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研究生: 李育銘
Yu-Ming Lee
論文名稱: 下肢肌群疲勞對動態姿勢穩定的影響
Biomechanical Analysis of Fatigued Lower Extremity Muscles on Dynamic Postural Stability
指導教授: 李恆儒
Lee, Heng-Ju
學位類別: 碩士
Master
系所名稱: 體育學系
Department of Physical Education
論文出版年: 2010
畢業學年度: 98
語文別: 中文
論文頁數: 102
中文關鍵詞: 躍起和著地平衡能力代償
英文關鍵詞: jump-landing, balance ability, compensation
論文種類: 學術論文
相關次數: 點閱:187下載:26
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  • 目的:藉由不同的生物力學參數來比較下肢肌群疲勞與不同方向躍起著地對動態姿勢穩定的影響。方法:12名受試者(24±0.9歲, 172.7±3.6 公分, 70.6±8.3 公斤)皆需進行不同方向(前、斜、橫)的雙腳起跳以及支撐腳單腳著地,騰空時需以雙手觸摸目標物(50%最大垂直跳高度),著地時雙手則置於腰部兩側,並維持三秒鐘的姿勢穩定,若上述動作無法完成即算失敗。誘發性疲勞測驗為進行連續重複的深蹲和墊腳尖的動作並搭配柏格運動自覺量表來界定疲勞。結果:在不同方向的躍起著地時,前跳在著地後會產生較大的髖關節和膝關節屈曲角度以及較小的踝關節背屈角度,橫跳在著地後會產生較小的髖關節和膝關節屈曲角度以及較大的踝關節背屈角度。在疲勞前後的躍起著地時,疲勞後髖關節和膝關節的最大屈曲角度會比疲勞前還小。結論:在不同方向的躍起著地的比較,進行橫跳方向的著地會使用較多的踝關節策略,前跳則使用較多的髖關節策略,而斜跳則是髖關節和踝關節策略都有使用到。在疲勞前後躍起著地的比較,較小的髖關節與膝關節的屈曲角度是為了要快速的維持姿勢的穩定。

    Purpose:The aim of this study was to analyze biomechanical parameters on dynamic postural stability which associated with different jump-landing directions when lower extremity muscles were fatigued. Methods:12 healthy subjects (24±0.95years old, 172.7±3.6 cm, 70.6±8.3 kg) were recruited for this study. All subjects required to jump with double-leg at three different directions (forward, diagonal and lateral) and landed with single-leg (supporting leg only). During jump-landing task, subjects were asked to touch an object which was placed at 50% of their maximum jumping height with both hands. When landed with single-leg, subjects were asked to maintain their balance for 3 seconds. If the trial which the subject was unable to perform requirements above, it would be considered as a ‘failed trial’. Fatigue protocol included repeated squat and toe-raised with one third load of each subject’s body weight. The Borg rating of perceived exertion (RPE) was used to assess the level of muscle fatigue (level 17). Results:Greater hip flexion angle, knee flexion angle and smaller ankle plantarflexion angle were found during forward jump-landing protocol. Smaller hip flexion angle, knee flexion angle and greater ankle plantarflexion angle were found when performing lateral jump-landing protocol. However, when muscle fatigued, the peak hip flexion angle and knee flexion angle were decreased when compared to control trials. Conclusions:When performing later jump-landing protocol, our body might rely on more ‘ankle strategy’ during landing period. ‘Hip strategy’ may be used when performing forward jump-landing protocol. However, both strategies could be used when proceeding diagonal jump-landing protocol. On the other hand, smaller flexion angle occurred when lower extremity muscle fatigue, we suggest that our body tried to maintain postural stability with a stiffer body posture after jump-landing protocol.

    中文摘要 i 英文摘要 ii 謝誌 iii 目次 iv 表次 vi 圖次 vii 第壹章 緒論 1 第一節、前言 1 第二節、問題背景 3 第三節、研究目的 5 第四節、研究假設 5 第五節、研究範圍與限制 6 第六節、名詞操作型定義 6 第貳章 文獻探討 9 第一節、姿勢穩定與傷害風險的關係 9 第二節、動態姿勢穩定的評估方式 12 第三節、疲勞與傷害風險的關係 18 第四節、文獻總結 21 第参章 研究方法 22 第一節、研究對象 22 第二節、研究工具 22 第三節、實驗設計 29 第四節、研究實施程序 30 第五節、資料處理 36 第六節、統計分析 39 第肆章 結果 40 第一節、受試者基本資料 40 第二節、著地後姿勢穩定的維持 41 第三節、疲勞前後和不同方向躍起著地的比較 48 第伍章 討論與結論 76 第一節、著地後姿勢穩定的維持 76 第二節、不同方向躍起著地的比較 77 第三節、疲勞前後躍起著地的比較 86 第四節、結論 88 第五節、建議 89 參考文獻 90 附錄 100 附錄一、人體試驗志願書 100

    Arendt, E. A., Agel, J., & Dick, R. (1999). Anterior cruciate ligament injury patterns among collegiate men and women. Journal of Athletic Training, 34(2), 86-92.

    Aune, A. K., Nordsletten, L., Skjeldal, S., Madsen, J. E., & Ekeland, A. (1995). Hamstrings and gastrocnemius co-contraction protects the anterior cruciate ligament against failure: An in vivo study in the rat. Journal of Orthopaedic Research, 13(1), 147-150.

    Baumhauer, J. F., Alosa, D. M., Renstrom, A. F., Trevino, S., & Beynnon, B. (1995). A prospective study of ankle injury risk factors. The American Journal of Sports Medicine, 23(5), 564-570.

    Bigland-Ritchie, B., & Woods, J. J. (1984). Changes in muscle contractile properties and neural control during human muscular fatigue. Muscle Nerve, 7(9), 691-699.

    Boden, B. P., Dean, G. S., Feagin, J. A., Jr., & Garrett, W. E., Jr. (2000). Mechanisms of anterior cruciate ligament injury. Orthopedics, 23(6), 573-578.

    Carpenter, J. E., Blasier, R. B., & Pellizzon, G. G. (1998). The effects of muscle fatigue on shoulder joint position sense. American Journal of Sports Medicine, 26(2), 262-265.

    Chappell, J. D., Herman, D. C., Knight, B. S., Kirkendall, D. T., Garrett, W. E., & Yu, B. (2005). Effect of fatigue on knee kinetics and kinematics in stop-jump tasks. The American Journal of Sports Medicine, 33(7), 1022-1029.

    Christina, K. A., White, S. C., & Gilchrist, L. A. (2001). Effect of localized muscle fatigue on vertical ground reaction forces and ankle joint motion during running. Human Movement Science, 20(3), 257-276.

    Corriveau, H., Hebert, R., Prince, F., & Raiche, M. (2001). Postural control in the elderly: An analysis of test-retest and interrater reliability of the COP-COM variable. Archives of Physical Medicine and Rehabilitation, 82(1), 80-85.

    Coventry, E., O'Connor, K. M., Hart, B. A., Earl, J. E., & Ebersole, K. T. (2006). The effect of lower extremity fatigue on shock attenuation during single-leg landing. Clinical biomechanics (Bristol, Avon), 21(10), 1090-1097.

    Decker, M. J., Torry, M. R., Wyland, D. J., Sterett, W. I., & Richard Steadman, J. (2003). Gender differences in lower extremity kinematics, kinetics and energy absorption during landing. Clinical Biomechanics, 18(7), 662-669.

    Dempster, W. T. (1958). Analysis of two-handed pulls using free body diagrams. Journal of Applied Physiology, 13(3), 469-480.

    Devita, P., & Skelly, W. A. (1992). Effect of landing stiffness on joint kinetics and energetics in the lower extremity. Medicine & Science in Sports & Exercise, 24(1), 108-115.

    Edwards, R. H. (1981). Human muscle function and fatigue. Ciba Foundation symposium, 82, 1-18.

    Ekstrand, J., & Gillquist, J. (1983). Soccer injuries and their mechanisms: a prospective study. Medicine & Science in Sports & Exercise, 15(3), 267-270.

    Fagenbaum, R., & Darling, W. G. (2003). Jump landing strategies in male and female college athletes and the implications of such strategies for anterior cruciate ligament injury. The American Journal of Sports Medicine, 31(2), 233-240.

    Ford, K. R., Myer, G. D., Smith, R. L., Vianello, R. M., Seiwert, S. L., & Hewett, T. E. (2006). A comparison of dynamic coronal plane excursion between matched male and female athletes when performing single leg landings. Clinical Biomechanics, 21(1), 33-40.

    Forestier, N., Teasdale, N., & Nougier, V. (2002). Alteration of the position sense at the ankle induced by muscular fatigue in humans. Medicine and Science in Sports and Exercise, 34(1), 117-122.

    Gehring, D., Melnyk, M., & Gollhofer, A. (2009). Gender and fatigue have influence on knee joint control strategies during landing. Clinical Biomechanics, 24(1), 82-87.

    Gerritsen, K. G. M., van den Bogert, A. J., & Nigg, B. M. (1995). Direct dynamics simulation of the impact phase in heel-toe running. Journal of Biomechanics, 28(6), 661-668.

    Goldie, P. A., Bach, T. M., & Evans, O. M. (1989). Force platform measures for evaluating postural control: reliability and validity. Archives of Physical Medicine and Rehabilitation, 70(7), 510-517.

    Gray, J., Taunton, J. E., McKenzie, D. C., Clement, D. B., McConkey, J. P., & Davidson, R. G. (1985). A survey of injuries to the anterior cruciate ligament of the knee in female basketball players. International Journal of Sports Medicine, 6(6), 314-316.

    Griffin, L. Y., Agel, J., Albohm, M. J., Arendt, E. A., Dick, R. W., Garrett, W. E., et al. (2000). Noncontact anterior cruciate ligament injuries: Risk factors and prevention strategies. J Am Acad Orthop Surg, 8(3), 141-150.

    Hakkinen, K., & Komi, P. V. (1986a). Effects of fatigue and recovery on electromyographic and isometric force- and relaxation-time characteristics of human skeletal muscle. European Journal of Applied Physiology and Occupational Physiology, 55(6), 588-596.

    Hakkinen, K., Komi, P. V., & Kauhanen, H. (1986b). Electromyographic and force production characteristics of leg extensor muscles of elite weight lifters during isometric, concentric, and various stretch-shortening cycle exercises. International Journal of Sports Medicine, 7(3), 144-151.

    Hertel, J. (2002). Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. Journal of Athletic Training, 37(4), 364-375.

    Hiller, C. E., Refshauge, K. M., & Beard, D. J. (2004). Sensorimotor control is impaired in dancers with functional ankle instability. The American Journal of Sports Medicine, 32(1), 216-223.

    Hrysomallis, C. (2007). Relationship between balance ability, training and sports injury risk. Sports Medicine, 37(6), 547-556.

    Hrysomallis, C., McLaughlin, P., & Goodman, C. (2007). Balance and injury in elite Australian footballers. International Journal of Sports Medicine, 28(10), 844-847.

    James, C. R., Dufek, J. S., & Bates, B. T. (2000). Effects of injury proneness and task difficulty on joint kinetic variability. Medicine & Science in Sports & Exercise, 32(11), 1833-1844.

    Johnston, R. B., 3rd, Howard, M. E., Cawley, P. W., & Losse, G. M. (1998). Effect of lower extremity muscular fatigue on motor control performance. Medicine & Science in Sports & Exercise, 30(12), 1703-1707.

    Kannus, P., & Renstrom, P. (1991). Treatment for acute tears of the lateral ligaments of the ankle. Operation, cast, or early controlled mobilization. The Journal of Bone and Joint Surgery, 73(2), 305-312.

    Kellis, E. (1998). Quantification of quadriceps and hamstring antagonist activity. Sports Medicine, 25(1), 37-62.

    Kellis, E., & Kouvelioti, V. (2009). Agonist versus antagonist muscle fatigue effects on thigh muscle activity and vertical ground reaction during drop landing. Journal of Electromyography and Kinesiology, 19(1), 55-64.

    Kernozek, T. W., Torry, M. R., H, V. A. N. H., Cowley, H., & Tanner, S. (2005). Gender differences in frontal and sagittal plane biomechanics during drop landings. Medicine & Science in Sports & Exercise, 37(6), 1003-1012; discussion 1013.

    Kovacs, I., Tihanyi, J., Devita, P., Racz, L., Barrier, J., & Hortobagyi, T. (1999). Foot placement modifies kinematics and kinetics during drop jumping. Medicine & Science in Sports & Exercise, 31(5), 708-716.

    Lafortune, M. A., Lake, M. J., & Hennig, E. M. (1996). Differential shock transmission response of the human body to impact severity and lower limb posture. Journal of Biomechanics, 29(12), 1531-1537.

    Lee, H.-J., & Chou, L.-S. (2006). Detection of gait instability using the center of mass and center of pressure inclination angles. Archives of Physical Medicine and Rehabilitation, 87(4), 569-575.

    Lephart, S. M., & Henry, T. J. (1995). Functional rehabilitation for the upper and lower extremity. Orthopedic Clinics of North America, 26(3), 579-592.

    Lewek, M. D., Chmielewski, T. L., Risberg, M. A., & Snyder-Mackler, L. (2003). Dynamic knee stability after anterior cruciate ligament rupture. Exercise and Sport Sciences Reviews, 31(4), 195-200.

    Lloyd, D. G., Buchanan, T. S., & Besier, T. F. (2005). Neuromuscular biomechanical modeling to understand knee ligament loading. Medicine & Science in Sports & Exercise, 37(11), 1939-1947.

    Luca, C. J. D. (1997). The use of surface electromyograpyhy in biomechanics. Journal of Applied Biomechanics, 13(2), 135-163.

    Madigan, M. L., & Pidcoe, P. E. (2003). Changes in landing biomechanics during a fatiguing landing activity. Journal of Electromyography and Kinesiology, 13(5), 491-498.

    Maki, B. E., Edmondstone, M. A., & McIlroy, W. E. (2000). Age-related differences in laterally directed compensatory stepping behavior. Journal of Gerontology: Medical Sciences, 55(5), M270-277.

    Manal, K., Roberts, D. P., & Buchanan, T. S. (2008). Can pennation angles be predicted from EMGs for the primary ankle plantar and dorsiflexors during isometric contractions? Journal of Biomechanics, 41(11), 2492-2497.

    McKinley, P., & Pedotti, A. (1992). Motor strategies in landing from a jump: The role of skill in task execution. Experimental Brain Research, 90(2), 427-440.

    McLean, S. G., Fellin, R. E., Suedekum, N., Calabrese, G., Passerallo, A., & Joy, S. (2007). Impact of fatigue on gender-based high-risk landing strategies. Medicine & Science in Sports & Exercise, 39(3), 502-514.

    McNitt-Gray, J. L. (1993). Kinetics of the lower extremities during drop landings from three heights. Journal of Biomechanics, 26(9), 1037-1046.

    Melnyk, M., & Gollhofer, A. (2006). Submaximal fatigue of the hamstrings impairs specific reflex components and knee stability. Knee Surgery, 15, 525-532.

    Morasso, P. G., & Schieppati, M. (1999). Can muscle stiffness alone stabilize upright standing? Journal of Neurophysiology, 82(3), 1622-1626.

    Murray, M. P., Seireg, A., & Scholz, R. C. (1967). Center of gravity, center of pressure, and supportive forces during human activities. Journal of Applied Physiology, 23(6), 831-838.

    Noyes, F. R., Mooar, P. A., Matthews, D. S., & Butler, D. L. (1983). The symptomatic anterior cruciate-deficient knee. Part I: the long-term functional disability in athletically active individuals. The Journal of Bone and Joint Surgery, 65(2), 154-162.

    Olsen, O. E., Myklebust, G., Engebretsen, L., & Bahr, R. (2004). Injury mechanisms for anterior cruciate ligament injuries in team handball: A systematic video analysis. American Journal of Sports Medicine, 32(4), 1002-1012.

    Padua, D. A., Arnold, B. L., Perrin, D. H., Gansneder, B. M., Carcia, C. R., & Granata, K. P. (2006). Fatigue, vertical leg stiffness, and stiffness control strategies in males and females. Journal of Athletic Training, 41(3), 294-304.

    Pai, Y. C., & Iqbal, K. (1999). Simulated movement termination for balance recovery: can movement strategies be sought to maintain stability in the presence of slipping or forced sliding? Journal of Biomechanics, 32(8), 779-786.

    Pai, Y. C., & Patton, J. (1997). Center of mass velocity-position predictions for balance control. Journal of Biomechanics, 30(4), 347-354.

    Palmieri, R. M., Ingersoll, C. D., Cordova, M. L., Kinzey, S. J., Stone, M. B., & Krause, B. A. (2003). The effect of a simulated knee joint effusion on postural control in healthy subjects. Archives of Physical Medicine and Rehabilitation, 84(7), 1076-1079.

    Park, W., Singh, D. P., Huston, R. L., & Song, S. (2008). A quantitative method for representing balance strategies of goal-directed human motions. Computers in Biology and Medicine, 38(10), 1094-1102.

    Parnianpour, M., Nordin, M., Kahanovitz, N., & Frankel, V. (1988). 1988 Volvo award in biomechanics. The triaxial coupling of torque generation of trunk muscles during isometric exertions and the effect of fatiguing isoinertial movements on the motor output and movement patterns. Spine (Phila Pa 1976), 13(9), 982-992.

    Price, R. J., Hawkins, R. D., Hulse, M. A., & Hodson, A. (2004). The Football Association medical research programme: an audit of injuries in academy youth football. British Journal of Sports Medicine, 38(4), 466-471.

    Prilutsky, B. I., & Zatsiorsky, V. M. (1994). Tendon action of two-joint muscles: Transfer of mechanical energy between joints during jumping, landing, and running. Journal of Biomechanics, 27(1), 25-34.

    Radin, E. L. (1986). Role of muscles in protecting athletes from injury. Acta medica Scandinavica. Supplementum, 711, 143-147.

    Raymakers, J. A., Samson, M. M., & Verhaar, H. J. (2005). The assessment of body sway and the choice of the stability parameter(s). Gait & Posture, 21(1), 48-58.

    Reimann, B. L., Caggiano , N. A., & Lephart , S. M. (1999). Examination of a clinical method of assessing postural control during a functional performance task. Journal of Sport Rehabilitation, 8(3), 171-183.

    Riemann, B. L., & Lephart, S. M. (2002a). The sensorimotor system, Part I: The physiologic basis of functional joint stability. Journal of Athletic Training, 37(1), 71-79.

    Riemann, B. L., & Lephart, S. M. (2002b). The sensorimotor system, Part II: The role of proprioception in motor control and functional joint stability. Journal of Athletic Training, 37(1), 80-84.

    Riemann, B. L., Myers, J. B., & Lephart, S. M. (2002). Sensorimotor system measurement techniques. Journal of Athletic Training, 37(1), 85-98.

    Roberts, D., Ageberg, E., Andersson, G., & Friden, T. (2003). Effects of short-term cycling on knee joint proprioception in healthy young persons. The American Journal of Sports Medicine, 31(6), 990-994.

    Rozzi, S. L., Lephart, S. M., & Fu, F. H. (1999). Effects of muscular fatigue on knee joint laxity and neuromuscular characteristics of male and female athletes. Journal of Athletic Training, 34(2), 106-114.

    Schmitz, R. J., Kulas, A. S., Perrin, D. H., Riemann, B. L., & Shultz, S. J. (2007). Sex differences in lower extremity biomechanics during single leg landings. Clinical biomechanics (Bristol, Avon), 22(6), 681-688.

    Shin, C. S., Chaudhari, A. M., & Andriacchi, T. P. (2007). The influence of deceleration forces on ACL strain during single-leg landing: A simulation study. Journal of Biomechanics, 40(5), 1145-1152.

    Skinner, H. B., Wyatt, M. P., Hodgdon, J. A., Conard, D. W., & Barrack, R. L. (1986). Effect of fatigue on joint position sense of the knee. Journal of Orthopaedic Research, 4(1), 112-118.

    Sparto, P. J., Parnianpour, M., Reinsel, T. E., & Simon, S. (1997). The effect of fatigue on multijoint kinematics, coordination, and postural stability during a repetitive lifting test. Journal of Orthopaedic & Sports Physical Therapy, 25(1), 3-12.

    Tropp, H., Askling, C., & Gillquist, J. (1985). Prevention of ankle sprains. The American Journal of Sports Medicine, 13(4), 259-262.

    Urabe, Y., Kobayashi, R., Sumida, S., Tanaka, K., Yoshida, N., Nishiwaki, G. A., et al. (2005). Electromyographic analysis of the knee during jump landing in male and female athletes. The Knee, 12(2), 129-134.

    Vølestad, N. K. (1997). Measurement of human muscle fatigue. Journal of Neuroscience Methods, 74(2), 219-227.

    Watson, A. W. (1999). Ankle sprains in players of the field-games Gaelic football and hurling. Journal of Sports Medicine and Physical Fitness, 39(1), 66-70.

    Wikstrom, E. A., Powers, M. E., & Tillman, M. D. (2004). Dynamic stabilization time after isokinetic and functional fatigue. Journal of Athletic Training, 39(3), 247-253.

    Wikstrom, E. A., Tillman, M. D., Chmielewski, T. L., & Borsa, P. A. (2006). Measurement and evaluation of dynamic joint stability of the knee and ankle after injury. Sports Medicine, 36(5), 393-410.

    Wikstrom, E. A., Tillman, M. D., Schenker, S. M., & Borsa, P. A. (2008a). Failed jump landing trials: Deficits in neuromuscular control. Scandinavian Journal of Medicine & Science in Sports, 18(1), 55-61.

    Wikstrom, E. A., Tillman, M. D., Schenker, S. M., & Borsa, P. A. (2008b). Jump-landing direction influences dynamic postural stability scores. Journal of Science and Medicine in Sport, 11(2), 106-111.

    Wikstrom, E. A., Tillman, M. D., Smith, A. N., & Borsa, P. A. (2005). A new force-plate technology measure of dynamic postural stability: the dynamic postural stability index. Journal of Athletic Training, 40(4), 305-309.

    Willems, T. M., Witvrouw, E., Delbaere, K., Mahieu, N., De Bourdeaudhuij, I., & De Clercq, D. (2005). Intrinsic risk factors for inversion ankle sprains in male subjects: A prospective study. American Journal of Sports Medicine, 33(3), 415-423.

    Winter, D. A. (1995). Human balance and posture control during standing and walking. Gait & Posture, 3(4), 193-214.

    Yaggie, J. A., & McGregor, S. J. (2002). Effects of isokinetic ankle fatigue on the maintenance of balance and postural limits. Archives of Physical Medicine and Rehabilitation, 83(2), 224-228.

    Zhang, S. N., Bates, B. T., & Dufek, J. S. (2000). Contributions of lower extremity joints to energy dissipation during landings. Medicine and Science in Sports and Exercise, 32(4), 812-819.

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