Title

六週知覺動作訓練對高齡者平衡控制能力之影響

Translated Titles

Effects of 6 Weeks Sensorimotor Training on Balance Control in the Elderly

DOI

10.29697/JPE.200905.0014

Authors

吳孟恬(Meng-Tien Wu);陳惠姿(Huey-Tzy Chen);詹元碩(Yuan-Shuo Chan)

Key Words

跌倒 ; 姿勢控制 ; 身體晃動 ; 神經肌肉控制 ; fall ; postural control ; body sway ; neuromuscular control

PublicationName

輔仁大學體育學刊

Volume or Term/Year and Month of Publication

8期(2009 / 05 / 31)

Page #

198 - 209

Content Language

繁體中文

Chinese Abstract

Background and Purpose: Age-related changes in neuromuscular control contribute to impairments in balance control and increase fall risks in older adults. However, few studies have been done on the effects of sensorimotor training on balance control in the elderly. Therefore, the aim of this randomized study was to analyze the effects of training performed on an unstable platform intended to reduce body sway by improving the balance control ability. Methods: Forty-three healthy older adults (divided into a sedentary group and a training group, 70.4±5.4 years) took part in a six-week training program (involving two to three times a week). Using Pusturomed(superscript ®) system (Eugen Rašev, Germany) to measure body sways before and after training. Postural control in various conditions was measured including standing naturally with eyes opened, feet together stand, semi-tandem stand and tandem stand. The analysis used the SPSS 12.0 statistical software; descriptive statistics, independent- t test and pair- t test were conducted. Results: Results revealed that sensorimotor training group significantly decrease their body sway on feet together standing position (p<.001), the training group also showed the trend to significant changes on semi-tandem stand (p=.057) and tandem stand (p=.054) after 6 weeks training, but the results of the control group indicated body sway increase on feet together stand (p=.029). Conclusion: The most important finding from this study suggests that the 6-week sensorimotor training protocol that significantly contributes to success of the balance control.

English Abstract

Background and Purpose: Age-related changes in neuromuscular control contribute to impairments in balance control and increase fall risks in older adults. However, few studies have been done on the effects of sensorimotor training on balance control in the elderly. Therefore, the aim of this randomized study was to analyze the effects of training performed on an unstable platform intended to reduce body sway by improving the balance control ability. Methods: Forty-three healthy older adults (divided into a sedentary group and a training group, 70.4±5.4 years) took part in a six-week training program (involving two to three times a week). Using Pusturomed(superscript ®) system (Eugen Rašev, Germany) to measure body sways before and after training. Postural control in various conditions was measured including standing naturally with eyes opened, feet together stand, semi-tandem stand and tandem stand. The analysis used the SPSS 12.0 statistical software; descriptive statistics, independent- t test and pair- t test were conducted. Results: Results revealed that sensorimotor training group significantly decrease their body sway on feet together standing position (p<.001), the training group also showed the trend to significant changes on semi-tandem stand (p=.057) and tandem stand (p=.054) after 6 weeks training, but the results of the control group indicated body sway increase on feet together stand (p=.029). Conclusion: The most important finding from this study suggests that the 6-week sensorimotor training protocol that significantly contributes to success of the balance control.

Topic Category 社會科學 > 體育學
Reference
  1. Berg, K. O.,Maki, B. E.,Williams, J. I.,Holliday, P. J.,Wood-Dauphinee, S. L.(1992).Clinical and laboratory measures of postural balance in an elderly population.Archives of Physical Medicine & Rehabilitation,73(11),1073-1080.
  2. Bernstein, N.(1967).The Co-ordination and Regulation of Movements.Oxford:Permagon Press.
  3. Brauer, S. G.,Woollacott, M.,Shumway-Cook, A.(2002).The influence of a concurrent cognitive task on the compensatory stepping response to a perturbation in balance-impaired and healthy elders.Gait & Posture,15,83-93.
  4. Bruhn, S.,Kullmann, N.,Gollhofer, A.(2004).The effects of a sensorimotor training and a strength training on postural stabilisation, maximum isometric contraction and jump performance.International Journal of Sports Medicine,25,56-60.
  5. Gauchard, G. C.,Gangloff, P.,Jeandel, C.,Perrin, P. P.(2003).Physical activity improves gaze and postural control in the elderly.Neuroscience Research,45,409-417.
  6. Granacher, U.,Gollhofer, A.,Strass, D.(2006).Training induced adaptations in characteristics of postural reflexes in elderly men.Gait & Posture,24(4),459-466.
  7. Hilberg, T.,Herbsleb, M.,Gabriel, H. H. W.,Jeschke, D.,Schramm, W.(2001).Proprioception and isometric muscular strength in haemophilic subjects.Haemophilia,7(6),582-588.
  8. Laufer, Y.,Ashkenazi, T.,Josman, N.(2008).The effects of a concurrent cognitive task on the postural control of young children with and without developmental coordination disorder.Gait & Posture,27(2),347-351.
  9. Nashner, L. M.,P. W. Duncan (ed.)(1990).Sensory, neuromuscular, and biomechanical contributions to human balance.Balance:Proceedings of the APTA Forum.
  10. Shumway-Cook, A.,Woollacott, M.(2000).Attentional demands and postural control: The effect of sensory context.Journal of Gerontology,55,10-16.
  11. Westlake, K. P.,Wu, Y.,Cullham, E. G.(2007).Sensory-Specific Balance Training in Older Adults: Effect on Position, Movement, and Velocity Sense at the Ankle.Physical Therapy,87(5),560-571.
  12. 田詠惠(2007)。新竹市,國立新竹教育大學。
  13. 民國94年國民健康訪問調查「1999年與2005年台灣地區老人跌倒狀況之比較」
  14. 洪清一(2001)。知覺-動作訓練。臺北市:五南圖書出版公司。
  15. 張嘉澤(2008)。訓練學。臺北縣:臺灣運動能力診斷協會。
  16. 陳淑美(2006)。新竹市,國立新竹教育大學。
  17. 陳蒂勻(2004)。屏東市,國立屏東師範學院。
  18. 羅鈞令(1998)。感覺整合與兒童發展-理論與應用。台北:心理出版社。
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  2. 楊玟琳(2012)。探討Kinect單腳站立訓練體感遊戲之人形框參數設計對高齡者平衡控制表現之研究。元智大學工業工程與管理學系學位論文。2012。1-67。
  3. 陳慧貞(2013)。環狀運動訓練對中老年人功能性體適能之影響。中正大學運動與休閒教育研究所學位論文。2013。1-81。
  4. 方景林(2016)。Wii Fit虛擬實境遊戲訓練對社區老人靜、動態平衡能力及前庭功能之成效。中興大學生命科學院碩士在職專班學位論文。2016。1-48。