[[alternative]]Effects of Pilates breathing exercise training on sedentary office workers with shoulder and neck pain

[[abstract]]目的：探討皮拉提斯運動介入後，對坐式生活者肩頸疲憊、呼吸肌力與肺功能、軀幹肌耐力之影響。研究方法：以台北市 20-60 歲肩頸疲憊值為中度與危險者，隨機區分實驗組與控制組進行研究，實驗組為期 6 週每週 2 次每次1 小時進行皮拉提斯運動，控制組以衛教單練習，維持日常作息。兩組介入前後皆接受肩頸疲憊、呼吸肌力與肺功能、軀幹肌耐力之測試。測得實驗數據分別以混合設計二因子變異數進行分析，若有交互作用，則進行 Bonferroni 事後比較，顯著水準訂為α= .05。結果：兩組 SFS30 檢測無差異。而實驗組自評肩疼痛值(7.25±1.29 vs 2.50±1.17)，相較於控制組(5.50±1.62 vs 5.08±1.98)進步幅度大。能夠顯著改善坐式生活在疼痛閥值測量，上斜方肌群(5.68±1.54 公斤)、中三角肌群(5.48±1.14 公斤)、棘下肌群(6.26±1.03 公斤)與前測達顯著差異(p.05)。MEP 方面，實驗組後測高於控制組（67.5±26.42 cmH2O vs 46.58±9.63 cmH2O, p.05). In terms of MEP, the post-test of the experi mental group was higher than that of the control group (67.5±26.42 cmH2O vs 46.58±9.63 cmH2O, p<.05). Similarly, in the measurement of trunk muscle endurance, the experimental group showed significantly improved Extensores(96.58±44.10 sec onds), Flexes (102.5±47.76 seconds), Side bridge, right (52.25±19.12 seconds) and Side bridge, left (55.5±23.47 seconds). This is significantly different from the previ ous test (p<.05). Conclusion: After 6 weeks of Pilates breathing exercises, signifi cantly improvement was shown in shoulder and neck fatigue, respiratory muscle strength, and trunk muscle endurance while sitting