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研究生:吳俊儒
研究生(外文):WU,CHUN-JU
論文名稱:鞋墊對久站族群下肢與足部肌群及壓力影響評估
論文名稱(外文):Evaluation of Effects of Insoles on the Calf Muscles and Foot Pressure of the Prolonged standing Groups
指導教授:林上智林上智引用關係
指導教授(外文):LIN, SHANG-CHIH
口試委員:林上智
口試委員(外文):LIN, SHANG-CHIH
口試日期:2013-07-20
學位類別:碩士
校院名稱:國立臺灣科技大學
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:2013
畢業學年度:101
語文別:中文
論文頁數:88
中文關鍵詞:久站曲面鞋墊平面鞋墊主觀參數客觀參數
外文關鍵詞:prolonged standingSurface insoleFlat insoleVisual Analogue ScaleObjective parameters
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台灣社會近年來逐漸的重視生活健康,並且強調各種職業傷害的預防,所以不論是衛生局或是勞工局都有對於職業傷害的各種調查,由於國內的就業人力重心從以往的工商製造代工產業,慢慢地轉為服務業,所以相關的服務產業職業傷害也逐漸被重視,服務業以及許多職業最常見且常常忽視的職業傷害,通常為長時間站立造成的肌肉勞損或是相關病症,如靜脈曲張、懷孕影響 、下肢水腫、下背疼痛等等因久站所造成的相關傷病,雖不會造成疼痛傷害,卻是會影響生活品質。
國外對於久站的相關研究皆著重於足底接觸介面的材質改變,但是對於改變足底受力的幾何外型,於久站是否有相關之影響卻無太多研究,因此本研究著重於曲面鞋墊以及平面鞋墊兩種相同材質,但是有幾何外型差異之兩種鞋墊,進行久站相關研究;由國外其他研究久站相關的文獻中,學習各種研究方式與研究參數,加以了解後,依照本身實驗室所擁有之設備與研究能力,將各種國外研究參數的方式轉換為本研究所能進行的項目,並且設計研究的進行方式與流程。
本研究共取11位受測者,每人平均久站時間為6小時,於受測者工作場所進行久站研究,使用T-TEST學生式檢驗數據是否有顯著差異,主要比較曲面鞋墊與平面鞋墊兩種鞋墊之間主觀參數與客觀參數的差異,主觀參數有疼痛量表、疲勞量表、舒適量表,而主觀參數為每小時下肢小腿圍度以及久站八小時前後的壓力中心位移。
研究結果顯示,主觀參數的舒適度與疲勞度皆有顯著差異,即曲面鞋墊久站後更不疲勞,也更為舒適,但疼痛度因為受測者只有一位有足底疼痛,所以此參數設計有異,客觀參數方面則是小腿圍度沒有差異,壓力中心位移則是有顯著差異。

關鍵字:久站、曲面鞋墊、平面鞋墊、主觀參數、客觀參數
Healthcare has become an important issue in recent years, especially, the prevention of occupational illnesses. Both the Department of Health and the Labor Affairs Bureau have series of investigations of occupational illnesses. Because of the conversion of the industrial structure in Taiwan(less OEM, more service industries), the occupational illnesses of service industry are valued gradually. The most popular and ignored occupational illness of service industry is the wear and tear of muscle caused by long-time standing and the associated disease such as varicose veins, pregnancy influence, edema of lower limbs, pain of lower back. Although these illnesses would not cause fatal effects, they will influence the quality of daily life.
In previous research, medical engineers paid lots of efforts on the conversion of the junction materials between shoes and feet. On the contrary, very few research made efforts in the geometric exterior of feet while bearing weight and the associated effects of long-time standing. The main objective of this study is discussing the influence of both 3-D exterior insoles and flat insoles(the two kinds of insoles are made of same material) while long-time standing. The study method is designed by considering the parameters used in previous study and the advanced equipment of our own laboratory.
In this study, 11subjects are sampled, the average standing time of them is 6 hours per day. The T-test statistical method is used to compare the difference between the 3-D exterior insoles and flat insoles. The subjective parameter of this study is the Visual Analogue Scale(VAS), and the objective parameters are the circumference of lower limbs and the plantar pressure before and after 8-hour standing.
The results show that there are significant differences in both comfortable degree and fatigue degree, but not in the painful degree because there is only one subject feels plantar pain. About the objective parameters, the circumference of lower limbs has significant differences and the plantar pressure doesn’t contrarily.
目錄
中文摘要 I
英文摘要 II
誌 謝 III
目錄 IV
圖目錄 VII
表目錄 IX
本文
第一章 緒論 1
1-1 研究背景 1
1-2 研究目的 2
1-3 文獻回顧 3
1-3-1 足部解剖學 3
1-3-1-1 足部區域 4
1-3-1-2 足弓 7
1-3-1-3 足踝部肌肉群 9
1-3-1-4 足底筋膜 10
1-3-1-5 足部病理介紹 10
1-3-2 久站對足部的影響 21
1-3-2-1 足壓變化 22
1-3-2-2 靜脈曲張 23
1-3-2-3 生育能力影響 26
1-3-2-4 骨骼肌肉疼痛 27
1-3-3 鞋墊對久站足部的影響 28
1-3-3-1 鞋墊幾何與材質影響 30
1-3-3-2 評估參數種類 31
1-3-3-3 臨床治療效果 35
1-4 本論文架構 35
第二章 材料與方法 38
2-1 受測者規劃 38
2-1-1 身高、體重、性別與年齡 38
2-1-2 工作屬性 39
2-1-3 足部病史 39
2-2 久站鞋墊設計與製作 39
2-2-1 受測者足部參數量測 40
2-2-2 久站鞋墊設計原理 42
2-2-3 久站鞋墊製作 43
2-3 久站鞋墊效果評估 47
2-3-1 量測過程規劃 47
2-3-2 研究量測規劃 48
2-3-2-1 足壓分布 48
2-3-2-2 足壓中心位移 49
2-3-2-3 小腿維度 49
2-3-3 問卷調查 50
2-3-3-1 疲勞量表 50
2-3-3-2 疼痛量表 53
2-3-3-3 舒適量表 54
第三章 研究結果 56
3-1 久站鞋墊 56
3-2 久站鞋墊效果評估 57
3-2-1 足壓分布 57
3-2-2 足壓中心位移 61
3-3-3 小腿維度 63
3-3 問卷調查 65
3-3-1 疲勞量表 65
3-3-2 疼痛量表 68
3-3-3 舒適量表 68
第四章 討論 69
4-1 久站鞋墊的設計與製造 69
4-2 久站鞋墊效果評估 69
4-2-1 足壓分布 70
4-2-2 足壓中心位移 70
4-3-3 小腿維度 71
4-3 問卷調查 71
4-3-1 疲勞量表 71
4-3-2 疼痛量表 72
4-3-3 舒適量表 72
第五章 結論 73
第六章 參考文獻 75
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