跳到主要內容

臺灣博碩士論文加值系統

(35.172.136.29) 您好!臺灣時間:2021/07/25 02:35
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果 :::

詳目顯示

我願授權國圖
: 
twitterline
研究生:夏子翔
研究生(外文):Tzu-hsiang Hsia
論文名稱:手肘過度伸展者對於上肢肘關節負荷之影響-生物力學分析
論文名稱(外文):The Effect of Hyper-extension On Elbow Joint Loading of The Upper Extremity - a Biomechanical Analysis
指導教授:黃明哲黃明哲引用關係
指導教授(外文):Ming-je Huang
學位類別:碩士
校院名稱:國立成功大學
系所名稱:工程科學系碩博士班
學門:工程學門
學類:綜合工程學類
論文種類:學術論文
論文出版年:2008
畢業學年度:96
語文別:中文
論文頁數:152
中文關鍵詞:伏地挺身主動仰臥推舉手肘過度伸展肌肉肘關節動力鏈運動活化
外文關鍵詞:Bench pressmusclePushupactiveelbowkinetic chainhyper-extension
相關次數:
  • 被引用被引用:1
  • 點閱點閱:1416
  • 評分評分:
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:0
近年來運動休閒風潮的盛行,加強上肢肌肉的訓練是非常重要的,如何在訓練過程中避免受傷是更重要的課題。本文的目的主要是希望能夠探究手肘過度伸展在動力鏈運動對上肢肘關節負荷之影響。
24位無上肢傷殘病史的年輕男性受測者受邀參與此實驗計畫(12位手肘正常伸展者及12位手肘過度伸展者)。讓此兩組不同手肘彎曲情況之受測者進行屬於開放動力鏈的仰臥推舉運動及屬於閉鎖動力鏈的伏地挺身運動。實驗使用到的儀器包含8部高速數位攝影機的三維動態分析系統及用以量測作用力位置及手掌反作用力的測力板。同時也使用表面肌電訊號感測器來收集肌肉活化之情形。
在屬於閉鎖動力鏈的伏地挺身運動中,手肘過度伸展(Hyper-extension)在末期85~100%的肘關節屈曲、伸展角加速度明顯大過於手肘正常彎曲者(Normal)。手肘過度伸展者(Hyper-extension)在末期85~100%時,肘關節的內外側力變化率的部分皆大過肘正常彎曲者(Normal)。其手肘屈曲、伸展變化角度(Range of Motion)皆多過手肘彎曲正常者(Normal),手肘過度伸展者(Hyper-extension)相對於手肘彎曲正常者(Normal)作了更多的功。
在屬於開放動力鏈的仰臥推舉運動過程中,手肘過度伸(Hyper-
extension)在末期85~100%的肘關節屈曲、伸展角加速度明顯大過於手肘正常彎曲(Normal)。手肘過度伸展者(Hyper-extension),在末期85~100%時,肘關節的前後向力變化率、內外側力變化率皆大過肘正常彎曲者(Normal)。其手肘屈曲、伸展變化角度(Range of Motion)皆多過手肘彎曲正常者(Normal),手肘過度伸展者(Hyper-extension)相對於手肘彎曲正常者(Normal)作了更多的功。
本研究分析了不同上肢手肘伸展情況(正常伸展及過度伸展)之差異性,也分析了肘關節角度在到達過度伸展之後的力變化率及肘關節屈曲、伸展角加速度之改變情況。建議對於手肘過度伸展情況者在運動過程中手肘在達到過度伸展角度時,必須非常注意。盡可能的控制不去做最主動的運動以避免受傷。
Exercise and Strengthening of the Upper Extremity is becoming popular. How to avoid injuries during training process is an important issue. The purpose of this study was to investigate the effect of hyper-extension on elbow joint loading during kinetic chain exercise of the upper extremity.
Twenty-four healthy male students with no trauma history volunteered for this study(twelve for elbow normal type and elbow hyper-extension type each). They were asked to complete open kinetic chain(Bench press) and closed kinetic chain(Pushup). The Expert Vision Motion Analysis System with eight CCD cameras, and a Kistler force plate was used to measure the relative joint position and ground reaction force. Also surface EMG was used to measure muscle activity.
During closed kinetic chain exercise(Pushup), elbow hyper-extension type was found has greater elbow flexion/extension angular acceleration and greater elbow internal/external force change rate during cycle of 85% ~ 100% period. Also larger range of motion for elbow hyper-extension type which makes greater work during one cycle.
During open kinetic chain exercise(Bench press), elbow hyper-extension type was found has greater elbow flexion/extension angular acceleration and greater elbow internal/external and anterior/posterior force change rate during cycle of 85% ~ 100% period. Also larger range of motion for elbow hyper-extension type which makes greater work during one cycle.
This study provides information about the difference between elbow normal type and elbow hyper-extension type of the upper extremities, and how force change rate and Elbow flexion/extension angular acceleration changed occurred at the elbow beyond Hyper-extension. We suggested that elbow Hyper-extension subjects must be careful during cycle of 85%~100%. As possible as elbow Hyper-extension subjects can not to do the active exercise to avoid elbow injuries.
摘要.............................I
致謝.............................V
內文目錄 .......................... VII
圖目錄........................... X III
表目錄...........................X X
符號說明..........................XXIII
第一章 �頧蛂D........................1
1.1前言 .......................1
1.2文獻回顧 .....................2
1.3研究動機 .....................9
第二章 理論與分析方法 ...................10
2.1運動學與動力學之理論方法 ............10
2.2實驗假設.....................13
2.3反光球標記位置..................13
2.3.1靜態與動態資料描述.............15
2.3.2關節中心..................16
2.3.3座標系的訂定................17
2.4生物力學模式在空間中運動的描述與分析.......20
2.4.1旋轉矩陣與關節夾角.............22
2.4.2角速度與角加速度之計算...........26
2.4.3肢段作用力之計算..............28
2.4.4肢段作用力矩之計算.............30
2.5運動學與動力學的流程 .............. 31
2.5.1運動學計算流程...............32
2.5.2動力學計算流程...............33
2.6肌電訊號之實驗設計................34
第三章 實驗設備與實驗設計 .................36
3.1實驗設備.....................36
3.1.1硬體設備..................36
3.1.2軟體設備..................38
3.2實驗設計與流程..................39
3.2.1受測者資料.................39
3.2.2實驗姿勢..................41
3.2.3實驗流程..................42
3.2.4實驗問卷調查................46
3.3資料收集與處理..................46
3.3.1資料收集..................46
3.3.2資料處理..................47
3.3.3統計分析..................48
第四章 實驗結果 ......................49
4.1實驗結果.....................49
4.2(a)腕關節(伏地挺身) ................51
4.2.1(a)腕關節角度變化..............51
4.2.2(a)腕關節所受作用力變化...........53
4.2.3(a)腕關節所受力矩變化............55
4.3(a)肘關節(伏地挺身) ................57
4.3.1(a)肘關節角度變化..............57
4.3.2(a)肘關節所受作用力變化...........59
4.3.3(a)肘關節所受力矩變化............61
4.4(a)肩關節(伏地挺身) ................63
4.4.1(a)肩關節角度變化..............63
4.4.2(a)肩關節所受作用力變化...........65
4.4.3(a)肩關節所受力矩變化............67
4.2(b)腕關節(仰臥推舉) .............. .69
4.2.1(b)腕關節角度變化..............69
4.2.2(b)腕關節所受作用力變化...........71
4.2.3(b)腕關節所受力矩變化............73
4.3(b)肘關節(仰臥推舉) .............. .75
4.3.1(b)肘關節角度變化..............75
4.3.2(b)肘關節所受作用力變化...........77
4.3.3(b)肘關節所受力矩變化............79
4.4(b)肩關節(仰臥推舉) .............. .81
4.4.1(b)肩關節角度變化..............81
4.4.2(b)肩關節所受作用力變化...........83
4.4.3(b)肩關節所受力矩變化............85
4.5肌肉的肌電訊號..................87
      4.5(a)肌肉的肌電訊號(伏地挺身) ..........87
  4.5(b)肌肉的肌電訊號(仰臥推舉)........... 91
第五章 討論與結論 .....................95
5.1討論.......................95
5.1.1(a)腕關節角度相對應之關節受力及力矩
(伏地挺身) ..........96
5.1.2(a)肘關節角度相對應之關節受力及力矩
(伏地挺身) ..........98
5.1.3(a)肩關節角度相對應之關節受力及力矩
(伏地挺身)..........100
5.1.1(b)腕關節角度相對應之關節受力及力矩
(仰臥推舉)..........102
5.1.2(b)肘關節角度相對應之關節受力及力矩
(仰臥推舉)..........104
5.1.3(b)肩關節角度相對應之關節受力及力矩
(仰臥推舉)..........106
5.2各部位之肌電訊號.................108
   5.2(a)各部位之肌電訊號(伏地挺身)........108
   5.2(b)各部位之肌電訊號(仰臥推舉)........110
5.3關節受力變化率..................112
   5.3.1(a)腕關節之關節受力變化率(伏地挺身)....112
   5.3.2(a)肘關節之關節受力變化率(伏地挺身)....114
   5.3.3(a)肩關節之關節受力變化率(伏地挺身).....116
   5.3.1(b)腕關節之關節受力變化率(仰臥推舉)....120
   5.3.2(b)肘關節之關節受力變化率(仰臥推舉)....122
   5.3.3(b)肩關節之關節受力變化率(仰臥推舉)....124
5.4肘關節屈曲、伸展之角加速度............128
   5.4(a)肘關節屈曲、伸展之角加速度(伏地挺身) ...128
   5.4(b)肘關節屈曲、伸展之角加速度(仰臥推舉)...129
5.5實驗檢討.....................130
5.6結論.......................131
   5.6(a)結論(伏地挺身)..............131
   5.6(b)結論(仰臥推舉)..............133
   5.6(c)結論...................135
5.7未來展望.....................136
參考文獻..........................137
附錄A 人體計測資料.....................141
附錄B 受測者基本資料....................142
附錄C 實驗問卷調查.....................145
1.Tibbitts, G.M., “Patients who fall: How to predict and prevent injuries,” Geriatrics, Vol.51, No.9, pp.24-31, 1996.
2.Manning, D.P., Ayers, I., Jones, C., Bruce, M., and Cohen, K., “The incidence of underfoot accidents during 1985 in a working population of 10,000 Merseyside people,” Journal of Occupational Accidents, Vol.10, pp.121-130, 1988.
3.Adesunkanmi, A.R., Oginni, L.M., Oyelami, A.O., and Badru, O.S., “Epidemiology of childhood injury,” Journal of Trauma, Vol.44, No.3, pp.506-512, 1998.
4.An, K.N., Korinek, S.L., Kilpela, T., and Edis, S., “Kinematic and kinetic analysis of push-up exercise,” Biomedical Sciences Instrumentation, Vol.26, pp.53-57, 1990.
5.An, K.N., Browne, A.O., Korinek, S., Tanaka, S., and Morrey, B.F., “Three-Dimensional Kinematics of Glenohumeral Elevation,” Journal of Orthopeadic Research, Vol.9, No.1, pp.143-149, 1991.
6.Snyder-Macker, L., Delitto, A., Baliey, S.L., and Stralka, S.W., “Strength of the quadriceps femoris muscle and functional recovery after reconstruction of the anterior cruciate ligament. A prospective, randomized clinical trial of electrical stimulation,” Journal of Bone and Joint Surgery, Vol.77, pp.1166-1173, 1995.
7.Aron J.Murphy,Greg J.Wilson,”Poor correlations between isometric tests and dynamic performance : relationship to muscle activation , ”Eur J Appl Physiol,Vol.73,pp.353-357,1996.
8.Blackard, D.O., Jensen, R.L., and Ebben, W.P., “Use of EMG analysis in challenging kinetic chain terminology,” Med Sci Sports Exerc, Vol.31, No.3, pp.443-448, 1999.
9.Chou, P.H., Chou, Y.L., Lin, C.J., Su, F.C., Lou, S.Z., Lin, C.F., and Huang, G.F., “Effect of elbow flexion on upper extremity impact forces during a fall,” Clinical Biomechanics, Vol.16, pp.888-894, 2001.
10.Chou, P.H., Lin, C.J., Chou, Y.L., Lou, S.Z., Su, F.C., and Huang G.F., “Elbow Load with Various Forearm Position during One-handed Push-up Exercise,” International Journal of Sports Medicine, Vol.23, pp.457-462, 2002.
11.Lou, S.Z., Lin, C.J., Chou, P.H., Chou, Y.L., and Su, F.C., “Elbow load during push-up at various forearm rotations,” Clinical Biomechanics, Vol.16, pp.408-414, 2001.
12.Chou, P.H., Chou, Y.L., Ho, C.S., Jiang, S.S., and Wei, H.C., “Biomechanical Analysis of Wrist Loading during Lifting Tasks,” Chinese journal of Mechanics, Vol.17, No.4, pp.349-357, 2001.
13.Leonard W. O’Sullivan,Timothy J. Gallwey.”Upper-limb surface electro-myography at maximum supination and pronation torque : the effect of elbow and forearm angle,”Journal of Electromyography and Kinesiology,Vol.12,pp.275-285,2002.
14.Nosaka K,Sakamoto,”Effect of elbow joint angle on the magnitude of muscle damage to the elbow flexors.” Medicine & Science in Sports & Exercise , Vol. 33(1), pp.22-29, 2001.
15.Chou, P.H., Chen, S.K., Chou, Y.L., Su, F.C., Shi, Y.C., Huang, G.F., and Wu, T.C., “Biomechanical analysis for the effect of elbow initial flexion angles on upper extremity during a fall,” Biomedical Engineering Application Basic Communications, Vol.14, No.1, pp.40-46, 2002.
16.Lou, S.Z., Chou, P.H., Su, F.C., Lin, C.J., and Chou, Y.L., “Change of Elbow Joint Load from Two-handed to One-handed Push-up Exercise,” Journal of Medical and Biological Engineering, Vol.22, No.1, pp.19-24, 2002.
17.Chou, P.H., Chou, Y.L., Kuo, C.M., Chen, S.K., and Huang, G.F., “Analysis for Different Push-Up Speed on Joint Loading of the Upper Extremity,” National Science Council NSC91-2320-B-037-017, 2002.
18.Uhl, T.L., Carver, T.J., Mattacola, C.G., Mair, S.D., and Nitz, A.J., “Shoulder Musculature Activation During Upper Extremity Weight- Bearing Exercise,” Journal of Orthopedic Sport Physical Therapy, Vol.33, No.3, pp.109-117, 2003.
19.Chou, P.H., Chou, Y.L., Syu, J.A., Chen, S.K., and Huang, G.F., “Biomechanical Analysis of Upper Extremity during Different Open Kinetic Chain Exercise,” National Science Council NSC93-2213- E-037-002, 2005.
20.Chou, P.H., Chou, Y.L., Chien, P.E., Chen, S.K., and Huang, G.F., “Comparative Analysis between Open Kinetic Chain and Closed Kinetic Chain Exercise of the Upper Extremity,” National Science Council NSC94-2213-E-037-005, 2006.
21.W . Regan , P . Lapner ,”Prospective evaluation of two diagnostic apprehension signs for posterolateral instability of the elbow .” Journal of Shoulder and Elbow Surgery , Vol. 15 , Issue 3 , pp. 344 – 346,2006
22.Nork, S.E., et al.” Relationship between ligamentous laxity and the site of upper extremity fractures in children: extension supracondylar fracture versus distal forearm fracture. “ Journal of Pediatric Orthopaedics. Part B, 8(2): p. 90-2. 1999.
23.Wilkins KE., et al.“Fractures and dislocations of the elbow region. “ Fracture in Children. 3rd Editions. p. 528-530. 1991.
24. Dempster, W.T., “Space requirements of the seated operator. Geometrical, kinematic and mechanical aspects of the body with special reference to the limbs. “ US Wright Air Development Center. Tech. Report. 55-159, 1955.
25.Perotto, A., Delagi, E.F., Iazzetti, J., and Morrison, D., “ Anatomic Guide for the Electromyographer.“The Limbs, 2nd ed, Charles C Tomas, Springfield, Illinois, U.S.A., pp.65-95, 1980.
26.Woltring, H.J., “A FORTRAN package for generalized, cross-validatory spline smoothing and differentiation,” Advanced Engineering Software, Vol.8, No.2, pp.104-113, 1986.
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top