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研究生:陳宗暉
研究生(外文):Tsung-Hui Chen
論文名稱:踝關節護具在高低屈曲著地動作對下肢關節力矩之影響
論文名稱(外文):Effect Of High And Low Flexion With Ankle Brace On Lower Extremity JointTorqueDuring Drop Jump Landing
指導教授:翁梓林翁梓林引用關係
指導教授(外文):Zih-Lin Wong
口試委員:王金成邱靖華
口試日期:103.06.21
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:2014
畢業學年度:102
語文別:中文
論文頁數:65
中文關鍵詞:踝關節護具高屈曲低屈曲
外文關鍵詞:ankle bracehigh flexionlow flexion
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本研究目的在比較踝關節護具在限制高低屈曲角度下,模擬高台著地動作對下肢關節力矩之影響,8名無下肢病史的男性參與者(年齡:20.6 ± 1.4歲,身高:179.1 ± 4.91公分,體重:72.1 ± 8.27公斤)。使用一部Mega Speed 30 Ks高速攝影機(100 Hz)及一台AMTI測力板(1000 Hz)以同步方法擷取高台著地動作。影片及測力板分別以Kwon3D及DASYLab 6.0軟體處理所得運動學及動力學之參數,並將實驗參數使用SPSS for Windows 18.0 套裝軟體以相依樣本 t檢定進行統計分析(α=.05)。結果:一、在運動學方面,發現在限制以高屈曲及低屈曲角度的著地後,穿戴護具於著地重心最低時會限制踝關節背屈,且有達到統計上顯著水準(p< .05);在緩衝期角位移方面,穿戴護具在高低屈曲限制下皆能達到限制關節屈曲的效果,亦皆達到統計上顯著水準(p< .05)。二、在動力學方面,在垂直作用力方面,在低屈曲條件限制下達顯著差異(p< .05);峰值產生時間則皆未達顯著差異(p> .05);緩衝期負荷率雖未達顯著差異(p> .05),在穿戴護具後皆有增加之趨勢,與垂直作用力之增加趨勢相同。本研究結論在模擬高台著地後,穿著踝關節護具,有將作用力集中在垂直向,所以在高低屈曲條件限制下皆有呈現較大的地面反作用力、負荷率及力矩之趨勢。在本實驗亦發現護具能提供關節保護及限制,除了發現穿戴護具在高低屈曲條件限制下身體重心皆有較高之趨勢,亦會將作用力轉移到其他關節。雖本研究在介入踝關節護具後,僅少數幾項參數有顯著差異性(如:關節角度變化與垂直分力),亦提供日後研究時仍須謹慎參酌各參數之探討與相關護具介入之使用。
The purpose of this study was to investigate the effects of high and low flexion with ankle brace on lower extremity joint torque during a drop jump landing . Eight healthy males(aged = 20.6 ± 1.4 years, height = 179.1 ± 4.91cm, weight = 72.1 ± 8.27kgf) were participated in this study. A camera Mega Speed 30 Ks(100Hz ) and an AMTI force plate(1000Hz)were used synchronously to collect kinematic and kinetic data during the landing phase. The Kwon3D and DASYLab 6.0 software were used for further analyses of the data. The experimental parameters using SPSS for Windows 18.0 software package for dependent sample t test analysis of the statistical analysis(α=.05).Result:1.In Kinematics,all the participated performed a drop jump landing task and limited hip and knee flexion under two ankle brace conditions (wearing and non-wearing).Landing with the ankle brace has significantly limited ankle dorsiflexion when body center of gravity is the lowest(p< .05).In the angular displacement of the buffer phase,it can significantly limit joint dorsiflexion (p< .05).2.In kinetic, the vertical reaction force in low flexion with ankle brace is significant(p< .05),occur time of vertical reactionforce aren’t significant(p>.05).Loading rates of wearing ankle brace isn’t significant(p>.05), but the trend is increase the same with the vertical reaction forec.Conclusion of this study is that regardless two kind of landing tactics (high flexion and low flexion), the trend of vertical reaction force, loading rates and torque is increase.The ankle brace can protect and limit the joints, and the body center is higher with brace.The brace also can help to transfer to other joints.Althoughthis study with brace only some parameters are significant(ex:the change of joints angle and vertical reaction forec), also provided to be seriouslyto explore the parameters in studyand use braces.
壹、緒論 1
一、問題背景 1
二、研究目的 5
三、研究範圍與限制 5
四、研究假設 6
五、名詞操作性定義 7
貳、文獻探討 9
一、著地動作之下肢關節傷害相關文獻 9
二、踝關節護具之相關文獻 11
三、結語 13
參、研究方法與步驟 14
一、研究架構 15
二、實驗對象 16
三、實驗日期與地點 16
四、實驗儀器與設備 16
五、實驗場地與儀器架設 19
六、實驗方法與步驟 21
七、資料收集與處理 29
(一)動力學逆過程模式建構 29
(二)運動學參數 30
(三)動力學參數 30
(四)測力板幾何座標與空間座標之結合 30
(五)人體肢段參數 33
八、動力學逆過程之推導 35
九、統計方法 39
肆、結果 40
一、穿戴護踝在高低屈曲條件限制下之運動學參數 40
二、穿戴護踝在高低屈曲條件限制下之動力學參數 48
伍、討論 53
一、踝關節護具在高低屈曲條件限制下著地時對運動學參數之影響 53
二、踝關節護具在高低屈曲條件限制下著地時對動力學參數之影響 55
三、綜合討論 58
陸、結論與建議 59
一、結論 59
二、建議 60
參考文獻 61
一、中文部分 61
二、外文部分 62
附錄一、受試者須知及同意書 65

一、中文部分
王思涵、陳振昇、陳景璿、蔚順華、楊雅雲、邱榮基(2012)。穿戴不同足踝護具在踝關節受力及穩定性之差異,大學體育學刊,14(4),458-466。
侯捷仁、劉錦璋、邱顯光(2004)。穿戴護踝對足底壓力的影響分析,運動生物力學研究彙刊(一),238-239。
莊聖維、翁梓林(2009)。護膝對單腳著地之生物力學分析。國立臺北教育大學體育學術研討會,2009,222-228 。
張英智、黃長福、趙國斌(1994)。三個不同高度著地動作的生物力學分析。體育學報, 18,195-206。
黃廖植(1996)。踝關節貼紮對預防踝關節扭傷機制之探討。未出版之碩士論文。國立體育學院,桃園縣。
楊明恩、相子元、邱宏達、黃泰源(1998)。不同步態之生物力學分析。國立體育學院論叢,8(2),223-236。
鄭世賢(2009)。踝關節貼紮或護具對足踝運動機制影響之探討,大專體育,100,180 -185。

二、外文部分

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Christine, D. P., Susan, M. S.,& Christopher, M. P. (2010).Limited hip and knee
flexion during landing is associated increased frontal plane kneemotion and
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DiStefano, L. J., Padua, D. A., Brown, C. N., &Guskiewicz, K. M. (2008). Lower
extremitykinematics and ground reaction forces afterprophylactic lace-up
ankle bracing. Journal ofAthletic Training, 43(3), 234-241.
Eils, E., & Rosenbaum, D. (2003).The main function of ankle braces is to control the joint position before landing. Foot Ankle Int,24(3),263–268.
Ferretti, A.(1992).Knee ligament injuries in volleyball players. The American Journal of Sports Medicine, 20(2), 203-207.
Gross, M. T., & Brugnolotti, J. C. (1992). Relationship between multiple predictor variables and normal Biodex eversion-inversion peal torque and angular work. Journal of Orthopedic & Sports Physical Therapy, 15, 24-31.
Heit, E. J., Lephart, S. M., & Rozzi, S. L. (1996). The effect of ankle bracing and taping on joint position sense in the stable ankle.Journal of Sport Rehabil, 5, 206-213.
Jerosch, J., Thorwesten, L., & Bork, H. (1996). Is prophylactic bracing of theanklecost sffective. Orthopedics, 19(5),405-414.
Kernozek, T.W., Torry M.R., VAN Hoof H., Cowley H., Tanner, S.(2005). Gender differences in frontal and sagittal plane biomechanics during drop landings. Medicine and Science in Sports and Exercise, 37(6),1003-1013.
McAuley, E.(1991). Injuries in women’s gymnatics-The state of the art. The American Journal of Sports Medicine, 15, 558-565.
Milot, M.H., Nadeau, S., Gravel, D., &Requiao, L.F. (2006). Bilateral levelof effort of the plantar flexors, hip flexors, and extensors during gait inhemiparetic and healthy individuals. Stroke, 37, 2070-2075.
Reisberg,S., & Verstraete,M.C.(1993). Reusable prophylactic ankle support. Journal of Sport Rehabil,2(1),43-52.
Requiao, L.F., Nadeau, S., Milot, M.H., Gravel, D., Bourbonnais, D.,&Gagnon, D. (2005). Quantification of level of effort at the plantarflexorsand hip extensors and flexor muscles in healthy subjects walking atdifferent cadences. Journal of Electromyography Kinesiology, 15(4), 393-405.
Sharpe, S., Knapik,J., & Jones, B. (1997). Ankle Brace Effectively Reduce Recurrence of Ankle Sprains in Female Soccer Players. J Athl Train, 32(1), 21-24
Shelburne,K.B.,Pandy MG,Torry MR (2004). Comparison of shear forces and ligament loading in the healthy and ACL-deficient knee during gait. Journal of Biomechanics, 37(3), 313-319.
Tropp, H., Odenrick, P., & Gillquist, J. (1985). Stabilometry Recordings in Functional and Mechanical Instability of the Ankle Joint. Int J. Sports Med, 6, 180-182.
Wikstrom, E. A., Arrigenna, M. A., Tillman, M. D., &Borsa, P. A. (2006). Dynamic postural stability insubjects with braced, functionally unstable ankles.Journal of Athletic Training, 41(3), 245-250.
Yoo, J. D., Papannagari. R., Park. S. E., DeFrate, L. E., Gill, T. J., & Li, G. (2005). The Effect of Anterior Cruciate Ligament Reconstruction on Knee Joint Kinematics Under Simulated Muscle Loads. The American journal of Sport Medicine, 33(2), 204-246.
Yu, B., Lin, C. F., & Garrett, W. E. (2006).Lowerextremitybiomechanicsduringthelanding of a stop-jump task. Clinical Biomechanics, 21, 297-305.
Zernick, R. F. & Smith, J. L. (1996). Biomechanical insights into neural control of movement.In L. B. Rowell & J. T. Shepherd (Series Ed.) & J. L. Smith (Vol. Ed.), Handbook of physiology: Section 12. Exercise: Regulation and integration of multiple systems, 293-330. New York: Oxford.
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