radiation applied to whole body ('On-tong Therapy'). The Journal of Oriental Obstetrics and Gynecology, 26, 94-106.
    連結：
15. Lai, C. H., Leung, T. K., Peng, C. W., Chang, K. H., Lai, M. J., Lai, W. F., & Chen, S. C. (2014). Effects of far-infrared irradiation on myofascial neck pain: A randomized, double-blind, placebo-controlled pilot study. The Journal of Alternative and Complementary Medicine, 20(2), 123-129.
    連結：
16. Leung, T. K., Lee, C. M., Tsai, S. Y., Chen, Y. C., & Chao, J. S. (2011). A pilot study of ceramic powder far-infrared ray irradiation (cFIR) on physiology: observation of cell cultures and amphibian skeletal muscle. The Chinese Journal of Physiology, 54(4), 247-254.
    連結：
17. Leung, T. K., Lin, Y. S., Lee, C. M., Chen, Y. C., Shang, H. F., Hsiao, S. Y., Chang, H. T., & Chao, J. S. (2011). Direct and indirect effects of ceramic far infrared radiation on the hydrogen peroxide-scavenging capacity and on murine macrophages under oxidative stress. Journal of Medical and Biological Engineering, 31(5), 345-351.
    連結：
18. Leung, T. K., Yang, J. C., & Lin, Y. S. (2012). The Physical, Chemical and Biological Effects by Room Temperature Ceramic Far‐infrared Ray Emitting Material Irradiated Water: A Pilot Study. Journal of the Chinese Chemical Society, 59(5), 589-597.
    連結：
19. Lin, C. C., Chang, C. F., Lai, M. Y., Chen, T. W., Lee, P. C., & Yang, W. C. (2007). Far-infrared therapy: A novel treatment to improve access blood flow and unassisted patency of arteriovenous fistula in hemodialysis patients. Journal of the American Society of Nephrology, 18(3), 985-992.
    連結：
20. Lin, Y. S., Lin, M. Y., Leung, T. K., Liao, C. H., Huang, T. T., Huang, H .S., & Pan, H. C. (2007). Properties and biological effects of high performance ceramic powder emitting far-infrared irradiation. Instruments Today, 6, 60-66.
    連結：
21. Lopatina, E. V., Yachnev, I. L., Penniyaynen, V. A., Plakhova, V. B., Podzorova, S. A., Shelykh, T. N….& Krylov, B. V. (2012). Modulation of signal-transducing function of neuronal membrane Na+, K+-ATPase by endogenous ouabain and low-power infrared radiation leads to pain relief. Medicinal Chemistry (Shariqah (United Arab Emirates)), 8(1), 33-39.
    連結：
22. Masuda, A., Koga, Y., Hattanmaru, M., Minagoe, S., & Tei, C. (2005). The effects of repeated thermal therapy for patients with chronic pain. Psychotherapy and Psychosomatics, 74(5), 288-294.
    連結：
23. Marcora, S. M., & Bosio, A. (2007). Effect of exercise-induced muscle damage on endurance running performance in humans. Scandinavian Journal of Medicine and Science in Sports, 17(6), 662-671.
    連結：
24. Michlovitz, S. L. (1996). Thermal agents in rehabilitation (3rd ed.). Philadelphia, PA: F. A. Davis.

    連結：
25. Nosaka, K., & Clarkson, P. M. (1996). Changes in indicators of inflammation after eccentric exercise of the elbow flexors. Medicine and Science in Sports and Exercise, 28, 953-961.
    連結：
26. Nosaka, K., & Clarkson, P. M. (1997). Influence of previous concentric exercise on eccentric exercise-induced muscle damage. Journal of Sports Sciences, 15(5), 477-483.
    連結：
27. Overgaard, K., Fredsted, A., Hyldal, A., Ingemann-Hansen, T., Gissel, H., & Clausen, T. (2004). Effects of Running Distance and Training on Ca2+ Content and Damage in Human Muscle. Medicine and Science in Sports and Exercise, 36(5), 821-829.
    連結：
28. Pach, D., Brinkhaus, B., & Willich, S. N. (2009). Moxa sticks: Thermal properties and possible implications for clinical trials. Complementary Therapies in Medicine, 17(4), 243-246.
    連結：
29. Rodenburg, J. B., De Boer, R. W., Schiereck, P., Van Echteld, C. J. A., & Bär, P. R. (1994). Changes in phosphorus compounds and water content in skeletal muscle due to eccentric exercise. European Journal of Applied Physiology and Occupational Physiology, 68(3), 205-213.
    連結：
30. Rodenburg, J. B., Steenbeek, D., Schiereck, P., & Bär, P. R. (1994). Warm-up, stretching and massage diminish harmful effects of eccentric exercise. International Journal of sports medicine, 15(07), 414-419.
    連結：
31. Skoog, D.A., Holler, F.J., & Crouch, S.R. (2007). Principles of instrumental analysis (6th ed.). Belmont, CA: Thomson.
    連結：
32. Symons, T. B., Clasey, J. L., Gater, D. R., & Yates, J. W. (2004). Effects of deep heat as a preventative mechanism on delayed onset muscle soreness. The Journal of Strength and Conditioning Research, 18(1), 155-161.
    連結：
33. Vatansever, F., & Hamblin, M. R. (2012). Far infrared radiation (FIR): Its biological effects and medical applications. Photonics and Lasers in Medicine, 1(4), 255-266.
    連結：
34. Volfinger, L., Lassourd, V., Michaux, J. M., Braun, J. P., & Toutain, P. L. (1994). Kinetic evaluation of muscle damage during exercise by calculation of amount of creatine kinase released. American Journal of Physiology-Regulatory, Integrative and Comparative Physiology, 266(2), R434-R441.
    連結：
35. Wong, C. H., Lin, L. C., Lee, H. H., & Liu, C. F. (2012). The analgesic effect of thermal therapy after total knee arthroplasty. The Journal of Alternative and Complementary Medicine, 18(2), 175-179.
    連結：
36. Yu, S. Y., Chiu, J. H., Yang, S. D., Hsu, Y. C., Lui, W. Y., & Wu, C. W. (2006). Biological effect of far‐infrared therapy on increasing skin microcirculation in rats. Photodermatology, Photoimmunology and Photomedicine, 22(2), 78-86.
    連結：
37. 一、 中文部份
38. 何勇、李志新、崔友 (2001)。中遠紅外線對荷瘤鼠大腦β-內啡、腦啡、強啡水平影響的實驗研究。黑龍江醫藥科學，24(6)，42-43。
39. 邱添輝 (1998)。遠紅外線加熱的理論與實務。臺北市：文笙。
40. 二、 英文部份
41. Devasagayam, T. P. A., Tilak, J. C., Boloor, K. K., Sane, K. S., Ghaskadbi, S. S., & Lele, R. D. (2004). Free radicals and antioxidants in human health: Current status and future prospects. The Journal of the Association of Physicians of India, 52, 794-804.
42. Hamada, Y., Teraoka, F., Matsumoto, T., Madachi, A., Toki, F., Uda, E., Hase, R., Takahashi, J., & Matsuura, N. (2003). Effects of far infrared ray on Hela cells and WI-38 cells. In International Congress Series (Vol. 1255, pp. 339-341). Elsevier Amsterdam, Netherland: Elsevier B. V.
43. Kisner, C., & Colby, L. A. (2012). Therapeutic exercise: Foundations and techniques (6th ed.). Philadelphia, PA: F.A. Davis.
44. Ranger, N.T. (1999). Radiation Detectors in Nuclear Medicine. RadioGraphics, 19 (2), 481-502.
45. Smith, L. L. (1991). Acute inflammation: the underlying mechanism in delayed onset muscle soreness? Medicine and Science in Sports and Exercise, 23(5), 542-551.
46. Sorichter, S., Puschendorf, B., & Mair, J. (1998). Skeletal muscle injury induced by eccentric muscle action: muscle proteins as markers of muscle fiber injury. Exercise Immunology Review, 5, 5-21.
47. Zarndt, B. S., Buchta, J. N., Garver, L. S., Davidson, S. A., Rowton, E. D., & Despain, K. E. (2015). Use of a Far-Infrared Active Warming Device in Guinea Pigs (Cavia porcellus). Journal of the American Association for Laboratory Animal Science, 54(6), 779-782.