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標題: 芳香療法對改善延遲性肌肉酸痛的評估
The Effect of Aromatherapy on Delayed Onset Muscle Soreness
作者: 鄭伊甯
Yi-Ning, Cheng
Contributors: 巫錦霖
運動與健康管理研究所
關鍵字: 延遲性肌肉酸痛;芳香療法;精油按摩;精油;肌酸激脢
delayed onset muscle soreness;aromatherapy;aromatic massage;essential oil;creatine kinase
日期: 2012
Issue Date: 2013-11-21 11:07:50 (UTC+8)
Publisher: 運動與健康管理研究所
摘要: 人體在從事不熟悉、高強度的反覆運動後,容易導致延遲性肌肉酸痛(Delayed Onset Muscle Soreness, DOMS),造成局部肌群腫脹、關節活動度下降、以及肌力減退與疼痛等現象。本研究旨在探討植物油按摩與精油按摩對改善DOMS的效果差異。以9名自願健康男性大學生為研究對象,使用交叉型研究設計(cross-over design)。每位受試者進行三次實驗,隨機分派至控制組、植物油按摩組及精油按摩組。每次實驗之間間隔至少兩週,以防止出現適應現象。受試者使用等速收縮測量系統,以被動模式、角速度設為30°/秒,進行3組各10下的非慣用手上肢最大離心收縮運動,每組之間休息3分鐘,以誘發肱二頭肌的DOMS,隨後依分派組別不進行處置,或於運動後20分鐘進行上肢按摩10分鐘。控制組不給予任何治療;植物油按摩組使用甜杏仁油;精油按摩組使用甜杏仁油與真正薰衣草、甜馬鬱蘭、桉油醇迷迭香精油以濃度5%比例混合按摩10分鐘。各組每次實驗前、實驗後0、24、48、72小時測量肌肉在按壓、屈曲與伸展的酸痛指數,填寫視覺類比疼痛量表,接著測量關節活動度(range of motion, ROM)及上臂圍,並採集血液樣本,分析血漿中肌酸肌酶(creatine kinase, CK)、乳酸脫氫酶(lactate dehydrogense, LDH)與肌紅蛋白(Myoglobin, Mb)濃度變化。實驗結果發現,在肌肉的按壓、屈曲與伸展酸痛指數部分,僅出現顯著時間效應(p < 0.001),三組之間則無顯著差異(p = 0.570;p = 0.992;p = 0.919),時間x處置之交互作用未達顯著水準(p = 0.585;p = 0.839;p = 0.544)。在關節活動度及上臂圍部分,僅發現顯著時間效應(p < 0.001),三組之間則無顯著差異(p = 0.572;p = 0.319),時間x處置之交互作用亦未達顯著水準(p = 0.867;p = 0.851)。在肌肉損傷生化指標部分,CK與LDH達顯著時間效應(p = 0.002;p = 0.047),但組間沒有顯著差異(p = 0.676;p = 0.574),時間x處置之交互作用亦未達顯著水準(p = 0.759;p = 0.548);Mb則無任何顯著效應。結論:植物油按摩與精油按摩對於高強度離心運動引起的延遲肌肉酸痛情形不具明顯改善效果。
Delayed onset muscle soreness describes muscle pain and tenderness that typically develop several hours post-exercise and consist of predominantly eccentric muscle actions, especially if the exercise is unfamiliar. The purpose of this study was to examine the effects of plain carrier oil massage and aromatic massage on delayed onset muscle soreness using a within-subjects cross-over design. Nine healthy young males performed an exercise protocol designed to induce delayed onset muscle soreness on their non-dominant arms on 3 separate occasions; each occasion was separated by at least two weeks. The protocol consisted of 3 sets of 10 maximal eccentric repetitions of the elbow flexors exerting isokinetic dynamometry. Subjects were randomly assigned to a carrier oil massage group, aromatic massage group or control group and received treatments 20 minutes post-exercise, 24 and 48 h post-exercise. Creatine kinase (CK), lactate dehydrogenase (LDH), myoglobin (Mb), range of motion (ROM), limb girth and muscle soreness index were measured pre, 20 minutes post, 24, 48 and 72 h post-exercise. Significant time effects were observed for CK, Mb, ROM, limb girth and muscle soreness index (P < .05). There were no significant differences between treatments. Compared with control group, carrier oil massage and aromatic massage are also ineffective in reducing CK, LDH, Mb or muscle soreness index. In addition, no significant effects of carrier oil massage and aromatic massage on recovery of ROM or limb girth were found within 72 hours. Conclusion: both carrier oil massage and aromatic massage have no significant effect on the symptoms of delayed onset muscle
soreness.
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