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研究生:高詠裕
研究生(外文):Yung-Yu Gau
論文名稱:不同踝關節擺位之腳踏車運動對於股內斜肌活化之影響
論文名稱(外文):The Effect of Cycling Exercise with Different Ankle Positioning on VMO Activation
指導教授:傅麗蘭傅麗蘭引用關係
指導教授(外文):Li-Lan Fu
學位類別:碩士
校院名稱:國立臺灣體育大學(桃園)
系所名稱:運動保健科學研究所
學門:民生學門
學類:運動休閒及休閒管理學類
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:74
中文關鍵詞:肌電圖股內斜肌踝關節腳踏車運動
外文關鍵詞:VMOEMGankle jointcycling exercise
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研究目的:本研究目的在探討踝關節擺位之腳踏車運動對於股內斜肌活化之影響。研究方法:受試者為15名健康大學生(平均年齡22.00 ± 1.77歲),過去沒有下肢傷害之病史。受試者皆隨機進行踝關節限制0度、45度之腳踏車運動以及控制組,肌電放大器貼置於股內斜肌、股外側肌、脛前肌、腓腸肌外側頭以及腓腸肌內側頭。實驗前調整座椅高度至95%腿長,於腳踏車(MONARK Ergomedic 828E)上以85rpm,熱身5分鐘,於4~5分鐘時將負荷調至120W,休息5分鐘後,正式實驗進行5分鐘85rpm、120W之腳踏車運動,以Biopac MP150收集肌電訊號,過程中以JVC高速攝影機全程拍攝。統計方法以單因子重複量數變異數分析(one-way repeated measure ANOVA)股內斜肌、股外側肌、脛前肌、腓腸肌外側頭、腓腸肌內側頭以及股內斜肌與股外側肌之比值在三種腳踏車運動之活化情形。以TMPGEnc Plus 2.54軟體分析膝關節活動角度。結果:踝關節限制0度與45度之腳踏車運動,膝關節活動度皆顯著大於控制組(p<.05)。在踝關節限制45度之腳踏車運動,股內斜肌之活化程度顯著大於控制組(p<.05),踝關節限制0度之腳踏車運動,股內斜肌之活化程度與控制組沒有差異(p>.05)。股外側肌之活化程度在三種腳踏車運動皆無差異(p>.05)。在踝關節限制45度之腳踏車運動,股內斜肌與股外側肌之比值顯著大於控制組(p<.05)。結論:利用踝關節限制之腳踏車運動,會增加膝關節活動角度,而在踝關節限制45度之腳踏車運動之下,對於股內斜肌之選擇性訓練有正面之效益。
PURPOSE:The purpose of this study was to investigate the effect of cycling exercise with different ankle positioning on VMO activation. METHODS:Subjects were 15 healthy college students (mean age: 22.00 ± 1.77 years), all without any previous lower extremity injuries. Each subject performed cycling exercise with limited ankle movement at toe-out 0 degree, 45 degree and no limitation(control) randomly. Amplified surface electrodes were placed on VMO, VL, anterior tibialis, lateral head of gastrocnemius muscle, medial head of gastrocnemius muscle. The seat height was set at 95% leg length. Subject warmed up at 85rpm for 5 minutes on a stationary ergometer (MONARK Ergomedic 828E) before experiment. After 5 minutes resting, the test was done on the same stationary ergometer at 120W/85 rpm for 5 minutes. During testing, EMG data was assessed using Biopac MP 150 and body motion was recorded JVC camera recorder. The activation of VMO, VL, lateral head of gastrocnemius muscle, medial head of gastrocnemius muscle and VMO/VL ratio on the three different cycling exercises were analyzed with a one-way repeated measure ANOVA. The knee joint ROM was analyzed using the TMPGEnc Plus 2.54. RESULTS:For cycling exercise with limited ankle movement at toe-out 0 degree and 45 degree, knee joint ROM were significant greater than control group (p<.05). The cycling exercise with limited ankle movement at 45 degree, the activation of VMO was significant greater than control group (p<.05), but limited ankle movement at toe-out 0 degree and control group were non-significant different (p>.05). Comparison of the activation of VL among the three different cycling exercises were not significantly different(p>.05). The VMO/VL ratio of the cycling with limited ankle at toe-out 45 degree was significantly greater than control group (p<.05). CONCULUSION:The cycling exercise with limited ankle movement increase knee joint ROM and limited ankle movement at toe-out 45 degree has positive effect on VMO selective activation.
目錄

第一章 緒 論------------------------------------------------------1
第一節 研究背景---------------------------------------------------1
第二節 研究目的---------------------------------------------------3
第三節 研究假設---------------------------------------------------3
第四節 研究範圍與限制---------------------------------------------3
第五節 名詞解釋與操作性定義---------------------------------------3

第二章 文獻探討----------------------------------------------------4
第一節 髕骨股骨疼痛之流行病學-----------------------------------4
一、髕骨股骨關節介紹---------------------------------------4
二、髕骨股骨疼痛症候群-------------------------------------7
三、髕骨股骨疼痛之好發率與評估-----------------------------8
第二節 不同訓練模式對髕骨股骨疼痛症候群之探討------------------13
一、等長直膝運動對於股內斜肌之影響------------------------13
二、閉鎖式與開放式運動訓練對於股內斜肌之影響--------------16
第三節 腳踏車訓練之探討----------------------------------------19
一、腳踏車之肌動學分析------------------------------------19
二、踝關節活動度改變與騎腳踏車下肢活動模式之關係----------22
三、腳踏車訓練之相關文獻----------------------------------24
第四節 文獻總結-------------------------------------------------28
第三章 研究方法---------------------------------------------------29
第一節 研究對象-------------------------------------------------29
第二節 實驗地點與時間-------------------------------------------29
第三節 實驗器材與設備-------------------------------------------29
第四節 實施方法與步驟-------------------------------------------33
第五節 資料處理與統計分析---------------------------------------37
第四章 研究結果---------------------------------------------------38
第一節 受試者基本資料-------------------------------------------38
第二節 比較膝關節活動角度在三種腳踏車運動之差異-----------------39
第三節 比較股內斜肌與股外側肌之肌電圖在三種腳踏車運動之差異-----41
第四節 比較脛前肌、腓腸肌內外側頭之肌電圖在三種腳踏車運動之差異-44
第五章 討論-------------------------------------------------------47
第一節 踝關節限制之腳踏車運動對於膝關節活動角度之影響-----------47
第二節 腳踏車運動對於股內斜肌活化之影響-------------------------50
一、開放式踝關節擺位之腳踏車運動對於股內斜肌活化之影響--------50
二、腳踏車運動與等長直膝運動對於股內斜肌活化之影響------------53
第三節 內斜肌在腳踏車運動中之變化情形---------------------------55
第六章 結論與建議--------------------------------------------------58
參考文獻-----------------------------------------------------------59
附錄---------------------------------------------------------------66
附錄一 受試者同意書-----------------------------------------------66
附錄二 個人基本資料-----------------------------------------------69
附錄三 個人基本表-關節角度----------------------------------------71
附錄四 肌電圖與高速攝影機同步-------------------------------------73




表 目 錄

表2-1 髕骨股骨疼痛臨床評估方式-----------------------------------9
表2-2 不同性別在站立與仰臥姿勢下的Q角度-------------------------11
表 2-3 等長直膝運動與選擇性訓練股內斜肌之關係--------------------15
表2-4 開放式與閉鎖式運動與選擇性訓練股內斜肌之關係--------------18
表2-5 不同腳踏車運動研究下肢關節之座椅高度----------------------26
表2-6 不同腳踏車運動研究下肢關節之踩踏頻率----------------------27
表2-7 不同腳踏車運動研究下肢關節之負荷--------------------------27
表4-1 受試者基本資料--------------------------------------------38
表4-2 膝關節活動角度在三種腳踏車運動之差異----------------------39
表4-3 膝關節活動角度在三種腳踏車運動之變異數分析表--------------40
表4-4 膝關節活動角度在三種腳踏車運動之事後比較------------------40
表4-5 股內斜肌與股外側肌在三種腳踏車運動活化程度之差異----------41
表4-6 股內斜肌在三種腳踏車運動活化程度之變異數分析表------------42
表4-7 股外側肌在三種腳踏車運動活化程度之變異數分析表------------42
表4-8 股內斜肌在三種腳踏車運動活化程度之事後比較----------------42
表4-9 股內斜肌與股外側肌之比值在三種腳踏車運動之差異------------42
表4-10 股內斜肌與股外側肌之比值在三種腳踏車運動之變異數分析表----43
表4-11 股內斜肌與股外側肌之比值在三種腳踏車運動之事後比較--------43
表4-12 脛前肌、腓腸肌內外側頭在三種腳踏車運動活化程度之差異------45
表4-13 脛前肌在三種腳踏車運動活化程度之變異數分析表--------------45
表4-14 腓腸肌外側頭在三種腳踏車運動活化程度之變異數分析表--------45
表4-15 腓腸肌內側頭在三種腳踏車運動活化程度之變異數分析表--------46
表4-16 脛前肌在三種腳踏車運動活化程度之事後比較------------------46
表4-17 腓腸肌外側頭在三種腳踏車運動活化程度之事後比較------------46

圖 目 錄

圖2-1 髕骨股骨關節-----------------------------------------------6
圖2-2 測Q角度---------------------------------------------------10
圖2-3 medial-lateral glide test---------------------------------11
圖2-4 ----------------------------------------------------------12
圖2-5 ----------------------------------------------------------12
圖2-6 腳踏車步態分期--------------------------------------------19
圖2-7 踩腳踏車之髖關節變化--------------------------------------20
圖2-8 踩腳踏車之膝關節變化--------------------------------------20
圖2-9 踩腳踏車之踝關節變化--------------------------------------20
圖2-10 以32rpm騎腳踏車之下肢關節角度變化-------------------------22
圖2-11 限制踝關節活動度以32rpm騎腳踏車之下肢關節角度變化---------23
圖2-12 ----------------------------------------------------------24
圖2-13 ----------------------------------------------------------24
圖3-1 Biopac訊號紀錄系統----------------------------------------30
圖3-2 肌電放大器------------------------------------------------30
圖3-3 MONARK Ergomedic 828E-------------------------------------31
圖3-4 L型踝關節固定裝置-----------------------------------------32
圖3-5 啟動器----------------------------------------------------32
圖3-6 踝關節限制0度---------------------------------------------34
圖3-7 踝關節限制45度--------------------------------------------34
圖3-8 控制組----------------------------------------------------34
圖3-9 伸展股四頭肌----------------------------------------------35
圖3-10 伸展小腿肌群----------------------------------------------35
圖3-11 伸展屈髖肌------------------------------------------------35
圖3-12 伸展腿後肌------------------------------------------------35
圖3-13 伸展臀大肌------------------------------------------------35
圖4-1 股內斜肌與股外側肌之比值在三種腳踏車運動之差異------------43
圖5-1 踝關節限制0度之腳踏車運動之股內斜肌與股外側肌活化變化-----56
圖5-2 踝關節限制45度之腳踏車運動之股內斜肌與股外側肌活化變化----56
圖5-3 控制組之腳踏車運動之股內斜肌與股外側肌活化變化------------56
圖5-4 踝關節限制0度之腳踏車運動之股內斜肌與股外側肌比值變化-----57
圖5-5 踝關節限制45度之腳踏車運動之股內斜肌與股外側肌比值變化----57
圖5-6 控制組之腳踏車運動之股內斜肌與股外側肌比值變化------------57
中文部分
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