【摘要】：研究目的:從21世紀初被引起關注到目前被應用于多個領域,振動訓練在過去二十年左右的時間里得到了廣泛的發(fā)展,該領域學者普遍認為其作為一種簡便易行的健身手段,能夠被用來激發(fā)人體潛能、提升機體功能等,并且認為振動訓練似乎更適合身體功能較弱的人群。但至今為止,振動訓練領域的理論框架還未完全厘清,學術界尚存諸多爭議點,因此需要更多研究進行理論補充和修正。為此,本研究以高齡老年人為研究主體,探究坐姿條件下振動訓練對其下肢肌肉力量、平衡功能和步行功能的影響,以期為今后老年人參加坐姿振動訓練提供指導和建議,同時為振動訓練領域的發(fā)展提供實證參考。研究方法:36名社區(qū)日托所老年人被隨機分為實驗組(20人,81.1±6.6歲)和對照組(16人,84.6±5.7歲),實驗組采用法國產(chǎn)BODYGREEN垂直律動機進行為期12周的坐姿振動訓練,振動方案為(2mm,3-9Hz,5min/組,2-4組/次,間歇1min,3次/周),對照組不參與振動訓練,保持正常作息。測試指標:選擇5次坐立試驗(Five Times Sit to Stand Test,FTSST)評價受試者下肢肌肉力量;采用Win-Pod足底壓力測試分析系統(tǒng)、強化Romberg測試評估受試者靜態(tài)平衡功能;選用起立-行走計時測試(Timed Up and Go Test,TUGT)、10m步行測試(10m walking test,10MWT)和6min步行測試(6-minute walk distance,6MWD)分別評價受試者功能性移動能力、步行速度和步行耐力。數(shù)據(jù)分析分別采用獨立樣本t檢驗、配對樣本t檢驗進行組間和組內比較。P0.05時認為差異有顯著意義,P0.01時認為差異有非常顯著意義。研究結果:(1)肌肉力量方面。實驗組干預后FISST成績較干預前有所提高,提高幅度為4.17%,對照組干預后測試成績較干預前有所下降,下降幅度為4.22%,兩組前后差異不具有顯著意義。(2)平衡能力方面。在Win-Pod足底壓力睜眼測試中,實驗組干預后在重心擺動軌跡長、外周面積和Y軸偏移量上有明顯提高,差異具有顯著意義(P0.05),對照組在這三項指標中均有提高,下降幅度分別為2.11%、0.05%和5.79%;實驗組在重心擺動速度、X軸擺動速度、Y軸擺動速度和X軸偏移量上與干預前相比均有下降,對照組在這四項指標上變化各異。閉眼測試中,實驗組干預后在重心擺動軌跡長和Y軸偏移量上下降明顯,差異具有顯著意義(P0.05),對照組在這兩項指標中均有提高;在其余5項指標中,實驗組均有下降,對照組均有提高,兩組前后差異皆無顯著意義。在強化Romberg測試上,實驗組干預后提高幅度3.74%,對照組下降幅度5.77%,兩組前后差異均不具有顯著意義。(3)步行能力方面。在功能性移動能力測試(TUGT)中,實驗組干預后下降8.43%,對照組干預后提升3.18%,兩組前后差異不具有顯著意義;步行速度測試(10MWT)中,實驗組干預后測試成績下降幅度為1.62%,對照組提升幅度為1.24%,兩組前后差異同樣不具有顯著意義;步行耐力測試(6MWD)中,實驗組和對照組干預后都有一定下降,下降幅度分別為0.68%和2.42%,且兩組前后差異都不具有顯著意義。結論1.12周坐姿振動訓練對增強高齡老年人下肢肌肉力量有一定幫助,能夠在一定程度上提高老年人從坐到站的能力。2.12周坐姿振動訓練可以在一定程度上增強高齡老年人的平衡能力,在重心軌跡偏移和前后方向重心偏移上效果明顯。3.12周坐姿振動訓練可以在一定程度上幫助高齡老年人提高功能性移動能力和步行速度,在步行耐力上未表現(xiàn)出提高效果。4.12周坐姿振動訓練期間高齡老年人依從性較好,無不良反應出現(xiàn),高齡老年人能夠適應本研究中的訓練安排。
[Abstract]:Research purposes: From the beginning of the 21st century, attention has been paid to the current application in many fields, the vibration training has been widely developed in the past two decades, and it is widely believed that it can be used to stimulate the human potential as a simple and convenient body-building means. The function of the body and the like is improved, and the vibration training appears to be more suitable for people with weak physical function. So far, the theoretical framework in the field of vibration training has not been completely clear, and there are still many controversial points in the academic circles, so it is necessary to make more research on the theoretical supplement and correction. To this end, we study the influence of the vibration training on the muscle strength, the balance function and the walking function of the lower limbs under the condition of sitting posture, with a view to providing guidance and suggestions for the future of the elderly in the training of sitting posture vibration. And provides an empirical reference for the development of the vibration training field. Methods: The elderly were randomly divided into the experimental group (20, 81.1 and 6.6 years) and the control group (16, 84.6 and 5.7 years) in 36 community day-care groups, and the experimental group was subjected to a 12-week sitting position vibration training with the French-born BODYGREEN vertical-law motor, and the vibration scheme was (2 mm,3-9 Hz,5 min/ group,2-4 groups/ time). Intermittent 1 min,3 times/ week), control group did not participate in the vibration training, and kept normal interest. The test index:5 times of sitting test (FTSSST) was selected to evaluate the muscle strength of the lower limbs of the subject; a Win-Pod plantar pressure test and analysis system was used to strengthen the Romberg test to evaluate the balance function of the subject; and a standing-walk timing test (Timed Up and Go Test) was selected. TUGT,10 m walking test (10MWT) and 6 min walk test (6MWD) were used to evaluate the subject's functional mobility, walking speed and walking endurance, respectively. Data analysis was compared between groups and groups using independent sample t-test and paired-sample t-test, respectively. The difference was found to be significant in P0.05, and it was considered that the difference was very significant at the time of P0.01. Results of the study: (1) Muscle strength. After the intervention of the experimental group, the score of the FISST was improved before the intervention, the improvement of the amplitude was 4.17%, the post-intervention test scores of the control group decreased, the decrease was 4.22%, and the difference between the two groups was not significant. (2) Balance capacity. In the open-eye test of the foot pressure of the Win-Pod, the control group had a significant difference in the length of the center of gravity swing, the peripheral area and the Y-axis offset after the intervention of the experimental group (P0.05). The control group had an improvement in the three indexes, with a decrease of 2.11%, 0.05% and 5.79%, respectively. In the experimental group, the swinging speed of the center of gravity, the swinging speed of the X-axis, the swinging speed of the Y-axis and the offset of the X-axis were lower than that before the intervention, and the control group had different changes in the four indexes. In the closed-eye test, after the intervention of the experimental group, there was a significant difference in the length of the center of gravity and the offset of the Y-axis, and the difference was significant (P0.05). In the control group, there was an increase in the two indexes, and in the remaining 5 indexes, the experimental group had a decrease, and the control group was improved. There was no significant difference between the two groups. In the enhanced Romberg test, after the intervention of the experimental group, the amplitude of the control group was 3.74%, the decrease of the control group was 5.77%, and the difference between the two groups was not significant. (3) The ability of walking. In the functional mobility test (TUGT), the experimental group decreased by 8.43% after the intervention and 3.18% after the intervention of the control group, and the difference between the two groups was not significant; in the walking speed test (10MWT), the decrease of the test result after the intervention of the experimental group was 1.62%. The improvement of the control group was 1.24%, and the difference between the two groups was not significant; in the walking endurance test (6MWD), the experimental group and the control group had a certain decrease after the intervention, and the descending amplitude was 0.68% and 2.42%, respectively, and the difference between the two groups was not significant. Conclusion: The 12-week sitting position vibration training can help to enhance the strength of the lower limb muscles of the old people, and can improve the ability of the old people from sitting to the station to a certain extent. The 12-week sitting posture vibration training can improve the balance ability of the old people to some extent, 12-week sitting position vibration training can help the aged to improve the functional mobility and the walking speed to a certain extent, The improvement effect was not shown on the walking endurance. The high-age old people had better compliance and no adverse reactions during the 12-week sitting posture vibration training. The elderly were able to adapt to the training arrangement in this study.
【學位授予單位】：上海體育學院
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：G808.1

【相似文獻】

相關期刊論文 前3條

1 孫繪華;防衰之路千步之外[J];健身科學;2005年08期

2 ;人類步入“半健康時代”[J];社科信息文薈;1995年02期

3 顏麗;人到老年貴養(yǎng)腿[J];山西老年;1999年04期

相關會議論文 前10條

1 李巖;顧旭東;姚云海;吳華;俞志良;李輝;王偉;張雄偉;;早期骨盆強化訓練對偏癱患者平衡及步行能力的影響[A];中國康復醫(yī)學會第十三屆全國腦血管病康復學術會議會議指南[C];2010年

2 侯來永;;骨盆運動控制能力訓練對卒中患者步行能力的影響[A];中國康復醫(yī)學會第三次康復治療學術大會論文匯編[C];2002年

3 李巖;顧旭東;姚云海;吳華;俞志良;李輝;王偉;張雄偉;;早期骨盆強化訓練對偏癱患者平衡及步行能力的影響[A];中國康復醫(yī)學會第七次全國康復治療學術會議主題報告、學術交流論文匯編[C];2010年

4 徐燕忠;;早期減重助步訓練對中風患者步行能力影響的臨床觀察[A];2008年浙江省物理醫(yī)學與康復學術年會暨中樞神經(jīng)功能損傷康復新進展學習班論文匯編[C];2008年

5 李巖;顧旭東;姚云海;吳華;李輝;王偉;;早期骨盆強化訓練對偏癱患者平衡及步行能力的影響[A];中國康復醫(yī)學會第十四次腦血管病康復學術會議暨中華中醫(yī)藥學會第九次養(yǎng)生康復學術會議論文匯編[C];2011年

6 李巖;;早期骨盆強化訓練對偏癱患者平衡及步行能力的影響[A];中國康復醫(yī)學會運動療法分會第十一屆全國康復學術大會學術會議論文摘要匯編[C];2011年

7 華東;;運動再學習對偏癱患者步行能力及步態(tài)的影響[A];第六次全國中西醫(yī)結合養(yǎng)生學與康復醫(yī)學學術研討會論文集[C];2009年

8 李橋軍;華東;張斌;席建明;;骨盆控制訓練對腦卒中偏癱患者步行能力的影響[A];中國康復醫(yī)學會第十三屆全國腦血管病康復學術會議會議指南[C];2010年

9 李巖;馮南堯;顧旭東;姚云海;吳華;俞志良;王偉;李輝;;平衡功能訓練對偏癱患者步行能力的影響[A];2008年浙江省物理醫(yī)學與康復學術年會暨中樞神經(jīng)功能損傷康復新進展學習班論文匯編[C];2008年

10 周潔;謝文龍;何鳳祥;唐娟芬;徐艷;費琳;沈慕云;;骨盆控制訓練對腦卒中偏癱患者步行能力的影響[A];2013浙江省物理醫(yī)學與康復學學術年會暨第八屆浙江省康復醫(yī)學發(fā)展論壇論文集[C];2013年

相關重要報紙文章 前1條

1 steve;“手機依賴癥”該治嗎?[N];電腦報;2014年

相關博士學位論文 前1條

1 朱玉連;改良強制性運動療法對腦卒中偏癱患者步行能力及步態(tài)生物力學的影響[D];上海體育學院;2016年

相關碩士學位論文 前10條

1 朱童;運用三維步態(tài)分析評價下肢機器人對偏癱患者步行能力的影響[D];浙江中醫(yī)藥大學;2015年

2 岳童;腦卒中患者足底壓力與步行能力的相關性研究[D];安徽醫(yī)科大學;2015年

3 陶程露;針刺結合康復治療對缺血性腦卒中患者恢復早期步行能力的影響[D];成都中醫(yī)藥大學;2015年

4 金佳然;改良強制性運動療法對腦卒中患者步行能力和下肢肌電的影響[D];上海體育學院;2016年

5 何雷;低頻穴位電刺激對中風后踝背屈障礙患者步行能力的影響[D];黑龍江中醫(yī)藥大學;2016年

6 倪常耕;下肢功率自行車訓練對早期腦卒中病人步行能力影響[D];武漢體育學院;2016年

7 宋靜軒;腰腹部電針對中風后偏癱患者步行能力影響的臨床觀察[D];黑龍江中醫(yī)藥大學;2017年

8 譚景旺;坐姿振動訓練對高齡老年人下肢肌肉力量、平衡和步行能力的影響研究[D];上海體育學院;2017年

9 肖文武;四肢聯(lián)動對腦卒中偏癱患者亞急性期下肢運動功能及步行能力的影響[D];大連醫(yī)科大學;2014年

10 葉闐芬;視覺干預康復訓練對腦卒中后平衡控制及步行能力的影響[D];蘇州大學;2011年

，

本文編號：2510672