420 Power Yoga 練 420~432 年 CHIA-NAN ANNUAL BULLETIN VOL. 31, PP. 420 432, 2005 Power Yoga 練 鶴 理 理 摘 要 年 力 不良 不 力 來 年來 (core strengthening) 療 流 來 力 度 降 說 power yoga 練 141 練 不 power yoga 練 power yoga 練 了 力 數 度 狀 數降 率降 異 (p<.05) power yoga 數 數 數 練 異 power yoga 兩 數 (p<.05) 率 (p<.05) 不 power yoga (p<.05) 療 power yoga 練 來 復 力 行 更 力 數
421 前 言 見 (1998) 兩 肋 不 狀 行 80% 歷 療 力降 不 (Tye & Brown, 1990) 1/3 1/3 狀 1-5 1/3 狀 六 (Deyo & Tsui-Wu, 1987) 說來 異 狀 理 療 84 年 紐 蘭 理 療 (Mckenzie R.A.) 類 不 (postural syndrome) (dysfunction syndrome) (derangement syndrome) Plowman(1992)85% 力 力 降 罹 率 裂 (motor control) 異 不 什 療 80% 4-6 不 (Akuthota & Nadler, 2004) 復 率 60-85%(Valkenburg & Haanen, 1982) 年 力 不良 不 力 2003 來 來 理 不 不 (Twomey & Taylor, 1994) John Hill (2004) 更 念 度 參 療 (Waddell 1987) 年來 (core strengthening) 療 流 來 說 復 理 療 行 (core stability exercise) 練 力 度 降 70% 復 率 yoga 拉 (pilates)(feldenkrais)(somatics) (Akuthota & Nadler, 2004) yoga power yoga 力 練 Power yoga 念 念 陸 2003 Power yoga 流 力 不 練 練 力 流 來 量 力 力 Power yoga 力 連 力 不 更 靈 (Swenson, 2001) power yoga ashtanga
422 Power Yoga 練 力 練來 立 力 力 兩 異 練 不 異 Ashtanga 了 練 不 年 練 參 power yoga 度 更 power yoga 更 年 (Swenson, 2001) Feuerstein(2000) 療 識 (self-awareness) 療 念 理 念 (somatic or psychological dysfunctions) (body awareness) 療 (holistic treatment)(birch, 1995 & 2000) 力 律 見 理 理 療 不 復 率 Power yoga 療 靈 更 力 更 易 力 更 & 2003 劉 1990 (Akuthota & Nadler, 2004)(2003) 力 兩年來 power yoga 力 度 數 power yoga 易見 98% Yoga (Burton Goldberg Group, 1993) Bastille Gill- Body(2004) 復 練 度 (Timed Movement Battery) (Berg Balance Scale) 數 Brikel Edgren(2000) 兩 連 15 hatha yoga 練 量 (vital capacity) Ray (2001) hatha yoga 練兩 力 (aerobic capacity) hatha yoga 量 (maximum oxygen uptake) 了 練 (specific) Tran (2001) 律 hatha yoga 年 度 力 兩 連 8 練 力 30 60 度 度 力 力 力 度 呂 1997 金 1997 2004 Galantino(2004) 良 (modified hatha yoga) 行 兩 連 六 練 (functional measurements)(balance) 度 (flexibility) (disability) (depression) 度 異 Greendale21 年 75(hyperkyphosis) 女 行 兩 連 12 hatha yoga
423 練 練 0.52 度 立 度 48%(postural awareness)58% (physical functioning) 數 power yoga 練 力 理 行 不 練 異 研究方法 理 141 3 60 參 power yoga 練 38 BMI 24 行 14 六 練 43 1. 料 年 數 度 0 不 10 率 數 樓 路 療 2. 量 度 數 力 1. 狀 說 練 流 練 度 力 2. 93 年 3 6 理 律 理 行 3. 練 (1)Power Yoga 練 參 power yoga 練 練 80 練 2-5 不 力 練 1 Power yoga 力 列 2
424 Power Yoga 練 1 Power Yoga 練 5-10 power yoga 練 領 5-8 Power yoga 練 45-60 連串 流 來 行 力 2 5-10 5-10 領 識 靈 5-10 兩 30 度 2 Power yoga 力 參 料來 Stiles M, 2003 降
425 (2) 練 參 練 練 力 練 參 60 練 3 3 練 5-10 量 8-10 30-40 度 率 55%-80% 20-30 度 率 55%-80% 15-20 量 力 練 15-20 度 率 55%-80% 3-5 (3) 練 量 料 理 料 行 錄 SPSS 10.0 for Windows 行 <.05 行 1. 練 數 率 力 度 數 2. 練 t 練 3. 練 異 立 數 異 F (p<.05) (Scheffe) 研究結果 練 數 1 power yoga56% 14 練 降 34% 22% 15.2% power yoga 練 練 數 例 6.2%
426 Power Yoga 練 1 數 2 power yoga 練 40%14 練 降 20% 20% 11.9% 2.5% power yoga 練 兩 利 2 數 3 power yoga 練 8% 療 14 練 降 2% 6% 1.2% power yoga 練 數 例 療 例 2.4% 3 療 數
427 4 power yoga 練 67.8% 6.8% 25.4% 不 4 power yoga 練 數 5 22% 39% 39% 不 power yoga 練 數 5 數 練 t 練 4 power yoga 練 (p<.05) 異 數降 率 數 4 power yoga 練 t 數 (M±SD) (M±SD) t p 數 50 3.96±1.64 1.82±1.70 8.37*.00 率 35 1.83±0.79 0.74±0.70 6.35*.00 58 25.71±7.38 29.79±8.16-7.97*.00 (cm) 59 36.17±8.01 39.39±7.88-7.01*.00 p<.05
428 Power Yoga 練 5 (p<.05) 異 度 (p<.05) 異 練 5 練 t 數 (M±SD) (M±SD) t p 數 42 2.47±2.40 2.48±2.47-0.03 0.97 率 31 0.96±0.20 0.94±0.19 0.19 0.85 40 29.48±7.55 30.8±8.56-2.01 0.051 (cm) 40 34.80±6.46 33.08±7.23 3.07* 0.004 p<.05 6 數 降 率 (p<.05) 異 力 度 (p<.05) 力 練 力 度 6 練 t 數 (M±SD) (M±SD) t p 數 10 5.20±1.87 3.90±2.51 1.49 0.17 率 7 2.57±0.79 1.71±0.95 1.44 0.20 17 29.06±8.07 33.88±8.75-4.86* 0.00 (cm) 17 28.85±9.70 35.32±8.12-4.26* 0.001 p<.05 料 練 數 率 power yoga power yoga 練 異 立 數 練 異 7 14 不 練 異 (Scheffe) 數 (F=6.86) 異 (p<.05) power yoga 數 Power yoga 練 率 (F=3.677) 異 (p<.05) power yoga 率 數 (F=6.42) 異 (p<.05) power yoga(f=24.73) 異 (p<.05) power yoga
429 7 練 異 數 率 (cm) Power yoga (mean±sd) (mean±sd) (mean±sd) 3.96±1.64 2.47±2.40 5.20±1.87 1.82±1.70 2.48±2.47 3.90±2.51 1.83±0.79 0.96±0.20 2.57±0.79 0.74±0.70 0.94±0.19 1.71±0.95 25.71±7.38 29.48±7.55 29.06±8.07 29.79±8.16 30.80±8.56 33.88±8.75 36.17±8.01 34.80±6.46 28.85±9.70 39.39±7.88 33.08±7.23 35.32±8.12 p<.05 1 power yoga 2 3 P 0.002* 1<2 1<3 0.03* 1<2 0.002* 1>2 3>2 0.00* 1>2 3>2 討 論 Power yoga 練 不 (elongation) 不良 不 更 串聯 power yoga 練 了 力 數 度 狀 數降 率降 異 (p<.05) Luskin & Newell(2000) (asanas) 練 Ananthanarayanan & Srinivasan (1994) 行復 練 69% 度 (mobility)power yoga 數 數 兩 練 力 度 (p<.05) 數 率 異 數 power yoga 不 power yoga 兩 數 (p<.05) 異 率 (p<.05) 不 power yoga (p<.05) 了 練 不 練 power yoga 良 了 (2003)
430 Power Yoga 練 建 議 1. 療 power yoga 若 行 狀惡 立 2.power yoga 來 復 力 行 更 參考文獻 1. 理 15(1) pp.30-40 1998 2. Tye, J., & Brown, V., Back pain - The Ignored Epidemic, 1st edition, London: British Safety Council, 1990. 3. Deyo, R.A., Descriptive Epidemiology of Low Back Pain and Its Related Medical Care in the United States, Spine, 12:264, 1987. 4. 理 療 理 療 北 pp.56-61 1995 5. Plowman, S. A., Physical Activity, Physical Fitness, and Low Back Pain, Exercise and Sport Sciences Reviews, Vol.20:221-242, 1992. 6. Akuthota, V., & Nadler, S.F., Core Strengthening, Archives Physical Medicine and Rehabilitation, 85 (3 suppl 1):S86-92, 2004. 7. 力 64 2003 8. Twomey, L.T., & Taylor, L.T., Intensive Physical Rehabilitation for Back Pain in: Physical Therapy of the Low Back, 2nd edition, Edinburgh: Churchill Living stone, 1994. 9. Waddell G., A New Clinical Model for the Treatment of Low Back Pain., Spine, 12:632, 1987. 10. Valkenburg, H.A., & Haanen HCK., The Epidemiology of Low Back Pain. In: White AAш, Gordon SL, eds. American Academy of Orthopedic Surgeons Symposium on Idiopathic Low Back Pain. St. Louis, Mosby P.9, 1982. 11. Hill, J., Does Yoga Speed Healing for Patients with Low Back Pain?, The Journal of Family Practice, 53(8), 2004. 12. Swenson, D., Power Yoga for Dummies, 1st edition, New York: Hungry Minds Inc., pp10-22, 2001. 13. Feuerstein, G., Toward a Definition of Yoga Therapy. International Journal of Yoga Therapy. 10:5-10, 2000. 14. Birch, B.B., Power Yoga: The Total Strength and Flexibility Workout, 1st edition, New York: Fireside, 1995. 15. Birch, B.B., Beyond Power Yoga: The Total Strength and Flexibility Workout, 1st edition, New York: Fireside, 2000. 16. 理 理 69 pp.147-155 2003
431 17. 劉 - 13 pp.40-50, 1990. 18. Burton Goldberg Group. Alternative Medicine: The Definitive Guide. Puyallup, Wash: Future Medicine Publications; 1993. 19. Bastille, V. J., & Gill-Body, M. K., A Yoga-Based Exercise Program for People with Chronic Post Stroke Hemiparesis. Physical Therapy, 84:33-48, 2004. 20. Brikel D.A., & Edgren L., Hatha Yoga: Improved Vital Capacity of College Students., Alternative Therapies in Health and Medicine, 6:55-63, 2000. 21. Ray, U.S., Sinha, B., & Tomer, O.S., Aerobic Capacity and Perceived Exertion After Practice of Hatha Yogic Exercise. Indian Journal of Medicine Research, 114:215-221, 2001. 22. Tran, M.D., Holly, R.G., Lashbrook, J., & Amsterdam, E.A., Effects of Hatha Yoga Practice on the Health-related Aspects of Physical Fitness. Preventive Cardiology, 4:165-170, 2001. 23. 呂 女 1 pp.233-254 1997 24. 金 pp.49-55 1997 25. 練 度 30 pp.307-315, 2004. 26. Galantino, M.L., Bzdewka, T.M., Eissler-Russo, J.L., & Holbrook, M.L., The Impact of Modified Hatha Yoga on Chronic Low Back Pain: a Pilot Study. Alternative Therapies in Health and Medicine, Mar-Apr,10(2):56-9, 2004. 27. Greendale, G.A., McDivit, A., Carpenter, A., Seeger, L., & Huang, M.H,, Yoga for Women with Hyperkyphosis: Results of a Pilot Study. America Journal of Public Health, 92:1611-1614, 2002. 28. Stiles M., Structural Yoga Therapy: Adapting to the Individual, 1st edition, ME: Weiser, pp.247-259, 2003. 29. Luskin, F.M., Newell, K.A., & Griffith, M., A Review of Mind/body Therapies in the Treatment of Musculoskeletal Disorders with Implications for the Elderly. Alternative Therapies in Health and Medicine, 6:46-56, 2000. 30. Ananthanarayanan, T.V., & Srinivasan, T.M., Asanas-based Exercises for the Management of Low Back Pain. Journal of International Association in Yoga Therapists, 4:6-15, 1994.
432 CHIA-NAN ANNUAL BULLETIN VOL. 31, PP. 420 432, 2005 Power Yoga 練 ABSTRACT The Influence of Power Yoga Training in University Students with Low Back Pain Ching-Ju Huang and Pi-Hao Chu Department of Recreation and Health Care Management, Chia-Nan University of Pharmacy and Science, Tainan, Taiwan 71710, R.O.C. ABSTRACT University students often complain about low back pain because of poor postures and using muscles improperly. Core strengthening such as yoga has already been considered as the major trend for treating back pain in recent years. This kind of exercise decreases back pain by improving motor control of central muscles, stability of spine, muscle strength, and flexibility. This study was designed to investigate the improvements of low back pain in university students. One hundred and forty one subjects were divided into 3 groups: power yoga group weight control group and control group according to different training programs. After 14 weeks training programs, the significant improvements were found in subjects of power yoga group, including: perceived pain scale pain frequency abdominal muscles endurance, and trunk flexibility. Besides, the influence of daily life and the quality of sleep because of low back pain both decreased in percentage of people in power yoga group. In weight control group, abdominal muscles endurance and trunk flexibility were only significantly improved. Comparing the results after training with different groups, significant results were found in: 1. more improvements of perceived pain in power yoga group comparing with that in other two groups. 2. less pain frequency in power yoga group comparing with that in weight control group. Both yoga group and weight control group showed greater results in abdominal muscles endurance and trunk flexibility comparing with those in control group. Power yoga training program could be suggested as a exercise prescription for back pain suffers to improve their back pain. Further researches should be suggested to investigate the recurrences of low back pain in power yoga group and measure the stability of lumber-pelvic region by pressure biofeedback instruments. Key words: Power Yoga, Low Back Pain, Perceived Pain Scale