抗力球運動介入對於下背痛患者之成效評估 = The Effectiven...
國立高雄大學運動健康與休閒學系碩士班

 

  • 抗力球運動介入對於下背痛患者之成效評估 = The Effectiveness Of Swiss Ball Exercise In Patients With Low Back Pain
  • 紀錄類型: 書目-語言資料,印刷品 : 單行本
    並列題名: The Effectiveness Of Swiss Ball Exercise In Patients With Low Back Pain
    作者: 郭芳妏,
    其他團體作者: 國立高雄大學
    出版地: [高雄市]
    出版者: 撰者;
    出版年: 2014[民103]
    面頁冊數: 132面圖,表 : 30公分;
    標題: 下背痛
    標題: low back pain
    電子資源: http://handle.ncl.edu.tw/11296/ndltd/69283869714401469881
    附註: 參考書目:面60-68
    附註: 103年12月16日公開
    摘要註: 背景與目的:根據統計,約有80﹪的人口有下背痛的經驗,且會影響日常生活及工作表現,而下背痛復發機率高達70~80﹪,由此可知,下背痛對於國人具有深厚的影響力。故本研究將探討八週抗力球運動訓練對於下背痛患者的成效,並與進行八週徒手牽拉治療的下背痛患者做比較,評估其成效差異。方法:受試者招募於高雄南區某預防醫學中心,包含30位自願參與抗力球運動訓練(實驗組)及30位自願參與徒手牽拉治療(控制組)之下背痛患者,兩組訓練皆為期八週、每週三次、每次四十分鐘之訓練課程,並於實驗前及實驗第八週後進行評估,評估項目包括:(1) 視覺類比量表進行疼痛程度評估、(2) 一分鐘修正式仰臥起坐之腹肌肌耐力測試、(3) 一分鐘修正式俯臥舉身之背肌肌耐力測試及(4) 歐式下背痛失能量表進行下背生理功能評估,以探討抗力球運動訓練及徒手牽拉治療介入對於下背痛患者之成效。結果:研究前、後數據經成對樣本t檢定得知,實驗組之疼痛及下背生理功能均有顯著改善(p<0.05),而腹部及背部肌耐力亦有顯著增加(p<0.05)。控制組之疼痛及下背生理功能均有顯著改善(p<0.05),但腹部及背部肌耐力則無顯著差異(p>0.05)。結論:規律進行八週抗力球運動訓練(實驗組)與徒手牽拉治療(控制組)對於下背痛患者之疼痛及下背生理功能皆有顯著改善(p<0.05),而腹肌及背肌肌耐力只在抗力球運動訓練(實驗組)有顯著差異(p<0.05),由此可知,同樣的訓練期間,抗力球運動訓練相較於徒手牽拉治療對於下背痛患者更有效益。臨床意義:臨床上藉由抗力球運動訓練不只能幫助下背痛患者改善疼痛問題,亦能增加腹部及背部肌耐力,在生理發展上有助於核心肌肉品質的提升,增加整體脊椎穩定度,進而達到根本治療的效果。 Background and Purpose:According to statistics, about 80 percent of the population had an experience in low back pain, and it affects peoples function and performance of daily life. In addition, the probability of recurrence of low back pain is approximately 70 to 80 percent. It can be seen low back pain has deep influential for people. The purpose of this study was to compare the effectiveness of eight-week swiss ball exercise and eight-week stretch manual therapy in patients with low back pain.Methods:The subjects recruited in a preventive medicine center in Kaohsiung , including 30 patients voluntarily in swiss ball exercise (experimental group) and 30 patients voluntarily in stretch manual therapy (control group). The two groups were trained for 40 min each time, three times a week, and the training lasted eight-weeks in total. The subjects were assessed before the experiment and assessed again on the eighth week after the experiment. The assessment project include: (1) conduct the visual analog scale pain assessment, (2) one minute of modified abdominal crunches muscular endurance test, (3) one minute of modified prone to lifting chest muscular endurance test, and (4) the Oswestry Disability Index to evaluation back physiological functions. The research is investigate the effectiveness of eight-week swiss ball exercise and eight-week stretch manual therapy in patients with low back pain. Results:The data was collected by means of paired samples T-test that compared before and after the study. Conscious pain and back physiological functionin the experimental group were significantly improved (p<0.05). In addition, abdominal and back muscle endurance were also significantly increased (p<0.05). Conscious pain and back physiological in the control group were significant improvement (p<0.05), but not in the abdominal and back muscle endurance (p>0.05).Conclusion: Eight-weeks of swiss ball exercise and stretch manual therapy were significant improvement in pain and physical function in patients with low back pain. The abdominal and back muscle endurance only in the swiss ball exercise had significant differences can be seen. In the same period of training, the swiss ball exercise with more effective in patients with low back pain.Clinical significance: The swiss ball exercise helps to improved not only pain, but also improved the muscle endurance in patients with lower back pain. The swiss ball exercise can help to improve the core muscles quality and increase the over all stability of the spine, which can achieve the effect of fund a mental treatment.
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