肌肉疲勞後拔罐對動作表現之影響

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2019

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目的:此篇研究的目的為探討肌肉疲勞後進行拔罐介入,對於動作表現及肌肉氧飽和度的影響。方法:本篇研究收錄40名具規律運動習慣之健康男性,平均分配至靜態恢復、拔罐、主動恢復、拔罐合併主動恢復組中;收取的受試者半年內如下肢有損傷、曾接受過拔罐介入、拔罐部位有破皮、出血以及無法接受拔罐的副作用等,皆予以排除。實驗過程使用等速肌力儀及1臺近紅外線光譜儀測量疲勞前、後及接受介入後三十分鐘內等速下最大肌力及肌肉氧飽和度。統計方法以混和設計雙因子變異數分析進行組別與恢復時間的比較 (α = .05),如達顯著差異,使用Bonferroni 法進行事後比較。結果:肌肉疲勞後進行不同介入,對於動作表現的恢復無顯著差異,肌肉氧飽和度中不同參數的結果則不同,總血紅素在拔罐組中高於拔罐合併主動恢復組,去氧血紅素在拔罐合併主動恢復組中則低於靜態及主動恢復組,而拔罐及拔罐合併主動恢復組的組織氧合指標,也高於靜態及主動恢復組。此外,恢復時間的增加對於動作表現不僅無法促進恢復,在恢復15分鐘後反而開始低於肌肉疲勞前的表現;肌肉氧飽和度的參數,僅總血紅素、氧合血紅素有隨時間增加而數值上升的趨勢,且在恢復20到30分鐘起與介入後當下有顯著的差異。結論:拔罐以及拔罐合併主動恢復能夠促進組織的氧飽和情形,因此,能夠使用此兩種介入提升組織的氧合程度,作為促進組織恢復的方式。
Purpose: The aim of this study was to detect the effects of cupping therapy influencing physical performance and muscle oxygen saturation. Methods: This study recruited forty healthy male who have regular exercise habit. They were randomly assigned to cupping, active recovery, cupping combined active recovery and static recovery groups. If these subjects have lower extremities injury in half of a year, have cupping therapy experiences in lower extremities, the site of cupping is bleeding or scratch and unable to accept the side effect of cupping was excluded. Isokinetic dynamometer and one near-infrared spectroscopy were used to detect isokinetic maximal volunteer contraction and oxygen saturation of muscle before fatigue until after the cupping therapy for 30 minutes. Two-way ANOVA was conducted to compare the effects of groups and recovery time. The significant level was set at α= .05. Post hoc comparisons were performed using the Bonferroni test. Results: There were no significant difference for physical performance recovery between four kinds of intervention after muscle fatigue. In the muscle oxygen saturation, total hemoglobin was significantly higher in the cupping than in the cupping combined active recovery group. Deoxy-hemoglobin was significantly lower in cupping combined active recovery than in static and active recovery groups. In addition, the tissue saturation index in cupping and cupping combine active recovery groups was also higher than static and active recovery group. Furthermore, the increase of recovery time was not only unable to promote tissue recovery, but decreased the physical performance after recovery 15 minutes. For the saturation index, there were only total hemoglobin and oxy-hemoglobin increased with time. The parameters were significantly different between after intervention and after 20 to 30 minutes of recovery. Conclusion: Both cupping and cupping combined active recovery could promote the tissue oxygen saturation. Therefore, these two kinds of intervention can be used as the way to facilitate tissue recovery due to the elevation of the tissue oxygenation.

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生物力學, 生理學, 組織恢復, Biomechanics, Physiology, Tissue recovery

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