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阻力訓練於多發性硬化症疲憊成效－系統性文獻回顧
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Journal Article
阻力訓練於多發性硬化症疲憊成效－系統性文獻回顧
2025
Overview
背景：多發性硬化症病人普遍有肌肉適能不足、疲憊困擾，運動可保持肌肉適能與改善疲憊，阻力訓練為建議之一，然其運動方案多元且結果尚無一致定論，需實證綜整其成效。目的：綜整阻力訓練於多發性硬化症之肌肉適能與疲憊改善成效。方法：系統性文獻回顧，於2024年3月搜尋五個中英文資料庫，以多發性硬化症、阻力訓練、疲憊為關鍵字串，限制隨機對照試驗（randomized controlled trial, RCT）文獻，經篩選共5篇文獻納入評讀，以Joanna Briggs Institute之RCT嚴格評讀工具進行文獻品質評析。結果：五篇RCT分別為高強度、快速向心、高強度離心及呼吸肌之阻力訓練，結果顯示阻力訓練有較佳的肌力、耐力、最大吸氣壓力與最大呼氣壓力等肌肉適能表現及疲憊改善，但僅部分達統計顯著差異。結論／實務應用：阻力訓練有較佳的肌肉適能提升及疲憊改善，但僅部分有統計顯著差異。受限於現有研究篇數少、樣本小，阻力訓練運動方案多元等限制，證據力尚顯薄弱。建議未來需有更多相關研究加入，再做更新的系統性文獻回顧，臨床可考慮將阻力訓練納入多發性硬化症病人運動建議之一，但須追蹤病人執行成效。
