臺灣博碩士論文加值系統

研究目的：本研究主要是探討並比較靜態伸展與休息對肩關節疲勞後本體感覺恢復的影響。研究方法：受試者為15名健康男性，利用Biodex進行每秒180°肩關節內轉引發疲勞。利用Zebris分別測量肩關節外展90°外轉75°及外展90°內轉30°的姿勢下在屈曲-伸展、內收-外展及旋轉三個方向在疲勞前、疲勞後0分鐘、疲勞後5分鐘、10分鐘及15分鐘的本體感覺。以重複量數二因子變異數分析比較不同介入與不同時間本體感覺的恢復情形。結果：肩關節外展90°內轉30°的姿勢下靜態伸展組除了屈曲-伸展這個方向的角度外，其他兩個方向在疲勞前後都達顯著差異(p<0.05)。肩關節外展90°內轉30°的姿勢下靜態伸展組只有屈曲-伸展這個方向的角度在疲勞後0分鐘和疲勞後十分鐘比沒有達顯著(p>0.05)。靜態伸展組與休息組兩者之間並沒有顯著差異(p>0.05)。結論：肩關節內轉疲勞只對肩關節外展90°內轉30°的本體感覺造成影響，靜態伸展組和休息組本體感覺恢復情形雖沒有統計上的差異，但整體恢復情形還是較休息組好。

Purpose: The purpose of this study was to investigate the effects of static stretching and rest on proprioception after shoulder fatigue. Methods: Fifteen health males were involved in this research. The subjects were randomly assigned to attend two treatment sessions each. Wherein they would receive either a static stretching on internal rotators or rest. Before each treatment section, investigators would obtain the subjects’ proprioception data on flexion-extension, valgus-varus and rotatorion of shoulder at abduction 90° external rotation 75° (ABD90-ER75) and abduction 90° internal rotation 30° (ABD90-IR30). Followed the measurement, subjects execute maximum isokinetic work of internal rotator at 180°/s on BIODEX dynamometer to induce fatigue. The difinition of fatigue was when joint torque reduced to 50% MVC. After fatigue potocol and each treatment, investigators would obtain subjects’ proprioception data immediately and thereafter each 5 minutes for three more measurements. The data were collected by ultrasound 3D-motion analysis system(ZEBRIS). For each proprioception measurement, the absolute error degree (AED) of joint rotation on two planes comprised arm and trunk were obtained. The differences between two groups and fine times were analyzed by two way repeated measures ANOVA. Results: Static stretching was significant difference between pre and fatigue 0 min on position of ABD90-IR30 except flexion-extension (p<0.05). Static stretching was significant difference between fatigue 0 min and fatigue 15 min on position of ABD90-ER75 except rotator (p<0.05). Static stretching was no significant difference between fatigue 0 min and fatigue 10 min on position of ABD90-IR30 at flexion-extension (p>0.05). There were no significant difference between static stretching and rest (p>0.05). Conclusion: The proprioception would get worse after muscle fatigue. Static stretching treatment after muscle fatigue had positive effects on proprioception recovery. The ultrasound 3D-motion analysis system(ZEBRIS) can provide additional angle of motion for the measurements of joint postioning.

第一章 緒論 1
第一節 研究動機 1
第二節 研究目的 2
第三節 研究假設 2
第四節 研究範圍與限制 3
第五節 名詞解釋及操作性定義 3
第二章 文獻探討 6
第一節 本體感覺受器的分類與功能 6
第二節 疲勞運動對於本體感覺功能之影響 9
第三節 本體感覺測量儀器 12
第四節 伸展對本體感覺的影響 15
第五節 文獻總結 17
第三章 研究方法 19
第一節 研究對象 19
第二節 實驗地點與時間 19
第三節 實驗設備與器材 20
第四節 實驗方法與步驟 25
第五節 資料收集與統計分析 28
第四章 結果 29
第一節 受試者基本資料 29
第二節 肌肉疲勞後伸展的介入及休息兩者對本體感覺的影響 29
第五章 討論 42
第一節 疲勞前後本體感覺的變化 42
第二節 靜態伸展與休息的介入對疲勞後本體感覺的影響 43
第三節 靜態伸展與休息之間的比較 44
第六章 結論與建議 46
參考文獻 47
附錄 52
附錄一 受試者同意書 52
附錄二 受試者基本資料 54
附錄三 統計結果 55

林志遠、李三仁（民93）。伸展新法—分離式主動伸展術介紹。大專體育，74，42-48。
林威秀（民88）。按摩、伸展、Meloxicam對延遲性肌肉酸痛的影響。國立體育學院運動科學研究所未出版之碩士 論文，桃園縣：台灣。
林威秀（民97）。本體感覺神經肌肉促進術與靜態伸展對蹠屈肌肌力與踝關節本體感覺之影響。國立台灣體育大學（桃園）體育研究所博士論文，桃園縣：台灣。
邱榮基（民96）。比較輪椅使用之競賽式及傳統式推進時肩關節擠壓之三維運動分析。大專體育學刊，9卷1期，65-78頁
張曉昀（民97）。比較前十字韌帶重建手術運動員在不同動作下之膝關節運動學。Formosan Journal of Physical Therapy,33(1):24-33
溫怡英（民93）。降低肌肉酸痛的伸展運動。慈濟護理雜誌，3（2），19-25。
Barrack R.L, Skinner H.B., Buckley S.L. (1989). Proprioception in the anterior curciate deficient knee. The Physician and Sport Medicine.11(6):1-6.
Borsa, P.A., Lephart, S.M., Kocher, M.S., and Lephart, S.P.(1994). Functional assessment and rehabilitation of shoulder proprioception for glenohumeral instability. Journal of Sport Rehabilitation, 3, 84-104.
Bjorklund, M., Djupsjobacka, M., & Crenshaw, A. G. (2006). Acute Muscle Stretching and Shoulder Position Sense. Journal of athletic training, 41(3), 270-274.
Carpenter, J. E., Blasier, R. B., & Pellizzon, G. G. (1998). The effects of muscle fatigue on shoulder joint position sense. The American journal of sports medicine, 26(2), 262-265.
Dover, G. C., Kaminski, T. W., Meister, K., Powers, M. E., & Horodyski, M. (2003). Assessment of shoulder proprioception in the female softball athlete. The American journal of sports medicine, 31(3), 431-437.
Guyton, A.C.(1992). Human Physiology and mechanisms of disease (5th ed.), Pennsylvania: W.B. Saunders Company.
Hiemstra, L. A., Lo, I. K., & Fowler, P. J. (2001). Effect of fatigue on knee proprioception: implications for dynamic stabilization. The Journal of orthopaedic and sports physical therapy, 31(10), 598-605.
Hagbarth K.E, Macefield V.G(1995). The fusimotor system - its role in fatigue. Advances in Experimental Medicine and Biology.384:259-270.
Illyes, A., & Kiss, R. M. (2006). Method for determining the spatial position of the shoulder with ultrasound-based motion analyzer. Journal of electromyography and kinesiology, 16(1), 79-88.
Larsen, R., Lund, H., Christensen, R., Rogind, H., Danneskiold-Samsoe, B., & Bliddal, H. (2005). Effect of static stretching of quadriceps and hamstring muscles on knee joint position sense. British Journal of Sports Medicine, 39(1), 43-46.
Lee, H. M., Liau, J. J., Cheng, C. K., Tan, C. M., & Shih, J. T. (2003). Evaluation of shoulder proprioception following muscle fatigue. Clin Biomech (Bristol, Avon), 18(9), 843-847.
Lephart, S. M., Pincivero, D. M., Giraldo, J. L., & Fu, F. H. (1997). The role of proprioception in the management and rehabilitation of athletic injuries. The American journal of sports medicine, 25(1), 130-137.
Myers, J. B., Guskiewicz, K. M., Schneider, R. A., & Prentice, W. E. (1999). Proprioception and Neuromuscular Control of the Shoulder After Muscle Fatigue. Journal of athletic training, 34(4), 362-367.
Newton, R.A., (1982). Joint receptor contributions to reflexive and kinesthetic responses. Physical Therapy, 62(1), 22-29.
Ramsay, J. R., & Riddoch, M. J. (2001). Position-matching in the upper limb: professional ballet dancers perform with outstanding accuracy. Clinical rehabilitation, 15(3), 324-330.
Rowinski, M.J. (1997.) Neurobiology for orthopedic and sports physical therapy. In T.R. Malone, T.G. McPoil, ＆ A.J. Nitz(3th ed), Orthopedic and Sports Physical Therapy, St. Louis: Mosby, Inc.
Smith, C. A. (1994). The warm-up procedure: to stretch or not to stretch. A brief review. The Journal of orthopaedic and sports physical therapy, 19(1), 12-17.
Tripp, B. L., Yochem, E. M., & Uhl, T. L. (2007a). Functional fatigue and upper extremity sensorimotor system acuity in baseball athletes. Journal of athletic training, 42(1), 90-98.
Tripp, B. L., Yochem, E. M., & Uhl, T. L. (2007b). Recovery of upper extremity sensorimotor system acuity in baseball athletes after a throwing-fatigue protocol. Journal of athletic training, 42(4), 452-457.
Voight, M. L., Hardin, J. A., Blackburn, T. A., Tippett, S., & Canner, G. C. (1996). The effects of muscle fatigue on and the relationship of arm dominance to shoulder proprioception. The Journal of orthopaedic and sports physical therapy, 23(6), 348-352.