中國醫藥大學機構典藏 China Medical University Repository, Taiwan:Item 310903500/23832
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(2) S29. (N. 22) (n = 10). ( ( (. (n = 12). ). 169.5. 5.6. 162.8. 5.5. 166.2. 5.6. ). 59.3. 9.6. 52.3. 7.7. 58.6. 10.0. ). 22.0. 1.5. 20.3. 1.5. 21.0. 1.5. (%). 13.8. 6.2. 20.2. 7.2. 16.9. 6.4. Biodex SPARK. Kin-Com. Lido. /. Cybex6000. 24 18. [6,7]. 30. [8] 22. [9]. Overend 23. 2000. 40. 76. 50% (. /. ) / (. ). Cortex®. [5] (MetaMax Germany). GmbH MetaMax. Cortex Biophysik. ®. 30 2. /. 2. 30 60. 2 / /. 2.
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(4) S31. 22 24 / / 22 21 5.6. 58.6. 1.7. 166.2. 10.0. 16.9. 6.4%. 37.6. /. /. /. 29.9. /. /. / / / / 60-120˚/s. 120-60˚/s. / 120˚/s. /. 240-180˚/s / 60˚/s. 240˚/s. 240˚/s. 60˚/s 180-240˚/s. 60-120˚/s. /. 60-120˚/s. 120-60˚/s. 120-180˚/s. 120-180˚/s. 120-60˚/s /.
(5) S32. /. 180˚/s 60˚/s 120-180˚/s. 120˚/s. 180-240˚/s. 60-120˚/s 120˚/s /. / 85-172 54-90 122. 65-. /. 3.3-13.7 4.5-19.6. /. /. /. 64.6-161. 0.7291%. 1.04. 99%. / 10. 13. /. /. /. /. / / 11. /. /. 122. /.
(6) S33. 120˚/s 102 107 59%. 3. 3. [12,13]. /. /. 66%. [14]. / 120˚/s. /. [5]. 180˚/s (. ). 60˚/s. (. ). (inputs) /. / 180˚/s. 240˚/s. 240˚/s. 60˚/s (withdrawal). 60˚/s. 120˚/s. 180˚/s. 120˚/s. 5. 10. 20. 30. [10] /. / 60˚/s. [14]. 60˚/s /. 60˚/s /. 19.6 3. 172 149 131. 93%. 5. 21%. 3. /. / 180˚/s. 3 60˚/s. 87%. 4.5 30. 40%. /. [14]. MacDougall. (. ) 10. (Valsalva maneuver) /100. 172. [11]. product Negus. / 11.9. 1.5 8.9-13.6. 4METs. /. / /. 50. RPP). / /. /100. (rate-pressure [15]. 3.5METs /. 2.5 METs 26%. 290. 40% /. 240˚ 60˚/s. 300˚. 300˚. 90% Negus 60˚ 120˚ 180˚ 240˚ 180˚ 120˚ 30.
(7) S34. /. Negus 5 Negus. [16]. /. ( (. /. ) ). [15] / 160. 45% /. 120˚/s. DMR-92-057. /. (R). 1. Moritani T, Muramatsu S, Muro M. Activity of motor units during concentric and eccentric contractions. [Review] Am J Phys Med 1988;66:338-50. 2. Cote C, Simoneau J, Lagasse P, et al. Isokinetic strength training protocols: do they induce skeletal muscle fiber hypertrophy? Arch Phys Med Rehabil 1988;69:281-5. 3. Gettman LR, Ayres JJ, Pollock ML, et al. Physiological effects on adult men of circuit strength and jogging. Arch Phys Med Rehabil 1979;60:115-20.. 1.2 / 0.90. 1.04. 0.01. 0.01. /. 120˚/s 240˚/s. 4.. 1992;. 21:71-4 5. Overend TJ, Versteegh TH, Thompson E, et al. Cardiovascular stress associated with concentric and eccentric isokinetic exercise in young and older adults. J Gerontol A Biol Sci Med Sci 2000;55:B177-82.. / (SpO2). 6. 2001;1:53-60. SpO 2. 88%. 7.. / 97.9. 0.2%. 1.4%. 97.8 /. / / /. 1990 8. Rowell LB, O'Leary DS. Reflex control of the circulation during exercise: chemoreflexes and mechanoreflexes. [Review] J Appl Physiol 1990; 69:407-18. 9. Ewing JL Jr, Wolfe DR, Rogers MA, et al. Effects of velocity of isokinetic training on strength, power, and quadriceps muscle fiber characteristics. Eur J Appl Physiol Occup Physiol 1990;61:159-62. 10. Griffin SE, Robergs RA, Heyward VH. Blood pressure measurement during exercise: a review. [Review] Med Sci Sports Exerc 1997;29:149-59. 11. MacDougall JD, Mckelvie RS, Moroz DE, et al. Factors affecting blood pressure during heavy weight lifting and static contractions. J Appl Physiol 1992;73:1590-7..
(8) S35. 12.Perrin DH. Isokinetic exercise and assessment. Principles of Isokinetic Testing and Exercise. Champaign: Human Kinetics, 1993;52-3. 1992;20:71-. 13. 5 14. 1978:156-61. 15. 2000:184-5 16. Negus RA, Rippe JM, Freedson P, et al. Heart rate, blood pressure and oxygen consumption during orthopaedic rehabilitation exercise. J Orthop Sports Phys Ther 1987;8:346-50..
(9) S36. Cardiopulmonary Responses to Isokinetic Concentric/Eccentric Exercise of the Quadriceps in Healthy Young Adults 1. Hsiang-Chun Cheng, Sheng-Kuang Wu , Mu-Jung Kao 1. Department of Rehabilitation, China Medical University Hospital; School of Physical Therapy, China Medical University, Taichung, Taiwan.. P u r p o s e . Cardiopulmonary responses to resistance during isometric and isotonic exercise are well understood; however, very few studies have examined the cardiopulmonary responses to isokinetic concentric/eccentric exercise. Thus, the purpose of this study was to investigate the relationship between gender and cardiopulmonary responses to isokinetic concentric/eccentric exercise of the quadriceps in healthy young adults. Methods. We recruited 22 healthy young adults (10 men and 12 women; age range, 18 to 30 yr). All performed the maximal exercise test, during which heart rate (HR), blood pressure (BP), minute ventilation (VE), oxygen consumption (. ), pulse oxygen. saturation (SpO2) and gas exchange ratio value (R) were recorded. Concentric/eccentric isokinetic exercise of quadriceps was preformed on a Kin-Com 500H dynamometer. Concentric/eccentric extension and flexion exercises were performed at angular speeds of 60˚/sec, 120˚/sec, 180˚/sec, 240˚/sec, 240˚/sec, 180˚/sec, 120˚/sec and 60˚/sec. A thirty-second rest period was allowed between each testing speed to reduce the effect of fatigue. Results. The SBP (85 to 172 mmHg), HR (65 to 122 beat/min), SpO2 (3.3 to 13.7 mL/(kg min) and R (0.72 to 1.04) values during concentric/eccentric exercise were all within the safe range. Oxygen consumption in every angular velocity during concentric/eccentric exercise ranged from 7% to 43% of maximal oxygen consumption. The results indicated that the values of the cardiopulmonary responses (HR, BP,. , VE, SpO 2) during. concentric/eccentric isokinetic exercise of the quadriceps were within the safe range. C o n c l u s i o n s . G e n d e r d i d n o t a ffe c t H R , B P,. , V E , S p O 2 o r R va l u e s d u r i n g. concentric/eccentric exercise of the quadriceps. Therefore, the results of the study suggest that concentric/eccentric isokinetic exercise is an appropriate and safe rehabilitation program for young adults. ( Mid Taiwan J Med 2005;10 Supplement:S28-36 ). Key words blood pressure, heart rate, isokinetic concentric/eccentric exercise, oxygen consumption, quadriceps. Received : 9 February 2004. Revised : 23 March 2004. Accepted : 2 September 2004. Address reprint request to : Sheng-Kuang Wu, School of Physical Therapy, China Medical University, 91 Hsueh-Shih Road, Taichung 404, Taiwan..
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※中央大學附屬中壢高級中學教師 陳文哲 ※中國醫藥大學 物理治療學系 學士. ※西園醫院 復健科 物理治療師 陳志偉
畢業於國際學術機構 QS 世界大學排名(QS World University Rankings) 或泰晤士高等教育世界 大學排名(Times Higher Education World. University
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