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研究生:陳宜君
研究生(外文):Yi-Chun Chen
論文名稱:三軸加速規應用於老年人動態平衡評估
論文名稱(外文):The dynamic balance assessments using triaxial accelerometers in the elderly
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:國立體育大學
系所名稱:運動保健科學研究所
學門:民生學門
學類:運動科技學類
論文種類:學術論文
論文出版年:2009
畢業學年度:98
語文別:中文
中文關鍵詞:加速規姿勢晃動平衡評估
外文關鍵詞:accelerometerbody swaybalance assessment
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研究目的:為了解在臨床動態平衡測試中,以三軸加速規評估老年人平衡能力的可行性,本研究目的分別為(一)臨床表現成績與加速規參數值之間的相關性;(二)同一佩戴位置下,三個軸向的參數值差異情形;(三)同一軸向中,三個佩戴位置之間的差異情形。研究方法:受試者為16位65歲以上之老年人(平均年齡75.31 ± 6.17歲),佩戴三軸加速規於第七頸椎(C7)、第三腰椎(L3)與慣用腳的腓骨頭(FH)等三個位置,隨後進行各2次的功能性前伸測試(functional reach test; FRT)及反覆5次坐到站測試(five times sit to stand test; FTSST),取其最佳臨床成績來分析;三軸加速規資料擷取自Biopac MP150多功能訊號處理器,取樣頻率設為200 Hz,加速規數據以平均均方根(root mean square; RMS)呈現。統計方法以皮爾森積差相關(Pearson product-moment correlation)相關係數分析臨床表現成績與加速規參數值之相關性;以重複量數單因子變異數分析(one-way ANOVA, repeated measures)分析在同一個佩戴位置下,其三個軸向之參數值的差異性,並分析在同一個軸向下,三個佩戴位置之參數值的差異性。結果:動態平衡測試之臨床成績與加速規參數值達顯著相關的分別為(一)在FRT的雙手向前階段是C7的前後軸、L3的左右軸與前後軸、FH的左右軸(r = .51~ .70, p< .05);(二)FRT的返回站立動作階段是L3的前後軸、FH的左右軸與垂直軸 (r = .51~ .76, p< .05) ;(三)FTSST的部分是L3的垂直軸、FH的垂直軸與前後軸(r =- .58~- .84, p< .05)。在同一個佩戴位置下,三軸的RMS差異結果是除了佩戴於FH位置的RMS三軸大小是前後軸>左右軸>垂直軸,C7和L3位置的RMS三軸大小皆是前後軸>垂直軸>左右軸。在動態平衡測試主要動作的軸向下,FRT的前後軸中三個佩戴位置的RMS大小順序為L3>C7>FH,FTSST 的垂直軸中三個佩戴位置的RMS大小順序則是C7> L3>FH。結論:三軸加速規應用在老年人動態平衡中其臨床表現成績與加速規參數值有中至高度的相關性,三軸中的左右軸可代表為身體搖晃程度,佩戴位置則以L3最為適合。
Purpose: The feasibility of triaxial accelerometers (TAs) for the dynamic balance assessment in the elderly is still unknown. The purposes of this study were to investigate the correlation between TAs and the performance of clinical dynamic balance tests, and to compare the difference of three axes and three different positions of TAs. Method: Sixteen elderly, aged 65 and over, were recruited(mean age: 75.31 ± 6.17 yrs) to participate in this study. The TAs were placed at the following anatomic positions, the 7th cervical vertebra (C7), the 3rd lumbar vertebra (L3) and fibular head of dominant leg. Then, subjects were asked to perform the functional reach test (FRT) and the five-times sit to stand test (FTSST) twice. The longer distance from the FRT and the shorter time from FTSST were used for analysis. The data of the TAs was collected from Biopac MP150 system with sampling rate at 200Hz. Root mean square (RMS) was calculated from TA data. Pearson correlation coefficient was used to examine the relationship between TAs and the performance of the clinical dynamic balance tests. One-way ANOVA repeated measures was performed to investigate the difference among three axes and three positions. Result: The RMS in the forward phase of FRT, including anterior-posterior (A/P) axis of C7, A/P axis of L3, left-right (L/R) axis of L3 and L/R axis of FH, were significantly correlated with the performance of FRT(r= .51~ .70; p< .05). In the backward phase of FRT, the RMS of A/P axis of L3, L/R axis of FH and vertical (V) axis of FH, were significantly correlated with the performance of FRT (r= .51~ .76; p< .05).In FTSST, the RMS of V axis of L3, A/P axis of FH and V axis of FH, were inversely correlated with the performance of FTSST (r=- .58~- .84; p< .05). The RMS of different axes measured with TAs at the position of C7 and L3 were A/P > V > L/R, yet at FH position was A/P > L/R > V. The RMS of A/P axis in FRT was L3>C7>FH. The RMS of V axis in FTSST was C7> L3>FH. Conclusion: The correlation was moderate to high between the performance of the clinical dynamic balance tests and TAs in the elderly. The RMS of L/R axle may be a sensitive indicator of body sway. The better position for TA attachment is at L3 for the two clinical dynamic balance tests.
第一章 緒論 1
第一節 研究背景 1
第二節 研究動機 3
第三節 研究目的 4
第四節 研究假設 4
第五節 研究範圍與限制 4
第六節 名詞解釋與操作性定義 5
第二章 文獻探討 6
第一節 老化、平衡與跌倒發生之探討 6
第二節 檢測平衡之方法 10
第三節 加速規於動態平衡研究之信效度 16
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 實驗時間與地點 29
第三節 實驗器材與設備 29
第四節 實驗方法與步驟 32
第五節 資料處理與統計分析 37
第四章 結果 41
第一節 受試者基本資料 41
第二節 動態平衡測試之臨床表現成績與三軸加速規參數值之間的相關性 42
第三節 同一佩戴位置中三個軸向參數值的結果 43
第四節 同一軸向的參數值於不同佩戴位置結果 50
第五章 討論 56
第一節 動態平衡測試之臨床表現成績與三軸加速規參數值之相關性 56
第二節 同一佩戴位置中三個軸向參數值的差異 60
第三節 同一軸向參數值於不同佩戴位置之差異 63
第四節 迴歸分析 66
第六章 結論與建議 69
參考文獻 71
中文部份 71
英文部分 73
附錄 82
附錄一 82
附錄二 85
附錄三 86
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