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研究生: 鐘維軒
Chung, Wei-Hsuan
論文名稱: 以負重模擬老年女性下肢動作研究
A Kinematical Study of Lower Limbs for Elder Women by Load Bearing Simulation
指導教授: 相子元
Shiang, Tzyy-Yuang
學位類別: 碩士
Master
系所名稱: 運動競技學系
Department of Athletic Performance
論文出版年: 2011
畢業學年度: 99
語文別: 中文
論文頁數: 85
中文關鍵詞: 動作分析步態老化背包
英文關鍵詞: motion analysis, gait, aging, backpack
論文種類: 學術論文
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  • 近年已有研究嘗試以年輕人負重來模擬老年人步態,但至今模擬結果仍未與真實老年人步態比較,且方法設計上亦有許多爭議。目的:檢測分析年輕人、中年人和老年人下肢肌力,並建立年輕人模擬中、老年人動作時所需的負重比率,同時發展出利用年輕人負重的方法,來模擬老年人肌肉功能退化的狀況,以瞭解老年人行動能力上的缺失情形。方法:招募健康女性受試者共36名,年輕人(21.42 ± 1.62歲)、中年人(52.42 ± 2.39歲)和老年人(71.08 ± 3.37歲)各12名,分別以(一)下肢肌力檢測;(二)一般動作分析;(三)模擬動作分析,來進行實驗。結果:中年人、老年人相對於年輕人之下肢肌力檢測數值,得知中年人肌力退化率為22.8%;老年人則為32.31%。而在一般步行、上下登階和坐站行走的各個動作參數中,模擬族群在實驗中的整體趨勢和真實族群所呈現的動作老化現象是一致的。結論:以年輕人負重方式僅可模擬出老年人的一般步行動作,而上下登階和坐站行走則難以模擬。此外,由步態分析參數結果發現,人類老化的關鍵期在中年過後,且骨盆和大腿周遭肌群很可能是下肢老化最為明顯的部位。

    In recent years, researchers have tried the method of load carrying on the younger people to simulate the elderly gait. However, the stimulation results have yet to be compared with the real elderly gait, and this experimental design is also debatable. Purpose: This study is conducted for the following purposes: First, analyzing the muscle strength of lower limbs for people at different ages. Second, develop the simulation method by different loads for the degradation of muscle strength, and thus understand the mobility impairment in elderly individuals. Methods: The subjects are 36 healthy women who are evenly divided into three groups based on their ages. They are young (21.42 ± 1.62 years), middle-aged (52.42 ± 2.39 years), and elder (71.08 ± 3.37 years). Subjects are examined through the followin: (a) the muscle strength of lower limbs; (b) normal gait analysis; (c) simulation gait analysis. Results: Based on the numerical value of the lower limbs muscle strength for the young subjects, the degradation rates of the muscle strength of the middle-aged and the elderly are 22.80% and 32.31% respectively. Most of the parameters in normal walk, sit-to-stand walk, and step test in simulation matched up with those in real conditions, concerning aging phenomenon in this experiment. Conclusion: The load carrying on the young people can simulate the normal walk of the elder, but can not fully simulate the sit-to-stand walk and step test of the elder. Besides, the result shows the decrease in pelvic and leg muscle strength become obvious in the middle-aged group which need to be carefully reviewed for the aging problem in the future.

    中文摘要 i 英文摘要 ii 致謝詞 iii 目次 iv 表次 vi 圖次 vii 第一章 緒論 1 一、問題背景 1 二、研究問題 5 三、研究目的 6 四、研究假設 6 五、研究範圍與限制 6 六、名詞操作性定義 7 七、研究的重要性 9 第二章 相關文獻探討 10 一、真實老年人動作分析與比較 10 二、老年人體適能評估與檢測方法 11 三、模擬老年人動作分析與比較 13 四、負重對人體動作之變化 14 五、文獻總結 16 第三章 材料與方法 18 一、實驗對象與地點 18 二、實驗設計與設備 18 三、實驗步驟 28 四、資料處理 30 五、統計分析 31 第四章 結果 32 一、受試者基本資料分析 32 二、下肢肌力檢測分析 32 三、動作分析參數結果 33 四、一般步行時真實與模擬動作之比較 33 五、上下登階時真實與模擬動作之比較 46 六、坐站行走時真實與模擬動作之比較 58 第五章 討論 65 一、真實與模擬動作之探討 65 二、老化對各族群間之關係 69 三、負重差異對步態之影響 72 四、結論 75 五、建議 75 引用文獻 77 附錄一 受試者須知暨同意書 82 附錄二 受試者基本資料 84 個人小傳 85

    呂學霖(2009)。中老年女性體適能年齡之探討。未出版碩士論文,國立體育大學,桃園縣。
    柳川和優(2008)。高齢者の歩行動作特性。広島市:広島経済大学地域経済研究所。
    洪毓智、林威秀(2010,10月)。不同背包形式對動態平衡能力的影響。台灣生物力學暨台灣運動生物力學學會學術研討會海報發表,台南市。
    張立盈、鐘維軒、相子元(2011,10月)。模擬老年人步態負重之評估。中華民國大專院校體育學術研討會海報發表,台北市。
    黃盈翔(2002)。台南市老年人健康功能狀態及其相關因素之探討。未出版碩士論文,國立成功大學,台南市。
    福永哲夫(2000)。中高年者の筋量と筋力。体育の科学,50(11),864-870。
    福林徹ほか(2007)。中高年への運動療法の勧め〈1〉。臨床スポーツ医学,24(6),661-679。
    鄭名涵(2003)。不同運動型態中老年人平衡能力、反應時間與下肢肌力之比較。未出版碩士論文,國立臺灣師範大學,台北市。
    鐘維軒、王冠今、林宗慶、相子元(2010,10月)。以不同負重模擬老年人步態研究之評估。台灣生物力學暨台灣運動生物力學學會學術研討會海報發表,台南市。
    鐘維軒、張立盈、相子元(2011,10月)。不同負荷分佈方式對步態之影響。中華民國大專院校體育學術研討會海報發表,台北市。
    Bendall, M. J., Bassey, E. J., & Pearson, M. B. (1989). Factors affecting walking speed of elderly people. Age and Aging, 18, 327-32.
    Brach, J. S., Perera, S., Studenski, S., Katz, M., Hall, C., & Verghese, J. (2010). Meaningful change in measures of gait variability in older adults. Gait & Posture, 31, 175-179.
    Bullinger, M. (1996). Assessment of health related quality of life with the SF-36 health survey. Rehabilitation, 35, 17-27.
    Chansirinukor, W., Wilson, D., Grimmer, K., & Dansie, B. (2001). Effects of backpacks on students: measurement of cervical and shoulder posture. Australian Journal of Physiotherapy, 47, 110-116.
    Chung, W. H., Chang, L. Y., Shih, Y., & Shiang, T. Y. (2011, July). Compare the simulation methods of elderly gait by load carrying on the limbs and trunk. Poster session presented at the International Society of Biomechanics, Brussels.
    Crosbie, J., & Vachalathiti, R. (1997). Synchrony of pelvic and hip joint motion during walking. Gait & Posture, 6, 237-248.
    Dahlstedt, S. (1978). Slow pedestrians: walking speeds and walking habits of old-aged people. Stockholm: The Swedish Council for Building Research.
    Dehail, P., Bestaven, E., Muller, F., Mallet, A., Robert, B., Bourdel-Marchasson, I., et al. (2007). Kinematic and electromyographic analysis of rising from a chair during a Sit-to-Walk task in elderly subjects: role of strength. Clinical Biomechanics, 22, 1096-1103.
    Devroey, C., Jonkers, I., Becker, A., Lenaerts, G., & Spaepen, A. (2007). Evaluation of the effect of backpack load and position during standing and walking using biomechanical, physiological and subjective measures. Ergonomics, 50(5), 728-742.
    Dieën, J. H. V., Spanjaard, M., Könemann, R., Bron, L., & Pijnappels, M. (2008). Mechanics of toe and heel landing in stepping down in ongoing gait. Journal of Biomechanics, 41, 2417-2421.
    Gardner, M. M., Robertson, M. C., & Campbell, A. J. (2000). Exercise in preventing falls and fall related injuries in older people: a review of randomized controlled trials. British Journal Sports Medicine, 34, 7-17.
    Hahn, M. E., Lee, H. J., & Chou, L. S. (2005). Increased muscular challenge in older adults during obstructed gait. Gait & Posture, 22, 356-361.
    Harman, E., Han, K. H., Frykman, P., Johnson, M., Russell, F., & Rosenstein, M. (1992). The effects on gait timing, kinetics and muscle activity of various loads carried on the back. Medicine and Science in Sports and Exercise, 24, S129.
    Hasselgren, L., Olsson, L. L., & Nyberg, L. (2011). Is leg muscle strength correlated with functional balance and mobility among inpatients in geriatric rehabilitation?. Archives of Gerontology and Geriatrics, 52, e220-e225.
    Hong, Y., & Cheung, C. K. (2003). Gait and posture responses to backpack load during level walking in children. Gait & Posture, 17, 28-33.
    Hong, Y., & Li, J. X. (2005). Influence of load and carrying methods on gait phase and ground reactions in children’s stair walking. Gait & Posture, 22, 63-68.
    Hsiang, S. M., & Chang, C. (2002). The effect of gait speed and load carrying on the reliability of ground reaction forces. Safety Science, 40, 639-657.
    Huang, S. F., Wong, T. L., Wang, J. C., & Chung, M. J. (2005). Effect of backpack on selected gait parameters of primary school children. 23rd International Symposium on Biomechanics in Sports (pp. 195-197). Beijing, China: International Society of Biomechanics in Sports.
    Johnson, M. E., Mille, M. L., Martinez, K. M., Crombie, G., & Rogers, M. W. (2004). Age-related changes in hip abductor and adductor joint torques. Archives of Physical Medicine and Rehabilitation, 85, 593-597.
    Kerr, K. M., White, J. A., Barr, D. A., & Mollan, R. A. B. (1997). Analysis of the sit-stand-sit movement cycle in normal subjects. Clinical Biomechanics, 12(4), 236-245.
    Kinoshita, H. (1985). Effect of different loads and carrying systems on selected biomechanical parameters describing walking gait. Ergonomics, 28, 1347-1362.
    Kobatashi, Y., Takataya, K., Yamagishi, H., & Takizawa, T. (2002). Influence on the gait of wearing equipment for the experience of the aged. Yamanashi Nursing Journal, 1(1), 33-36.
    Kurihara, T., Ohtu, K., Terayama, K., Kinose, T., Nitta, O., Kikuchi, E., et al. (1998). A pilot study of senior-simulator for the senior simulation education program. Tokyo Academy of Health Science, 1(1), 119-123.
    Kurz, J. M., & Stergiou, N. (2003). The aging human neuromuscular system expresses less certainty for selecting joint kinematics during gait. Neuroscience Letters, 348, 155-158.
    Lehmakuhl, D. (1983). Brunstroms clinical kinesiology. Ohio: Philadelphia F. A. Davis Company.
    Leslie, W. D., Roe, E. B., Szul, M., LoGerfo, J. P., Rubenstein, L. Z., Tinetti, M. E. N., et al. (2003). Preventing falls in elderly persons. The New England Journal of Medicine, 348, 1816-1818.
    Lockhart, T. E., & Kim, S. (2006). Relationship between hamstring activation rate and heel contact velocity: factors influencing age-related slip-induced falls. Gait & Posture, 24, 23-34.
    Martin, P. E., & Nelson, R. C. (1986). The effect of carried loads on the walking patterns of men and women. Ergonomics, 29, 1191-1202.
    Mcdmott, A. Y., & Mernitz, H. (2006). Exercise and older patients: prescribing guidelines. American Family Physician, 74, 437-44.
    McGarry, T., & Franks, I. M. (1996). In search of invariant athletic behaviour in sport: an example from championship squash match-play. Journal of Sports Sciences, 14, 445-456.
    Mian, O. S., Thom, J. M., Narici, M. V., & Baltzopoulos, V. (2007). Kinematics of stair descent in young and older adults and the impact of exercise training. Gait & Posture, 25, 9-17.
    Nied, R. J., & Franklin, B. (2002). Promoting and prescribing exercise for the elderly. American Family Physician, 65(3), 419-427.
    Ogasawara, K., & Kubo, N. (2002). Educational effects on radiological technology students of programs using a simulated aged person and hemiplegia patient. Japanese Journal of Radiological Technology, 59(2), 295-301.
    Oku, T., Hirose, N., Kato, M., & Maruyama, H. (2009). Effect of using a cane on muscle activities of the trunk and lower limbs while walking with an apparatus simulating the experience of the elderly. Rigakuryoho Kagaku, 24(5), 709-713.
    Öberg, T., Karsznia, A., & Öberg, K. (1993). Basic gait parameters: reference data for normal subjects, 10-79 years of age. Journal of Rehabilitation Research and Development, 30(2), 210-223.
    Paróczai, R., Bejek, Z., Illyés, Á., Kocsis, L., & Kiss, R. M. (2006). Gait parameters of healthy, elderly people. Physical Education and Sport, 4(1), 49-58.
    Reeves, N. D., Spanjaard, M., Mohagheghi, A. A., Baltzopoulos, V., & Maganaris, C. N. (2009). Older adults employ alternative strategies to operate within their maximum capabilities when ascending stairs. Journal of Electromyography and Kinesiology, 19, e57-e68.
    Ren, L., Jones, R. K., & Howard, D. (2005). Dynamic analysis of load carriage biomechanics during level walking. Journal of Biomechanics, 38, 853-863.
    Rikli, R. E., & Jones, C. J. (1999). Development and validation of a functional fitness test for community-residing older adults. Journal of Aging and Physical Activity, 6, 127-159.
    Różańska-Kirschke, A., Kocur, P., Wilk, M., & Dylewicz, P. (2006). The fullerton fitness test as an index of fitness in the elderly. Medical Rehabilitation, 10(2), 9-16.
    Schenkman, M., Riley, P. O., & Pieper, C. (1996). Sit to stand from progressively lower seat heights-alterations in angular velocity. Clinical Biomechanics, 11(3), 153-158.
    Schmitz, A., Silder, A., Heiderscheit, B., Mahoney, J., & Thelen, D. G. (2009). Differences in lower-extremity muscular activation during walking between healthy older and young adults. Journal of Electromyography and Kinesiology, 19, 1085-1091.
    Shin, S., & Demura, S. (2010). Comparison and age-level differences among various step tests for evaluating balance ability in the elderly. Archives of Gerontology and Geriatrics, 50, 51-54.
    Silder, A., Heiderscheit, B., & Thelen, D. G. (2008). Active and passive contributions to joint kinetics during walking in older adults. Journal of Biomechanics, 41, 1520-1527.
    Singh, T., & Koh, M. (2009). Effects of backpack load position on spatiotemporal parameters and trunk forward lean. Gait & Posture, 29, 49-53.
    Struck, B. D., & Ross, K. M. (2006). Health promotion in older adults: prescribing exercise for the frail and home bound. Geriatrics, 61, 22-27.
    Suni, J. H., Miilunpalo, S. I., Asikainen, T. M., Laukkanen, R. T., Oja, P., Pasanen, M. E., et al. (1998). Safety and feasibility of a health-related fitness test battery for adults. Journal of the American Physical Therapy Association, 78, 134-148.
    Vandervoort, A. A. (2002). Aging of the human neuromuscular system. Muscle & Nerve, 25, 17-25.
    Wall, J. C., Hogan, D. B., Tumbull, G. I., & Fox, R. A. (1991). The kinematics of idiopathic gait disorder. Comparison with healthy young and elderly females. Scandinavian Journal of Rehabilitation Medicine, 23, 159-164.
    Wang, Y. T., Pascoe, D. D., & Weimar, W. (2001). Evaluation of book pack load during walking. Ergonomics, 44, 858-869.
    Winegard, K. J., Hicks, A. L., Sale, D. G., & Vandervoort, A. A. (1996). A 12-year follow-up study of ankle muscle function in older adults. Journal of Gerontology: Biological Sciences, 51, B202-B207.
    Winter, D. A., Patla, A. E., Frank, J. S., & Walt, S. E. (1990). Biomechanical walking pattern changes in the fit and healthy elderly. Journal of the American Physical Therapy Association, 70, 340-347.
    Winter, D. (1991). The biomechanics and motor control of human gait: normal, elderly and pathological (2th ed.). Waterloo: University of Waterloo Press.

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