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系統識別號 U0026-2508201101313400
論文名稱(中文) 膝疼痛對羽球選手膝關節和軀幹動作生物力學及平衡的影響
論文名稱(英文) The Effects of Knee Pain on Knee Biomechanics, Trunk Movement and Balance in Badminton Players
校院名稱 成功大學
系所名稱(中) 物理治療研究所
系所名稱(英) Department of Physical Therapy
學年度 99
學期 2
出版年 100
研究生(中文) 李幸珊
研究生(英文) Hsing-Hsan Lee
學號 T66984031
學位類別 碩士
語文別 英文
論文頁數 92頁
口試委員 指導教授-林呈鳳
口試委員-李恆儒
口試委員-蔡一如
口試委員-黃明東
中文關鍵字 衝刺  下肢  核心控制  肌電圖 
英文關鍵字 Lunge  Lower extremity  Core control  Electromyography 
學科別分類
中文摘要 背景與目的:羽球是一項需要上肢、軀幹及下肢協調的運動,膝關節疼痛在羽球選手中是相當常見的,因為羽球特殊的動作會增加下肢尤其是膝關節的受力,許多研究顯示核心肌群穩定性跟膝關節損傷有很大的相關,較差的核心穩定性會增加膝關節損傷的機率。目前並沒有研究去探討膝關節疼痛對核心肌群的神經肌肉控制跟膝關節動態穩定性的影響,因此本研究主要目的為探討羽球選手在執行不同對角線方向的衝刺動作時軀幹和膝關節的生物力學,及膝疼痛對下肢和軀幹生物力學及平衡表現和肌肉活化模式的影響。方法: 膝關節慢性疼痛和健康的選手各十七名,經問卷和理學檢查的篩選後進行動作分析實驗,實驗開始前會先收集基本資料,受試者在執行動作前會先熱身五分鐘,之後隨機執行四個對角線方向的來回衝刺,收集動作過程中運動學、動力學和肌肉活動的資料,並量測核心肌群的力量和耐力,進而分析膝關節和軀幹動作參數、足底壓力中心、身體質量中心和核心肌群穩定度等相關數據。結果:膝疼痛會減少膝關節在冠狀(frontal)及橫狀(horizontal)平面上的動作,且會減少膝伸直肌活化程度、肌肉共同活化指數和膝關節彎曲力矩;在軀幹控制的參數中,軀幹旋轉角度和前傾角度也會因為膝疼痛而減少;除此之外,健康的選手會有較快的質量中心位移速度。結論:膝疼痛的選手會採取保守的動作模式減少膝關節在冠狀及橫狀平面上的動作,控制組因有較強的膝伸直肌和軀幹動作控制的能力,所以其在平衡控制和重心轉移的表現較膝疼痛的選手佳。膝疼痛的運動員應該增加核心肌群和膝伸直肌的神經肌肉控制訓練,此外對膝疼痛的選手來說,反手拍和後場的衝刺動作是需特別加強的項目。
英文摘要 Background and purpose: Badminton is a sport that requires not only lower extremity movement but also upper extremity and trunk movements. Because of the high demands on the lower extremity, the knee pain is frequent in players. Many studies showed there are associations between core stability and knee injury. However, there was no study investigating and comparing the contribution of core neuromuscular control to dynamic knee joint stability between the athletes with knee pain and the uninjured athletes. Therefore, the purpose of this study was to investigate and compare the biomechanics of trunk and lower extremity, balance performance, and muscle activation patterns between knee injured and uninjured groups during diagonal lunge. Methods: 17 subjects with chronic knee pain (injured group) and 17 healthy subjects (control group) participated in this study. All subjects were asked to perform four different diagonal lunges. The motion, ground reaction force and electromyography data were all collected during tasks. Results: The injured group had less frontal and horizontal motions in the knee joint. The knee extensor activation level, CCI values and knee flexion moment were greater in the control group. Also, the hip-shoulder separation and trunk forward range were all larger in the control group. The velocity of COM was greater in the control group. Conclusions: The injured group had a conservative movement pattern to reduce the frontal and horizontal motion in the knee joint. The control group can have better balance control and weight shifting ability due to the great ability of knee extensor and trunk control. The training programs on neuromuscular control of core muscles and knee extensor strength were necessary for badminton players with knee pain. The knee pain players needed to increase the training on the backhand and backward lunges.
論文目次 中文摘要(Chinese Abstract) I
英文摘要(English Abstract) II
誌謝(Acknowledgement) III
目錄(Contents) IV
表目錄(List of Tables) VII
圖目錄(List of Figures) X
Chapter 1. Introduction 1
1.1 Background 1
1.2 Research Purposes 3
1.3 Hypotheses 3
Chapter 2. Literature Review 5
2.1 Epidemiology of Badminton Injuries 5
2.2 Footwork in Badminton 6
2.3 Knee Pain in Badminton Players 7
2.4 Core Stability and Its Relationship to Knee Injury 9
Chapter 3. Methods 11
3.1 Subjects 11
3.2 Instrumentation 13
3.2.1 Marker Placement 13
3.2.2 Electromyography Arrangement 14
3.3 Experimental Procedures 15
3.3.1 Data Collection 15
3.3.2 Tasks 16
3.3.3 Core Stability Tests 18
3.4 Data Analysis 21
3.4.1 Kinematics and Kinetics of Knee Joint 22
3.4.2 Ground Reaction Force 23
3.4.3 Trunk Movement Parameters 23
3.4.4 Electromyography of Core Muscles and Lower Extremity Muscles 24
3.4.5 Balance Parameters 26
3.5 Statistic Analysis 27
Chapter 4. Results 28
4.1 The Numerical Pain Rating Scores and Duration 28
4.2 Core Muscle Tests 29
4.3 Forehand Forward Lunge 29
4.3.1 Kinematics and Kinetics of Knee Joint 29
4.3.2 Ground Reaction Force 33
4.3.3 Trunk Movement Parameters 33
4.3.4 Electromyography of Core Muscles and Lower Extremity Muscles 35
4.3.5 Balance Parameters 37
4.4 Backhand Forward Lunge 40
4.4.1 Kinematics and Kinetics of Knee Joint 40
4.4.2 Ground Reaction Force 42
4.4.3 Trunk Movement Parameters 43
4.4.4 Electromyography of Core Muscles and Lower Extremity Muscles 44
4.4.5 Balance Parameters 47
4.5 Forehand backward Lunge 50
4.5.1 Kinematics and Kinetics of Knee Joint 50
4.5.2 Ground Reaction Force 52
4.5.3 Trunk Movement Parameters 53
4.5.4 Electromyography of Core Muscles and Lower Extremity Muscles 54
4.5.5 Balance Parameters 57
4.6 Backhand backward Lunge 60
4.6.1 Kinematics and Kinetics of Knee Joint 60
4.6.2 Ground Reaction Force 62
4.6.3 Trunk Movement Parameters 62
4.6.4 Electromyography of Core Muscles and Lower Extremity Muscles 64
4.6.5 Balance Parameters 66
Chapter 5. Discussion & Conclusion 69
5.1 Kinematics and Kinetics of Knee Joint 70
5.2 Ground Reaction Force 72
5.3 Trunk Movement Parameters 73
5.4 Electromyography of Core Muscles and Lower Extremity Muscles 75
5.5 Balance Parameters 78
5.6 Limitation 81
5.7 Clinical Relevance 82
5.8 Conclusion 83
Reference 85
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