| 摘要: | 背景及目的:隨著國內傳統整復推拿產業人力的快速成長，以及傳統整復推拿人員在職業類別中的特殊性，其肌肉骨骼在長時間、反複使用下，容易造成累積性肌肉骨骼傷害（Cumulative trauma disorder, CTD）(潘儀聰、劉俊杰等，2015)是罹患肌肉骨骼疾病之高度危險群。研究指出，台灣推拿師高達64.9%有肌肉骨骼不適的狀況，其中腰部症狀和下背痛最為普遍，其次是手和手腕的不適症狀，有53.5%的推拿師自認為其症狀與工作有關(王振宇、黃仁濠、張淑如，2010）。本研究目的是透過每週一次，每次 90 分鐘，連續執行12週瑜伽課程後，探討透過12週瑜伽課程對於傳統整復推拿從業人員肌肉骨骼、體適能和生活品質之效益。 材料及方法:本研究透過海報張貼進行招募，對象為從事傳統整復推拿工作ㄧ年以上之工作者共33人，實驗組 (n = 16) 介入12週瑜伽課程，對照組 (n = 17)不介入瑜伽課程。透過每週一次，每次90分鐘，連續執行12週後，以簡易肌肉骨骼症狀調查表、國民體適能檢測表、WHOQOL BREF生活品質量表為前後測，以SPSS進行統計分析，包括項目分析、t檢定、單因子變異數等方式分析。 結果:本研究在12週瑜伽課程的介入後，實驗組肌肉骨骼症狀前後測效益比較分析發現，實驗組多項肌肉骨骼之症狀達顯著改善效果(p值均小於0.05)，在「坐姿體前彎」(p<0.000)、「屈膝仰臥起坐」(p<0.003)均有顯著效益。另分析結果顯示，在社會人際關係(p<0.047)具顯著提升效果。 結論: 本研究透過12週瑜伽課程，即瑜伽的體位法(調身)、呼吸法(調息)與靜心法(調心)，能顯著的改善傳統整復推拿人員肌肉骨骼症狀，並有促進人際關係之成效。建議推拿相關的從業人員透過長期、主動規律的瑜伽運動，作自我保健以及肌肉骨骼傷害之預防，提升更高、更有效性的服務品質增進顧客福祉，進而達到療癒自我同時療癒他人的互利效益。
Background and Purpose: with the rapid growth of manpower in Traditional Physical Management domestically, and the specialty of traditional Recovery Manipulative practitioners in occasional category, whose musculoskeletal system is easily to cause cumulative trauma disorder by long-term and repetitive usage, are also in high risks of musculoskeletal disorders Research shows that massage therapists in Taiwan who were in conditions of musculoskeletal discomfort are up to 64.9%, in which were more general in the symptoms of lumbar and lower back pain, secondary to discomfort in hands and wrists. 53.5% of massage therapists considered their symptoms were work-related . Our research purpose is by once a week, 90 minutes at a time, continuously to conduct Yoga courses for 12 weeks, to discuss the effects to the musculoskeletal system, physical fitness and life quality of recovery manipulative practitioners by 12 weeks of Yoga courses. Materials and Methods: Our research recruited objects who are traditional recovery manipulative practitioners over one year of working experiences by 33 people in total. The treatment group (n=16) are the ones with 12 weeks of Yoga courses intervention, as for control group (n=17) are the ones without 12 week of Yoga courses intervention. The research method is through Yoga courses once a week, 90 minutes at a time for 12 weeks, and by Nordic Musculoskeletal Questionnaire, National Physical Fitness Evaluation Test, WHOQOL-BREF life quality scale as pre-test and post-test, to run the statistic by SPSS, including the analysis method of item analysis, t-test and ANOVA. Results: After the intervention of Yoga courses for 12 weeks, our research found out from the benefit comparative analysis of pretest and posttest in musculoskeletal symptoms of the treatment group, the p value is less than 0.05 which has improved significantly in effects. In “sit and reach” test (p<0.000) and “Bent-Knee Sit-Up” test (p<0.003) have significant effects. As for the result of analysis shows that in social-relationship test (p<0.047), it has shown significant improving effects. Conclusion and Suggestion: Through 12 weeks of Yoga courses, breathing methods, core exercises, ways of stretching muscles and meditation, our research has shown significant improvement in the musculoskeletal disease of traditional recovery manipulative practitioners, and more to bring out positive effects in physically and mentally. Our suggestion is by long term, active and regular Yoga exercise for recovery manipulative practitioners in the prevention of musculoskeletal injury and self-sanitation, for better and more effective in service quality to increase customer benefits, further in co-effect of self-healing and healing others. |
