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研究生:王瑜佳
研究生(外文):Yu-Chia Wang
論文名稱:應用整合性回饋方式介入前十字韌帶重建患者的運動訓練
論文名稱(外文):Application of Integrated Biofeedback in Training Protocol for Patients with Anterior Cruciate Ligament Reconstruction
指導教授:鄭誠功鄭誠功引用關係
指導教授(外文):Cheng-Kung Cheng
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:醫學工程研究所
學門:工程學門
學類:生醫工程學類
論文種類:學術論文
論文出版年:2010
畢業學年度:98
語文別:中文
論文頁數:101
中文關鍵詞:前十字韌帶回饋訓練復健
外文關鍵詞:anterior cruciate ligamentbiofeedbackrehabilitation
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研究背景 : 前十字韌帶損傷常影響膝關節功能。前十字韌帶重建手術可改善膝關節的穩定度,而術後復健的目的在恢復肌力及功能性活動。韌帶具有機械性受器,藉由與相關的肌肉群相互作用以達到膝關節的控制協調功能。閉鎖動力鏈的運動常用於前十韌帶損傷患者的運動訓練,而其特性在經由增加脛骨-股骨關節表面的壓迫與大腿前後肌群共同收縮以增加關節的穩定性及可提供本體感覺的刺激。有許多變數會影響閉鎖動力鏈的運動訓練的結果,所以為協助提昇在閉鎖動力鏈的運動訓練時正確的動作表現及動作時動態的穩定控制,因此應用整合式回饋設備介入復健訓練,提供具有量化的訓練指標並給予即時的回饋,以達到動作再教育的目的。研究目的 : 在閉鎖動力鏈的運動訓練中,應用整合性回饋系統輔助回饋訓練的方式,比較此一新的訓練方式相對於傳統復健治療,對於前十字韌帶重建患者在肌力及功能性活動表現的訓練效果。研究方法 : 徵求 8位前十字韌帶損傷患者,將其平均分配成回饋組及控制組各 4位。兩組均採用髕骨肌腱進行韌帶重建手術,並且在術後6~8週內開始接受每週1~2次以閉鎖動力鏈的運動為主的訓練而實驗組(回饋組)特別使用回饋介入之訓練模式,共持續八週。在實驗組中,本研究利用自行撰寫LabVIEWR圖控程式整合包括Wii FitR平衡板、EMG表面電極及加速規等感測器訊號,經由人機介面的螢幕給予訊息的廻饋。療效評估項目為等速肌力測試及功能性活動表現,包括向前跨步測試與登階跨越測試。研究結果 : 在術後四個月時,60°/秒及180°/秒股四頭肌等速肌力結果顯示回饋組的健患側股四頭肌肌力比(QQR, %健側)可恢復至術前的狀態,而控制組的患側股四頭肌肌力下降的現象相較於術前時有更加明顯的趨勢。此外,回饋組的健患側的大腿後肌與股四頭肌肌力比例(H/Q ratio)亦可恢復提升至正常。在向前跨步測試方面,顯示在術後3個月時,回饋組的健患側在跨步長及力量脈衝(force impulse)增加的幅度有高於控制組的趨勢,即代表其功能性活動能力的恢復速度較快。在登階跨越測試方面,回饋組的患側腳在登階時股四頭肌向心收縮能力及下階梯時離心控制能力相較於控制組均有較良好的表現趨勢。結論 : 應用整合式回饋訓練方式對於前十字韌帶重建患者在肌力及功能性活動表現的訓練效果,相較於未給予視覺回饋方式的控制組,在術後的股四頭肌肌力恢復狀況較好,且其健患側大腿前後肌群間肌力不平衡在術後可恢復至正常;在功能性活動表現顯示其術後的功能性活動能力的恢復速度較快及較良好的表現趨勢。所以,以閉鎖動力鏈搭配整合式回饋訓練方式,可做為前十字韌帶重建術後早期的訓練方式,有助於提升復健訓練的效果。
Background: Injury to the anterior cruciate ligament (ACL) results in mechanical and functional instability. The rehabilitation after ACL reconstruction (ACLR) usually emphasizes the recovery of symmetry in muscle strengths and functional abilities of bilateral lower extremities. The coordination of kinesthetic perception with associated musculature through ligaments plays an important role in the control of knee joint motion. The characteristics of closed kinetic chain (CKC) exercises include the higher compression on the tibiofemoral joint and the higher co-contraction between hamstrings and quadriceps muscles, which provide knee stability and proprioceptive stimulation, and thus are recommended to patients with ACLR. For a better effect of the CKC exercise, appropriate dynamic movement control of the legs and core stability are essential. The biofeedback apparatus represents visual feedback of muscular activation, knee joint angle and center of pressure trajectory. Purpose: The purpose of this study was to examine the effect of CKC exercise with integrated biofeedback on muscle strength and functional recovery after ACLR. Material and method: Eight ACLR patients with patellar tendon graft participated in this study and were assigned to the control group and feedback group. Both groups completed the CKC exercise training program once or twice a week for 2 months after surgery, but only the subjects in the feedback group used the integrated biofeedback. A self-developed LabVIEWR program with data acquisition system integrated the signals of the Wii FitR balance board, EMG sensor and accelerometer, which provide visual feedback. The outcome measurements were consisted of isokinetic muscle strength and two functional tests, step-up-and-over test and forward lunge test. Results: At 4-month after surgery, limb symmetry index of quadriceps (QQR, percentage of uninjured leg) in feedback group improved in isokinetic strength at angular velocity of 60°/s and 180°/s recovered nearly to the pre-operational level, but decreased in control group when compared to the pre-operational level. The results also showed increase the hamstring: quadriceps (H/Q) ratio for bilateral limbs when compared to the pre-operational level in feedback group. With regard to the forward lunge test, the more improvement in the distances and force impulses (average impulse in the contact time) for both legs at 3 months after surgery in feedback group. In the step up-over test, the more increase in the lift-up index (maximum vertical force during lifting) and the better eccentric control for affected limb in feedback group. Conclusion: Using the integrated biofeedback to assist CKC exercise training could benefit the symmetry of muscle strength between legs (QQR), H/Q ratio, and the dynamic functional performances. The integrated biofeedback training can be utilized as one of the training tool for early stage of ACLR.
摘要............................i
Abstract.......................iii
目次............................v
表次............................viii
圖次............................ix
第一章 緒論......................1
第一節 研究背景...................1
第二節 文獻探討...................1
一、前十字韌帶損傷的流行率..........1
二、前十字韌帶的解剖構造與功能.......2
三、前十字韌帶傷害的原因與損傷後的症狀.3
四、前十字韌帶損傷的治療方式.........6
五、前十字韌帶損傷後神經肌肉功能的改變.10
六、前十字韌帶重建手術後復健訓練......18
七、前十字韌帶損傷後肌肉功能評估......23
第三節 研究動機與目的...............26
第二章 研究材料與方法...............28
第一節 研究對象....................28
第二節 實驗流程....................28
第三節 訓練設備....................30
一、Wii FitR平衡板................31
二、前置放大表面電極................32
三、加速規........................32
四、雙電源........................33
五、回饋訓練程式...................35
第四節 評估設備....................43
一、肌力測試.......................43
二、功能性活動評估..................45
第五節 運動訓練.....................51
第三章 結果........................56
第一節 受試者基本資料................56
第二節 肌力測試.....................57
一、肢體對稱指數....................58
二、大腿後肌與股四頭肌肌力比值.........59
第三節 功能性活動測試.................62
一、向前跨步測試.....................62
二、登階跨越測試.....................65
第四章 討論.........................73
第一節 整合性回饋系統的應用............73
第二節 肌力表現......................75
一、股四頭肌肌力.....................75
二、大腿後肌肌力.....................77
三、大腿後肌與股四頭肌肌力比例..........79
第三節 功能性活動表現.................80
一、向前跨步測試......................80
二、登階跨越測試......................84
第四節 研究限制.......................87
第五章 結論..........................88
參考文獻.............................89
附錄................................97

1.Ageberg E, Pettersson A, and Friden T. 15-year follow-up of neuromuscular function in patients with unilateral nonreconstructed anterior cruciate ligament injury initially treated with rehabilitation and activity modification: a longitudinal prospective study. Am J Sports Med 35: 2109-2117, 2007.
2.Ageberg E, Thomee R, Neeter C, Silbernagel KG, and Roos EM. Muscle strength and functional performance in patients with anterior cruciate ligament injury treated with training and surgical reconstruction or training only: a two to five-year followup. Arthritis Rheum 59: 1773-1779, 2008.
3.Alkjaer T, Simonsen EB, Peter Magnusson SP, Aagaard H, and Dyhre-Poulsen P. Differences in the movement pattern of a forward lunge in two types of anterior cruciate ligament deficient patients: copers and non-copers. Clin Biomech (Bristol, Avon) 17: 586-593, 2002.
4.Anderson JL, Lamb SE, Barker KL, Davies S, Dodd CA, and Beard DJ. Changes in muscle torque following anterior cruciate ligament reconstruction: a comparison between hamstrings and patella tendon graft procedures on 45 patients. Acta Orthop Scand 73: 546-552, 2002.
5.Andriacchi TP, Briant PL, Bevill SL, and Koo S. Rotational changes at the knee after ACL injury cause cartilage thinning. Clin Orthop Relat Res 442: 39-44, 2006.
6.Arendt E and Dick R. Knee injury patterns among men and women in collegiate basketball and soccer. NCAA data and review of literature. Am J Sports Med 23: 694-701, 1995.
7.Aune AK, Holm I, Risberg MA, Jensen HK, and Steen H. Four-strand hamstring tendon autograft compared with patellar tendon-bone autograft for anterior cruciate ligament reconstruction. A randomized study with two-year follow-up. Am J Sports Med 29: 722-728, 2001.
8.Barber SD, Noyes FR, Mangine RE, McCloskey JW, and Hartman W. Quantitative assessment of functional limitations in normal and anterior cruciate ligament-deficient knees. Clin Orthop Relat Res: 204-214, 1990.
9.Beard DJ, Dodd CA, Trundle HR, and Simpson AH. Proprioception enhancement for anterior cruciate ligament deficiency. A prospective randomised trial of two physiotherapy regimes. J Bone Joint Surg Br 76: 654-659, 1994.
10.Beynnon BD, Johnson RJ, Fleming BC, Kannus P, Kaplan M, Samani J, and Renstrom P. Anterior cruciate ligament replacement: comparison of bone-patellar tendon-bone grafts with two-strand hamstring grafts. A prospective, randomized study. J Bone Joint Surg Am 84-A: 1503-1513, 2002.
11.Beynnon BD, Johnson RJ, Fleming BC, Stankewich CJ, Renstrom PA, and Nichols CE. The strain behavior of the anterior cruciate ligament during squatting and active flexion-extension. A comparison of an open and a closed kinetic chain exercise. Am J Sports Med 25: 823-829, 1997.
12.Biedert RM and Zwick EB. Ligament-muscle reflex arc after anterior cruciate ligament reconstruction: electromyographic evaluation. Arch Orthop Trauma Surg 118: 81-84, 1998.
13.Boden BP, Dean GS, Feagin JA, Jr., and Garrett WE, Jr. Mechanisms of anterior cruciate ligament injury. Orthopedics 23: 573-578, 2000.
14.Bollen S. Epidemiology of knee injuries: diagnosis and triage. Br J Sports Med 34: 227-228, 2000.
15.Bonfim TR, Jansen Paccola CA, and Barela JA. Proprioceptive and behavior impairments in individuals with anterior cruciate ligament reconstructed knees. Arch Phys Med Rehabil 84: 1217-1223, 2003.
16.Borsa PA, Lephart SM, Irrgang JJ, Safran MR, and Fu FH. The effects of joint position and direction of joint motion on proprioceptive sensibility in anterior cruciate ligament-deficient athletes. Am J Sports Med 25: 336-340, 1997.
17.Bryant AL, Creaby MW, Newton RU, and Steele JR. Dynamic restraint capacity of the hamstring muscles has important functional implications after anterior cruciate ligament injury and anterior cruciate ligament reconstruction. Arch Phys Med Rehabil 89: 2324-2331, 2008.
18.Cardone C, Menegassi Z, and Emygdio R. Isokinetic assessment of muscle strength following anterior cruciate ligament reconstruction. Isokinetics & Exercise Science 12: 173-177, 2004.
19.Chmielewski TL, Wilk KE, and Snyder-Mackler L. Changes in weight-bearing following injury or surgical reconstruction of the ACL: relationship to quadriceps strength and function. Gait Posture 16: 87-95, 2002.
20.Cooper RL, Taylor NF, and Feller JA. A randomised controlled trial of proprioceptive and balance training after surgical reconstruction of the anterior cruciate ligament. Res Sports Med 13: 217-230, 2005.
21.Daniel DM, Stone ML, Dobson BE, Fithian DC, Rossman DJ, and Kaufman KR. Fate of the ACL-injured patient. A prospective outcome study. Am J Sports Med 22: 632-644, 1994.
22.de Jong SN, van Caspel DR, van Haeff MJ, and Saris DB. Functional assessment and muscle strength before and after reconstruction of chronic anterior cruciate ligament lesions. Arthroscopy 23: 21-28, 28 e21-23, 2007.
23.Dienst M, Burks RT, and Greis PE. Anatomy and biomechanics of the anterior cruciate ligament. Orthop Clin North Am 33: 605-620, v, 2002.
24.Draper V. Electromyographic biofeedback and recovery of quadriceps femoris muscle function following anterior cruciate ligament reconstruction. Phys Ther 70: 11-17, 1990.
25.Dyhre-Poulsen P and Krogsgaard MR. Muscular reflexes elicited by electrical stimulation of the anterior cruciate ligament in humans. J Appl Physiol 89: 2191-2195, 2000.
26.Ejerhed L, Kartus J, Sernert N, Kohler K, and Karlsson J. Patellar tendon or semitendinosus tendon autografts for anterior cruciate ligament reconstruction? A prospective randomized study with a two-year follow-up. Am J Sports Med 31: 19-25, 2003.
27.Elmqvist LG, Lorentzon R, Johansson C, Langstrom M, Fagerlund M, and Fugl-Meyer AR. Knee extensor muscle function before and after reconstruction of anterior cruciate ligament tear. Scand J Rehabil Med 21: 131-139, 1989.
28.Ernst GP, Saliba E, Diduch DR, Hurwitz SR, and Ball DW. Lower-extremity compensations following anterior cruciate ligament reconstruction. Physical Therapy 80: 251-260, 2000.
29.Escamilla RF, Fleisig GS, Zheng N, Barrentine SW, Wilk KE, and Andrews JR. Biomechanics of the knee during closed kinetic chain and open kinetic chain exercises. Med Sci Sports Exerc 30: 556-569, 1998.
30.Escamilla RF, Fleisig GS, Zheng N, Lander JE, Barrentine SW, Andrews JR, Bergemann BW, and Moorman CT, 3rd. Effects of technique variations on knee biomechanics during the squat and leg press. Med Sci Sports Exerc 33: 1552-1566, 2001.
31.Feller JA and Webster KE. A randomized comparison of patellar tendon and hamstring tendon anterior cruciate ligament reconstruction. Am J Sports Med 31: 564-573, 2003.
32.Fleming BC, Ohlen G, Renstrom PA, Peura GD, Beynnon BD, and Badger GJ. The effects of compressive load and knee joint torque on peak anterior cruciate ligament strains. Am J Sports Med 31: 701-707, 2003.
33.Friden T, Roberts D, Ageberg E, Walden M, and Zatterstrom R. Review of knee proprioception and the relation to extremity function after an anterior cruciate ligament rupture. J Orthop Sports Phys Ther 31: 567-576, 2001.
34.Herrington L, Wrapson C, Matthews M, and Matthews H. Anterior cruciate ligament reconstruction, hamstring versus bone-patella tendon-bone grafts: a systematic literature review of outcome from surgery. Knee 12: 41-50, 2005.
35.Hewett TE, Lindenfeld TN, Riccobene JV, and Noyes FR. The effect of neuromuscular training on the incidence of knee injury in female athletes. A prospective study. Am J Sports Med 27: 699-706, 1999.
36.Holcomb WR, Rubley MD, Lee HJ, and Guadagnoli MA. Effect of hamstring-emphasized resistance training on hamstring:quadriceps strength ratios. J Strength Cond Res 21: 41-47, 2007.
37.Irrgang JJ. Modern trends in anterior cruciate ligament rehabilitation: nonoperative and postoperative management. Clin Sports Med 12: 797-813, 1993.
38.Jarvela T, Kannus P, and Jarvinen M. Anterior knee pain 7 years after an anterior cruciate ligament reconstruction with a bone-patellar tendon-bone autograft. Scand J Med Sci Sports 10: 221-227, 2000.
39.Johansson H, Sjolander P, and Sojka P. A sensory role for the cruciate ligaments. Clin Orthop Relat Res: 161-178, 1991.
40.Johnson DL and Warner JJ. Diagnosis for anterior cruciate ligament surgery. Clin Sports Med 12: 671-684, 1993.
41.Kannus P. Ratio of hamstring to quadriceps femoris muscles' strength in the anterior cruciate ligament insufficient knee. Relationship to long-term recovery. Phys Ther 68: 961-965, 1988.
42.Kartus J, Magnusson L, Stener S, Brandsson S, Eriksson BI, and Karlsson J. Complications following arthroscopic anterior cruciate ligament reconstruction. A 2-5-year follow-up of 604 patients with special emphasis on anterior knee pain. Knee Surg Sports Traumatol Arthrosc 7: 2-8, 1999.
43.Keays SL, Bullock-Saxton J, and Keays AC. Strength and function before and after anterior cruciate ligament reconstruction. Clinical Orthopaedics & Related Research 373: 174-183, 2000.
44.Keays SL, Bullock-Saxton J, Keays AC, and Newcombe P. Muscle strength and function before and after anterior cruciate ligament reconstruction using semitendonosus and gracilis. Knee 8: 229-234, 2001.
45.Kirkendall DT and Garrett WE, Jr. The anterior cruciate ligament enigma. Injury mechanisms and prevention. Clin Orthop Relat Res: 64-68, 2000.
46.Knoll Z, Kocsis L, and Kiss RM. Gait patterns before and after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 12: 7-14, 2004.
47.Kobayashi A, Higuchi H, Terauchi M, Kobayashi F, Kimura M, and Takagishi K. Muscle performance after anterior cruciate ligament reconstruction. Int Orthop 28: 48-51, 2004.
48.Konishi Y, Aihara Y, Sakai M, Ogawa G, and Fukubayashi T. Gamma loop dysfunction in the quadriceps femoris of patients who underwent anterior cruciate ligament reconstruction remains bilaterally. Scand J Med Sci Sports 17: 393-399, 2007.
49.Konishi Y, Fukubayashi T, and Takeshita D. Mechanism of quadriceps femoris muscle weakness in patients with anterior cruciate ligament reconstruction. Scand J Med Sci Sports 12: 371-375, 2002.
50.Konishi Y, Ikeda K, Nishino A, Sunaga M, Aihara Y, and Fukubayashi T. Relationship between quadriceps femoris muscle volume and muscle torque after anterior cruciate ligament repair. Scand J Med Sci Sports 17: 656-661, 2007.
51.Krogsgaard MR, Dyhre-Poulsen P, and Fischer-Rasmussen T. Cruciate ligament reflexes. J Electromyogr Kinesiol 12: 177-182, 2002.
52.Liu-Ambrose T, Taunton JE, MacIntyre D, McConkey P, and Khan KM. The effects of proprioceptive or strength training on the neuromuscular function of the ACL reconstructed knee: a randomized clinical trial. Scand J Med Sci Sports 13: 115-123, 2003.
53.Lysholm M, Ledin T, Odkvist LM, and Good L. Postural control--a comparison between patients with chronic anterior cruciate ligament insufficiency and healthy individuals. Scand J Med Sci Sports 8: 432-438, 1998.
54.Mattacola CG, Jacobs CA, Rund MA, and Johnson DL. Functional assessment using the step-up-and-over test and forward lunge following ACL reconstruction. Orthopedics 27: 602-608, 2004.
55.Mikkelsen C, Werner S, and Eriksson E. Closed kinetic chain alone compared to combined open and closed kinetic chain exercises for quadriceps strengthening after anterior cruciate ligament reconstruction with respect to return to sports: a prospective matched follow-up study. Knee Surg Sports Traumatol Arthrosc 8: 337-342, 2000.
56.Moisala AS, Jarvela T, Kannus P, and Jarvinen M. Muscle strength evaluations after ACL reconstruction. Int J Sports Med 28: 868-872, 2007.
57.Morrissey MC, Hooper DM, Drechsler WI, and Hill HJ. Relationship of leg muscle strength and knee function in the early period after anterior cruciate ligament reconstruction. Scand J Med Sci Sports 14: 360-366, 2004.
58.Noyes FR, Matthews DS, Mooar PA, and Grood ES. The symptomatic anterior cruciate-deficient knee. Part II: the results of rehabilitation, activity modification, and counseling on functional disability. J Bone Joint Surg Am 65: 163-174, 1983.
59.Nyland J, Caborn DN, Rothbauer J, Kocabey Y, and Couch J. Two-year outcomes following ACL reconstruction with allograft tibialis anterior tendons: a retrospective study. Knee Surg Sports Traumatol Arthrosc 11: 212-218, 2003.
60.Ohkoshi Y, Yasuda K, Kaneda K, Wada T, and Yamanaka M. Biomechanical analysis of rehabilitation in the standing position. Am J Sports Med 19: 605-611, 1991.
61.Orchard J, Marsden J, Lord S, and Garlick D. Preseason hamstring muscle weakness associated with hamstring muscle injury in Australian footballers. Am J Sports Med 25: 81-85, 1997.
62.Palmieri-Smith RM and Thomas AC. A neuromuscular mechanism of posttraumatic osteoarthritis associated with ACL injury. Exerc Sport Sci Rev 37: 147-153, 2009.
63.Palmieri RM, Weltman A, Edwards JE, Tom JA, Saliba EN, Mistry DJ, and Ingersoll CD. Pre-synaptic modulation of quadriceps arthrogenic muscle inhibition. Knee Surg Sports Traumatol Arthrosc 13: 370-376, 2005.
64.Palmitier RA, An KN, Scott SG, and Chao EY. Kinetic chain exercise in knee rehabilitation. Sports Med 11: 402-413, 1991.
65.Pinczewski LA, Lyman J, Salmon LJ, Russell VJ, Roe J, and Linklater J. A 10-year comparison of anterior cruciate ligament reconstructions with hamstring tendon and patellar tendon autograft: a controlled, prospective trial. Am J Sports Med 35: 564-574, 2007.
66.Rice DA and McNair PJ. Quadriceps Arthrogenic Muscle Inhibition: Neural Mechanisms and Treatment Perspectives. Semin Arthritis Rheum, 2009.
67.Risberg MA, Holm I, Myklebust G, and Engebretsen L. Neuromuscular training versus strength training during first 6 months after anterior cruciate ligament reconstruction: a randomized clinical trial. Phys Ther 87: 737-750, 2007.
68.Risberg MA, Mork M, Jenssen HK, and Holm I. Design and implementation of a neuromuscular training program following anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther 31: 620-631, 2001.
69.Roberts D, Friden T, Zatterstrom R, Lindstrand A, and Moritz U. Proprioception in people with anterior cruciate ligament-deficient knees: comparison of symptomatic and asymptomatic patients. J Orthop Sports Phys Ther 29: 587-594, 1999.
70.Rodeo SA, Arnoczky SP, Torzilli PA, Hidaka C, and Warren RF. Tendon-healing in a bone tunnel. A biomechanical and histological study in the dog. J Bone Joint Surg Am 75: 1795-1803, 1993.
71.Rudolph KS, Eastlack ME, Axe MJ, and Snyder-Mackler L. 1998 Basmajian Student Award Paper: Movement patterns after anterior cruciate ligament injury: a comparison of patients who compensate well for the injury and those who require operative stabilization. J Electromyogr Kinesiol 8: 349-362, 1998.
72.Rudroff T. Functional capability is enhanced with semitendinosus than patellar tendon ACL repair. Med Sci Sports Exerc 35: 1486-1492, 2003.
73.Salem GJ, Salinas R, and Harding FV. Bilateral kinematic and kinetic analysis of the squat exercise after anterior cruciate ligament reconstruction. Arch Phys Med Rehabil 84: 1211-1216, 2003.
74.Sekiya I, Muneta T, Ogiuchi T, Yagishita K, and Yamamoto H. Significance of the single-legged hop test to the anterior cruciate ligament-reconstructed knee in relation to muscle strength and anterior laxity. Am J Sports Med 26: 384-388, 1998.
75.Shelbourne KD and Patel DV. Rehabilitation after autogenous bone-patellar tendon-bone ACL reconstruction. Instr Course Lect 45: 263-273, 1996.
76.Solomonow M. Sensory-motor control of ligaments and associated neuromuscular disorders. J Electromyogr Kinesiol 16: 549-567, 2006.
77.Solomonow M and Krogsgaard M. Sensorimotor control of knee stability. A review. Scand J Med Sci Sports 11: 64-80, 2001.
78.Spindler KP, Kuhn JE, Freedman KB, Matthews CE, Dittus RS, and Harrell FE, Jr. Anterior cruciate ligament reconstruction autograft choice: bone-tendon-bone versus hamstring: does it really matter? A systematic review. Am J Sports Med 32: 1986-1995, 2004.
79.Stuart MJ, Meglan DA, Lutz GE, Growney ES, and An KN. Comparison of intersegmental tibiofemoral joint forces and muscle activity during various closed kinetic chain exercises. Am J Sports Med 24: 792-799, 1996.
80.Suter E and Herzog W. Does muscle inhibition after knee injury increase the risk of osteoarthritis? Exerc Sport Sci Rev 28: 15-18, 2000.
81.Swanik CB, Lephart SM, Giraldo JL, Demont RG, and Fu FH. Reactive Muscle Firing of Anterior Cruciate Ligament-Injured Females During Functional Activities. J Athl Train 34: 121-129, 1999.
82.Swanik CB, Lephart SM, Swanik KA, Stone DA, and Fu FH. Neuromuscular dynamic restraint in women with anterior cruciate ligament injuries. Clin Orthop Relat Res: 189-199, 2004.
83.Tsuda E, Ishibashi Y, Okamura Y, and Toh S. Restoration of anterior cruciate ligament-hamstring reflex arc after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 11: 63-67, 2003.
84.Tsuda E, Okamura Y, Otsuka H, Komatsu T, and Tokuya S. Direct evidence of the anterior cruciate ligament-hamstring reflex arc in humans. Am J Sports Med 29: 83-87, 2001.
85.Vairo GL, Myers JB, Sell TC, Fu FH, Harner CD, and Lephart SM. Neuromuscular and biomechanical landing performance subsequent to ipsilateral semitendinosus and gracilis autograft anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 16: 2-14, 2008.
86.Valeriani M, Restuccia D, Di Lazzaro V, Franceschi F, Fabbriciani C, and Tonali P. Clinical and neurophysiological abnormalities before and after reconstruction of the anterior cruciate ligament of the knee. Acta Neurol Scand 99: 303-307, 1999.
87.Van De Velde SK, Bingham JT, Hosseini A, Kozanek M, DeFrate LE, Gill TJ, and Li G. Increased tibiofemoral cartilage contact deformation in patients with anterior cruciate ligament deficiency. Arthritis Rheum 60: 3693-3702, 2009.
88.Webster KE, Wittwer JE, O'Brien J, and Feller JA. Gait patterns after anterior cruciate ligament reconstruction are related to graft type. Am J Sports Med 33: 247-254, 2005.
89.NeurComR International Inc.. Available at: http://resourcesonbalance.com/neurocom/protocols/functionalLimitation/SUOPhoto2.jpg, 2010.
90.NeuroCom. Available at: http://resourcesonbalance.com/neurocom/protocols/functionalLimitation/FLPhoto.jpg, 2010.
91.台灣任天堂官方網站. Available at: http://www.nintendo.tw/wfp_beginner.htm, 2010.
92.National Instruments Corporation. Available at: http://sine.ni.com/nips/cds/view/p/lang/en/nid/203092. 2010.
93.BioSenseTek Corporation. Available at: http://www.biosensetek.com/productActiveSensors.html. 2010.
94.Chen MH, Lai HJ, Wang YC, Liao CW, Yu CH, Cheng CK. The validation of Wii Balance BoardTM for measuring postural sway and weight-shifting during standing. Proceedings of the WACBE world Congress on Bioengineering 2009; Hong Kong:In press; 2009.
95.陳玫樺 (2009)。評估遊戲平台Wii FitR與改良式活動對治療有平衡缺失的慢性中風患者之效果。國立陽明大學醫學工程研究所碩士論文,台北巿。

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