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研究生:顏秀吉
研究生(外文):Hsiu-Chi Yen
論文名稱:自閉症兒童步態異常對下肢關節力矩之探討
論文名稱(外文):A Study of the Lower Extremity Joint Torque for Autistic Children with Abnormal Gait
指導教授:翁梓林翁梓林引用關係
指導教授(外文):Tzu-lin Wong
口試委員:陳億成何維華
口試日期:2013-06-14
學位類別:碩士
校院名稱:國立臺北教育大學
系所名稱:體育學系碩士班
學門:教育學門
學類:專業科目教育學類
論文種類:學術論文
論文出版年:2013
畢業學年度:101
語文別:中文
論文頁數:92
中文關鍵詞:動作障礙時空參數動力學逆過程
外文關鍵詞:motor disturbancestemporal and spatial parametersinverse dynamics
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目的:本研究擬比較自閉症與正常兒童於步行時運動學與動力學參數之變化情形,進而探討自閉症兒童異常步態對下肢關節力矩之影響。研究對象:以自閉症兒童(年齡:11.12±0.99歲、身高148.68±6.12公分、體重44.93±16.73公斤重)與正常兒童(年齡:12.37±0.74歲、身高151.87±11.94公分、體重40.20±9.75公斤重)各八名為受試對象。方法與步驟:以一部Mega Speed Ms 30K 高速攝影機(100Hz)、兩塊AMTI測力板(1000Hz),同步擷取步行動作。影片以Kwon3D動作分析軟體處理,結合參考架KwonCC校正、直接線性轉換(DLT)及量化後取得運動學參數;測力板訊號利用DASY Lab 6.0軟體進行量化,經濾波、校正得到原始之三維分力。動力學參數引用Jensen (1989)人體肢段參數(BSP),以動力學逆過程方法運算下肢關節力矩,並將體重標準化。所得實驗參數使用SPSS for Windows 18.0套裝軟體以獨立樣本T考驗進行統計分析(α=.05)。結果:運動學部分,自閉症兒童在步幅、步頻、站立期踝關節蹠屈角位移、站立期膝關節的屈曲和伸展角位移與正常兒童達顯著差異(p<.05)。動力學部分,自閉症兒童在站立期前後分力制動力峰值、垂直分力第一峰值產生時間、平均負荷率及壓力中心左右偏移量與正常兒童達顯著差異(p<.05)。下肢關節力矩部分,站立期踝關節的蹠屈力矩峰值、膝關節伸展力矩峰值及髖關節的伸展力矩峰值與正常兒童達顯著差異(p<.05)。結論:本研究自閉症兒童伴隨動作障礙而產生之異常步態推測會使得平衡能力降低而以縮短步幅、提高步頻的方式走路以維持步態穩定性。在足跟觸地後發現膝關節的負荷可能會增加,且在腳跟離地時踝關節推蹬能力會降低,而減低了身體向前力量。建議自閉症兒童透過訓練加強平衡能力及增加足部肌力以提高步態的完整性。
Purpose: The purpose of this study was to compare the variations of kinematic and kinetic parameters on walking in children with autism and normal children,to explore the influence of the lower extremity joint torque for autistic children with abnormal gait.Subjects: Eight children (ages:11.12± 0.99 years, height 148.68 ± 6.12 cm, weight 44.93 ± 16.73 kg) with autistic children and Eight normal children (ages: 12.37 ± 0.74 years, height 151.87 ± 11.94 cm, weight 40.20 ± 9.75 kg) participated in this study. Method and Step: With a Mega Speed Ms 30K high-speed camera (100Hz), two AMTI force plates (1000Hz) which are synchronized capture kinematics and dynamics parameters on walking. The film were quantified by Kwon3D motion analysis software , combined reference frame KwonCC correction, direct linear transformation (DLT) and quantized to obtain kinematic parameters. Force plane signal combining the original Dasy Lab 6.0 analysis software ,filter(Filter) ,module calibration (Scaling) to obtain the original three-dimensional force component.Kinetic parameters cited Jensen (1989) human body segment parameters (BSP), it is using the method of inverse dynamics to obtain the force and joint torque of lower limb joints,and indicated in body weight. The resulting data undergoes independent samples T test via SPSS for Windows 18.0 statistics software, the level of significance for this experiment is set to α= .05.Results: In kinematics, significant differences between the autism and normal children were found for cadence, and stride length , and ankle plantarflexion, knee flexion , knee extension angle of displacement in stance phase (p <.05). In Kinetic, significant differences between the autism and normal children were found for the braking peak force of front and back ground reaction force, and first peak force generation time of vertical ground reaction force , and the average loading rater , and maximal displacement of medial-lateral of center of pressure(p <.05). In the lower extremity joint torque, significant differences between the autism and normal children were found for ankle plantarflexion torque peak,knee extension torque peak, hip extension torque peak in stance phase(p <.05). Conclusion: In this study, autistic children with abnormal gait showed reduction in their ability to balance; in addition, they tended to shorten their walking stride length and increase cadence in order to maintain the stability of gait. This study also found that knee load may be increased after heel strike, and there was also reduction in children’s propulsive ability as well as the strength of the body to move forward after heel off. Therefore, children with autism are suggested to strengthen balance ability and increase foot muscle strength through training in order to enhance the integrity of gait.

目 次
第壹章、緒論………………………………………………………………1
第一節 問題背景 …………………………………………………………1
第二節 研究目的 …………………………………………………………6
第三節 研究範圍與限制 …………………………………………………6
第四節 研究假設 …………………………………………………………7
第五節 名詞操作性定義 …………………………………………………8
第貳章、文獻探討 ………………………………………………………13
第一節 自閉症定義與影響………………………………………………13
第二節 自閉症動作障礙之相關研究……………………………………19
第三節 自閉症步態異常相關研究………………………………………23
第四節 結語………………………………………………………………31
第參章、研究方法與步驟 ………………………………………………33
第一節 研究架構…………………………………………………………33
第二節 實驗對象…………………………………………………………34
第三節 實驗儀器與設備…………………………………………………34
第四節 實驗場地與儀器架設……………………………………………37
第五節 實驗方法與步驟…………………………………………………38
第六節 資料收集與處理…………………………………………………45
第七節 動力學逆過程之肌肉關節力矩推導……………………………50
第八節 統計方法…………………………………………………………54
第肆章、結果 ……………………………………………………………55
第一節 自閉症兒童步行之運動學參數分析……………………………55
第二節 自閉症兒童步行之動力學參數分析……………………………60
第三節 自閉症兒童步行時下肢關節力矩分析…………………………63
第四節 自閉症兒童步行之運動學、動力學參數與力矩之綜合分析…66
第伍章、討論 ……………………………………………………………69
第一節 自閉症兒童步行時運動學參數之探討…………………………69
第二節 自閉症兒童步行時動力學參數之探討…………………………74
第三節 自閉症兒童步行時下肢關節力矩之探討………………………78
第四節 綜合討論…………………………………………………………80
第陸章、結論與建議 ……………………………………………………81
參考文獻 …………………………………………………………………82
一、中文部分 ……………………………………………………………82
二、外文部分 ……………………………………………………………84
附錄一、受試者同意書 …………………………………………………89
附錄二、人體試驗委員會(IRB)同意證明書 …………………………92


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