功能性腿部訓練對機構肢體障礙者之影響

The Study of Functional Leg Training of Physical Disabilities of Care Institutions

方和明(Ho-Ming Fan) ； 戴堯種(Yao-Chung Tai) ； 葉怡成(I-Chen Yeh)

《海洋休閒管理學刊》 6期 (2016/08) Pp. 38-54

摘要

相關研究顯示，規律運動與活動強度的提高，可有效改善下肢力量、柔軟度、計時起走、伯格平衡及膝關節本體覺，並減少跌倒之風險。目的：探討功能性腿部訓練介入對機構肢體障礙者之影響。方法：對象是高雄某機構肢體障礙者，隨機分成訓練組與控制組各15名。年齡介於60～89歲，平均年齡為78.87±8.13歲；訓練組持續為期13週功能性腿部力量、平衡訓練，控制組則無任何訓練計畫。研究結果顯示：1.功能性腿部力量；2.左手坐姿前伸平衡；3.右手坐姿前伸平衡；4.移位活動功能；5.行走；6.巴氏量表總分皆達顯著性差異（p＜.05）.結論：依肢體障礙者之情況協助肢體障礙者進行規律並且持續的運動，能有效改善功能性腿部力量，建議照護機構為肢體障礙者擬定合適之身體適能課程與運動處方。

關鍵字

功能性腿部訓練 ； 肢體障礙

並列摘要

Previous studies have shown that, individuals can effectively improve lower extremity strength, softness, timed up and go, Berg balance and knee proprioception as well as reduce the risk of falls by regular exercise. The purpose of the study was to investigate influence of the intervention program applying functional leg training to residents in the institution. The subjects were disabled persons of a care institution in Kaohsiung, and were randomly divided into training and control groups, both having 15 subjects. The age of the subjects was between 60 and 89 years with a mean age of 78.87±8.13 years; the subjects of training group implemented 13 weeks of training on functional leg strength and balance, while the control group subjects did not have any training program. The study results revealed that, subjects of the training group have significantly improved their functional leg strength; sitting functional balance of left and right; walking and shift activities function evaluated by the Barthel Index (p＜ .05 ). Conclusion: The functional leg strength of people with physical disabilities could effectively be improved by helping them performing regular and continuous exercise, the study recommends that conservation organizations can develop the recreation programs for the elderly depending on their capacity and interests. By the recreation of physical and mental health promotion, the elderly would finally obtain the benefits of health promotion.

並列關鍵字

functional leg training ； physical disability