臺灣博碩士論文加值系統

本研究設計一款新穎的腳踏板，用以提供額外腳踏支撐以協助電信工人於拉線式鐵塔之高架作業。研究中使用6只肌電訊號(EMG)感測器，分別記錄受測者在使用及未使用腳踏板執行天線架設時，左右兩側腓腸肌、脛前肌、背直肌的EMG訊號。十五名健康男性參與實驗，其中包括9名沒有經驗的研究生以及6名有經驗的電信公司工作者，實驗結果以受測者的正規化EMG（%MVC）第50百分位，以及主觀性知覺施力(RPE)調查進行分析。統計結果顯示受測者使用腳踏板時在下背(p<0.001)及下肢(p<0.001)之RPE有顯著降低；而腓腸肌EMG大約減少40%，身體左右兩邊腓腸肌總和及不平衡狀態肌肉負荷分別減少大約40%及52%。本研究結果顯示當工人的腳部擺位受到工作場所的限制時，提供較佳的腳部支撐，可以減少下肢肌群整體和不平衡負荷。

A novel pedal is designed, in this study, to facilitate the work on a guyed telecommunication tower by providing extra foot support to a worker. A data logger with six electromyography (EMG) electrodes was utilized to record subjects’ exertions of gastrocnemius, tibialis anterior, and paraspinals muscles while performing antenna mounting tasks on an imitated quadratic tower with or without the pedal. Six experienced and nine unexperienced subjects were tested. Their muscular loads were assessed according to subjects’ ratings of perceived exertion (RPE) and the 50th percentile of amplitude-probability distribution of individual muscle’s normalized EMG. Subjects demonstrated using the pedal have significantly lower RPE in lower back (p < 0.001) and lower limbs (p < 0.001). When pedal was used, gastrocnemius EMG decreased by approximately 40%. The overall and imbalance muscular loads of bilateral gastrocnemius were also reduced significantly by approximately 40% and 52%, respectively, while using the pedal. The results approve that providing adequate pedal can decrease the overall and imbalanced loads in lower limb muscles while workers’ foot placement was restricted by the worksite.

摘 要 I
誌 謝 III
目 錄 IV
表目錄 VI
圖目錄 VII
第一章 緒論 1
第一節 研究背景與目的 1
第二節 研究架構 2
第二章 文獻回顧 4
第一節 高架作業負荷分析 4
第二節 累積性傷害 9
第三節 肌電訊號量測與肌肉施力主觀性評估 11
第三章 研究方法 14
第一節 輔助腳踏板的設計 14
第二節 受測者 15
第三節 實驗步驟 15
第四節 實驗設計和方法 16
第五節 資料統計分析 22
第四章 結果 23
第一節 肌肉負荷 23
第二節 施力的主觀性認知 27
第五章 討論 30
第六章 結論與建議 33
參考文獻 34
附錄一 受測者須知及實驗同意書 40
附錄二 受測者問卷調查 41
附錄三 受測者個人基本資料表 43
附錄四 受測者5左腳脛前APDF資料分析 44
附錄五 受測肌群標準化EMG之第50百分位(平均值，單位：%MVC) 47
附錄六 主觀性施力知覺評估(RPE)問卷調查結果（無踏板） 48
附錄七 主觀性施力知覺評估(RPE)問卷調查結果（有踏板） 49

[1]NIOSH Publication July 2001,“NIOSH Alert: Preventing Injuries and Deaths from Falls during Construction and Maintenance of Telecommunication Towers”,NIOSH Publication No. 2001-156，（2001）
[2]官振鳴，「基地台天線電波涵蓋區分步研究」，電信研究雙月刊，第32卷，第五期，第633-643頁（2002）。
[3]Ashok Kumar Ghosh and M.Ramesh Kumar,“Dynamic Analysis of Supporting Structure of Mobile”, Antenna.Computers & Structures Vol 63（3）, pp. 633-637（1997）
[4]Chia-Fen Chi*, Tin-Chang Chang, Kuei-Hui Hung, “Significant industry–source of injury–accident type for occupational fatalities in Taiwan”, International Journal of Industrial Ergonomics,pp. 3477–91 (2004)
[5]毛義方、陳美蓮、黃如瑋、陳秋蓉、林釗正、鄭淑芳，「高架作業勞工之自覺疲勞、心率血壓及生活特性分析」，勞工安全衛生季刊，第八卷，第二期，第1-23頁(2000)。
[6]Duck, T.R., Ferreira, L.M., King, G.J.W., Johnson, J.A., “Assessment of screw displacement axis accuracy and repeatability for joint kinematic description using an electromagnetic tracking device”, Journal of Biomechanics, Vol.37, No. 1, pp. 163-167（2004）
[7]Hammer, W., Schmalz, U., “ Human behavior when climbing ladders with varying inclination”, Safety Science.Vol 15,pp. 21-38（1992）
[8]Hoozemans, M.J.M., de Looze M.P., Kingma I., et al., “Workload of window cleaners using ladders differing in rung separation”, Appl. Ergon. Vol 36, pp.275-282（2005）
[9]Bloswick, D.S., Chaffin, D.B., “ An ergonomic analysis of the ladder climbing activity”, Int. J. Ind. Ergon., Vol 6, pp.17-27（1990）
[10]Dewar, M.E., “Body movements in climbing a ladder”, Ergonomics ,Vol 20, pp.67-86（1977）
[11]Hongwei Hsiao and Petre Simeonov,“Preventing falls from roofs: a critical review”, Ergonomics,Vol 44（5）,pp.537- 561（2001）
[12]行政院勞工委員會八十六年五月七日台八六勞安三字第一七五八二號令修正，「高架作業勞工保護措施標準」，（1997）
[13]Frederick P. Rivara, MD, MPH, Diane C. Thompson, MS, “Prevention of Falls in the Construction Industry Evidence for Program Effectiveness”, American Journal of Preventive Medicine, Vol 18（4）, pp.23-26（2000）
[14]Sean M.Buckley,David J.Chalmers,et al., “Falls from buildings and other fixed structures in New Zealand”, Safety Science, Vol 21,pp.247-254（1996）
[15]Bles, W., Kapteyn, T. C., Brandt, T. and Arnold, F.,“The mechanism of physiological height vertigo, II. Posturography”, Acta Oto-laryngologica, Vol 89, pp.534 – 540（1980）
[16]Brandt, T, Arnold, F., Bles, W. and Kapteyn, T. S., “The mechanism of physiological height vertigo, I. Theoretical approach and psychophysics”, Acta Oto-laryngologica, Vol 89,pp.513 - 523（1980）
[17]Paulus, W. M., Straube, A. and Brandt, T., “Visual stabilization of posture.Physiological stimulus characteristics and clinical aspects”, Brain, Vol 107, pp.1143 - 1163（1984）
[18]Brown, L. A. and Frank, J. S., “Postural compensations to the potential consequences of instability: kinematics”, Gait & Posture, Vol 6, pp.89 - 97（1997）
[19]Menzies, R.G. and Clarke, J. C., “Danger expectancies and insight in acrophobia”, Behavioural Research and Therapy, Vol 33, pp.215 - 221（1995）
[20]Suruda, A., Fosbroke, D. and Braddee, R., “Fatal work-related falls from roofs”, Journal of Safety Research, Vol 26, pp.1 - 8（1995）
[21]Janicak, C. A., “Fall-related deaths in the construction industry”, Journal of Safety Research, Vol 29, pp.35 - 42（1998）
[22]Warner, K. G. and Demling, R. H., “The pathophysiology of free-fall injury”, Annals of Emergency Medicine, Vol 15, pp.1088 - 1093（1986）
[23]Amblard, B., Cremieux, J., Marchand, A. R. and Carblanc, A., “Lateral orientation and stabilization of human stance: static versus dynamic visual cues”, Experimental Brain Research, Vol 61, pp.21 - 37（1985）
[24]Maki, B.E., Mcilroy,W.E.and Perry, S. D., “ Influence of lateral destabilization on compensatory stepping responses”, Journal of Biomechanics, Vol 29, pp.343 - 353（1996）
[25]Eng, J. J., Winter, D. A. and Patla, A. E., “Strategies for recovery from a trip in early and late swing during human walking”, Experimental Brain Research, Vol 102, pp.339 - 349（1994）
[26]行政院勞工委員會，「勞動檢查年報」，第34-36頁，台北（1997）。
[27]梁文敏、郭憲文、王昶弼、陳秋蓉，「1999 年台灣地區勞工職業傷害與作業環境危險因素之探討」， 勞工安全衛生研究季刊，第10卷，第4期， 第285-294頁（2002）。
[28]毛義方、陳美蓮、黃如瑋、陳秋蓉，「高架作業勞工疲勞與生理狀況評估」，勞工安全衛生研究所委託研究報告，IOSH87-M144，台北（1998）。
[29]Roy, S.H., Bonato, P., Knaflitz, M., “EMG assessment of back muscle function during cyclical lifting”, J. Electromyog. Kinesiol, Vol 8, pp. 233–245（1998）
[30]Barnes, R.M., Motion and time study, John Wiley, New York.（1937）
[31]Astrand, I., “Degree of strain during building work as related to individual aerobic work capacity”, Ergonomics, Vol 10, pp.293-303（1967）
[32]Jorgensen, K., “Permissible loads based on energy expenditure measurements”, Ergonomics, Vol 28, pp.365-369（1985）
[33]Juul-Kristensen, B., Fallentin, N., et al, “Physical workload during manual and mechanical deboning of poultry”, Int. J. Ind. Ergonomics, Vol 29, pp.107-115（2002）
[34]Stål, M., Hansson, G.-Å., Moritz, U., “Upper extremity muscular load during machine milking”, Int. J. Ind. Ergonomics, Vol 26, pp.9-17（2000）
[35]Armstrong, T.J., Marshall, M.M., Martin, B.J., et al, “Exposure to forceful exertions and vibration in a foundry”, Int. J. Ind. Ergonomics, Vol 30, pp.163-179（2002）
[36]王茂駿、楊肅煌、張志宏、葉文裕、陳志勇，「手工具使用與累積性工作傷害關聯性之探討—以一電機工廠為例」，勞工安全衛生研究季刊，第4卷，第3期，第19-29頁（1996）。
[37]勞工安全衛生研究所，「受顧者工作環境安全衛生狀況認知調查」，IOSH90-H304，台北（2000）。
[38]勞工安全衛生研究所，「手工具使用危害性之調查研究」， IOSH 84-H325，第20-38頁，台北（1996）。
[39]李正隆、李永輝、黃証柳、陳志勇，「房屋建築業勞工肌肉骨骼傷害問題調查研究」， 勞工安全衛生研究季刊，第11卷，第3期，第227-236頁（2003）。
[40]陳炎堂，「電力業活線作業人員之安全衛生認知調查與工作姿勢分析」， 碩士論文，朝陽科技大學工業工程與管理研究所，台中（2002）。
[41]許勝雄、吳水丕、彭游，人因工程，初版，滄海書局，第275-278頁，台北（1998）。
[42]Lamotte, T., Priez, A., Lepoivre, E., Duchene, J., Tarriere, C. （1994）, Time varying amplitude probability density function: application to the study of head rest comfort in a car. Engineering in Medicine and Biology Society. Engineering Advances: New Opportunities for Biomedical Engineers. Proceedings of the 16th Annual International Conference of the IEEE , （pp.1348 -1349）
[43]Chang, C.-H., Wang, M-J. J., “Evaluating hand-arm response at standing and sitting postures while operating in-line and pistol-grip pneumatic screwdrivers”, Journal of the Chinese Institute of Industrial Engineers, Vol 15（5）, pp. 465-472（1998）
[44]Habes, D.J., and Grant, K.A., “An electromyographic study of maximum torques and upper extremity muscle activity in simulated screwdriving Tasks”, International Journal of Industrial Ergonomics, Vol 20, pp. 339-346（1997）
[45]林偉祥，「長時間作業現場監測之可攜式資料記錄器應用與評估」，碩士論文，朝陽科技大學工業工程與管理研究所，台中（2003）。
[46]Luttmann, A., Jager, M., Lauring, W., “Electromyographical indication of muscular fatigue in occupational field studies”, International Journal of Industrial Ergonomics, Vol. 25（20）, pp. 645-660（1999）
[47]Tichauer, E. （1978）. The Biomechanical Basis of Ergonomics, NY: Wiley, USA.
[48]陳協慶、 盛啟峰、 陳志勇，「作業場所上肢重複性傷害現場監測技術」， 勞工安全衛生研究季刊，第十三卷，第一期，第58-69頁（2005）
[49]Chaffin, D.B., “Localized muscle fatigue-definition and measurement”, J Occup.Med Vol. 15, pp. 346-354（1996）
[50]Borg, B.（1985）.An introduction to Borg’s RPE scale, Ithaca, NY: Movement Publications.
[51]Caldwell,L.S., “A Proposed standard procedure for static muscle strength testing”, American Industrial Hygiene Association Journal ,Vol 35,pp.201-206（1974）
[52]石裕川、傅鑫凌、王茂駿，「施力姿勢對手部握力、捏力與扭力之影響」，勞工安全衛生研究季刊，第4卷，第1期，第43-58頁（1996）。
[53]Jonsson, B., “ Measurement and evaluation of local muscular strain on the shoulder during constrained work”, J. Human Ergology ,Vol 11, pp.73-88（1982）
[54]Haslegrave, C.M., Tracy, M.F., Corlett, E.N., “Force exertion in awkward working postures - strength capability while twisting or working overhead”, Ergonomics Vol 40, pp.1335-1362（1997）
[55]Johnston, R.B. III, Howard, M.E., Cawley, P.W., Losse, G.M. , “Effect of lower extremity muscular fatigue on motor control performance”, Med. Sci. Sports Exerc. Vol 30, pp.1703-1707（1998）
[56]Sparto, P.J., Parnianpour, M., Reinsel, T.E., Simon, S. , “ The effect of fatigue on multijoint kinematics, coordination, and postural stability during a repetive lifting test”, J Orthop. Sport Phy. Ther. Vol 25, pp.3-12（1997）
[57]D. M. O’Meara* and R. M. Smith., “Functional handgrip test to determine the coefficient of static friction at the hand/handle interface”, Ergonomics, Vol 45（10）, pp. 717 – 731（2002）
[58]Ferdjallah, M.,Myers, K.,Starsky, A.,Harris,（2000）.Dynamic Electromyography. London:IEEE
[59]Panagiotacopulos, N.D., Lee, J.S., Pope, M.H., Friesen, K., “Evaluation of EMG signals from rehabilitated patients with lower back pain using wavelets”, J. Electromyog. Kinesiol, Vol 8, pp. 269–278（1998）
[60]Knaflitz, M., Bonato, P., “Time-frequency methods applied to muscle fatigue assessment during dynamic contractions”, J. Electromyog. Kinesiol., Vol. 9, pp.337–350（1999）
[61]Pattichis, M., Pattichis, C., S. （1993）. Fast wavelet transform in motor unit action potential analysis. Proc. Annu. Conf. Eng. Med. Biol（Vol 15, pp.1225–1226）.
[62]杜威廷，「週期性上肢運動資料之自動分析」，碩士論文，朝陽科技大學工業工程與管理系研究所，台中(2003)
[63]Wilson, J.R., Corlett, E.N., 1990, Evaluation of human work: a practical ergonomics methodology. Taylor & Francis.
[64]Hasson, G.-Å., Balogh, I., et al, 1996, Goniometer measurement and computer analysis of wrist angle and movements applied to occupational repetitive work. J. Electromyogr. Kinesiol., Vol.6(1), pp23-35.
[65]盛啟峰，「作業場所上肢重複性傷害現場監測技術評估探討」，碩士論文，朝陽科技大學工業工程與管理系研究所，台中(2003)
[66]Neville Stanton.（1998）.Human Factors in Consumer Products, London: Taylor & Francis
[67]Grieve, D.W.,“The postural stability diagram (PSD): Personal constraints on the static exertion of force”, Ergonomics Vol 22, pp.1155-1164（1979）
[68]黃乾全、蕭景祥、董貞吟、劉玉文，「營造業勞工墜落事故相關因素之研究」，勞工安全衛生季刊，第八卷，第四期，第423-440頁（2000）。
[69]Sjøgaard, G., Kiens, B., Jørgensen, K., Saltin, B. ,“A muscular pressure, EMG, and blood flow during low-level prolonged static contraction in man”, Acta Physiologica Scandinavica Vol 128, pp.475-484（1986）
[70]梁文敏、郭憲文、王昶弼、陳秋蓉，「1999年台灣地區勞工職業傷害與作業環境危險因素之探討」， 勞工安全衛生研究季刊，第10卷，第4期，第285-294頁（2002）。
[71]Utthias,A.,Jäger,M.,Laurig,W.,“Electromyographical indication of muscular fatigue in occupational field studies”, International Journal of Industrial Ergonomics, Vol. 25, pp. 645–660（2000）
[72]Björksten, M., Jonsson, B.,“Endurance limit of force in long-term intermittent static contractions”, Scandinavian Journal of Work Environment and Health Vol.3, pp.23-27（1977）
[73]Byström, S., Fransson-Hall, C.,“Probability of intermittent handgrip contractions based on phys response”, Human Factors Vol.36, pp.158-171（1994）
[74]Chad, K.E., Brown, J.M.M.,“Climatic stress in the workplace”, Appl. Ergon. Vol.26, pp.29-34（1995）
[75]ComTrain LLC.,（2003）. Tower climbing safety & Rescue. 3rd ed.
[76]Rhomert, W.,“Problems in determining rest allowances, part I: use of morden methods to evaluate strain and stress in static muscular work”, Appl. Ergon. Vol.4, pp.91-95（1973）