運動訓練對唐氏症青少年身體組成、肌力與動作功能之成效

Effects of exercise training on body composition, muscle strength and motor function in adolescents with Down syndrome

湯雅婷(Ya-Ting Tang)

指導教授 ： 王慧儀

高雄醫學大學/醫學院/神經學科研究所/碩士(2010年)

https://doi.org/10.6832/KMU.2010.00086

摘要

背景與目的：根據世界衛生組織所提出的International Classification of Functioning, Disability and Health –Children and Youth Version (ICF-CY)模式概念，導致唐氏症患者的動作障礙問題的可能相關因素包括其身體功能、身體結構及社會參與度等問題情況。過去的研究中曾有學者提及唐氏症患者動作技巧的問題與其特殊身體組成、不足的日常活動程度及參與動機不高等因素有相關性。然而，對於唐氏症運動訓練成效的研究中各有其所關注探討的焦點，但是這些研究仍有其共同的結果，即當唐氏症受試者經過約六至十週的運動訓練後，其肌肉力量即呈現有增加的效果，並且可能同時增進其動作功能表現。本研究的研究目的為：探討唐氏症患者接受運動訓練介入後，對身體組成、肌力表現及動作功能之成效。
方法：本研究收錄34 位唐氏症學生，受試者平均年齡(±標準差)為
17.0(±1.6)歲。研究的執行主軸為給予實驗組受試者為期十週的載重
運動訓練及控制組的無載重運動訓練，運動訓練的動作包括：上肢的
上臂外展動作、肘屈曲與伸直動作；下肢的膝伸直抬腿、蹲站動作以
及單腳跳的訓練；而軀幹的肌耐力訓練則包含仰臥起坐與伏地挺身的
動作。
結果：身體組成及動作功能方面，經過為期十週的運動訓練後，各參
數數值皆未達統計上的差異。肌肉力量表現上，上肢的非慣用側之肘
伸直；下肢的慣用側和非慣用側之髖屈曲及非慣用側之膝伸直，則達
統計上顯著差異(p<0.05)。
結論：經過十週運動訓練後，肌力表現有改善之成效，其中以下肢的
肌力表現較上肢肌力表現有顯著改善情形。然而，在身體組成及動作
功能方面，則無明顯改善之成效。

關鍵字

唐氏症 ； 身體組成 ； 肌力 ； 動作功能

並列摘要

Background and Purpose: The World Health Organization publishedthe International Classification of Functioning, Disability and Health-Children and Youth Version (ICF-CY), individual with Down syndrome has a deficit in motor function may caused by the body function and structure, activities and participation. Researchers have reported that
individual with Down syndrome’s motor skill problem is caused by body composition unusually cause of the low physical activity and low motivation to be physically active. However, researchers have reported when supply exercise training for six to ten weeks, that could improve
their muscular strength even the motor function. The purpose of this study is to examine the body composition, muscular strength and motor function after ten weeks exercise training.
Methods: Thirty-four Down syndrome students (mean age: 17.0±1.6 y/o) participated in a exercise training for ten weeks, experiment group performed weight training three days per week, included upper and lower extremities and trunk. Control group performed without weight. Exercise
training programs included elbow flexion/extension,shoulder abduction,straight leg raise, squatting, single leg jump, sit up and push up.
Results: After ten weeks exercise training, there were no differences in body composition and motor function, but there were significant differences in muscular strength, upper extremities included elbow extension; lower extremities included dominant and non-dominant hip
flexion and non-dominant knee extension (p<0.05).
Conclusions: After ten weeks exercise training, there were significant differences in muscular strength, besides, the lower extremities muscle strength is obviously improved than the upper extremities muscle strength. body composition and motor function were not improved.

並列關鍵字

Down syndrome ； Body composition ； Muscular strength ； Motor function

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