- 學位論文
不同拔罐壓力值對軟組織張力特性及肌力、柔軟度身體適能的影響
Effects of Different Cupping Pressures on Soft Tissue Tension, Muscle Strength, and Flexibility
摘要
背景：拔罐(Cupping)，近幾年被用於運動賽事的次數逐年增長，但至今許多關於拔罐的研究在壓力應用上仍缺乏標準化的操作方式，因此本研究想要探討三種不同壓力的拔罐方法對於軟組織張力特性、肌肉力量與柔軟度的影響，並透過問卷方式得知何種拔罐壓力對於人體舒適度最佳。方法：本研究採取單盲交叉試驗設計(Single Blind and Crossover Designs)，招募30位20至30歲健康成年的受測者，每位受測者會接受四種介入，靜態休息(Static Rest, SR)、低壓拔罐介入(Low-cupping pressure, LCP)、中壓拔罐介入(Mid-cupping pressure, MCP)，及高壓拔罐介入(High-cupping pressure, HCP)；拔罐介入會使用四個拔罐杯，位置於大腿後側肌群，四種介入時間均為五分鐘。在進行四種不同介入之前會先進行肌肉張力測試儀(Myoton)、柔軟度以及等速肌力儀(最大肌力測試、膝關節被動伸展剛性)的前測，隨即進行介入，最後再進行相同的後測。為避免上一次介入的殘餘效應，受試者休息3天後再進行相同實驗流程，直到四種介入皆做完後會給予受測者填寫一份主觀感受問卷。統計方法利用雙因子重複量數變異數分析比較四種介入與前後測時間對各參數之影響，當有交互作用時利用弗理曼二因子等級變異數分析進行四種介入前後測差值(改變量)的事後檢定，另外，本研究亦使用皮爾 ii 森卡方檢定比較三種不同壓力下的問卷結果。結果：結果顯示，在所有參數之中除了Myoton-D參數以外，其他參數在時間(time)因子之下都有顯著效應；在介入方式(condition)因子下僅有坐姿體前彎及最大肌力有顯著效應；而所有參數之中，除了Myoton-D參數以外，其他參數都有顯著的時間與介入方式的交互作用，因此我們進一步從四種介入前後測差值做分析發現，在改變量方面，除了坐姿體前彎參數是HCP改變幅度最大，其他參數皆是MCP改變幅度最大。而拔罐過程及拔罐後主觀感受問卷分數皆達到顯著差異，MCP在拔罐過程之舒適感及拔罐後之易活動的選項佔最多人數。結論：使用三種拔罐方式都可以提升柔軟度，並不會對肌力表現產生負面影響且還有正向的效果，但若考慮到運動前、安全性及舒適度的問題，則可以選擇適中的拔罐壓力，不僅能提升身體功能表現，也能在舒適的狀態下放鬆軟組織。
並列摘要
Background: Cupping, nowadays, has been used in sports events frequently. However, little related research concerning pressure-applied cupping to their standard operating methods has been done. The cupping pressure used in the previous study was inconsistent, and the lack of standardized operating methods has led to many conflicting results. Aim: Therefore, this study aims to explore the effects on soft tissue tension, muscle strength, and flexibility with three different cupping pressures and through the questionnaire to know what cupping pressure is the most comfortable for the human body. Methods: This study was a Single-Blind and Crossover study. 30 young adults aged 20 to 30 were required to complete four interventions: Static Rest (SR), Low-cupping pressure (LCP), Mid-cupping pressure (MCP), and High-cupping pressure (HCP) in random order separated by 3 days. Cupping intervention used four cupping cups, located on the hamstring muscle, and the duration of the four interventions was five minutes. The Muscle tension test, Flexibility test, Passive knee extension stiffness test, and Maximal muscle strength test were measured before and after each intervention immediately. In addition, each subject had to fill out a feeling questionnaire when all interventions were completed. Two way repeated measure ANOVA was conducted to compare the effects on the various parameters on the four interventions, pre-test, and post-test. When an interaction occurred, post hoc comparisons were performed using the Friedman two-way ANOVA test. Besides, the Pearsons chi-square test was used to compare the results of the questionnaires under three different pressures. Results: The results show that all parameters had significant time effects except to myoton-D. The sit and reach test and Maximal Muscle Strength parameters had significant Condition effects. All parameters had significant interaction effects except to myoton-D. Post hoc comparisons results show that Except for the sit and reach parameter, which had the largest change in HCP, all the other parameters had the largest change in MCP. In addition, the subjective feeling questionnaire during and after cupping had also reached significant differences. MCP could provide the best comfort during cupping and mobility smoothly after cupping. Conclusion: All of the three cupping methods can be used to improve flexibility without a negative effect on muscle strength and have a positive effect on strength. However, if issues such as pre-exercise, safety, and comfort are considered, moderate cupping pressure can be applied. It not only can improve functional performance physically but also relax the soft tissues.