進階搜尋


 
系統識別號 U0026-2407201513330000
論文名稱(中文) 結合兩種不同之分析方式探討肢段內關節間協調在移動任務的年齡發展
論文名稱(英文) Investigation of the development of inter-joint coordination during locomotion tasks by combining two different coordination analysis methods
校院名稱 成功大學
系所名稱(中) 物理治療學系
系所名稱(英) Department of Physical Therapy
學年度 103
學期 2
出版年 104
研究生(中文) 林泊宇
研究生(英文) Po-Yu Lin
電子信箱 narutos1516@gmail.com
學號 T66011058
學位類別 碩士
語文別 中文
論文頁數 66頁
口試委員 指導教授-成戎珠
口試委員-卓瓊鈺
口試委員-楊政峰
口試委員-林玲伊
中文關鍵字 移動任務  動作發展  關節間協調  連續相對相位  平面共變定律 
英文關鍵字 locomotion task  motor development  inter-joint coordination  continuous relative phase  planar co-variation law 
學科別分類
中文摘要 背景與目的:移動任務是指個體透過肢體的動作,使身體產生移動,包含了走路、雙腳跳、單腳跳等等,移動任務在個體的發展過程中是一個重要的動作控制能力,凡舉生存、娛樂都需要靠移動任務來完成;動作控制與動作經驗的增加更是有助於兒童的體能、健康與社會情緒發展。當執行移動任務時需要下肢多關節間協調才能產生平順的動作,而關節協調也會受到年齡的增加與生理構造的成熟來影響動作的表現。之前的研究指出關節間協調分析主要分為兩種,時間性與空間性分析,例如:連續相對相位與平面共變定律。連續相對相位主要是由角位移-速度相位圖所衍生,可以用來評估兩個連續肢段執行移動任務時相對關係(相位)的變異性。平面共變定律採用主成份分析可以代表相對應的關節在執行動作時的相對應空間協調表現,經由以上的分析可以讓我們了解中樞神經系統在面對不同移動任務時的調節訊息。本研究目的為結合兩種不同之協調分析方式探討正常發展兒童與年輕成年人執行移動任務時關節間協調表現。方法:本研究徵招了32位正常發展兒童(7-9歲:16位;10-12歲:16位)以及20位健康年輕成年人。正常發展兒童組的受測者都會先經過兒童動作評估測驗-第二版與畢保德圖畫詞彙測驗-修訂版確定在動作表現和認知功能有達發展標準。之後全部的受測者下肢骨突處會貼上25顆反光球,並且在動作分析實驗室的步道上執行移動任務包含走路、雙腳連續向前跳與單腳連續向前跳分別各5次,過程中會使用紅外線攝影機記錄運動學資料。最後使用連續相對相位與平面共變定律採用主成份分析受測者在執行三項移動任務時的表現。本研究使用SPSS 17.0之套裝軟體進行統計分析,利用重複測量二因子變異數分析連續相對相位、關節仰角角度擺動幅度、平面化指標以及第一相對於第二主成份特徵值之比值。顯著水準設為(p < .05);若達顯著差異則進行事後分析。結果:在連續相對相位分析方面,行走時髖-膝以及膝-踝關節間之變異,各組年齡層是無顯著差異,然而在擺盪期時7-9歲正常發展兒童膝-踝關節間之變異是顯著大於年輕成年人(p < .01)。而雙腳連續向前跳時髖-膝以及膝-踝關節間之變異,7-9歲正常發展兒童是顯著大於年輕成年人(p < .01),但是在10-12歲正常發展兒童和年輕成年人之間則無顯著差異。在單腳連續向前跳時髖-膝以及膝-踝關節間之變異,7-9歲正常發展兒童是顯著大於10-12歲正常發展兒童和年輕成年人(p < .01),而10-12歲正常發展兒童也是顯著大於年輕成年人(p < .01)。在平面共變定律採用主成份分析方面,行走時各關節之仰角角度擺動幅度、平面化指標、第一與第二主成份特徵值之比值,各組別之間是無顯著差異。在雙腳連續向前跳方面,7-9歲正常發展兒童平面化指標是顯著小於年輕成年人(p < .01),而在10-12歲正常發展兒童和年輕成年人之間則無顯著差異。在單腳連續向前跳部分,7-9歲正常發展兒童平面化指標是顯著小於10-12歲正常發展兒童與年輕成年人,而在10-12歲正常發展兒童平面化指標亦是顯著小於年輕成年人。結論:7-9歲正常發展兒童在步態周期中的擺盪期之關節間協調仍然是較年輕成年人不穩定的。而在執行雙腳連續向前跳與單腳連續向前跳移動任務時,兩種分析方式皆顯示兒童的動作穩定性仍較年輕成年人差,為發展不成熟。而以動態系統理論的觀點來說,這些兒童在執行較困難的移動任務時會增加自由度而造成低效率且耗能。臨床意義:過去在探討動作時的協調表現,都著重在單獨的空間性或是時間性分析,本研究結合這兩種方式一起探討在發展的過程中,下肢關節在執行移動任務時的變化,能更清楚知道下肢肢段內關節間的協調控制,或許可作為探討臨床病人下肢肢段內關節間的協調異常之基礎。
英文摘要 Locomotion is an important task of daily activities in human. It requires a precise end-point movement control accomplished by a multi-joint coordination. Inter-joint coordination is a spatial and temporal relationship between two adjacent joints that provides information on how the neuromuscular system controls for dynamic joint control. However, previous study of locomotion that focused on kinematics of individual joints might not be sufficient to identify inter-joint coordination during locomotion. Therefore, the purpose of this study used continuous relative phase (CRP) and planar co-variation law for inter-joint coordination analysis to describe the development (age difference) of inter-joint coordination of locomotion. Thirty-two 7-9 years and 10-12 years typically developing (TD) children and 20 young adults participated in the study. CRP is derived from the joint position and velocity of two adjacent joints on phase portraits. Planar co-variation law is derived from the joint-spatial portrait. No significant group differences were noted for walking, but 7-9 years TD children showed significantly large deviation phase (DP) values than young adults in swing phase. 7-9 years TD children also showed significantly larger DP of jumping and hopping than young adults. These results represent that children present significant greater variability of joint coordination in jumping and hopping tasks but not walking, except in swing phase than young adults. In other words, children were unstable when performing the more difficult tasks, such as jumping and hopping. Examining the inter-joint coordination during locomotion tasks may be helpful to understand the age effects on the detail inter-joint coordination among different locomotion tasks and may help with examining the coordination deficits in clinical children.
論文目次 目錄
中文摘要 I
英文摘要 III
誌謝 VII
目錄 VIII
表目錄 XI
圖目錄 XII
第一章 研究背景與目的 1
1.1 移動任務 1
1.1.1 定義 1
1.1.2 動態系統理論 1
1.1.3 移動任務之發展 3
1.1.3.1 行走 3
1.1.3.2 雙腳連續向前跳 4
1.1.3.3 單腳連續向前跳 4
1.2 下肢關節間協調 5
1.2.1 定義 5
1.2.2 關節間協調分析方法 5
1.2.3 連續相對相位 6
1.2.4 平面共變定律 7
1.2.4.1 平面共變定律之假說 8
1.2.4.2 共變角度之統計特性的量化 8
1.3 研究目的與假設 11
1.3.1 研究目的 11
1.3.2 研究假設 11
第二章 研究方法 12
2.1 研究對象 12
2.2 測驗工具 13
2.2.1 兒童動作評估測驗-第二版 13
2.2.2 畢保德圖畫詞彙測驗-修訂版 13
2.3 實驗器材 14
2.4 實驗流程 15
2.5 實驗任務 16
2.6 資料擷取與分析 17
2.6.1 運動學資料擷取 17
2.6.2 資料分析 18
2.6.2.1 計算關節座標系 18
2.6.2.2 尤拉角 19
2.6.2.3 連續相對相位之協調參數 20
2.6.2.4 平面共變定律之協調參數 21
2.7 統計分析 22
第三章 研究結果 24
3.1 受測者基本資料 24
3.2 連續相對相位之偏差相位值 24
3.2.1 行走 25
3.2.2 雙腳連續向前跳 25
3.2.3 單腳連續向前跳 26
3.3 下肢關節之仰角角度擺動幅度 26
3.3.1 行走 26
3.3.2 雙腳連續向前跳 26
3.3.3 單腳連續向前跳 27
3.4 平面化指標 27
3.4.1 行走 28
3.4.2 雙腳連續向前跳 28
3.4.3 單腳連續向前跳 28
3.5第一與第二主成份特徵值之比值 29
第四章 討論 30
4.1 偏差相位值 31
4.1.1 行走 31
4.1.2 雙腳連續向前跳與單腳連續向前跳 33
4.2 下肢各關節之仰角角度擺動幅度 34
4.2.1 行走 34
4.2.2 雙腳連續向前跳與單腳連續向前跳 34
4.3 平面化指標 35
4.3.1 行走 35
4.3.2 雙腳連續向前跳與單腳連續向前跳 36
4.4 第一與第二主成份特徵值之比值 37
4.5 研究限制 38
第五章 結論與臨床意義 39
第六章 參考文獻 40
參考文獻 Barela, J. A., Whitall, J., Black, P., & Clark, J. E. (2000). An examination of constraints affecting the intralimb coordination of hemiparetic gait. Human Movement Science, 19(2), 251-273.
Beurskens, R., & Bock, O. (2012). Age-related deficits of dual-task walking: a review. Neural Plasticity. doi: 10.1155/2012/131608.
Bianchi, L., Angelini, D., Orani, G. P., & Lacquaniti, F. (1988). Kinematic coordination in human gait: relative to mechanical energy cost. Journal of Neurophysiology, 79(4), 2155-2170.
Biryukova, E. V., & Bril, B. (2008). Organization of goal-directed action at a high level of motor skill: the case of stone knapping in India. Motor Control, 12(3), 181-209.
Borghese, N. A., Bianchi, L., & Lacquaniti, F. (1996). Kinematic determinants of human locomotion. The Journal of Physiology, 494, 863-879.
Burgess-Limerick, R., Abernethy, B., & Neal, R. J. (1993). Relative phase quantifies interjoint coordination. Journal of Biomechanics, 26(1), 91-94.
Byrne, J. E., Stergiou, N., Blanke, D., Houser, J. J., Kurz, M. J., & Hageman, P. A. (2002). Comparison of gait patterns between young and elderly women: an examination of coordination. Perceptual and Motor Skills, 94, 265-280.
Cech, D. J., & Martin, S. (2002). Functional movement development across the life span (fourth ed). Philadelphia, WB: Saunders.
Cermak, S., & LarKin, D. (2002). Developmental coordination disorder. Albany, NY: Delmar.
Cheron, G., Bouillot, E., Dan, B., Bengoetxea, A., Draye, J. P., & Lacquaniti, F. (2001). Development of a kinematic coordination pattern in toddler locomotion: planar covariation. Experimental Brain Research, 137(3-4), 455-466.
Chiu, S. L., & Chou, L. S. (2013). Variability in inter-joint coordination during walking of elderly adults and its association with clinical balance measures. Clinical Biomechanics, 28(4), 454-458.
Chiu, S. L., Osternig, L., & Chou, L. S. (2013). Concussion induces gait inter-joint coordination variability under conditions of divided attention and obstacle crossing. Gait & Posture, 38(4), 717-722.
Clark, J. E., & Phillips, S. J. (1993). A longitudinal study of intralimb coordination in the first year of independent walking: a dynamical systems analysis. Child Development, 64(4), 1143-1157.
Clark, J. E., & Whitall, J. (1989). Development of posture and gait across the life span. Columbia, SC: University of South Carolina press.
Folio, M. R., & Fewell, R. R. (2000). Peabody Developmental Motor Scales Examiner’s Manual (2nd ed.). Austin, TX: Pro-Ed.
Gallahue, D., & Ozmun, J. (2006). Understanding motor development: Infants, children, adolescents, adults. New York: McGraw-Hill.
Ganley, K.J., & Powers C.M. (2005). Gait kinematics and kinetics of 7-year-old children: a comparison to adults using age-specific anthropometric. Gait Posture, 21(2), 141-145.
Grieve, D. W. (1968). Gait patterns and the speed of walking. Biomedical Engineering, 3, 119-122.
Hallemans, A., & Aerts, P. (2009). Effects of visual deprivation on intra-limb coordination during walking in children and adults. Experimental Brain Research, 198(1), 95-106.
Hamill, J., van Emmerik, R. E., Heiderscheit, B. C., & Li, L. (1999). A dynamical systems approach to lower extremity running injuries. Clinical Biomechanics, 14(5), 297-308.
Haywood, K., & Getchell, N. (2005). Life Span Motor Development (4th ed.). Champaign, IL: Human Kinetics.
Henderson, S. E., Sugden, D. A., & Barnett, A. L. (2007). Movement assessment battery for children-2 second edition [Movement ABC-2]. London, UK: The Psychological Corporation.
Ivanenko, Y. P., Cappellini, G., Dominici, N., Poppele, R. E., & Lacquantit, F. (2007) Modular control of limb movement during human locomotion. The Journal of Neuroscience, 27(41), 11149-11161.
Malina, R. M., Bouchard, C., & Bouchard, C. (2004). Growth, maturation and physical activity, 2nd ed., Champaign, IL: Human Kinetics.
Miller, R. H., Chang, R., Baird, J. L., van Emmerik, R. E., & Hamil, J. (2010). Variability in kinematic coupling assessed by vector coding and continuous relative phase. Journal of Biomechanics, 43(13), 2554-2560.
Roberton, M. A., & Halverson, L. E. (1988). The development of locomotor coordination: longitudinal change and invariance. Journal of Motor Behavior, 20(3), 197-241.
Shetreat-Klein, M., Shinnar, S., & Rapin, I. (2014). Abnormalities of joint mobility and gait in children with autism spectrum disorders. Brain and Development, 36(2), 91-96.
Smith, L. B., & Thelen, E. (2003). Development as a dynamic system. Trends in Cognitive Science, 17(8), 343-348.
Stergiou, N., Jensen, J. L., Bates, B. T., Scholten, S. D., & Tzetzis, G. (2001). A dynamical systems investigation of lower extremity coordination during running over obstacles. Clinical Biomechanics, 16(3), 213-221.
Taylor, M. J., Cohen, D., Voss, C., & Sandercock, G. R. (2010). Vertical jumping and leg power normative data for English school children aged 10-15 years. Journal of Sports Sciences, 28(8), 867-872.
Thelen, E. (1987). Self-organizing systems and infant motor development. Developmental Review, 7(1), 37-65.
Thelen, E., & Smith, L. B. (1998). A Dynamic systems approach to the development of cognition and action. London England: MIT Press.
Turvey, M. T., Fitch, H. L., & Tuller, B. (1982). The Bernstein perspective: I. The problems of degrees of freedom and context-conditioned variability. Human Motion Behavior, 239-251.
Tveter, A. T., & Holm, I. (2010). Influence of thigh muscle strength and balance on hop length in one-legged hopping in children aged 7-12 years. Gait & Posture, 32(2), 259-262.
Ulrich, B. D., Ulrich, D. A., Angulo-Kinzler, R., & Chapman, D. D. (1997). Sensitivity of infants with and without Down syndrome to intrinsic dynamics. Research Quarterly for Exercise and Sport, 68(1), 10-19.
van Emmerik, R. E., & Wagenaar, R. C., (1996). Effects of walking velocity on relative phase dynamics in the trunk in human walking. Journal of Biomechanics, 29(9), 1175-1184.
Winter, D. A. (1992). Foot trajectory in human gait: a precise and multifactorial motor control task. Physical Therapy, 72(1), 45-53.
Winter, D. A. Patla, A. E., Frank, J. S., & Walt, S. E. (1990). Biomechanical walking pattern changes in the fit and healthy elderly. Physical Therapy, 70(6), 340–347.
Whitall, J., & Caldwell, G. E. (1992). Coordination of symmetrical and asymmetrical human gait. Journal of Motor Behavior, 24(4), 339-353.
Zwicker, J. G., Missiuna, C., & Boyd, L. A. (2009). Neural correlates of developmental coordination disorder: a review of hypotheses. Journal of Child Neurology, 24(10), 1273-1281.
成戎珠 (1994)。動作發展新理論-動力系統理論之介紹。中華民國物理治療學會雜誌,(19-1),88-89。
陳正昌、程炳林、陳新豐、劉子鍵 (2005)。多變量分析方法-統計軟體應用(第四版)。台北市:五南出版社。
陸莉、劉鴻香 (2005)。畢保德圖畫詞彙測驗-指導手冊(再版)。台北市:心理出版社。
廖華芳 (2011)。小兒物理治療學(三版)。台北市:禾楓書局有限公司。
論文全文使用權限
  • 同意授權校內瀏覽/列印電子全文服務,於2017-07-29起公開。
  • 同意授權校外瀏覽/列印電子全文服務,於2017-07-29起公開。


  • 如您有疑問,請聯絡圖書館
    聯絡電話:(06)2757575#65773
    聯絡E-mail:etds@email.ncku.edu.tw