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研究生:王家政
研究生(外文):Chia Cheng Wang
論文名稱:以治療為基礎的下背痛分類其腰椎前凸特徵與控制骨盆肌肉群長度及肌力的關係
論文名稱(外文):The Relationships Between Lumbar Lordosis and the Length and Strength of Muscle Groups Controlling the Pelvis in Treatment-Based Classification of Low Back Pain
指導教授:林燕慧林燕慧引用關係
指導教授(外文):Y. H. Lin
學位類別:碩士
校院名稱:長庚大學
系所名稱:物理治療學系
學門:醫藥衛生學門
學類:復健醫學學類
論文種類:學術論文
論文出版年:2015
畢業學年度:103
論文頁數:74
中文關鍵詞:腰椎前凸下背痛以治療為基礎分類系統
外文關鍵詞:lumbar lordosislow back paintreatment-based classification
相關次數:
  • 被引用被引用:0
  • 點閱點閱:216
  • 評分評分:
  • 下載下載:19
  • 收藏至我的研究室書目清單書目收藏:2
目錄
指導教授推薦書
口試委員審定
致謝.... .....iii
中文摘要 .....iv
英文摘要 .....vi
目錄 .....viii
表目錄 .....xi
圖目錄 .....xii
第一章 緒論.....1
1.1 研究背景與動機.....1
1.2 研究目的.....3
第二章 文獻回顧.....4
2.1 腰椎前凸與下背痛的關係.....4
2.2 腰椎前凸與肌肉長度、肌力的關係.....5
2.3 以治療為基礎的下背痛分類系統.....7
2.4 腰椎前凸的測量(Lumbar Lordosis Measurement).....9
2.5 性別與年齡對腰椎前凸的影響 .....11
2.6 測量髖部、軀幹肌肉長度之信度.....12
2.7 使用手握式電子肌力測量儀測量髖部、軀幹肌力之信度.....13
2.8 研究假設.....14
第三章 研究方法.....17
3.1 研究設計.....17
3.2 研究對象.....17
3.3 研究儀器.....19
3.4 研究步驟.....20
3.5 統計分析.....24
第四章 結果.....37
第五章 討論.....45
5.1 研究發現與研究假設探討.....45
5.2 下背痛屈曲原則組.....45
5.3 下背痛伸展原則組.....47
5.4 腰椎前凸與軀幹肌力比例的相關性.....48
5.5 腰椎前凸與受試者基本特色.....48
5.6 研究限制與未來研究方向.....49
5.7 臨床意義.....50
第六章 結論.....51
參考文獻.....52
附錄一.....58
附錄二.....60

表目錄
表 3.2.3- 1 下背痛組別的分類標準.................................................... 26
表 4. 1 受試者基本特徵............................................................. 39
表 4. 2 腰椎前凸與受試者基本特徵之相關性 .................................. 40
表 4. 3 三組腰椎前凸角度、肌肉長度與肌力之比較 ...................... 41
表 4. 4 三組之腰椎前凸角度與肌肉的相關性 .................................. 42
表 4. 5 兩下背痛組線性複迴歸分析 .................................................. 43

圖目錄
圖 2.4- 1 放射影像學的測量方法....................................................... 15
圖 2.4- 2 皮膚表層測量工具......................................................... 16
圖 3.3.1- 1 液體擺錘式傾角器...................................................... 27
圖 3.3.2- 1 關節量角器............................................................ 28
圖 3.3.3- 1 手持式測力器.......................................................... 29
圖 3.4- 1 實驗流程圖................................................................ 30
圖 3.4- 2 測量腰椎前凸所使用之骨骼標記與測量方式.................... 31
圖 3.4- 3 髖部肌肉長度的測量...................................................... 32
圖 3.4- 4 腰部豎脊肌長度的測量................................................... 33
圖 3.4- 5 腹直肌長度的測量......................................................... 34
圖 3.4- 6 髖部肌肉的肌力測試...................................................... 35
圖 3.4- 7 軀幹肌肉的肌力測試....................................................... 36
圖 4.6 三組之腰椎前凸角度比較 .......................................................44
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