本研究旨在探討運動推拿對改善延遲性肌肉酸痛效果的評估。以15名自願之健康男性學生為受試對象，藉由最大自主等速離心收縮運動，誘發其非慣用手肱二頭肌產生延遲性肌肉酸痛。運動後採隨機分配，控制組不做任何處理，實驗組則在運動後10分鐘及第2~7天的同時段施以2分鐘運動推拿，同時量測受試者推拿前後的肌肉酸痛指數、關節活動角度、肌肉腫脹及肌酸激酶活性值。本研究採相依樣本實驗設計，所得資料經差異分數整理後以雙因子變異數分析。結果顯示，酸痛指數在處理與時段因子的交互作用項達顯著水準(p<.05)；關節活動角度與肌酸激酶在時段因子變項上達顯著水準(p<.05)；肌肉腫脹在各變項均未達顯著水準(p>.05)。本實驗研究認為，引起延遲性肌肉酸痛的歷程中，於運動後立即施以運動推拿，確能有效改善酸痛現象。因此建議從事與本研究相關之運動後，在酸痛還未完全恢復之前，可在推拿技法的規範下，適度施以運動推拿。

The purpose of this study was to examine the influence of Tui-na in decreasing delayed onset muscle soreness. 15 healthy volunteer male students, divided into two groups at random, served as subjects, through Cybex 6000 equal speed measuring instrument, given the maximal isokinetic voluntary eccentric contraction (MIVEC) with 60 degree per second, and 30 times per round, to stimulate the phenomenon of muscle soreness of non-dominant hand's biceps bracihii and divided into two groups at random. No any treatment to the control group. The experimental group was given Tui-na ten minutes after exercise and on the 2nd to 7th day simultaneously for two minutes. The muscle soreness index (MSI), range of motion (ROM), muscle swelling circumferences (MSC) and the active index of creatine kinase (CK) were measured pre-during- post the exercise. The data analyzed by two-way ANOVA. Results: The muscle soreness differed statistically significantly between pre- during and post time (p<.05) in the interaction effect; range of motion and creatine kinase both reached a significant difference with timing variable (p<.05). There was no significant difference in the muscle swelling circumferences (p>.05) between pre- during and post time. Conclusion: During the occasion of muscle soreness resulting from exercise, if Tui-na is given during the first stage of soreness, soreness can be effectively reduced. But soreness can be increased if Tui-na was given during an advanced stage of soreness. Nevertheless, muscle damage doesn’t increase and impede the healing of the muscle.

最大自主等速離心收縮運動; 肌肉酸痛指數; 肘關節活動角度; 肌肉腫脹; 肌酸激酶

Maximal isokinetic voluntary eccentric contraction (MIVEC); Muscle soreness index (MSI); Range of motion (ROM); Muscle swelling circumferences (MSC); Creatine kinase (CK)