請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/37397
完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 吳英黛(Ying-Tai Wu) | |
dc.contributor.author | Chung-Chun Lai | en |
dc.contributor.author | 賴忠駿 | zh_TW |
dc.date.accessioned | 2021-06-13T15:26:45Z | - |
dc.date.available | 2008-08-08 | |
dc.date.copyright | 2008-08-08 | |
dc.date.issued | 2008 | |
dc.date.submitted | 2008-07-17 | |
dc.identifier.citation | 1. AbuRahma AF, Pollack JA, Robinson PA, Mullins D. The reliability of color duplex ultrasound in diagnosing total carotid artery occlusion. Am J Surg 1997;174:185-7.
2. American College of Sports Medicine. ACSM's guidelines for exercise testing and prescription. 7th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2006. 3. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: Guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002;166:111-7. 4. Bonita R, Beaglehole R. Recovery of motor function after stroke. Stroke 1988;19:1497-500. 5. Chu KS, Eng JJ, Dawson AS, Harris JE, Ozkaplan A, Gylfadottir S. Water-based exercise for cardiovascular fitness in people with chronic stroke: A randomized controlled trial. Arch Phys Med Rehabil 2004;85:870-4. 6. Collen FM, Wade DT, Robb GF, Bradshaw CM. The Rivermead Mobility Index: A further development of the Rivermead Motor Assessment. Int Disabil Stud 1991;13:50-4. 7. Corcoran PJ, Jebsen RH, Brengelmann GL, Simons BC. Effects of plastic and metal leg braces on speed and energy cost of hemiparetic ambulation. Arch Phys Med Rehabil 1970;51:69-77. 8. Courbon A, Calmels P, Roche F, Ramas J, Rimaud D, Fayolle-Minon I. Relationship between maximal exercise capacity and walking capacity in adult hemiplegic stroke patients. Am J Phys Med Rehabil 2006;85:436-42. 9. Davis SM, Chua MG, Lichtenstein M, Rossiter SC, Binns D, Hopper JL. Cerebral hypoperfusion in stroke prognosis and brain recovery. Stroke 1993;24:1691-6. 10. Demolis P, Chalon S, Giudicelli JF. Repeatability of transcranial Doppler measurements of arterial blood flow velocities in healthy subjects. Clin Sci (Lond) 1993;84:599-604. 11. Ding YH, Luan XD, Li J, Rafols JA, Guthinkonda M, Diaz FG, et al. Exercise-induced overexpression of angiogenic factors and reduction of ischemia/reperfusion injury in stroke. Curr Neurovasc Res 2004;1:411-20. 12. Dobkin BH. Strategies for stroke rehabilitation. Lancet Neurol 2004;3:528-36. 13. Doering TJ, Resch KL, Steuernagel B, Brix J, Schneider B, Fischer GC. Passive and active exercises increase cerebral blood flow velocity in young, healthy individuals. Am J Phys Med Rehabil 1998;77:490-3. 14. Duncan P, Richards L, Wallace D, Stoker-Yates J, Pohl P, Luchies C, et al. A randomized, controlled pilot study of a home-based exercise program for individuals with mild and moderate stroke. Stroke 1998;29:2055-60. 15. Duncan P, Studenski S, Richards L, Gollub S, Lai SM, Reker D, et al. Randomized clinical trial of therapeutic exercise in subacute stroke. Stroke 2003;34:2173-80. 16. Eng JJ, Dawson AS, Chu KS. Submaximal exercise in persons with stroke: Test-retest reliability and concurrent validity with maximal oxygen consumption. Arch Phys Med Rehabil 2004;85:113-8. 17. Feigin VL, Lawes CM, Bennett DA, Anderson CS. Stroke epidemiology: A review of population-based studies of incidence, prevalence, and case-fatality in the late 20th century. Lancet Neurol 2003;2:43-53. 18. Franchignoni F, Tesio L, Benevolo E, Ottonello M. Psychometric properties of the Rivermead Mobility Index in Italian stroke rehabilitation inpatients. Clin Rehabil 2003;17:273-82. 19. Furst G, Saleh A, Wenserski F, Malms J, Cohnen M, Aulich A, et al. Reliability and validity of noninvasive imaging of internal carotid artery pseudo-occlusion. Stroke 1999;30:1444-9. 20. Gersten JW, Orr W. External work of walking in hemiparetic patients. Scand J Rehabil Med 1971;3:85-8. 21. Gordon NF, Gulanick M, Costa F, Fletcher G, Franklin BA, Roth EJ, et al. Physical activity and exercise recommendations for stroke survivors: An American Heart Association scientific statement from the Council on Clinical Cardiology, Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention; the Council on Cardiovascular Nursing; the Council on Nutrition, Physical Activity, and Metabolism; and the Stroke Council. Stroke 2004;35:1230-40. 22. Green J, Forster A, Young J. A test-retest reliability study of the Barthel Index, the Rivermead Mobility Index, the Nottingham Extended Activities of Daily Living Scale and the Frenchay Activities Index in stroke patients. Disabil Rehabil 2001;23:670-6. 23. Han JH, Ho SS, Lam WW, Wong KS. Total cerebral blood flow estimated by color velocity imaging quantification ultrasound: A predictor for recurrent stroke? J Cereb Blood Flow Metab 2007;27:850-6. 24. Hellstrom G, Fischer-Colbrie W, Wahlgren NG, Jogestrand T. Carotid artery blood flow and middle cerebral artery blood flow velocity during physical exercise. J Appl Physiol 1996;81:413-8. 25. Hodics T, Cohen LG, Cramer SC. Functional imaging of intervention effects in stroke motor rehabilitation. Arch Phys Med Rehabil 2006;87:S36-42. 26. Horak FB. Assumptions underlying motor control for Neurologic rehabilitation. In: Lister MJ, ed. Contemporary management of motor control problems: Procedings of the II STEP conference. Alexandria, VA: Foundation of Physical Therapy; 1991:11-27. 27. Hsieh CL, Hsueh IP, Mao HF. Validity and responsiveness of the rivermead mobility index in stroke patients. Scand J Rehabil Med 2000;32:140-2. 28. Hsueh IP, Wang CH, Sheu CF, Hsieh CL. Comparison of psychometric properties of three mobility measures for patients with stroke. Stroke 2003;34:1741-5. 29. Ide K, Secher NH. Cerebral blood flow and metabolism during exercise. Prog Neurobiol 2000;61:397-414. 30. Imray CH, Myers SD, Pattinson KT, Bradwell AR, Chan CW, Harris S, et al. Effect of exercise on cerebral perfusion in humans at high altitude. J Appl Physiol 2005;99:699-706. 31. Ivey FM, Hafer-Macko CE, Macko RF. Exercise rehabilitation after stroke. NeuroRx 2006;3:439-50. 32. Ivey FM, Macko RF, Ryan AS, Hafer-Macko CE. Cardiovascular health and fitness after stroke. Top Stroke Rehabil 2005;12:1-16. 33. Ivey FM, Ryan AS, Hafer-Macko CE, Goldberg AP, Macko RF. Treadmill aerobic training improves glucose tolerance and indices of insulin sensitivity in disabled stroke survivors: A preliminary report. Stroke 2007;38:2752-8. 34. Jorgensen LG. Transcranial Doppler ultrasound for cerebral perfusion. Acta Physiol Scand Suppl 1995;625:1-44. 35. Jorgensen LG, Perko G, Secher NH. Regional cerebral artery mean flow velocity and blood flow during dynamic exercise in humans. J Appl Physiol 1992;73:1825-30. 36. Kasner SE. Clinical interpretation and use of stroke scales. Lancet Neurol 2006;5:603-12. 37. Kelly JO, Kilbreath SL, Davis GM, Zeman B, Raymond J. Cardiorespiratory fitness and walking ability in subacute stroke patients. Arch Phys Med Rehabil 2003;84:1780-5. 38. Kleim JA, Cooper NR, VandenBerg PM. Exercise induces angiogenesis but does not alter movement representations within rat motor cortex. Brain Res 2002;934:1-6. 39. Kojda G, Hambrecht R. Molecular mechanisms of vascular adaptations to exercise. Physical activity as an effective antioxidant therapy? Cardiovasc Res 2005;67:187-97. 40. Kononen M, Kuikka JT, Husso-Saastamoinen M, Vanninen E, Vanninen R, Soimakallio S, et al. Increased perfusion in motor areas after constraint-induced movement therapy in chronic stroke: A single-photon emission computerized tomography study. J Cereb Blood Flow Metab 2005;25:1668-74. 41. Kuys S, Brauer S, Ada L. Routine physiotherapy does not induce a cardiorespiratory training effect post-stroke, regardless of walking ability. Physiother Res Int 2006;11:219-27. 42. Lai CC, Wu YT. The effect of aerobic exercise training on cardiorespiratory fitness, ambulation performance and functional mobility in individuals with stroke: A meta-analysis. Asia pacific evidence-based medicine network conference. 2007 43. Lawton MP, Brody EM. Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist 1969;9:179-86. 44. Lee CD, Blair SN. Cardiorespiratory fitness and stroke mortality in men. Med Sci Sports Exerc 2002;34:592-5. 45. Lee MJ, Kilbreath SL, Singh MF, Zeman B, Lord SR, Raymond J, et al. Comparison of effect of aerobic cycle training and progressive resistance training on walking ability after stroke: A randomized sham exercise-controlled study. J Am Geriatr Soc 2008. 46. Linkis P, Jorgensen LG, Olesen HL, Madsen PL, Lassen NA, Secher NH. Dynamic exercise enhances regional cerebral artery mean flow velocity. J Appl Physiol 1995;78:12-6. 47. Lupetin AR, Davis DA, Beckman I, Dash N. Transcranial Doppler sonography. Part 1. Principles, technique, and normal appearances. Radiographics 1995;15:179-91. 48. MacKay-Lyons MJ, Makrides L. Cardiovascular stress during a contemporary stroke rehabilitation program: Is the intensity adequate to induce a training effect? Arch Phys Med Rehabil 2002;83:1378-83. 49. Macko RF, DeSouza CA, Tretter LD, Silver KH, Smith GV, Anderson PA, et al. Treadmill aerobic exercise training reduces the energy expenditure and cardiovascular demands of hemiparetic gait in chronic stroke patients. A preliminary report. Stroke 1997;28:326-30. 50. Macko RF, Ivey FM, Forrester LW. Task-oriented aerobic exercise in chronic hemiparetic stroke: Training protocols and treatment effects. Top Stroke Rehabil 2005;12:45-57. 51. Macko RF, Ivey FM, Forrester LW, Hanley D, Sorkin JD, Katzel LI, et al. Treadmill exercise rehabilitation improves ambulatory function and cardiovascular fitness in patients with chronic stroke: A randomized, controlled trial. Stroke 2005;36:2206-11. 52. Macko RF, Smith GV, Dobrovolny CL, Sorkin JD, Goldberg AP, Silver KH. Treadmill training improves fitness reserve in chronic stroke patients. Arch Phys Med Rehabil 2001;82:879-84. 53. Madsen PL, Sperling BK, Warming T, Schmidt JF, Secher NH, Wildschiodtz G, et al. Middle cerebral artery blood velocity and cerebral blood flow and O2 uptake during dynamic exercise. J Appl Physiol 1993;74:245-50. 54. Maeda H, Etani H, Handa N, Tagaya M, Oku N, Kim BH, et al. A validation study on the reproducibility of transcranial Doppler velocimetry. Ultrasound Med Biol 1990;16:9-14. 55. Markus HS. Cerebral perfusion and stroke. J Neurol Neurosurg Psychiatry 2004;75:353-61. 56. Mayo NE, Wood-Dauphinee S, Ahmed S, Gordon C, Higgins J, McEwen S, et al. Disablement following stroke. Disabil Rehabil 1999;21:258-68. 57. McCully K, Bhambhani Y. Brain blood flow and methodological consideration. In: Poon LW, Chodzko-Zajko W, Tomporowski PD, eds. Active living, cognitive functioning, and aging. Champaign, IL Human Kinetics; 2006:145-59. 58. Mori S, Sadoshima S, Ibayashi S, Lino K, Fujishima M. Relation of cerebral blood flow to motor and cognitive functions in chronic stroke patients. Stroke 1994;25:309-17. 59. Mudge S, Stott NS. Outcome measures to assess walking ability following storke: a systematic review ofthe literature. Physiotherapy 2007;93:189-200. 60. Nelles G, Jentzen W, Jueptner M, Muller S, Diener HC. Arm training induced brain plasticity in stroke studied with serial positron emission tomography. NeuroImage 2001;13:1146-54. 61. New G, Roubin GS, Oetgen ME, Lawrence EJ, Iyer SS, Moussa I, et al. Validity of duplex ultrasound as a diagnostic modality for internal carotid artery disease. Catheter Cardiovasc Interv 2001;52:9-15. 62. Ogoh S, Fisher JP, Purkayastha S, Dawson EA, Fadel PJ, White MJ, et al. Regulation of middle cerebral artery blood velocity during recovery from dynamic exercise in humans. J Appl Physiol 2007;102:713-21. 63. Okada M. Cardiorespiratory fitness of post-stroke patients: As inpatients and as outpatients. Int J Rehabil Res 2005;28:285-8. 64. Pang MY, Eng JJ. Determinants of improvement in walking capacity among individuals with chronic stroke following a multi-dimensional exercise program. J Rehabil Med 2008;40:284-90. 65. Pang MY, Eng JJ, Dawson AS. Relationship between ambulatory capacity and cardiorespiratory fitness in chronic stroke: Influence of stroke-specific impairments. Chest 2005;127:495-501. 66. Pang MY, Eng JJ, Dawson AS, Gylfadottir S. The use of aerobic exercise training in improving aerobic capacity in individuals with stroke: A meta-analysis. Clin Rehabil 2006;20:97-111. 67. Pang MY, Eng JJ, Dawson AS, McKay HA, Harris JE. A community-based fitness and mobility exercise program for older adults with chronic stroke: A randomized, controlled trial. J Am Geriatr Soc 2005;53:1667-74. 68. Potempa K, Lopez M, Braun LT, Szidon JP, Fogg L, Tincknell T. Physiological outcomes of aerobic exercise training in hemiparetic stroke patients. Stroke 1995;26:101-5. 69. Prior BM, Yang HT, Terjung RL. What makes vessels grow with exercise training? J Appl Physiol 2004;97:1119-28. 70. Riddle DR, Sonntag WE, Lichtenwalner RJ. Microvascular plasticity in aging. Ageing Res Rev 2003;2:149-68. 71. Rimmer JH, Riley B, Creviston T, Nicola T. Exercise training in a predominantly African-American group of stroke survivors. Med Sci Sports Exerc 2000;32:1990-6. 72. Shaw TG, Mortel KF, Meyer JS, Rogers RL, Hardenberg J, Cutaia MM. Cerebral blood flow changes in benign aging and cerebrovascular disease. Neurology 1984;34:855-62. 73. Shyu YI, Lu JF, Liang J. Evaluation of Medical Outcomes Study Short Form-36 Taiwan version in assessing elderly patients with hip fracture. Osteoporos Int 2004;15:575-82. 74. Stroobant N, Vingerhoets G. Test-retest reliability of functional transcranial Doppler ultrasonography. Ultrasound Med Biol 2001;27:509-14. 75. Swain RA, Harris AB, Wiener EC, Dutka MV, Morris HD, Theien BE, et al. Prolonged exercise induces angiogenesis and increases cerebral blood volume in primary motor cortex of the rat. Neuroscience 2003;117:1037-46. 76. Teixeira-Salmela LF, Olney SJ, Nadeau S, Brouwer B. Muscle strengthening and physical conditioning to reduce impairment and disability in chronic stroke survivors. Arch Phys Med Rehabil 1999;80:1211-8. 77. Thomson H, Woods AE, lannos J, Sage M. The inter-sonographer reliability of carotid duplex ultrasound. Australas Radiol 2001;45:19-24. 78. Totaro R, Marini C, Cannarsa C, Prencipe M. Reproducibility of transcranial Dopplersonography: A validation study. Ultrasound Med Biol 1992;18:173-7. 79. Toyoda K, Minematsu K, Yamaguchi T. Long-term changes in cerebral blood flow according to different types of ischemic stroke. J Neurol Sci 1994;121:222-8. 80. Treger I, Streifler JY, Ring H. The relationship between mean flow velocity and functional and neurologic parameters of ischemic stroke patients undergoing rehabilitation. Arch Phys Med Rehabil 2005;86:427-30. 81. Troosters T, Gosselink R, Decramer M. Six minute walking distance in healthy elderly subjects. Eur Respir J 1999;14:270-4. 82. van der Ploeg HP, Streppel KR, van der Beek AJ, van der Woude LH, Vollenbroek-Hutten M, van Mechelen W. The Physical Activity Scale for Individuals with Physical Disabilities: Test-retest reliability and comparison with an accelerometer. J Phys Act Health 2007;4:96-100. 83. Washburn RA, Zhu W, McAuley E, Frogley M, Figoni SF. The Physical Activity Scale for Individuals with Physical Disabilities: Development and evaluation. Arch Phys Med Rehabil 2002;83:193-200. 84. 內政部社會司。失能老人及身心障礙者居家服務補助個案評估量表。取自:http://sowf.moi.gov.tw/,取得日期:2007.08.29。 85. 翁文章。顱內超音波。中華民國醫用超音波學會:腦血管疾病及超音波學。台北市:藝軒圖書出版社;1999:117-25。 86. 郭乃文、劉秀枝、王佩芳。「簡短式智能評估」之中文施測與長模建立。台灣復建醫學會雜誌 1988;16:52-9。 87. 陳綉儀、湯佩芳、胡名霞。中風病患任務導向治療模式臨床效果之系統性文獻回顧。物理治療 2007;32:308-15。 88. 歐乃慈。影響社區老人日常生活活動功能退化的因素。台灣大學衛生政策與管理研究所。1997;碩士論文。 89. 戴玉慈、羅美芳。身體功能評估的概念與量表。護理雜誌 民85;43:63-8。 | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/37397 | - |
dc.description.abstract | 研究背景及目的:有氧運動訓練對於慢性中風患者心肺適能之效益已有許多文獻證實,同時少部份文獻以功能性運動訓練指出中風後腦血流改善,然而給予功能性的任務導向有氧運動訓練對於慢性中風患者之效益則尚未有足夠之證據。故本研究目的在探討任務導向有氧運動訓練對慢性中風患者心肺適能、功能評量、身體活動及腦血流之效益與其相關性。方法:收入40位第一次缺血性中風超過6個月之患者,以修正Rankin中風等級評量及性別進行隨機分層分組(運動組、控制組),運動組給予12週任務導向有氧運動訓練,控制組不額外給予運動介入,僅每週電話問安鼓勵維持日常活動,並了解活動情形。運動介入前後分別進行症狀限制最大運動測試、六分鐘行走距離、10公尺行走測試(自選行走速度)、經顱都卜勒超音波腦血流測試,同時回答Rivermead移動指數、工具性日常生活活動評量及身體失能者活動評量表。本研究以SPSS 11.5(SPSS Inc., Chicago, USA)套裝軟體做統計分析,有效水平標準定義為雙尾檢定p<0.05,以獨立t檢定及卡方檢定比較兩組基準值之差別,以二維混合變異數分析比較兩組於運動測試、功能評量及身體活動等參數之差異,以年齡、性別及休息時平均血壓為共變數,利用2×2二維混合共變數分析比較兩組於腦血流差異,以淨相關係數分析各依變項改變量之間的相關性。結果:兩組受試者除一些合併症與呼吸交換率在前測值有顯著差異外,其餘各參數在前測值均無顯著差異。最大攝氧量、最大氧脈、最大每分鐘換氣量、六分鐘行走距離、自選行走速度及健側前大腦動脈血流速有顯著交互作用。Rivermead移動指數、身體活動量、健側內頸動脈血流速、血流量與健側顱外血流總量在運動組有組內差異。淨相關性分析顯示,自選行走速度改變量與工具性日常生活活動評量(r=0.469)、身體活動(r=0.676)、最大攝氧量(r=0.503)、最大氧脈(r=0.573)、最大每分鐘換氣量(r=0.649)之改變量有中度相關,最大功率改變量與患側前大腦動脈血流速改變量也有高度負相關(r=-0.800)。結論:慢性中風患者接受任務導向有氧運動訓練確實可改善心肺適能與行走能力,腦血流在健側局部區域(前大腦動脈流域)有顯著改善。腦血流之改善同時與心肺適能之進步存在相關性。 | zh_TW |
dc.description.abstract | Background and purpose: Aerobic exercise training has beneficial effects on cardiorespiratory fitness in chronic stroke patients. Some studies have indicated that functional exercise training, known as the task-oriented exercise, improved cerebral blood flow. However, the effects of task-oriented aerobic exercise training on chronic stroke patients were unknown. The study was designed to investigate the effects of task-oriented aerobic exercise training on cardiorespiratory fitness, functional performance, physical activity, cerebral blood flow in patients with chronic stroke, and the association between the changes of measured outcomes. Methods: Patients with chronic ischemic stroke (post-stroke duration > 6 months) were recruited and assigned to exercise intervention group or control group by the stratified randomization according to the gender and severity of stroke. The intervention group underwent task-oriented aerobic exercise training for 12 weeks, while control group was asked to maintain regular physical activities by weekly telephone checks. Outcome measures included variables in a symptom-limited exercise test, 6-minute walk distance, selective walking speed from a 10-meter walk test, Rivermead mobility index (RMI), instrumental activity of daily living scale (IADL), physical activity scales for individuals with physical disabilities (PASIPD) and Doppler measurements before and after 12 weeks. All statistical analyses were performed by SPSS 11.5 (SPSS Inc., Chicago, USA). A two-tailed p value less than 0.05 were considered statistically significant. Independent t test and chi-square test were used to compare baseline data between two groups. A mixed model ANOVA was used to compare the exercise capacity, functional performance and physical activity between groups across time. A 2×2 two-way ANCOVA was performed to analyze the cerebral blood flow between two groups with age, gender and resting mean blood pressure as covariates. The relationships between changes of outcomes were analyzed by partial correlation coefficient. Results: There were no significant group differences in baseline data except comorbidity and respiratory exchange ratio derived from the exercise test. Significant interaction was noted in variables of peak oxygen consumption, peak oxygen pulse, peak minute ventilation, 6 minute walk test, selective walking speed and mean blood flow velocity of anterior cerebral artery in non-affected hemisphere. In addition, participants in exercise group showed significant time main effect without interaction in RMI, PASIPD, mean flow velocity and flow volume of internal carotid artery in non-affected hemisphere, and total flow volume of extracrainial arteries in non-affected hemisphere after 12 weeks. The change of selective walking speed moderately correlated with the change of IADL (r=0.469), PASIPD (r=0.676), peak oxygen consumption (r=0.503), peak oxygen pulse (r=0.573), and peak minute ventilation (r=0.649). Moreover, the change of peak workload and the change of mean flow velocity of anterior cerebral artery in affected hemisphere showed moderate negative correlation as well (r=-0.800). Conclusion: Task-oriented aerobic exercise training improved cardiorespiratory fitness, ambulatory capacity and cerebral blood flow of specific region (territory of anterior cerebral artery in non-affected hemisphere) in our chronic stroke patients. The improvement in cerebral blood flow demonstrated significant correlation with the improvement in cardiorespiratory fitness. | en |
dc.description.provenance | Made available in DSpace on 2021-06-13T15:26:45Z (GMT). No. of bitstreams: 1 ntu-97-R95428009-1.pdf: 1596739 bytes, checksum: 2e5b79527417cc3a1f15df610a8258dc (MD5) Previous issue date: 2008 | en |
dc.description.tableofcontents | 第一章、 前言 1
第一節、研究背景 1 第二節、研究目的 3 第三節、研究假說 3 第四節、名詞及操作型定義 3 第五節、研究重要性 5 第二章、文獻回顧 6 第一節、中風存活者之心肺適能 6 第二節、有氧運動訓練對於中風患者之效果 7 第三節、任務導向有氧運動訓練 8 第四節、腦血流之評估工具 10 第五節、中風患者之腦血流 12 第六節、運動訓練影響腦血流之機制 15 第三章、研究方法及實驗步驟 18 第一節、研究設計 18 第二節、受試者 18 第三節、實驗步驟 19 第四節、研究工具及方法 19 第五節、運動介入方式 23 第六節、研究變項 23 第七節、資料處理與統計分析 24 第四章、研究結果 26 第一節、受試者資料 26 第二節、兩組十二週後的參數改變 27 第三節、訓練前後參數改變量之間的相關性 31 第五章、討論 33 第一節、運動訓練對心肺適能改善之效果 33 第二節、運動訓練對功能評量及身體活動之效果 35 第三節、運動訓練對腦血流參數之影響 38 第四節、不同失能程度分組之探討 39 第五節、各變項改變量相關性之探討 40 第六節、研究限制 41 第六章、結論 42 參考文獻 43 圖表目錄 表1. 中風患者之心肺適能 53 表2. 慢性中風患者之有氧運動訓練研究 54 表3. 受試者人口學資料 56 表4. 慢性中風患者之受傷部位 57 表5. 慢性中風患者最大運動測試結果 58 表6. 慢性中風患者功能評量及身體活動結果 59 表7. 慢性中風患者健側腦半球之血流 60 表8. 慢性中風患者患側腦半球之血流 61 表9. 運動組以失能狀況分組於最大運動測試及功能之表現 62 表10. 運動組以失能狀況分組於腦血流之表現 63 表11. 運動組功能評量、身體活動與最大運動測試改變量之相關性分析 64 表12. 運動組功能評量、身體活動與腦血流改變量之相關性分析 65 表13. 運動組最大運動測試與腦血流改變量之相關性分析 66 圖1. 研究設計流程圖 67 圖2. 心肺適能評估收案之狀況 68 圖3. 腦血流測量示意圖 69 圖4. 受試者收案流程圖 70 圖5. 兩組受試者最大攝氧量在前後測之表現 71 圖6 .兩組受試者最大氧脈在前後測之表現 71 圖7. 兩組受試者最大每分鐘換氣量在前後測之表現 72 圖8. 兩組受試者最大呼吸交換速率在前後測之表現 72 圖9. 兩組受試者六分鐘行走距離在前後測之表現 73 圖10. 兩組受試者自選行走速度在前後測之表現 73 圖11. 兩組受試者Rivermead移動指數在前後測之表現 74 圖12. 兩組受試者身體活動評量在前後測之表現 74 圖13. 兩組受試者健側前大腦動脈血流速在前後測之表現 75 圖14. 兩組受試者健側內頸動脈血流速在前後測之表現 75 圖15. 兩組受試者健側內頸動脈血流量在前後測之表現 76 圖16. 兩組受試者健側顱外血流總量在前後測之表現 76 附件目錄 附件1. 修正Rankin中風等級評量 77 附件2. 簡易智能狀態測驗 78 附件3. 受試者同意書 79 附件4. 受試者資料表 85 附件5. 美國國家衛生研究院腦中風評估 88 附件6. Rivermead移動指數 90 附件7. 工具性日常生活活動量表 91 附件8. 身體失能者身體活動評量表 93 附件8. 中風衛教單張 97 | |
dc.language.iso | zh-TW | |
dc.title | 任務導向有氧運動訓練對慢性中風患者心肺適能及腦血流之效果 | zh_TW |
dc.title | Effects of task-oriented aerobic exercise training on cardiorespiratory fitness and cerebral blood flow in
chronic stroke patients | en |
dc.type | Thesis | |
dc.date.schoolyear | 96-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 鄭建興(Jiann-Shing Jeng),陳文翔(Wen-Shiang Chen),胡名霞(Ming-Hsia Hu) | |
dc.subject.keyword | 中風,運動,身體適能,行走,腦血管循環, | zh_TW |
dc.subject.keyword | Stroke,Exercise,Physical fitness,Walking,Cerebrovascular circulation, | en |
dc.relation.page | 98 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2008-07-18 | |
dc.contributor.author-college | 醫學院 | zh_TW |
dc.contributor.author-dept | 物理治療學研究所 | zh_TW |
顯示於系所單位: | 物理治療學系所 |
文件中的檔案:
檔案 | 大小 | 格式 | |
---|---|---|---|
ntu-97-1.pdf 目前未授權公開取用 | 1.56 MB | Adobe PDF |
系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。