簡易檢索 / 詳目顯示

研究生: 張佑全
CHANG, yu-chuan
論文名稱: 不同踩踏模式之疲勞介入對下肢動作的影響
The Influence of Exhaustion on Lower Limbs Motion between Different Pedaling Patterns
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: 2014
畢業學年度: 102
語文別: 中文
論文頁數: 39
中文關鍵詞: 足底壓力肌電訊號關節活動次最大運動
英文關鍵詞: plantar pressure, electromyography, joint ROM, sub-maximal exercise
論文種類: 學術論文
相關次數: 點閱:179下載:29
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
  • 目的:疲勞現象對於不同踩踏模式,在足底壓力、肌電活化程度和下肢運動學參數的影響。材料與方法:15位健康男性 (年齡25.0±3.3歲、身高175.1±5.6公分、體重75.3±9.1公斤)。壓力鞋墊偵測負重運動與非負重運動疲勞前、後足底壓力和足底接觸面積。雙極肌電貼片黏貼於右側臀大肌、股直肌、股外側肌、股內側肌、股二頭肌、脛前肌和外側腓腸肌,擷取疲勞前、後踩踏時的肌電訊號,配戴心率帶和心率錶監測目標心跳率,並以伯格氏自覺用力指數量表評分疲勞前、後用力程度。以相依樣本t檢定呈現疲勞前、後心跳值和自覺用力指數,二因子重複量數變異數分析檢測疲勞前、後足底壓力、足底接觸面積、肌電訊號和下肢關節活動度,顯著水準值為α=.05,分析資料皆為右腳。結果:疲勞後,負重運動的前足壓力顯著上升,後足外側顯著下降,非負重運動後足外側顯著下降,負重運動足壓顯著大於非負重運動,前足接觸面積顯著小於非負重運動,中內側和後足顯著大於非負重運動。臀大肌活化程度顯著上升,脛前肌在非負重運動顯著下降,負重運動臀大肌活化較顯著。非負重運動髖關節和踝關節活動度分別上升和下降,兩者膝關節最小夾角疲勞後皆顯著下降。踝關節最大和最小夾角發生時間點在疲勞後延遲發。負重運動髖、膝、踝關節最大和最小夾角皆大於非負重運動,僅有踝關節活動度和最大夾角在疲勞後兩者之間沒有差異。結論:足壓分布往前足集中,負重運動對於臀大肌活化程度較顯著,脛前肌在非負重運動扮演傳遞踩踏力量重要的角色,膝關節活動度因為髖關節和踝關節活動度代償維持穩定,膝關節最小夾角和踝關節最大、最小夾角發生時間點在兩者皆受到疲勞顯著影響。

    Purpose: To investigate the influence of fatigue on biomechanics in weight-bearing and non-weight-bearing pedaling by measuring plantar pressure (PP), contact area (CA) electromyography (EMG), and lower limbs kinematics. Method: Fifteen male participants were recruited in this research (age: 25.0±3.3 years old, height: 175.1±5.6 cm, and weight: 75.3±9.1 kg). PP, CA, range of motion (ROM), maximal and minimal angle and angles happening time, and also heart rate (HR) and rate of perceived exertion (RPE) were measured before and after the exercise. The paired t test was used to evaluate HR and RPE before and after the exercise. The 2-way repeated ANOVA was used to evaluate PP, CA, ROM, lower limbs kinematics parameters before and after the exercise. The significant level was α=.05. Only right foot data were analyzed. Result: Forefoot PP increased and rearfoot PP decreased. Muscle activation of gluteus maximal (GM) increased, and tibialis anterior (TA) decreased during non-weight-bearing exercise. Knee flexion angle increased, delayed onset of ankle plantar flexion and dorsiflexion maximal angle. Hip and ankle ROM increased and decreased respectively during non-weight-bearing exercise. Conclusion: After the exhaustion, plantar pressure distribution towards forefoot. Muscle activation of GM increased and TA played an important role as a force transmitter in non-weight-bearing exercise. Knee ROM remained stable due to the compensation of hip and ankle joint. Delayed onset of ankle motion can be the key of exhaustion.

    中文摘要…………………………………..………………….……………………………i 英文摘要…………………………………………………………..…….…………………..ii 謝誌…………………………………………………………………………………………iii 目次……………………………………………………………….…………...……………iv 表次………………………………………………………………………………..………..vi 圖次………………………………………………………………................……….……vi 第壹章 緒論…...…….………………………………………………………1 第一節 研究背景………………………………………………………1 第二節 研究問題………………………………………………………2 第三節 研究目的………………………………………………………4 第四節 研究假設………………………………………………………5 第五節 研究範圍和限制……………………………………………....5 第六節 名詞操作性定義………………………………………………5 第七節 研究的重要性…………………………………………………8 第貳章 相關文獻探討....................................................................................9 第一節 足底壓力和足底接觸面積……………………………………9 第二節 肌電訊號……………………………………………………..10 第三節 下肢運動學參數………………………………………….….11 第四節 文獻總結……………………………………………………..12 第參章 材料與方法......................................................................................13 第一節 實驗參與者…………………………………………………..13 第二節 實驗設備……………………………………………………..13 第三節 實驗設計……………………………………………………..16 第四節 實驗步驟……………………………………………………..18 第五節 資料處理……………………………………………………..19 第肆章 結果………………………………………………………………..21 第一節 相依樣本t檢定……………………………………………....21 第二節 二因子重複量數變異數分析…………………………….….21 第伍章 討論………………………………………………………………..31 第一節 足底壓力和足底接觸面積…………………………………..31 第二節 肌肉活化程度………………………………………………..32 第三節 下肢運動學參數…………………………………………......33 第四節 結論與未來建議…………………………………………......35 第陸章 引用文獻…………………………………………………………..36 表 次 表1橢圓機和健身車足底壓力的比較…………………………………….10 表2實驗參與者基本資料……………………………………..…………….13 表3心跳和自覺用力指數………………………………………………..….21 表4不同踩踏模式疲勞前、後足底壓力差異……………………………….22 表5不同踩踏模式疲勞前、後足底接觸面積差異……………………….....23 表6不同踩踏模式疲勞前、後髖、膝、踝關節最大夾角差異………….........27 表7不同踩踏模式疲勞前、後髖、踝關節最大夾角差異……………...........28 表8不同踩踏模式疲勞前、後髖、膝、踝關節最大夾角時間點差異…….....28 表9不同踩踏模式疲勞前、後髖、膝、踝關節最小夾角時間點差異…….....29 表10不同踩踏模式疲勞前、後膝關節活動度差異…………………...........30 圖 次 圖1 斜接樞紐模型……………………………………………………..……..4 圖2 足底分區圖……………………………………………………...……….6 圖3非負重運動和負重運動踩踏週期………………………………….........7 圖4 伯格氏自覺用力指數量表…………………………………………......14 圖5 橢圓機和轉速顯示器……………………...……………………….......14 圖6 固定式健身車和轉速顯示器………………………………...………...15 圖7 下肢關節夾角………………………………………………...………...20 圖8 一位參與者負重運動疲勞前(左)和疲勞後(右)足底壓力分布圖…….21 圖9一位參與者非負重運動疲勞前(左)和疲勞後(右)足底壓力分布圖......22 圖10 一位參與者非負重運動疲勞前肌電訊號和下肢運動學表現……....23 圖11 一位參與者非負重運動疲勞後肌電訊號和下肢運動學表現……....24 圖12 一位參與者負重運動疲勞前肌電訊號和下肢運動學表現……........24 圖13 一位參與者負重運動疲勞前肌電訊號和下肢運動學表現………....25 圖14 不同踩踏模式疲勞前、後臀大肌肌肉活化程度的差異…………......26 圖15 不同踩踏模式疲勞前、後脛前肌肌肉活化程度的差異……………..26 圖16 不同踩踏模式疲勞前、後膝關節最小夾角差異……..........................27 圖17 不同踩踏模式疲勞前、後髖關節活動度差異…..................................30 圖18 不同踩踏模式疲勞前、後踝關節活動差異…………………..............30

    Albertus-Kajee, Y., Tucker, R., Derman, W., & Lambert, M. (2010). Alternative methods of normalizing EMG during cycling. Journal of Electromyography and Kinesiology, 20 (6), 1036-1043.
    Bini, R. R., Diefenthaeler, F., & Mota, C. B. (2010a). Fatigue effects on the coordinative pattern during cycling: Kinetics and kinematics evaluation. Journal of Electromyography and Kinesiology, 20 (1), 102-107.
    Bini, R.R, & Diefenthaeler, F. (2010b). Kinetics and kinematics analysis of incremental cycling to exhaustion. Sports Biomechanics, 9 (4), 223-235.
    Bini, R., & Hume, P. A., & Croft, J. L. (2011). Effects of bicycle saddle height on knee injury risk and cycling performance. Sports Medicine, 41 (6), 463-476. doi: 10.2165/11588740-000000000-00000
    Bisiaux, M., & Moretto, P. (2008). The effects of fatigue on plantar pressure distribution in walking. Gait & Posture, 28 (4), 693-698. doi:10.1016/j.gaitpost.2008.05.009
    Bisson, E. J., Chopra, S., Azzi, E., Morgan, A., & Bilodeau, M. (2010). Acute effects of fatigue of the plantarflexor muscles on different postural tasks. Gait & Posture, 32 (4), 482-486. doi:10.1016/j.gaitpost.2010.07.006
    Bousie, J. A., Blanch, P., McPoil, T. G., & Vicenzino, B. (2013). Contoured in-shoe foot orthoses increase mid-foot plantar contact area when compared with a flat insert during cycling. Journal of Science and Medicine in Sport, 16 (10), 60-64. doi:10.1016/j.jsams.2012.04.006.
    Burnfield, J. M., Jorde, A. G., Augustin, T. R., Augustin, T. A., & Bashford, G. R. (2007). Variations in plantar pressure variables across five cardiovascular exercises. Medicine & Science in Sports & Exercise, 39 (11), 2012-2020. doi:10.1249/mss.0b013e318148bdfa
    Callaghan, M. J. (2005). Lower body problems and injury in cycling. Journal of Bodywork and Movement Therapies, 9 (3), 226-236. doi:10.1016/j.jbmt.2005.01.007
    Chan, C. W., & Rudins, A. (1994). Foot biomechanics during walking and running. Mayo Clinic Proceedings, 69 (5), 448-461.
    Damiano, D. L., Norman, T., Stanley, C. J., & Park, H. S. (2011). Comparison of elliptical training, stationary cycling, treadmill walking and overground walking. Gait & Posture, 33 (2), 244-250. doi:10.1016/j.gaitpost.2011.05.010
    Dingwell, J. B., Joubert, J. E., Diefenthaeler F., & Trinity, J. D. (2008). Changes in muscle activity and kinematics of highly trained cyclists during fatigue. IEEE Transactions on Biomedical Engineering, 55 (11), 2666-2674. doi: 10.1109/TBME.2008.2001130
    Dorel, S., Drouet, J. M., Couturier, A., Champoux, Y., and Hug, F. (2009). Changes of pedaling technique and muscle coordination during an exhaustive exercise. Medicine and Science in Sports and Exercise, 41(6), 1277-1286.
    Gefen, A., Megido-Ravid, M., & Itzchak, Y. (2001). In vivo biomechanical behavior of the human heel pad during the stance phase of gait. Journal of Biomechanics, 34 (12), 1661-1665.
    Green, J. M., Crews, T. R., Pritchett, R. C., Mathfield, C. Hall, L. (2004). Heart rate and ratings of perceived exertion during treadmill and elliptical exercise training. Perceptual and Motor Skills, 98 (1), 340-348.
    Hautier, C. A., Arsac, L. M., Deghdegh, K., Souquet, J., Belli, A., & Lacour J. R. (2000). Influence of fatigue on EMG/force ratio and cocontraction in cycling. Medicine & Science in Sports & Exercise, 32 (4), 839-843.
    Headlee, D. L., Leonard, J. L., Hart, J. M., Ingersoll, C. D., & Hertel, J.(2008). Fatigue of the plantar intrinsic foot muscles increases navicular drop. Journal of Electromyography and Kinesiology, 18 (3), 420-425.
    Heijne, A., Fleming, B. C., Renstrom, P. A., Peura, G. D., Beynnon, B. D., & Werner, S. (2006). Strain on the anterior cruciate ligament during closed kinetic chain exercises. Medicine & Science in Sports & Exercise, 36 (6), 935-941. doi: 10.1249/01.MSS.0000128185.55587.A3
    James, C. R., Scheuermann, B. W., & Smith, M. P. (2010). Effects of two neuromuscular fatigue protocols on landing performance. Journal of Electromyography and Kinesiology, 20 (4), 667-675. doi: 10.1016/j.jelekin.2009.10.007
    Kaplan, Y., Barak, Y., Palmonovich, E., Nuska, M., & Witvrouw, E. (2014). Referent body weight values in over ground walking, over ground jogging, treadmill jogging, and elliptical exercise. Gait & Posture, 39 (1), 558-562. doi:10.1016/j.gaitpost.2013.09.004
    Kellis, E., & Liassou, C. (2009). The effect of selective muscle fatigue on sagittal lower limb kinematics and muscle activity during level running. Journal of Orthopaedic & Sports Physical Therapy, 39 (3), 210-220. doi:10.2519/jospt.2009.2859
    Ledoux, W. R., Shofer, J. B., Cowley M. S., Ahroni, J. H., Cohen, V., & Boyko, E.J. (2013). Diabetic foot ulcer incidence in relation to plantar pressure magnitude and measurement location. Journal of Diabetes and Its Complications, 27 (6), 621-626. doi: 10.1016/j.jdiacomp.2013.07.004
    Liu, Y., Lu, K., Yan, S., Sun, M., Lester, D. K., & Zhang, K. (in press). Gait phase varies over velocities. Gait & Posture. Retrieved from http://download.journals.elsevierhealth.com/pdfs/journals/0966-6362/PIIS0966636213006437.pdf
    Lu, T. W., Chien, H. L., & Chen, H. L. (2007). Joint loading in the lower extremities during elliptical exercise. Medicine and Science in Sports and Exercise, 39 (9), 1651-1658.
    Lucía, A., Hoyos, J., & Chicharro, J. L. (2001). Preferred pedaling cadence in professional cycling. Medicine and Science in Sports and Exercise, 33 (8), 1361-1366.
    Pohl, M. B., Messenger, N., & Buckley J. G. (2006). Changes in foot and lower limb coupling due to systematic variations in step width. Clinical Biomechanics, 21 (2), 175-183. doi:10.1016/j.clinbiomech.2005.09.005
    Prosser, L. A., Stanley, C. J., Norman, T. L., Park H. S., & Damiano, D. L. (2011). Comparison of elliptical training, stationary cycling, treadmill walking and overground walking. Electromyographic patterns. Gait & Posture, 33 (2), 244-250. doi: 10.1016/j.gaitpost.2010.11.013
    Roos, P. E., Barton, N., & van Deursen, R. W. (2012). Patellofemoral joint compression forces in backward and forward running. Journal of Biomechanics, 45 (9), 1656-1660. doi: 10.1016/j.jbiomech.2012.03.020
    Rouffet, D. M., & C. A. Hautier. (2008). EMG normalization to study muscle activation in cycling. Journal of Electromyography and Kinesiology, 18 (5), 866-878. doi:10.1016/j.jelekin.2007.03.008
    Sanderson, D. J., & Black, A. (2003). The effect of prolonged cycling on pedal forces. Journal of Biomechanics, 21 (3), 191-199.
    Sayers, M. G., Tweddle, A. L., Every J., & Wiegand, A. (2012). Changes in drive phase lower limb kinematics during a 60 min cycling time trial. Journal of Science and Medicine in Sport, 15 (2), 169-174. doi: 10.1016/j.jsams.2011.09.002
    Spector, T.D., Harris, P. A., Hart, D. J., Cicuttini, F. M., Nandra, D., Etherington, J., Wolman, R. L., & Doyle, D. V. (1996). Risk of osteoarthritis associated with long-term weight-bearing sports. Arthritis & Rheumatism, 39 (6), 988-995.
    Van der Vlist, B., & Bartneck, C. (2011). moBeat: Using interactive music to guide and motivate users during aerobic exercising. Applied Psychophysiology and Biofeedback, 36 (2), 135-145. doi: 10.1007/s10484-011-9149-y
    Weist, R., Eils, E., & Rosenbaum, D. (2004). The influence of muscle fatigue on electromyogram and plantar pressure patterns as an explanation for the incidence of metatarsal stress fractures. The American journal of Sports Medicine, 32 (8), 1893-1898.

    QR CODE