背景：良好規律的運動習慣可使高齡者體適能提升並增加日常生活能力。降低或延緩衰弱，改善身體肌肉骨骼不適。有關全身震動運動介入高齡者上述問題的實證研究較少。本研究探討全身震動運動對於社區高齡者體適能與衰弱及肌肉骨骼不適之影響。目的： 1.以全身震動運動介入探討社區高齡者體適能；2.以全身震動運動介入探討社區高齡者衰弱；3.以全身震動運動介入探討社區高齡者肌肉骨骼不適之成效。方法：採用類實驗研究設計(Quasi-Experimental Design)。採立意取樣。實驗組19人，進行每週一次的60分鐘的全身震動運動連續12週，採用FLEXI-BAR（彈力棒）為全身震動運動介入工具，規劃12週全身震動運動課程。對照組20人，進行每週一次60分鐘的一般多元活動（例如：毛巾操、體操）連續12週。收案工具：第一部分為基本資料問卷；第二部分測量體適能採用功能性體適能測驗；第三部分高齡者衰弱量表（KCL）第四部分測量肌肉骨骼不適採用北歐肌肉骨骼問卷（NMQ）。主要統計分析為：（一）描述性統計分析；（二）曼-惠特妮U 檢定（Mann-Whitney U test）；（三）魏克生符號檢定（Wilcoxon signed-rank test）。結果：實驗組社區高齡者的功能性體適能、在體重、心肺功能柔軟度前後測有顯著差異。對照組的功能性體適能在柔軟度前後測有顯著差異。實驗組與對照組兩組在心肺功能有顯著差異（p<.05）。高齡者衰弱實驗組(KCL)前後測失智功能有顯著差異(p<.05)。對照組在前、後測無顯著差異。實驗組與對照組在(KCL)後測綜合評估有顯著差異(p<.05)。但高齡者肌肉骨骼不適狀況(NMQ)，實驗組在前後測有顯著差異，對照組在前後測，有顯著差異；實驗組與對照組兩組在全身震動運動介入後測有顯著差異(p<.05)。研究限制：1.本研究受試樣本數過少。2.實驗組與對照組在體適能體重、胸圍及肌肉骨骼不適部位累計於前測時，已有顯著差異。3.本研究收案對象受限於地域性的差別，推論代表性不足。4.本研究透過問卷測量可能有許多偏誤(Bias)。5.據點活動繁多，因此不能推論其體適能、衰弱與肌肉骨骼不適的顯著差異完全來自本研究介入。結論：全身震動運動FLEX-BAR（彈力棒）能在短時間以震動頻率與震幅刺激高齡者增強體適能、降低衰弱、降低肌肉骨骼不適疼痛症狀。建議未來可以在各關懷據點建立此運動模式。 Background: Good regular exercise habits can improve the physical fitness of the elderly and increase the ability of daily life. Reduce weakness and improve musculoskeletal discomfort. This study explores the effects of whole body vibration exercise on the physical fitness and weakness and musculoskeletal discomfort of the elderly in the community. Purpose: 1. Use whole body vibration exercise to intervene to explore the Senior Fitness Test of elderly people in the community; 2. Use whole body vibration exercise to intervene to explore the frailty of the elderly in the community; 3. Use whole body vibration exercise to intervene to explore the effectiveness of musculoskeletal discomfort for the elderly in the community. Method: Quasi-Experimental Design was adopted. Sampling by intention. The experimental group received 19 people . They performed a 60-minute whole-body vibration exercise once a week for 12 consecutive weeks. Using FLEXI-BAR as a whole-body vibration exercise intervention tool, a 12-week whole-body vibration exercise course was planned. In the control group received 20 people, and they performed 60 minutes of general multiple activities (such as towel exercises, gymnastics) once a week for 12 consecutive weeks. Research tools: (1) The basic information questionnaire; (2) The Senior Fitness Test for measuring physical fitness; (3) The Kihon Checklist (KCL); (4) The Nordic Musculoskeletal Questionnaire (NMQ). The main statistical analysis is: (1) Descriptive statistical analysis; (2) Mann-Whitney U test; (3) Wilcoxon signed-rank test. Results: There were significant in the Senior Fitness Test: body weight, and flexibility of cardiopulmonary function among the elderly in the experimental group. The Senior Fitness Test of the control group was significantly before and after the flexibility. The experimental group and the control group had significant in cardiopulmonary function (p<.05). There was a significant in the dementia function before and after the KCL experimental group (p<.05). There was no significant between the control group before and after. The experimental group and the control group had significant in (KCL) post-test comprehensive evaluation (p<.05). However, there are significant in the musculoskeletal discomfort (NMQ) of the elderly in the experimental group before and after the test, and the control group before and after the test, there is a significant; the experimental group and the control group have a significant after the intervention of the whole body vibration exercise (p< .05). Research limited: 1. This research is subject to too few samples. 2. The experimental group and the control group have significant in Senior Fitness Test weight, chest circumference and musculoskeletal discomfort when accumulated in the previous test. 3. The objects of this study are limited by regional differences, and the inferences are insufficiently representative. 4. In this study, there may be many biases (Bias) measured by questionnaires. 5. There are many activities in the site, so it can not be inferred that the significant in physical fitness, weakness and musculoskeletal discomfort are completely derived from the intervention of this research. Conclusion: The whole body vibration exercise FLEX-BAR can stimulate the elderly with vibration frequency and amplitude in a short time to increase physical fitness, reduce weakness, and reduce musculoskeletal discomfort and pain symptoms. It is recommended that this exercise mode can be established in each care base in the future.
