2015-01-012024-05-14https://scholars.lib.ntu.edu.tw/handle/123456789/660495摘要：骨質疏鬆症對中老年人來說是普遍的健康問題並增加跌倒的風險，因而導致骨折，受傷或死亡。如何確認在骨質疏鬆族群中導致跌倒的相關因子對於發展有效預防跌倒是不可或缺的。研究顯示肌肉品質和良好的姿勢擺位在老年人中是控制平衡的關鍵。被診斷患有骨質疏鬆症者往往伴隨肌肉無力、脊柱後凸增加、骨折發生、較差的平衡控制以及跌倒。因此，改善肌肉品質，增強無力肌肉的肌力和改正身體姿勢是骨質疏鬆症老年人預防跌倒和骨折的基本要素。本研究的長期目標將藉由運動訓練以改善老人肌肉的功能來預防患有骨質疏鬆症老年人的骨折和跌倒。此研究的獨特貢獻為結合生物力學方法來解釋相關的臨床問題。由本提案研究的發現將對骨質疏鬆老人其平衡控制提供新的治療方法，並有助於減少跌倒和骨折的風險。<br> Abstract: Osteoporosis is a prevalent health concern among older adults and is associated with an increased risk of falls that can cause fracture, injury or mortality. Identifying the factors related to falls occurring within this population is essential for the development of effective regimes for fall prevention. Studies have shown that muscle quality and good posture alignments are critical for balance control in older adults.People are diagnosed with osteoporosis often combining with muscles weakness, and increased spine kyphosis leading vertebral fractures and poor balance control, even falls. Therefore, improving muscle quality, strengthening weak muscles and correcting postural alignment are essential elements for fracture and fall prevention in older adults with osteoporosis. The long-term objectives of this work are to prevent fracture and fall in older adults with osteoporosis by improving the function of degenerative muscles. Translational research of this nature will contribute much needed information regarding the critical factors of balance control in older adults with osteoporosis, as well as test clinical innovations of the exercise training to improve the long-term prognosis of osteoporosis in this vulnerable population. The unique contribution of the proposed research lies in the integration of an explicit physical exam and biomechanical approach to a relevant clinical problem within a translational model. Findings from the proposed research will provide a new paradigm of treatment approaches for balance control and will reduce risk of falling and fracture.老人物理治療平衡elderlyphysical therapybalance