水中運動介入對類風濕性關節炎患者症狀改善之研究

本研究主要目的在於探討水中運動介入對類風濕性關節炎患者之基本體能與症狀改善之影響。研究對象為20名患有類風濕性關節炎之中年女性（平均年齡48.6±7.9歲，平均罹患期間9.7年），在室內實驗游泳池進行（水溫調節控制在30－32℃之間）為期8週的基礎教育及水中運動介入，實驗介入前後分別進行各項身體型態、肌力、治療成績判定、活動性指數評價、心理狀況與血液分析等測定，所得資料以相依樣本t考驗進行分析。所得結果如下：一、肌力方面：背部肌力、雙膝之股四頭肌肌力、握力等明顯增強。二、治療成績判定方面：採用日本整形外科學會風濕性關節炎膝治療成績判定標準，在運動介入後，股四頭肌肌力與總點等指標有顯著改善。三、Lansbury指標方面：握力、關節腫痛數、總點等指標值在運動介入後明顯降低。四、心理狀況方面：運動介入後鬱悶之心理狀況明顯減少。五、血液分析方面：紅血球數於運動介入後明顯增加；血小板數亦於運動介入後明顯減少。本實驗結果顯示，8週的基礎教育及水中運動介入對類風濕性關節炎患者之基本體能增進與症狀改善有明顯之助益。故基於本實驗之結果，建議類風濕性關節炎患者可以選擇水中運動為日常生活之活動，藉以改善其身心健康。

關鍵字

類風溼性關節炎；水中運動

並列摘要

The purpose of this study was to investigate the influences of under-water therapeutic exercise on rheumatoid arthritis patients. The subjects were 20 female patients with rheumatoid arthritis (Average 48.6±7.9 years old; Average contraction period 9.7 years). These patients were given a basic education and guided through under-water therapeutic exercise for eight weeks in a temperature-controlled pool (30~32℃). Their physical measurement, muscular power, Japan Orthopedic Association judgement score for the rheumatoid arthritic knee, Lansbury index, psychological test (Face scale), and blood test were executed before and after the experiment. The collected data were analyzed by the paired t-test. The findings were as follows: 1. The patients' muscular power: dorsal muscle, quadriceps, and hand grip were improved. 2. The patients' Japan Orthopedic Association judgement score for the rheumatoid arthritic knee: the power of quadriceps, and total score were improved. 3. In the Lansbury index the patients' hand grip, joint tumor point, and total scorese have decreased. 4. Psychological testing showed that their mental condition was significantly elevated. 5. In the blood test: RBC has increased, while PLT has decreased. This study confirmed that under-water therapeutic exercise for eight weeks was effective on patients with rheumatoid arthritis.

並列關鍵字

rheumatoid arthritis ； under-water therapeutic exercise

國際替代計量

水中運動介入對類風濕性關節炎患者症狀改善之研究

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