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  • 學位論文

攀岩運動對於久坐辦公族群的效益:以核心肌群強化效果為探討

Effects of Rock Climbing Training for Sedentary Workers Population: an Investigation into the Effectiveness of Core Muscles Strengthening

指導教授 : 郭藍遠

摘要


背景:現在的工作形態大多是坐著辦公,長期的久坐、不正確的動作姿勢與缺乏運動習慣以至於產生肌肉緊繃、痠痛。攀岩運動有別於傳統的核心訓練,訓練重點強調是背部與身體後方肌肉群,攀岩可促進核心力量和軀幹的活動度;因此藉由攀岩運動把鍛練重點從腹部轉移到背部大肌群,強化軀幹核心肌群,使脊椎獲得穩定的支撐,脊椎呈現正中位置,而減少因姿勢不良所造成身體壓力導致腰椎的疼痛;及提高自覺健康和身體功能而增進生活健康品質。研究目的:為探討八週攀岩運動訓練對久坐辦公室是否會強化核心肌群的效果。研究方法:本研究為一隨機控制臨床試驗(Randomized Controlled Trial)。30位屬長期久坐於辦公室沒有定期運動或沒在運動的人,分成運動訓練組(n=15)與控制組(n=15)。主要測量參數為執行核心穩定測試、軀幹肌群肌耐力、超音波影像儀、生活品質問卷-短版SF36以及台灣版背痛量表-「歐氏失能指標第2.1版」等五個部份,在組內比較時是以運動訓練前測、運動訓練後測,攀岩運動執行八週的參數來表示,並且使用描述性統計成對樣本t檢定(paired t test)分析來檢定組內的差異,在兩組間比較時則是以測試後對測試前的變化量來表示,再經由單因子變異數分析(one-way ANOVA)來檢定組間有無統計上差異存在。研究結果:本研究共有30位久坐辦公受試者,攀岩組最後有完成運動計畫及前後測的人數為12人,控制組為14人。攀岩組12為受試者中,男性4位,女性8位;平均年齡為30.50±6.11歲,身高為160.1±7.7公分,體重為56.7±12.2公斤,身體質量指數21.99±3.60。核心穩定測試,經過八週的訓練之後,攀岩組的受測者的腹肌測試(AMT)及雙腳下降測試(DLLT)統計上具有顯著的差異;軀幹肌群肌耐力在慣用側軀幹側邊肌群的側棒式(side plank)測試、背部肌耐力(prone plank)有顯著的進步。觀察兩組的組間變化,超音波影像儀在腹橫肌、多裂肌厚度、多裂肌面積沒有明顯的變化。生活品質問卷-短版SF36只有在生理的「整體健康狀況」中有達到顯著的進步;歐式下背痛失能指數(ODI)並沒有統計上的差異存在。結論:八週攀岩訓練在核心穩定、軀幹肌群肌耐力皆有明顯的增加,攀岩運動比在以一般型的運動介入更可增加核心肌群力量。

關鍵字

攀岩 核心肌群

並列摘要


Background: Nowadays, most of the work styles are sitting down to work. Long-term sitting, poor posture and lack of exercise habit contribute to muscle guarding and pain. Sport climbing is different from traditional core training and specific training emphasizes posterior chain. Furthermore, sport climbing promotes the core strength and the trunk mobility. Therefore, through sport climbing, the specific training transfers from abdominal muscle to posterior chain. It enhances trunk core muscles, provides stable support for your cervical spine and remains in neutral position to your spine. Then, it reduces poor posture as a result of pressure leading to pain in the lumbar spine. Consequently, it promotes self-perceived health and physical function as well as health-related quality of life. Purpose: To study the effect of eight-week sport climbing for long-term sitting whether it strengthens core muscles or not Methods: This is a randomized controlled trial. The 30 long-term sitting people who have not regular exercise habit or do not exercise divided into sport-climbing group (n=15) and control group (n=15). The parametric measurement was by means of core stability test, ultrasound (Titan, Sonosite), Quality of Life Scale-SF36 Standard Version, Oswestry Disability Index (ODI), Oswestry LBP disability questionnaire and trunk muscular endurance test, when compared between pre-and post-testing. It gave pre-and post-testing in eight-week sport climbing. Furthermore, it utilized paired-samples t test to analyze the variation within subgroup. In variation between subgroup, it showed variation of post-testing to pre-testing. Finally, a one-way analysis of variance was a way to test the variation between subgroup whether it made sense of statistical variation. Results: There were 30 long-term sitting people for this research. Twelve people finished sport plan and pre-and post-testing in sport-climbing group and there were fourteen people in control group. Four men and eight women were in sport-climbing group. The average age was 30.50±6.11 years old and the average height was 160.1±7.7 centimeter. Moreover, the BMI (Body Mass Index) was 21.99±3.60 with the average weight of 56.7±12.2 kg. In core stability test, after eight-week training, the AMT and the DLLT of sport-climbing group made sense of statistical significance. In side plank test and prone plank test, trunk muscle endurance of lateral trunk muscle in common usage had significant progress. In ultrasonic imaging, there was no significant difference between these two groups in transverse abdominal muscle and thickness or cross-section area of lumber multifidus. Quality of Life Scale-SF36 had significant progress only in health status of physical. However, ODI did not make sense of statistical variation. Conclusion: There were significant increases both in trunk muscle endurance and core stability for eight-week sport-climbing training. Therefore, sport climbing increased greater strength of core muscle more than general exercise.

並列關鍵字

Rock Climbing Core Muscles

參考文獻


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陳姿伶(2012)。孟子人性論現代詮釋的爭議與釐清〔碩士論文,淡江大學〕。華藝線上圖書館。https://doi.org/10.6846/TKU.2012.01144
黃琬珺(2009)。現代人的困境及其超越—以孟子義理為依據〔碩士論文,淡江大學〕。華藝線上圖書館。https://doi.org/10.6846/TKU.2009.00151

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