簡易檢索 / 詳目顯示

研究生: 陳玫秀
Mei-Shiou Chen
論文名稱: 以主客觀方式探討不同體型大學女生身體活動量、活動類型與坐式行為之差異
The investigation of physical activity, activity type and sedentary behavior for college female students with different body types using objective and subjective measures
指導教授: 方進隆
Fang, Chin-Lung
學位類別: 碩士
Master
系所名稱: 體育學系
Department of Physical Education
論文出版年: 2009
畢業學年度: 97
語文別: 中文
論文頁數: 71
中文關鍵詞: 大學女生身體活動量活動類型坐式行為身體質量指數
英文關鍵詞: college female student, physical activity, activity type, sedentary behavior, body mass index
論文種類: 學術論文
相關次數: 點閱:135下載:20
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 目的:本研究旨在以主、客觀方式探討不同體型大學女生在身體活動量與活動類型之差異,並考驗主客觀身體活動測量法之相關。方法:本研究招募26位大學女生,依身體質量指數 (body mass index, BMI) 分成13位標準組 (18.5≦BMI < 24) 及13位過重組 (BMI ≧ 24),採用智慧能量消耗和日常生活活動紀錄器 (Intelligent Device for Energy Expenditure and Activity, IDEEA) 監測平日與假日之身體活動量,並在隔日以三日身體活動回憶量表記錄前一日之身體活動。以獨立樣本t-test考驗兩組受試者在主客觀身體活動量、活動類型與坐式行為之差異,並以皮爾遜積差相關法考驗主客觀身體活動測量法之相關。結果:標準組於主觀問卷之平日與總身體活動量顯著高於過重組(p < .05),而在客觀身體活動量部分,標準組在平日、假日和總身體活動量皆顯著高於過重組 (p < .05);兩組於平日上下樓梯之活動類型比例達顯著差異 (p < .05),包含坐、躺、倚靠三種活動類型之坐式行為並無顯著差異 (p > .05),且兩組在坐式行為之百分比均佔80 % 以上;標準組和過重組之主、客觀身體活動測量法均呈正相關 (p < .05),過重組在主、客觀身體活動量間達顯著差異 (p < .05),不論平、假日在主觀問卷部分皆有高估身體活動量之情形。結論:體型標準大學女生在身體活動量與平日上下樓梯之活動類型比例皆顯著高於過重組。

    Purpose: The purposes of this study were to compare the differences of physical activity and activity types in college female students with different body types using objective and subjective measures, and to investigate the associations between objective and subjective measures of physical activity. Methods: Twenty-six college female students were recruited to be assigned into the normal group (NG, n = 13) (18.5 ≦ BMI < 24) and overweight group (OG, n = 13) (BMI ≧ 24). The physical activity (PA) and activity types (AT) for the entire either 1 ordinary day or 1 holiday of each participant were measured by Intelligent Device for Energy Expenditure and Activity (IDEEA) as the objective measure. Next day following the above measure of any day, participants completed the 3-day physical activity recall (PAR) as the subjective measure. The differences of all parameters from either objective or subjective measures between two groups were investigated by independent sample t-test. Besides, the correlation between the objective and subjective measures was assessed using Pearson’s product-moment Correlation. Result: Significantly higher total and ordinary-day PA from subjective measure were noted in the NG comparing to OG (p < .05). Ordinary-day, holiday and total PA from objective measure were significantly higher in the NG than OG (p < .05). Significantly difference was noted in the activity of climbing stairs at ordinary day between two groups (p < .05). No difference between groups was found in sedentary behavior which was more than 80 %. Positive correlation between objective and subjective PA measures was noted in both groups (p < .05). Significant difference of PA between subjective and objective measures was found in the OG. Lastly, overestimated PA was noted at either ordinary day or holiday with subjective PAR. Conclusion: These results indicate that the normal group had higher physical activity and up/down stairs activity type than the overweight group, and body-type is related to physical activity level.

    第壹章 緒論 第一節 前言…………………………………………………………………..……1 第二節 問題背景…………………………………………………………………..3 第三節 研究目的………………………………………….…………………….…6 第四節 研究假設……………………………………………………………….….6 第五節 研計範圍與限制………………………………….………………….……6 第六節 名詞操作性定義……………………………………………………….….7 第七節 研究重要性……………………….………………………………….……8 第貳章 文獻探討 第一節 身體活動量之相關研究…………………………………………….…….9 第二節 不同身體質量指數與身體活動量之相關研究…………………………15 第三節 本章總結…………………………………………………...…………….19 第參章 研究方法與步驟 第一節 研究對象………………………………………...………………….……20 第二節 實驗時間與地點………………...………………………………….……20 第三節 實驗設計………………………………………………………................21 第四節 研究工具與檢測項目……………………………………………….…...21 第五節 實驗方法與程序....……………………………………….….……….….27 第六節 資料處裡與統計分析……………………………………………….…...29 第肆章 結果 第一節 基本資料與身體活動類型之描述統計…………………………………30 第二節 不同體型大學女生在身體活動量之比較…………………...………….32 第三節 不同體型大學女生在活動類型之比較……………………………..…..34 第四節 不同體型大學女生在坐式行為之比較……………………………..…..36 第五節 主觀問卷與客觀儀器身體活動量測量法之相關………………….…...37 第伍章 討論與結論 第一節 不同體型大學女生在身體活動量之比較……………………………....39 第二節 不同體型大學女生在活動類型之比較……………………………..…..44 第三節 不同體型大學女生在坐式行為之比較……………………………..…..46 第四節 主觀問卷與客觀儀器身體活動量測量法之相關……………..………..49 第五節 結論……………………………………………………………………....52 第六節 建議……………………………………………………………………....53 引用文獻 一、中文部份…………………………………………………………………..…54 二、英文部分……………………………………………………………..………59 附錄 附件一 受試者須知…………………………………………………………....66 附件二 受試者同意書…………………………………………….…………...67 附件三 受試者基本資料………………………………………….…………...68 附件四 運動習慣調查表……………………………………….….…………..69 附件五 三日身體活動紀錄表格……………………………….………..…….70 表 次 表4-1 受試者基本資料與身體組成之描述統計…………………..............……30 表4-2 標準組身體活動類型之描述統計………………..…………...………….31 表4-3 過重肥胖組身體活動類型之描述統計……………..……………………31 表4-4 不同體型在平、假日主觀問卷身體活動量之比較……….……………..33 表4-5 標準組及過重肥胖組在平、假日主觀問卷身體活動量之比較………..33 表4-6 不同體型在平、假日客觀問卷身體活動量之比較……………………..34 表4-7 標準組及過重肥胖組在平、假日客觀問卷身體活動量之比較………..34 表4-8 標準組及過重肥胖組在平日身體活動類型之比較……………………..35 表4-9 標準組及過重肥胖組在假日身體活動類型之比較……….………….…35 表4-10標準組及過重肥胖組在總身體活動類型之比較……………………….36 表4-11 不同體型大學女生在坐式行為之比較………………………………....36 表4-12 主觀問卷與客觀儀器在身體活動量之相關係數…………………..…..37 表4-13 不同體型大學女生主觀問卷與客觀儀器身體活動量之比較………....38 圖 次 圖3-1 胸部黏貼位置……………………………………………………..............24 圖3-2 大腿黏貼位置……………………….………………………..…………...25 圖3-3 足底黏貼位置……………………………..……………...…..…………...25 圖3-4 校正姿勢……………………………………………….……………….…26 圖3-5 實驗流程圖……………………………………………..…………………27

    一、中文部份
    丁文貞(2001)。肥胖與非肥胖國小學童身體活動量與健康體適能之研究。未出版碩士論文,國立體育學院,桃園縣。
    王淑玲(2005)。比較坐式與非坐式工作型態婦女身體活動量及心血管疾病危險因子。未出版碩士論文,臺北醫學大學,臺北市。
    王喬木(2004)。城鄉原住民國小學童身體活動量與健康體適能之比較研究。未出版碩士論文,國立臺北師範學院,臺北市。
    王文豐(2001)。臺北市國小學童生活壓力與其身體活動量及健康體適能關係之研究。未出版碩士論文,國立臺北師範學院,臺北市。
    石桓星、洪聰敏(2006)。身體活動與大腦神經認知功能老化。臺灣運動心理學報,8,35-63。
    行政院體育委員會(2007)。全民動起來-運動人口倍增計畫。國民體育季刊,36(4),4-6。
    行政院體育委員會(1999)。中華民國體育白皮書。臺北:行政院體育委員會。
    行政院衛生署國民健康局(2006)。國民健康訪問調查。臺北:行政院衛生署。
    艾建宏、蔡亨、林鼎政(2005)。年輕女性之工作型態及身體活動量對健康體適能的影響-以景文技術學院進修推廣部學生為例。輔仁大學體育學刊,4,132-150。
    呂明昌、林旭龍、黃奕清、李明憲、王淑芳(2000)。身體活動自我報告量表之效度及信度的研究-以Polar Vantage NV心搏率監測器為效標。衛生教育學報,14,33-48。
    呂明昌、林旭龍、黃奕清、李明憲、王淑芳(2001)。身體活動自我報告量表之效度及信度的研究-以TriTrace-R3D三度空間加速器為效標。衛生教育學報,17,99-113。
    李素箱、楊欽城、徐志輝、賴金模、邱睿昶(2007)。不同屬性大學學生電腦及網路使用時間對身體質量指數和自覺健康狀況的影響。朝陽學報,12,201-215。
    李彩華、方進隆(1998)。國中學生身體活動量與體適能相關因素研究。體育學報,25,139-148。
    李碧霞、陳靜敏(2005)。國小高年級學童身體意象、自專與身體活動之研究。醫護科技學刊,7(1),43-55。
    宋季玲(2007)。成年女學生運動行為與睡眠品質、生活品質相關性探討。未出版碩士論文,長榮大學,臺南市。
    何忠峰、胡雲雯、謝武進(2007,5月)。課後補習對國中生身體活動量的影響(摘要)。國際運動生理與體能領域學術研討會海報發表,嘉義縣。
    吳建賢、黃俊、王斌、劉彤、宣波(2007)。腰椎間盤突出症患者日常生活活動功能定量評估。安徽醫科大學學報,42(4),449-452。
    林瑞興、方進隆(2000)。增加身體活動量或運動訓練對肥胖者的效果探討。大專體育,50,31-37。
    林旭龍(2000)。應用跨理論模式於大學女生身體活動之主客觀評價的研究。未出版碩士論文,國立臺灣師範大學,臺北市。
    林幸慧(2003)。原住民國小學童身體活動量及其影響因素之研究。未出版碩士論文,慈濟大學,花蓮市。
    林孟輝(2004)。臺南市國小學童身體活動量與健康體適能相關之研究。未出版碩士論文,國立臺南大學,臺南市。
    林欣儒(2005)。國中生身體活動量與知覺運動益處和知覺運動障礙關係之探討。未出版碩士論文,國立彰化師範大學,彰化市。
    周桂英(2004)。臺北縣高中、高職學生身體活動量與健康體適能之研究。未出版碩士論文,國立體育學院,桃園縣。
    周嘉琪(2004)。健身運動、情緒感受與心理健康。大專體育,72,156-161。
    柯志賢(2004)。不同身體質量指數與身體活動量教師自覺健康狀況之研究。未出版碩士論文,國立臺灣師範大學,臺北市。
    莊泰源(2000)。體脂肪與走路效率之相關研究。未出版碩士論文,國立臺灣師範大學,臺北市。
    莊智鈞(2005)。臺北都會區老年人健康知識與其休閒活動參與情形之關係研究。未出版碩士論文,國立臺灣師範大學,臺北市。
    陳冠如(2005)比較不同肥胖度之大學新生身體活動與其影響因素。未出版碩士論文,國立成功大學,臺南市。
    陳鵬仁(2005)。晚期兒童身體活動量、同儕關係與身體自我概念關聯:競技運動參與及性別差異。未出版碩士論文,國立臺灣師範大學,臺北市。
    陳錦偉、黃朝嘉、薛永和(2007)。澎湖縣肥胖與一般高職生身體活動量比較。嘉大健康體育休閒期刊,6(2),95-101。
    陳敏弘、蘇蕙芬(2007)。評估兒童身體活動方法之探討。大專體育,88,193-198。
    國立臺灣師範大學發展中心(2005年12月)。教育部94年各級學校學生運動參與情形調查。2008年5月27日取自http://140.122.72.29/spess/94spess.htm
    黃俊、吳建賢(2006)。腰椎間盤突出症患者身體執行能力評估。中華康復理論與實踐,12(11),975-977。
    黃俊、吳建賢(2007)。腰椎間盤突出症患者腰部活動執行能力定量評量。中華物理醫學與康復雜誌,29(8),558-560。
    張樹立(2004)。臺北縣城鄉國小學童身體活動量與健康體適能之比較研究。未出版碩士論文,國立臺北師範學院,臺北市。
    張曉亭、鍾曉雲(2002)。肥胖兒童之判定與危險疾病。大專體育,60,164-168。
    彭詩晴(2008)。大學女生身體活動與其影響因素之研究-應用社會生態學模式。外出版碩士論文,國立台灣體育大學(桃園),桃園縣。
    彭鍬穩(2004)。高中男生通學方式、身體活動量與健康體適能之比較研究。未出版碩士論文,國立臺北師範學院,臺北市。
    游智凱(2006)。高中職學生不同身體活動量與健康體適能之相關研究。未出版碩士論文,國立臺灣師範大學,臺北市。
    曾振峰(2006)。國中生身體活動量與體適能的關係之研究-以臺北市立新民國中為例。未出版碩士論文,國立臺灣師範大學,臺北市。
    劉明賜(2004)。不同體型的五股國小學童之身體活動量與規律運動習慣之調查研究。未出版碩士論文,國立臺灣師範學院,臺北市。
    劉俐蓉(2003)。臺北市士林國中學生中重度身體活動量、運動階段其相關因素之研究。未出版碩士論文,國立臺灣師範學院,臺北市。
    盧俊宏(1998)。從事體適能運動所帶來的106種利益。臺灣省學校體育,8(5),17-22。
    謝宗達(2005)。大學生運動參與程度、自尊心及身體意象之關係研究。未出版碩士論文,國立中正大學,嘉義市。
    蕭世原(2004)。臺北市國小學童體育態度、身體活動量及體育課學習成就之影響。未出版碩士論文,臺北體育學院,臺北市。
    魏榆倩(2006)。大一學生身體活動與憂鬱症狀之關係研究。未出版碩士論文,國立體育學院,桃園縣。
    二、英文部分
    Arvidsson, D., Slinde, F., Larsson, S., & Hulthen, L. (2009). Energy cost in children assessed by multisensor activity monitors. Medicine and Science in Sports and Exercise, 41(3), 601-611.
    Berlin, J. A., & Colditz, G. A. (1990). A meta-analysis of physical activity in the prevention of coronary heart disease. American Journal of Epidemiology, 132(4), 612-628.
    Bouchard, C., Tremblay, A., Leblanc C., Lortie G., Savard R., & Theriault, G. (1983). A method to assess energy expenditure in children and adults. The American Journal of Clinical Nutrition, 37, 461-467.
    Booth, M. L., Owen, N., Bauman, A., Clavisi, O., & Leslie, E. (2000). Social-congnitive and perceived environment influences associated with physical activity in older Australians. Preventive Medicine, 31(1), 15-22.
    Buckworth, J., & Nigg, C. (2004). Physical activity, exercise, and sedentary behavior in college students. Journal of American College Health, 53(1), 28-34.
    Caspersen, C. J., Powell, K. E., & Christenson G. M. (1985). Physical activity, exercise, physical fitness: definitions and distinctions for health-related research. Public Health Report, 100(2), 126-131.
    Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2end ed.). Hillsdale, NJ: Erlbaum Associates.
    Colcombe, S., Kramer, A. F., & Elavsky, S. (2004). Cardiovascular fitness, cortical plasticity, and aging, Proceedings of the National Academy of Sciences, 101(9), 3316-3321.
    Duncan, J. S., Schofield, G., & Duncan, E. K. (2006). Pedometer-detemined physical activity an body composition in New Zealand children. Medicine and Science in Sports and Exercise, 38(8), 1402-1409.
    Durante, R., & Ainsworth, B. E. (1996). The recall of physical activity: Using a cognitive model of the question-answering process. Medicine and Science in Sports and Exercise, 28(10), 1282-1291.
    Falkner, K. L., Trevisan, M., & McCann, S. E. (1999). Reliability of recall of physical activity in the distant past. American Journal of Epidemiology, 150(2), 195-205.
    Franz, M. J. (2007). The evidence is in : lifestyle interventions can prevent diabetes. American Journal of Lifestyle Medicine, 1(2), 113-121.
    Gavarry, O., Giacomoni, M., Bernard, T., Seymat, M., & Falgairette, G. (2003). Habitual physical activity in children and adolescents during school and free day. Medicine and Science in Sports and Exercise, 35(3), 525-531.
    Gioia, A. D., Berti, L., Casanelli, S., & Benedtti, m. G. (2008). Physical activity evaluation in a group of obese subjects by means of a portable device. Gait and Posture, 28(1), 14-15.
    Haase, A., Steptoe, A., Sallis, J. F., & Wardle, J. (2004). Leisure-time physical activity in university students from 23 countries: association with health beliefs, risk awaweness, and national economic development. Preventive Medicine, 39, 182-190.
    Hallal, P. C., Victora, C. G., Wells, J. C. K., & Lima, R. C. (2003). Physical inactivity: prevalence and associated variables in Brazilian adults. Medicine and Science in Sports and Exercise, 35(11), 1894-1900.
    Helmrich, S. P., Ragland, D. R., Leung, R. W., & Paffenbarger, R. S. (1991). Physical activity and reduced occurrence of non-insulent-dependent diabetes mellitus. The New England Journal of Medicine, 325, 147–152.
    Henry, C. J. K., Lightowler, H. J., & Al-Hourani, H. M. (2004). Physical activity and levels of inactivity in adolescent females ages 11-16 years in the United Arab Emirates. American Journal of Human Biology, 16, 346-353.
    Huang, Y. C., & Malina, R. M. (1996). Physical activity and Correlates estimated energy expenditure in Taiwanese adolescents 12-14 years of age. American Journal of Human Biology, 8, 225-236.
    Huddleston, J., Alaiti, A., Goldvasser, D., Scarborough, D., Freiberg, A., Rubash, H., Malchau, H., Harris, W., & Krebs, D. (2006). Ambulatory measurement of knee motion and physical activity: preliminary evaluation of a smart activity monitor. Journal of NeuroEngineering and Rehabilitation, 3(21).
    Jennifer, U., Dianne, N. S., Robert, J., Mary, S. (2003). Couch potatoes or french fries: are sedentary behaviors associated with body mass index, physical activity, and dietary behaviors among adolescents? Journal of the American Dietetic Association, 103(10), 1298-1305.
    Klasson, H. L., & Anderssen, S. A. (2003). Gender and age differences in relation to the recommendations of physical activity among Norwegian children and youth. Scandinavian Journal of Medicine and Science in Sports, 13(5), 293-298.
    Kriska, A. M., & Caspersen, C. (1997). Introduction to a collection of physical activity questionnaires. Medicine and Science in Sports and Exercise, 29(6), 5-9.
    Ku, P. W., Fox, K. R., Mckenna, J., & Peng, T. L. (2006). Prevalence of leisure-time physical activity in Taiwanese adults: results of four national surveys, 2000-2004. Preventive Medicine, 43, 454-457.
    Laporte, R. E., Montoye, H. J., & Caspersen, C. J. (1985). Assessment of physical activity in epidemiologic research: problems and prospects. Public Health Report, 100, 131-146.
    Lindasy, R. S., Hanson, R. L., Roumain, J., Ravussin, E., Knowler, W. C., & Tataranni, P. A. (2001). Body mass index as a measure of adiposity in children and adolescents : relationship to adiposity by dual energy x-ray absorptiometry and to cardiovascular risk factors. Journal of Clinical Endocrinology & Metabolism, 86(9), 4061-4067.
    Malanson, E. L., & Freedson, P. S. (1996). Physical activity assessment: A review of method. Critical Review in Food science and Nutrition, 36, 385-396.
    Marsh, A. P., Vance, R. M., Frederick, T. L., Hesselmann, S. A., & Rejeski, W. J.(2007). Objective assessment of activity in older adults at risk for mobility disability. Medicine and Science in Sports and Exercise, 30(12), 1684-1692.
    Matthews, C. E., Chen, K. Y., Freedson, P. S., Buchowasi, M. S., Beech, B. M., Pate, R. R., & Troiano, R. P. (2008). Amount of time spent in sedentary behaveiors in the United States, 2003-2004. American Journal of Epidemiology, 167(7), 875-881.
    Meyerhardt, J. A., Giovannucci, E. L., Holmes, M. D., Chan, A. T., Chan, J. A., Colditz, G. A., & Fuchs, C. S. (2006). Physical activity and survival after colorectal cancer diagnosis. Journal of Clinical Oncology, 24(22), 3527-3533.
    Michael, J. G., Joseph, U. B., Stephen, M. B., Sherry, I. B., David, L. H., Joseph, M. L., & Dean, G. L. (2007). An evaluation of accuracy and repeatability of a novel gait analysis device. Archives of Orthopaedic and Trauma Surgery, 127, 223-227.
    Montoye, H, J., Kemper, H. C. H., Saris, W. H., & Washburn, R. A. (1996). Measuring physical activity and energy expenditure. Champaign, IL: Human Kinetics.
    Nibuya, M., Nestler, E., & Duman, R. (1996). Chronic antidepressant administration increases the expression of cAMP response element binding proteinin rat hippocampus. The Journal of Neurosicence, 16(7), 2365-2372.
    Pate, R. R., Stevens, J., Webber, L. S., Dowda, M., Murray, D. M., Young, D. R., & Going, S. (2009). Age-related change in physical activity in adolescent girls. Journal of Adolescent Health, 44, 275-282.
    Pietrobelli, A., Faith, M. S., Allison, D. B., Gallagher, D., Chiumello, G., & Heymsfield, S. B. (1998). Body mass index as a measure of adiposity among children and adolescents: a validation study. Journal of Pediatrics, 132(2), 204-210.
    Richardson, C. R., Faulkner, G., McDevitt, J., Skrinar, G. S., Hutchinson, D. S., & Piette, J. D. (2005). Integrating physical activity into mental health services for persons with serious mental illness. Psychiatric Services, 56(3), 324-331.
    Salmon, J., Bauman, A., Crawford, D., Timperio, A., & Owen. N.(2000). The association between television viewing and overweight among Australian adults participating in varying levels of leisure-time physical activity. International Journal of Obesity, 24, 600-606.
    Sigal, R. J., Kenny, G. P., Wasserman, D. H., Castaneda-Sceppa, C., & White, R. D. (2006). Physical activity/exercise and type 2 diabetes. Diabetes Care, 29, 1433-1438.
    Shiner, J. S., & Uehlinger, D. E. (2001). Body mass index : a measure for longevity. Medical Hypotheses, 57(6), 780-783.
    Timperio, A., Salmon, J., & Crawfore, D. (2003). Validity and rellability of a physical recall instrument among overweight and non-overweight men and women. Journal of Science and Medicine in sport, 6(4), 477-491.
    Tolfrey, K., Campbell, I. G., & Batterham, A. M. (1998). Exercise training induced alterations in prepubertal children’s lipid-lipoprotein profile. Medicine and Science in Sports and Exercise, 30(12), 1684-1692.
    Trost, S. G., Pate, R. R., Freedson, P. S., Sallis, J. F., & Taylor, W. C. (2000). Using objective physical activity measures with youth: how many days of monitoring are needed? Medicine and Science in Sports and Exercise, 32(2), 426-431.
    U. S. Department of Health and Human Services. (1996). Physical activity and health: A report of the Surgeon General. Washington, DC: Author.
    U. S. Department of Health and Human Services. (2001). Healthy People 2010. McLean, VA: International Medical Publishing, Inc.
    Wannanmethee, S. G., & Shaper, A. G. (2001). Physical activity in the prevention of cardiovascular disease: an epidemiological perspective. Sports Medicine, 31(2), 101-114.
    William, H. D. (1996). The role of lifestyle in health: the epidemiology and consequences of inactivity. Proceedings of the Nutrition Society, 55, 829-840.
    Zhang, K., Werner, P., Sun, M., Pi-Sunyer, F. X., & Boozer, C. N.(2003). Measurement of human daily physical activity. Obesity Research, 11(1), 33-40.
    Zhang, K., Pi-Sunyer, F. X., & Boozer, C. N. (2004). Improving energy expenditure estimation for physical activity. Medicine and Science in Sports and Exercise, 36, 883-889.
    Zhang, K., Gorjian, A., & Lester, D. K. (2006). Gait change after local anesthetic chronically arthritic knee. Journal of Long-Term Effects of Medical Implants, 16(3), 223-234.

    QR CODE