禪（靜）坐對中風病患心肺適能之影響：初步報告

The Effect of Meditation on Cardiopulmonary Fitness in Patient with Stroke: A Preliminary Report

高念慈(Nien-Tzu Kao) ； 陳昌明(Chang-Ming Chern) ； 周正亮(Chen-Liang Chou) ； 李善單(Sun-Don Lee) ； 洪素鶯(Su-Ying Hung) ； 劉作仁(Tacho-Jen Liu) ； 詹瑞棋(Rai-Chi Chan)

《中華民國復健醫學會雜誌》 29卷3期 (2001/09) Pp. 139-146

摘要

It is well documented that regular exercise can improve cardiopulmonary function and health-related fitness. However, major limitation of exercise therapy lies in physiologic and environmental factors, which is particularly true for patients with physical disability such as stroke. A standardized Buddhist meditation skill, Forshang Meditation (FM), was adopted; and this paper described the long-term effects of FM on cardiopulmonary fitness.
Seventeen patients ( 1 female and 16 males; mean age 70.8 ± 4.8 years, range 61-78 years ) with a history of cerebrovascular disease and low extremity of hemiplegic side above Brunnstrom stage V were recruited. Baseline data of cardiopulmary function were collected prior to the meditation training. The same tests were repeated after a half-year training period. These participants attended the training program of meditation once a week. Each of them was asked to practice meditation at home for at last 30 minutes a day. After completion of mediation training, only 5 participants agreed to repeat the cardiopulmonary function evaluation. As compared to the decreasing in Max of the controlled group, the experimental group showed that the FM could improve Max ( from 18.9 ± 5.7 ml˙kg-1˙min-1 to 22.7 ± 6.2 ml˙kg-1˙min-1, P ＜ 0.05 ); there were non-significant improvement in anaerobic threshold (AT), time to AT, % Functional Aerobic Impairment, Dyspnea Index and total exercise time.
It is concluded that the FM could improve aerobic capacity and health-related fitness in patients with stroke. It may be prescribed as a suitable conditioning exercise for patients with physical disability.

關鍵字

禪坐 ； 靜坐 ； 中風 ； 心肺適能

並列摘要

It is well documented that regular exercise can improve cardiopulmonary function and health-related fitness. However, major limitation of exercise therapy lies in physiologic and environmental factors, which is particularly true for patients with physical disability such as stroke. A standardized Buddhist meditation skill, Forshang Meditation (FM), was adopted; and this paper described the long-term effects of FM on cardiopulmonary fitness.
Seventeen patients ( 1 female and 16 males; mean age 70.8 ± 4.8 years, range 61-78 years ) with a history of cerebrovascular disease and low extremity of hemiplegic side above Brunnstrom stage V were recruited. Baseline data of cardiopulmary function were collected prior to the meditation training. The same tests were repeated after a half-year training period. These participants attended the training program of meditation once a week. Each of them was asked to practice meditation at home for at last 30 minutes a day. After completion of mediation training, only 5 participants agreed to repeat the cardiopulmonary function evaluation. As compared to the decreasing in Max of the controlled group, the experimental group showed that the FM could improve Max ( from 18.9 ± 5.7 ml˙kg-1˙min-1 to 22.7 ± 6.2 ml˙kg-1˙min-1, P ＜ 0.05 ); there were non-significant improvement in anaerobic threshold (AT), time to AT, % Functional Aerobic Impairment, Dyspnea Index and total exercise time.
It is concluded that the FM could improve aerobic capacity and health-related fitness in patients with stroke. It may be prescribed as a suitable conditioning exercise for patients with physical disability.

並列關鍵字

meditation ； stroke ； cardiopulmonary fitness