目的：長期規律運動的介入對高齡者身心效益已被驗證，但以打擊為主的抗力球整合性團體課程的研究較為少見，本研究將探討12週的抗力球打擊介入課程，對高齡者功能性體適能、生活品質與手眼協調之影響。
方法：邀請鄰近二個社區共50位年齡高於65歲的受試者參與研究，分為運動介入組與控制組二組，運動組每次介入60分鐘，每週二次，為期12週的團體抗力球打擊之整合性團體運動課程，探討生活品質的SF-12、認知能力SLUMS、功能性體適能及敏捷能力等依變相。採單因子共變數分析 以年齡、前測及性別作為共變量，分析兩組在生活品質、認知能力、功能性體適能及敏捷能力之改變情況。
結果：共39位高齡者完成12週介入課程及前、後測。在自覺健康部分，運動組有顯著的進步，控制組則維持穩定，生活品質的生理構面改變，兩組間無顯著差異(運動組：+1.23%；控制組：-5.39%)，心理構面，兩組間則無顯著差異(運動組：-2.36%；控制組：-1.07%)；認知狀態，定向力，運動組顯著進步(運動組：0%；控制組：-8.33%)；功能性體適能，30秒起站，運動組顯著進步(運動組：+7.42%；控制組：-9.15%)，心肺適能，運動組顯著進步(運動組：+6.27%；控制組：-6.67%) (p<.05)；手眼反應時間中簡單反應時間，運動組(-4.71%)顯著進步於控制組(+3.21%)；在全身性的身體控制部分，運動組的開眼硬地、開眼軟墊及閉眼軟墊項目雖有進步(-12.03%~-4.94%)的趨勢，但無明顯進步於控制組。
結論：經過12週的整合性抗力球打擊運動，可以有效提升高齡者的自覺健康、功能性體適能及手眼反應能力。建議未來設計抗力球打擊動作的課程，可再增加腳步移動方位進而提升全身的動態平衡與敏捷能力，並預防高齡者跌倒的事件發生；若搭配健口、健腦操，以有效提升高齡者認知狀態。

Background: Taiwan became an aged society relatively recently. As the elderly population grew, challenges emerged. With increasing age, physical fitness, muscle strength, and response reactions decrease. Consequently, accidents such as falls become more prevalent. Functional fitness is very important for the elderly. Many studies have pointed out that regular exercise can improve the functional fitness and quality of life of elderly individuals. However, determining how drumming group training improves physical fitness and quality of life has not been sufficiently examined and requires further investigation.
Purpose: This study was aimed toward examining the influences of Swiss ball drumming training on the quality of life and functional fitness of older adults in the community.
Methods: Elderly members of the community in Tainan City, Taiwan participated in this quasi-experimental study. The participants were divided into two groups: a control and an intervention group. The intervention group participated in integrated drumming group training consisted of 60-minuteSwiss ball drumming twice a week for 12 weeks. The researcher used SPSS 20.0 statistical software for the data analysis, including descriptive statistics, a one-way analysis of variance for functional fitness, reaction time, proprioception, the SF-12 score, the SLUMS score, and a one-way ANCOVA to compare the changes in the dependent variables before and after the 12-week intervention in the experimental and control groups.
Result: A total of 39 older adults completed the pre- and post-tests (22 in the experimental group and 17 in the control group). The experimental group had significant improvements as compared to the control group in terms of the following variables: Saint Louis University Mental Status Exam (orientation) (experimental: 0%, control group: -8.33%), functional physical fitness (30 second chair stand) (experimental group: +7.42%, control group: -9.15%), 2-minute step test (experimental group: +6.27%, control group: -6.67%), and simple reaction time (experimental group: -4.71%, control group +3.21%). In terms of the use of the BioSway, the experimental group's eyes open, firm surface, eyes open, foam surface and eyes closed, foam surface showed improvement (-12.03%~-4.94%), while no significant improvement was found in the control group (p < .05). In terms of dynamic balance and agility, there were no significant between-group differences (experimental group (+6.36%), control group (-4.83%) (p=.05)). In the physical and mental components of the quality of life, there were no significant between-group differences (experimental group: +1.23%, control group: -5.39%; experimental group: -2.36%, control group: -1.07%, respectively).
Conclusion: After 12 weeks of Swiss ball drumming training, this mind-body integrated exercise effectively improved the quality of life, functional fitness, and whole body control ability of the participants. Swiss ball drumming training incorporates foot movement and improves dynamic balance and agility. Along with a mouth movement (like singing) and brain exercise, this will help improve the cognitive functions of the elderly. It is recommended that integrated exercise training include whole body exercise in this population in order to improve the control of the entire body and preventing falls.

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