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六週知覺動作訓練對高齡者平衡控制能力之影響

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

摘要


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.

並列摘要


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.

參考文獻


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.
Bernstein, N.(1967).The Co-ordination and Regulation of Movements.Oxford:Permagon Press.
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.
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.
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.

被引用紀錄


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〔碩士論文,元智大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0009-2801201415021667
陳慧貞(2013)。環狀運動訓練對中老年人功能性體適能之影響〔碩士論文,國立中正大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0033-2110201613551186

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