簡易檢索 / 詳目顯示

研究生: 陳贊仰
Chen, Tsan-Yang
論文名稱: 以慣性式感應器偵測步態不對稱之研究
Identifying Gait Asymmetry Using Inertial Measurement Unit
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: 2015
畢業學年度: 103
語文別: 中文
論文頁數: 39
中文關鍵詞: 單邊負重不對稱指標步態週期
英文關鍵詞: Asymmetrical lower extremity loading, Asymmetry index, Gait cycle
論文種類: 學術論文
相關次數: 點閱:129下載:6
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
  • 以慣性式感應器偵測步態不對稱之研究
    2015年7月 研究生: 陳贊仰
    指導教授:相子元
    摘要
    目的: 經由單邊負重,造成自選速度下走、跑步態不對稱之現象,並使用慣性式感應器置放於上、下肢,偵測出步態不對稱之走、跑時期及不同方向運動學參數。
    方法:招募16名健康受試者,所有受試者皆以慣性是感應器收集無負重走、跑以及有負重走、跑。並透過不對稱指標計算出,上、下肢的不對稱指標之差異。統計使用成對樣本T檢定,了解有無負重於不對稱指標之差異 (α = .05)。
    結果: (一) 對於下肢而言,擺盪時期較容易觀察出不對稱之現象;上肢則在站立時期較容易觀察出不對稱之情形。(二) 上肢內-外加速度及內-外旋角速度,這兩項運動學參數負重之不對稱指標顯著大於無負重;下肢前-後加速度、上-下加速度及屈曲-伸展角速度,此三項運動學參數負重之不對稱之指標顯著大於無負重。
    結論: 上、下肢感測器皆能夠偵測步態不對稱之現象,而步態不對稱之時期與運動學參數於上、下肢是有差異,未來希望將感應器放置於特殊步態不對稱之傷患,使得感測器偵測步態不對稱之現象能夠更加貼近現實運動情形以及臨床之現況。

    關鍵字:單邊負重、不對稱指標、步態週期

    Identifying Gait Asymmetry Using Inertial Measurement Unit
    2015,July
    Student: Tsan-Yang CHEN
    Advisor: Tzyy-Yuang SHANG
    Abstract
    Purpose: Using inertial measurement unit as a new instrument to detect asymmetrical lower extremity loading and determining which phases and kinematics are easier to identify gait asymmetry.
    Method: Sixteen participants were recruited (8men, 8female) in this study. At the first, participants were requested to walk and run naturally with normal posture. In the second, participants were requested to walk and run with a heavy weight on their ankle (5% body weight). Four six-axis inertial measurement units were attached on upper and lower limbs to collect kinematics data. Paired t-tests was used to compare the difference between asymmetry index of non-loading and loading. The significant level was set at α=.05.
    Result: (1) It is easier to identify gait asymmetry by using the kinematics information of lower extremity on the swing phase, and upper extremity on the stance phase.(2) The kinematics that can detect gait asymmetry on upper limb are Medial-Later acceleration and Supination-Pronation angular velocity; on the lower limbs are Anterior-Posterior, Superior- Inferior acceleration and Flexion-Extension angular velocity
    Conclusion: The inertial measurement unit that attach on upper and lower limbs can detect gait asymmetry, but the asymmetrical phase and kinematics are different on upper and lower limbs. The future study, inertial measurement units will attach on patients who are gait asymmetry and the data will prove for clinical application.

    Key words: Asymmetrical lower extremity loading, Asymmetry index, Gait cycle

    目 次 中文摘要 i 英文摘要 ii 致謝詞 iv 目次 v 表次 vii 圖次 viii 第壹章 、 緒 論 一、 研究背景 1 二、 研究問題 3 三、 研究目的 3 四、 研究假設 3 五、 研究範圍與限制 3 六、 名詞操作型定義 4 第貳章 、 文獻探討 一、步態不對稱所產生的影響 6 二、步態不對稱所產生的原因 7 三、步態不對稱之指標 8 四、慣性式感應器與步態不對稱 11 五、文獻總結 12 第參章 、材料與方法 一、研究對象 15 二、測量儀器與設備 15 三、實驗步驟 18 四、實驗流程 19 五、資料蒐集與分析 20 六、統計分析 21 第肆章 、結果 一、上、下肢感測器步態圖—行走為例 22 二、行走步態上、下肢不對稱指標 24 三、跑步步態之、下肢不對稱指標 26 第伍章 、討論 一、步態不對稱於不同時期之差異 28 二、步態不對稱對上、下肢之影響 29 三、步態不對稱於走、跑之間的異同 30 四、結論 32 五、建議 32 引用文獻 34 個人小傳 39

    中文文獻:
    鐘維軒、張立盈、 相子元。(2011) 不同負荷分佈方式對步態之影響。大專體育學術專刊, 225-229。

    英文文獻:
    Ashton, G. C. (1982). Handedness: An alternative hypothesis. Behavior Genetics, 12(2), 125-147.
    Błażkiewicz, Michalina, Wiszomirska, I., & Wit, Andrzej. (2014). Comparison of four methods of calculating the symmetry of spatial-temporal parameters of gait. Acta of Bioengineering and Biomechanics, 16(1), 29-35.
    Chan, C. W., & Rudins, A. (1994). Foot biomechanics during walking and running. In Mayo Clinic Proceedings 69( 5), 448-461.
    Denton, J., Willson, J. D., Ballantyne, B. T., & Davis, I. S. (2005). The addition of the Protonics brace system to a rehabilitation protocol to address patellofemoral joint syndrome. Journal of Orthopaedic & Sports Physical Therapy, 35(4), 210-219.
    Dugan, S. A., & Bhat, K. P. (2005). Biomechanics and analysis of running gait.Physical Medicine and Rehabilitation Clinics of North America,16(3), 603-621.
    ÈUK, T., & Leben-Seljak, P. (2001). Lateral asymmetry of human long bones. Variability and Evolution, 9, 19-32.
    Ferber, R., Davis, I. M., Hamill, J., & Pollard, C. D. (2003). Prospective biomechanical investigation of iliotibial band syndrome in competitive female runners. Medicine and Science in Sports and Exercise, 35(5), S91.
    Gabbard, C. (1997). Coming to terms with laterality. The Journal of psychology, 131(5), 561-564.
    Ganguli, S., Mukherji, P., & Bose, K. (1974). Gait evaluation of unilateral below-knee amputees fitted with patellar-tendon-bearing prostheses. Journal of the Indian Medical Association, 63(8): 256-9
    Gouwanda, D., & Senanayake, S. M. (2011). Identifying gait asymmetry using gyroscopes--a cross-correlation and Normalized Symmetry Index approach. Journal of Biomech, 44(5), 972-978.
    Grimston, S. K., Engsberg, J. R., Kloiber, R., & Hanley, D. A. (1991). Bone Mass, External Loads, and Stress Fracture in Female Runners. International Journal of Sport Biomechanics, 7(3). 12-16
    Gross, R. H. (1983). Leg length discrepancy in marathon runners. The American Journal of Sports Medicine, 11(3), 121-124.
    Haken, H., Kelso, J. S., & Bunz, H. (1985). A theoretical model of phase transitions in human hand movements. Biological Cybernetics, 51(5), 347-356.
    Karamanidis, K., Arampatzis, A., & Bruggemann, G. P. (2003). Symmetry and reproducibility of kinematic parameters during various running techniques. Medicine and science in Sports and Exercise, 35(6), 1009-1016.
    Kaufman, K., Miller, L., & Sutherland, D. (1996). Gait asymmetry in patients with limb-length inequality. Journal of Pediatric Orthopaedics, 16(2), 144-150.
    Kawabata, M., Goto, K., Fukusaki, C., Sasaki, K., Hihara, E., Mizushina, T., & Ishii, N. (2013). Acceleration patterns in the lower and upper trunk during running. Journal of Sports Science, 31(16), 1841-1853.
    Keefe, F. J., & Hill, R. W. (1985). An objective approach to quantifying pain behavior and gait patterns in low back pain patients. Pain, 21(2), 153-161.
    Knapik, J. J., Bauman, C. L., Jones, B. H., Harris, J. M., & Vaughan, L. (1991). Preseason strength and flexibility imbalances associated with athletic injuries in female collegiate athletes. The American Journal of Sports Medicine, 19(1), 76-81.
    Kuhtz-Buschbeck, J. P., Brockmann, K., Gilster, R., Koch, A., & Stolze, H. (2008). Asymmetry of arm-swing not related to handedness. Gait and Posture, 27(3), 447-454
    Laroche, D. P., Cook, S. B., & Mackala, K. (2012). Strength asymmetry increases gait asymmetry and variability in older women. Medicine and Science in Sports and Exercise, 44(11), 2172-2181.
    Lathrop-Lambach, R. L., Asay, J. L., Jamison, S. T., Pan, X., Schmitt, L. C., Blazek, K., . . . Chaudhari, A. M. (2014). Evidence for joint moment asymmetry in healthy populations during gait. Gait and Posture, 40(4), 526-531.
    Lewek, M. D., Poole, R., Johnson, J., Halawa, O., & Huang, X. (2010). Arm swing magnitude and asymmetry during gait in the early stages of Parkinson's disease.Gait and Posture, 31(2), 256-260
    Lee, J. B., Sutter, K. J., Askew, C. D., & Burkett, B. J. (2010). Identifying symmetry in running gait using a single inertial sensor. Medicine and Science in Sports and Exercise, 13(5), 559-563.
    Messier, S. P., & Pittala, K. A. (1988). Etiologic factors associated with selected running injuries. Medicine and Science in Sports and Exercise, 20(5), 501-505.
    Miyazaki, T., Wada, M., Kawahara, H., Sato, M., Baba, H., & Shimada, S. (2002). Dynamic load at baseline can predict radiographic disease progression in medial compartment knee osteoarthritis. Annals of the Rheumatic Diseases, 61(7), 617-622.
    Nessler, J. A., Gutierrez, V., Werner, J., & Punsalan, A. (2015). Side by side treadmill walking reduces gait asymmetry induced by unilateral ankle weight. Human Movement Science, 41, 32-45.
    Noehren, B., Davis, I., & Hamill, J. (2007). ASB Clinical Biomechanics Award Winner 2006: Prospective study of the biomechanical factors associated with iliotibial band syndrome. Clin Biomech (Bristol, Avon), 22(9), 951-956.
    Novacheck, T. F. (1998). The biomechanics of running.Gait and posture,7(1), 77-95.
    Paschalis, V., Giakas, G., Baltzopoulos, V., Jamurtas, A. Z., Theoharis, V., Kotzamanidis, C., & Koutedakis, Y. (2007). The effects of muscle damage following eccentric exercise on gait biomechanics. Gait and Posture, 25(2), 236-242.
    Perry, M. C., Carville, S. F., Smith, I. C. H., Rutherford, O. M., & Newham, D. J. (2007). Strength, power output and symmetry of leg muscles: effect of age and history of falling. European Journal of Applied Physiology, 100(5), 553-561.
    Plate, A., Sedunko, D., Pelykh, O., Schlick, C., Ilmberger, J. R., & Bötzel, K. (2015). Normative data for arm swing asymmetry: How (a) symmetrical are we?.Gait and Posture, 41(1), 13-18.
    Plotnik, M., Bartsch, R. P., Zeev, A., Giladi, N., & Hausdorff, J. M. (2013). Effects of walking speed on asymmetry and bilateral coordination of gait. Gait and Posture, 38(4), 864-869.
    Plotnik, M., Giladi, N., Balash, Y., Peretz, C., & Hausdorff, J. M. (2005). Is freezing of gait in Parkinson's disease related to asymmetric motor function? Annals of Neurology, 57(5), 656-663.
    Pratt, D. J. (1994). Some aspects of modern orthotics. Physiological measurement, 15(1), 1.
    Robinson, R., Herzog, W., & Nigg, B. (1987). Use of force platform variables to quantify the effects of chiropractic manipulation on gait symmetry. Journal of Manipulative and Physiological Therapeutics, 10(4), 172-176.
    Rodgers, M. M. (1988). Dynamic biomechanics of the normal foot and ankle during walking and running. Physical therapy, 68(12), 1822-1830.
    Seliktar, R., & Mizrahi, J. (1986). Some gait characteristics of below-knee amputees and their reflection on the ground reaction forces. Engineering in medicine, 15(1), 27-34.
    Serrien, D. J., Ivry, R. B., & Swinnen, S. P. (2006). Dynamics of hemispheric specialization and integration in the context of motor control. Nature Reviews Neuroscience, 7(2), 160-166.
    Sharma, L., Hurwitz, D. E., Thonar, E. J., Sum, J. A., Lenz, M. E., Dunlop, D. D., . . . Andriacchi, T. P. (1998). Knee adduction moment, serum hyaluronan level, and disease severity in medial tibiofemoral osteoarthritis. Arthritis & Rheumatism, 41(7), 1233-1240.
    Skelton, D. A., Kennedy, J., & Rutherford, O. M. (2002). Explosive power and asymmetry in leg muscle function in frequent fallers and non‐fallers aged over 65. Age and Ageing, 31(2), 119-125.
    Song, K. M., Halliday, S. E., & Little, D. G. (1997). The Effect of Limb-Length Discrepancy on Gait. The Journal of Bone and Joint Surgery, 79(11), 1690-1698.
    Vagenas, G., & Hoshizaki, B. (1991). Functional asymmetries and lateral dominance in the lower limbs of distance runners.International Journal of Sport Biomechanics,7(4), 311-329.
    Vagenas, G., & Hoshizaki, B. (1992). A multivariable analysis of lower extremity kinematic asymmetry in running. International Journal of Sport Biomechanics, 8(1). 11-29
    Wall, J. C., & Turnbull, G. (1986). Gait asymmetries in residual hemiplegia. Archives of Physical Medicine and Rehabilitation, 67(8), 550-553.
    Walter, S. D., Hart, L., McIntosh, J. M., & Sutton, J. R. (1989). The Ontario cohort study of running-related injuries. Archives of Internal Medicine, 149(11), 2561-2564.
    Yogev. G., Plotnik, M., Peretz, C., Giladi, N., & Hausdorff, J. M. (2007). Gait asymmetry in patients with Parkinson’s disease and elderly fallers: when does the bilateral coordination of gait require attention? Experimental Brain Research, 177(3), 336-346.

    Yoneyama, M. (2015). Visualising gait symmetry/asymmetry from acceleration data. Computer Methods in Biomechanics and Biomedical Engineering, 18(9), 923-930.
    Zifchock, R. A., Davis, I., & Hamill, J. (2006). Kinetic asymmetry in female runners with and without retrospective tibial stress fractures. Journal of Biomechanics, 39(15), 2792-2797.
    Zifchock, R. A., Davis, I., Higginson, J., McCaw, S., & Royer, T. (2008). Side-to-side differences in overuse running injury susceptibility: a retrospective study. Human Movement Sciencei, 27(6), 888-902.

    下載圖示
    QR CODE