2024-...
不倒翁健走杖運動 Q 障礙物
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第十二階段 障礙物
大部分的身體動作是由推、拉、蹲、跨、轉五個基本動作組合而成。推和拉主要是上肢的動作如推門、撐杖、拉開抽屜、提菜籃。下肢的蹲坐、跨步和轉身則攸關移行能力。第十二階段是跨步的訓練,以跨越障礙物作為階段性的目標。
跨步登階需要有足夠的下肢肌力、核心穩定和單腳平衡能力,登階與蹲下站起同樣需要先屈曲髖關節,身體前彎轉移重心至前足的技巧。下台階也需要屈髖彎腰,再加上單腳蹲。
如果發現長輩下階落地腳步較重,或過於依賴手撐健走杖,可能下肢肌力還有加強的空間,或是控制的技巧需要練習。採用側面下階梯比較容易屈髖彎腰,這也是單腳蹲訓練肌力的好機會。
跳躍訓練爆發力,瞬間展現最大肌力的能力,有助於一旦失去平衡時,身體可以快速反應,跨步支撐避免跌倒。接續第六階段骨盆前推,使用臀肌快速收縮,再結合第三階段墊腳尖的動作。
教練可以示範微微蹲下,然後喊123 跳,快速站起並墊腳尖。即使沒有跳離地面,只要學員有表現快速反應的敏捷動作, 就達到訓練的目標,給予鼓勵。
跨高欄和跨水溝是單腳站,再加上抬高腳在垂直和水平面移動的干擾,考驗骨盆左右和前後穩定的能力。當右腳站立,抬高左腳預備時,提醒學員上半身要盡量維持垂直,骨盆保持水平。
注意學員是否有代償動作,例如上半身傾斜向右側,左腳跨過中線傾向右側,或是左側骨盆偏低。可再回頭加強練習側抬腿和綁彈力帶膝外張的動作。
*補充說明:
1. 嚴重骨質疏鬆的長輩輕輕跌倒就有可能發生骨折,常見的部位有三:腰椎、髖關節以及腕關節。
2. 嚴重的脊椎病變會造成神經的壓迫,引起手腳麻痛。因此,銀髮族脊椎運動要特別注意安全。如果墊腳尖之後,腳跟落地,就會引起腰部疼痛或腳麻,要小心避免跳躍,可能有腰椎受傷的風險。改用跺步,腳用力踏地的方式。
3. 好人上天堂,壞人下地獄。當一側腳受傷或疼痛,使用健走杖輔助上下階梯時,記得這個口訣,上樓梯時,好腳先上階梯。下樓梯時,壞腳先下階梯。
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