簡易檢索 / 詳目顯示

研究生: 羅瑭勻
Lo, Tang-Yun
論文名稱: 標槍選手肩關節活動度與肌肉活化特性
Characteristics of Muscle Activation and Range of Motion of Shoulder in Javelin Throwers
指導教授: 張家豪
Chang, Jia-Hao
學位類別: 博士
Doctor
系所名稱: 體育學系
Department of Physical Education
論文出版年: 2019
畢業學年度: 107
語文別: 中文
論文頁數: 51
中文關鍵詞: 盂肱關節功能性比值共同收縮
英文關鍵詞: glenohumeral joint, functional ratio, co-contraction
DOI URL: http://doi.org/10.6345/NTNU201900917
論文種類: 學術論文
相關次數: 點閱:116下載:38
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 肩關節之靜態結構與動態結構共同維持動作穩定,由於高重覆性且高強度的過頂投擲動作容易使過頂投擲運動員肩關節易產生適應性改變,造成關節活動度及肌肉活化產生變化。因此本研究將分為關節活動度及肌肉活化兩部分進行探討:(一) 關節活動度:9位大專甲一級標槍選手及10位一般大專生做為受試者。使用磁場式三維空間動作擷取系統及扭力計同步收取訊號,計算每10度外展位置下扭力達4Nm時的肩關節內外轉角度。使用混合二因子變異數分析考驗被動肩關節角度於選手、一般生及慣用側、非慣用側間是否具有交互作用。結果發現當位於肩外展終端角度時,組別與慣用側、非慣用側之外轉角度及內外轉總角度 (total ROM) 具交互作用,選手慣用側的外轉角度及內外轉總角度最大,而選手非慣用側最小。(二) 肌肉活化特性:7位大專甲一級標槍選手及10位一般大專生做為受試者。使用磁場式三維空間動作擷取系統及壓力計計算不固定肩胛骨的resting position (ARP),另使用等速測力儀與無線表面肌電訊號儀同步收集受試者於肩外展110度及ARP進行主動內外轉運動時的力矩及肌電訊號。使用混合二因子變異數分析考驗力矩與肌電訊號於不同組別及慣用側、非慣用側間是否具有交互作用。結果發現標槍選手在進行內外轉動作時其功能性比值與共同收縮比值與一般大專生相同,無肌肉不平衡的狀況。總結兩部分發現,大專甲一級男子標槍選手於肩外展終端位置時,外轉關節活動度特性已產生變化,而肌肉特性則與一般人無異。

    Both static and dynamic stabilizers work synergistically to stabilize the shoulder joint. In overhead athletes, because of repeated and high-strength overhead throw motions, adaptive changes tend to occur in the shoulder joints. These lead to changes in the range of motion (ROM) and muscle activities. Thus, this research was divided into two parts to investigate the ROM and muscle activities separately. (1) The ROM study: Nine college division 1 javelin throwers and ten healthy college students were recruited. An electromagnetic motion capture system and torsionmeter were used to capture the data simultaneously and the internal and external rotation angle of 4Nm ever 10 degree of shoulder abduction was calculated. A two-way mixed-design ANOVA was used to test the passive shoulder angle between the dominant/non-dominant sides and throwers/other healthy students. The result showed that when the shoulder was at the end range of abduction, an interaction effect occurred between throwers/other healthy students and dominant/non-dominant sides. The external rotation angle and total ROM of the dominant side in throwers were the greatest, and those of their non-dominant side were the least. (2) The muscle activity study: Seven college division 1 javelin throwers and ten healthy college students were recruited. The electromagnetic motion capture system and load cell were used to capture the data to calculate the resting position under a no-fixed scapula situation (A_RP). Biodex and a surface electromyography system were used to simultaneously capture the data of internal and external activities at 110 degree and A_RP of shoulder abduction. A two-way mixed-design ANOVA was used to test the torque and muscle activities between the dominant/non-dominant side, and groups. The result showed that javelin throwers and other healthy college students had the same functional ratio and co-contraction ratio, representing that no muscle unbalance occurred in javelin throwers. In conclusion, the ROM of external rotation was changed in the college division 1 javelin throwers, but not the muscle activities.

    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 問題背景 1 第二節 研究架構 3 第三節 研究範圍與限制 4 第貮章 肩關節內外轉關節活動度分析 5 第一節 背景 5 第二節 文獻探討 6 第三節 研究方法 7 第四節 結果 12 第五節 討論 15 第六節 結論 17 第參章 肩關節肌肉活化特性 18 第一節 背景 18 第二節 文獻探討 19 第三節 研究方法 22 第四節 結果與討論 30 第五節 結論 44 第肆章 結論與建議 44 第一節 總結 44 第二節 未來研究建議 45 參考文獻 46

    Amin, N. H., Ryan, J., Fening, S. D., Soloff, L., Schickendantz, M. S., & Jones, M. (2015). The Relationship Between Glenohumeral Internal Rotational Deficits, Total Range of Motion, and Shoulder Strength in Professional Baseball Pitchers. J Am Acad Orthop Surg, 23(12), 789-796. doi:10.5435/jaaos-d-15-00292
    Andrade Mdos, S., Fleury, A. M., de Lira, C. A., Dubas, J. P., & da Silva, A. C. (2010). Profile of isokinetic eccentric-to-concentric strength ratios of shoulder rotator muscles in elite female team handball players. J Sports Sci, 28(7), 743-749. doi:10.1080/02640411003645687
    Baltaci, G., & Tunay, V. B. (2004). Isokinetic performance at diagonal pattern and shoulder mobility in elite overhead athletes. Scand J Med Sci Sports, 14(4), 231-238. doi:10.1111/j.1600-0838.2004.00348.x
    Burkhart, S. S., Morgan, C. D., & Kibler, W. B. (2003). The disabled throwing shoulder: spectrum of pathology Part I: pathoanatomy and biomechanics. Arthroscopy, 19(4), 404-420. doi:10.1053/jars.2003.50128
    Chang, J. H., Hsu, A. T., & Chang, G. L. (2008). In vitro estimation of glenohumeral joint center of rotation. Journal of Medical and Biological Engineering, 28(4), 191-195.
    Chang, J. H., Hsu, A. T., Lee, S. J., & Chang, G. L. (2004). Immediate effect of thermal capsulorrhaphy on glenohumeral joint mobility. Clin Biomech (Bristol, Avon), 19(6), 572-578. doi:10.1016/j.clinbiomech.2004.03.009
    Chiang, C. C., Hsu, C. C., Chiang, J. Y., Chang, W. C., & Tsai, J. C. (2016). Flexibility of internal and external glenohumeral rotation of junior female tennis players and its correlation with performance ranking. J Phys Ther Sci, 28(12), 3296-3299. doi:10.1589/jpts.28.3296
    Clarsen, B., Bahr, R., Andersson, S. H., Munk, R., & Myklebust, G. (2014). Reduced glenohumeral rotation, external rotation weakness and scapular dyskinesis are risk factors for shoulder injuries among elite male handball players: a prospective cohort study. Br J Sports Med, 48(17), 1327-1333. doi:10.1136/bjsports-2014-093702
    Cools, A. M., Vanderstukken, F., Vereecken, F., Duprez, M., Heyman, K., Goethals, N., & Johansson, F. (2016). Eccentric and isometric shoulder rotator cuff strength testing using a hand-held dynamometer: reference values for overhead athletes. Knee Surg Sports Traumatol Arthrosc, 24(12), 3838-3847. doi:10.1007/s00167-015-3755-9
    Cozette, M., Delanaud, S., Lepretre, P. M., & Weissland, T. (2016). Evolution of isokinetic torque ratios of shoulder rotator muscles. Ann Phys Rehabil Med, 59s, e17. doi:10.1016/j.rehab.2016.07.041
    Crockett, H. C., Gross, L. B., Wilk, K. E., Schwartz, M. L., Reed, J., O'Mara, J., Andrews, J. R. (2002). Osseous adaptation and range of motion at the glenohumeral joint in professional baseball pitchers. Am J Sports Med, 30(1), 20-26. doi:10.1177/03635465020300011701
    Digiovine, N. M., Jobe, F. W., Pink, M., & Perry, J. (1992). An electromyographic analysis of the upper extremity in pitching. J Shoulder Elbow Surg, 1(1), 15-25. doi:10.1016/s1058-2746(09)80011-6
    Dillman, C. J., Fleisig, G. S., & Andrews, J. R. (1993). Biomechanics of Pitching With Emphasis Upon Shoulder Kinematics. Journal of Orthopaedic & Sports Physical Therapy, 18(2), 402-408. doi:10.2519/jospt.1993.18.2.402
    Downar, J. M., & Sauers, E. L. (2005). Clinical Measures of Shoulder Mobility in the Professional Baseball Player. Journal of Athletic Training, 40(1), 23-29.
    Edmond, S. L. (1993). Manipulation and mobilization: extremity and spinal techniques: Mosby.
    Escamilla, R. F., & Andrews, J. R. (2009). Shoulder Muscle Recruitment Patterns and Related Biomechanics during Upper Extremity Sports. Sports Medicine, 39(7), 569-590. doi:10.2165/00007256-200939070-00004
    Falla, D. L., Hess, S., & Richardson, C. (2003). Evaluation of shoulder internal rotator muscle strength in baseball players with physical signs of glenohumeral joint instability. Br J Sports Med, 37(5), 430-432.
    Florimond, V. (2009). Basics of surface electromyography applied to physical rehabilitation and biomechanics. Montreal, Canada: Thought Technology Ltd.
    Forthomme, B., Crielaard, J. M., Forthomme, L., & Jean-Louis, C. (2007). Field performance of javelin throwers: Relationship with isokinetic findings. Iso Exerc Sci, 15, 195-202. doi:10.3233/IES-2007-0273
    Gainor, B. J., Piotrowski, G., Puhl, J., Allen, W. C., & Hagen, R. (1980). The throw: biomechanics and acute injury. Am J Sports Med, 8(2), 114-118.
    Guney, H., Harput, G., Colakoglu, F., & Baltaci, G. (2016). The Effect of Glenohumeral Internal-Rotation Deficit on Functional Rotator-Strength Ratio in Adolescent Overhead Athletes. J Sport Rehabil, 25(1), 52-57. doi:10-1123/jsr.2014-0260
    Harput, G., Guney, H., Toprak, U., Kaya, T., Colakoglu, F. F., & Baltaci, G. (2016). Shoulder-Rotator Strength, Range of Motion, and Acromiohumeral Distance in Asymptomatic Adolescent Volleyball Attackers. J Athl Train, 51(9), 733-738. doi:10.4085/1062-6050-51.12.04
    Harryman, D. T., 2nd, Sidles, J. A., Clark, J. M., McQuade, K. J., Gibb, T. D., & Matsen, F. A., 3rd. (1990). Translation of the humeral head on the glenoid with passive glenohumeral motion. J Bone Joint Surg Am, 72(9), 1334-1343.
    Hertling, D., & Kessler, R. M. (2006). Management of common musculoskeletal disorders: physical therapy principles and methods: Lippincott Williams & Wilkins.
    Hislop, H., Avers, D., & Brown, M. (2013). Daniels and Worthingham's muscle Testing-E-Book: Techniques of manual examination and performance testing: Elsevier Health Sciences.
    Hsu, A. T., Chang, J. H., & Chang, C. H. (2002). Determining the resting position of the glenohumeral joint: a cadaver study. J Orthop Sports Phys Ther, 32(12), 605-612. doi:10.2519/jospt.2002.32.12.605
    Hsu, A. T., Hedman, T., Chang, J. H., Vo, C., Ho, L., Ho, S., & Chang, G. L. (2002). Changes in abduction and rotation range of motion in response to simulated dorsal and ventral translational mobilization of the glenohumeral joint. Phys Ther, 82(6), 544-556.
    Illyes, A., & Kiss, R. M. (2005). Shoulder muscle activity during pushing, pulling, elevation and overhead throw. J Electromyogr Kinesiol, 15(3), 282-289. doi:10.1016/j.jelekin.2004.10.005
    Jobe, F. W., Moynes, D. R., Tibone, J. E., & Perry, J. (1984). An EMG analysis of the shoulder in pitching. A second report. Am J Sports Med, 12(3), 218-220.
    Jobe, F. W., Tibone, J. E., Perry, J., & Moynes, D. (1983). An EMG analysis of the shoulder in throwing and pitching. A preliminary report. Am J Sports Med, 11(1), 3-5.
    Kellis, E., Arabatzi, F., & Papadopoulos, C. (2003). Muscle co-activation around the knee in drop jumping using the co-contraction index. J Electromyogr Kinesiol, 13(3), 229-238.
    Konrad, P. (2005). The abc of emg. A practical introduction to kinesiological electromyography, 1, 30-35.
    Lee, S. B., Kim, K. J., O'Driscoll, S. W., Morrey, B. F., & An, K. N. (2000). Dynamic glenohumeral stability provided by the rotator cuff muscles in the mid-range and end-range of motion. A study in cadavera. J Bone Joint Surg Am, 82(6), 849-857.
    Levine, W. N., & Flatow, E. L. (2000). The pathophysiology of shoulder instability. Am J Sports Med, 28(6), 910-917. doi:10.1177/03635465000280062501
    Lin, H. T., Hsu, A. T., Chang, G. L., Chang Chien, J. R., An, K. N., & Su, F. C. (2007). Determining the resting position of the glenohumeral joint in subjects who are healthy. Phys Ther, 87(12), 1669-1682. doi:10.2522/ptj.20050391
    Lo, Y. P., Hsu, Y. C., & Chan, K. M. (1990). Epidemiology of shoulder impingement in upper arm sports events. Br J Sports Med, 24(3), 173-177.
    Lubiatowski, P., Kaczmarek, P., Cisowski, P., Breborowicz, E., Grygorowicz, M., Dzianach, M., . . . Romanowski, L. (2018). Rotational glenohumeral adaptations are associated with shoulder pathology in professional male handball players. Knee Surg Sports Traumatol Arthrosc, 26(1), 67-75. doi:10.1007/s00167-017-4426-9
    Magee, D. J. (2014). Orthopedic physical assessment: Elsevier Health Sciences.
    Marta, S., Pezarat-Correia, P., Fernandes, O., Carita, A., Cabri, J., & Moraes, A. (2013). Electromyographic analysis of posterior deltoid, posterior rotator cuff and trapezius musculature in different shoulder exercises. International Sportmed Journal, 14, 1-15.
    McMaster, W. C., Long, S. C., & Caiozzo, V. J. (1991). Isokinetic torque imbalances in the rotator cuff of the elite water polo player. Am J Sports Med, 19(1), 72-75. doi:10.1177/036354659101900112
    Meister, K. (2000). Injuries to the shoulder in the throwing athlete. Part one: Biomechanics/pathophysiology/classification of injury. Am J Sports Med, 28(2), 265-275. doi:10.1177/03635465000280022301
    Mihata, T., Gates, J., McGarry, M. H., Neo, M., & Lee, T. Q. (2015). Effect of posterior shoulder tightness on internal impingement in a cadaveric model of throwing. Knee Surg Sports Traumatol Arthrosc, 23(2), 548-554. doi:10.1007/s00167-013-2381-7
    Mihata, T., Lee, Y., McGarry, M. H., Abe, M., & Lee, T. Q. (2004). Excessive humeral external rotation results in increased shoulder laxity. Am J Sports Med, 32(5), 1278-1285. doi:10.1177/0363546503262188
    Mihata, T., McGarry, M. H., Kinoshita, M., & Lee, T. Q. (2010). Excessive glenohumeral horizontal abduction as occurs during the late cocking phase of the throwing motion can be critical for internal impingement. Am J Sports Med, 38(2), 369-374. doi:10.1177/0363546509346408
    Myers, J. B., Laudner, K. G., Pasquale, M. R., Bradley, J. P., & Lephart, S. M. (2005). Scapular position and orientation in throwing athletes. Am J Sports Med, 33(2), 263-271. doi:10.1177/0363546504268138
    Noffal, G. J. (2003). Isokinetic eccentric-to-concentric strength ratios of the shoulder rotator muscles in throwers and nonthrowers. Am J Sports Med, 31(4), 537-541. doi:10.1177/03635465030310041001
    O'Connor, S., Downey, M., & Moran, K. (2016). Epidemiology of Injury in Gaelic Handball. Ir Med J, 109(3), 370.
    Osbahr, D. C., Cannon, D. L., & Speer, K. P. (2002). Retroversion of the humerus in the throwing shoulder of college baseball pitchers. Am J Sports Med, 30(3), 347-353. doi:10.1177/03635465020300030801
    Reagan, K. M., Meister, K., Horodyski, M. B., Werner, D. W., Carruthers, C., & Wilk, K. (2002). Humeral retroversion and its relationship to glenohumeral rotation in the shoulder of college baseball players. Am J Sports Med, 30(3), 354-360. doi:10.1177/03635465020300030901
    Saccol, M. F., Gracitelli, G. C., da Silva, R. T., Laurino, C. F., Fleury, A. M., Andrade Mdos, S., & da Silva, A. C. (2010). Shoulder functional ratio in elite junior tennis players. Phys Ther Sport, 11(1), 8-11. doi:10.1016/j.ptsp.2009.11.002
    Saha, A. (1971). Dynamic stability of the glenohumeral joint. Acta Orthopaedica Scandinavica, 42(6), 491-505.
    Semmler, J. G. (2002). Motor unit synchronization and neuromuscular performance. Exerc Sport Sci Rev, 30(1), 8-14.
    Shanley, E., Thigpen, C. A., Clark, J. C., Wyland, D. J., Hawkins, R. J., Noonan, T. J., & Kissenberth, M. J. (2012). Changes in passive range of motion and development of glenohumeral internal rotation deficit (GIRD) in the professional pitching shoulder between spring training in two consecutive years. J Shoulder Elbow Surg, 21(11), 1605-1612. doi:10.1016/j.jse.2011.11.035
    Solomonow, M., Baratta, R., Zhou, B. H., Shoji, H., Bose, W., Beck, C., & D'Ambrosia, R. (1987). The synergistic action of the anterior cruciate ligament and thigh muscles in maintaining joint stability. Am J Sports Med, 15(3), 207-213. doi:10.1177/036354658701500302
    Spigelman, T. (2006). Identifying and Assessing Glenohumeral Internal-Rotation Deficit. 11, 23-25. doi:10.1123/att.11.3.23
    Takenaga, T., Sugimoto, K., Goto, H., Nozaki, M., Fukuyoshi, M., Tsuchiya, A., . . . Otsuka, T. (2015). Posterior Shoulder Capsules Are Thicker and Stiffer in the Throwing Shoulders of Healthy College Baseball Players: A Quantitative Assessment Using Shear-Wave Ultrasound Elastography. Am J Sports Med, 43(12), 2935-2942. doi:10.1177/0363546515608476
    Terry, G. C., & Chopp, T. M. (2000). Functional Anatomy of the Shoulder. Journal of Athletic Training, 35(3), 248-255.
    Thomas, S. J., Swanik, K. A., Swanik, C., & Huxel, K. C. (2009). Glenohumeral Rotation and Scapular Position Adaptations After a Single High School Female Sports Season. Journal of Athletic Training, 44(3), 230-237.
    Thompson, S. F., Guess, T. M., Plackis, A. C., Sherman, S. L., & Gray, A. D. (2018). Youth Baseball Pitching Mechanics: A Systematic Review. Sports Health, 10(2), 133-140. doi:10.1177/1941738117738189
    Tyler, T. F., Roy, T., Nicholas, S. J., & Gleim, G. W. (1999). Reliability and validity of a new method of measuring posterior shoulder tightness. J Orthop Sports Phys Ther, 29(5), 262-269; discussion 270-264. doi:10.2519/jospt.1999.29.5.262
    van Cingel, R., Habets, B., Willemsen, L., & Staal, B. (2017). Shoulder Dynamic Control Ratio and Rotation Range of Motion in Female Junior Elite Handball Players and Controls. Clin J Sport Med. doi:10.1097/jsm.0000000000000429
    Van der Helm, F. C. T. (1997, August 26-17, 1997). A standardized protocol for motion recordings of the shoulder. Paper presented at the 1st Conference of the International Shoulder Group, Maastricht, the Netherlands.
    Wang, H. K., Macfarlane, A., & Cochrane, T. (2000). Isokinetic performance and shoulder mobility in elite volleyball athletes from the United Kingdom. Br J Sports Med, 34(1), 39-43.
    Wilk, K. E., Meister, K., & Andrews, J. R. (2002). Current concepts in the rehabilitation of the overhead throwing athlete. Am J Sports Med, 30(1), 136-151. doi:10.1177/03635465020300011201
    Wulker, N., Rossig, S., Korell, M., & Thren, K. (1995). Dynamic stability of the glenohumeral joint. A biomechanical study. Sportverletz Sportschaden, 9(1), 1-8. doi:10.1055/s-2007-993413
    Yildiz, Y., Aydin, T., Sekir, U., Kiralp, M. Z., Hazneci, B., & Kalyon, T. A. (2006). Shoulder terminal range eccentric antagonist/concentric agonist strength ratios in overhead athletes. Scand J Med Sci Sports, 16(3), 174-180. doi:10.1111/j.1600-0838.2005.00471.x

    下載圖示
    QR CODE