簡易檢索 / 詳目顯示

研究生: 賴穎良
Lai, Ying-Liang
論文名稱: 不同高度著地反跳對於踝關節不穩定運動員影響
EFFECTS OF DIFFERENT HEIGHTS OF BOX DROP VERTICAL JUMP ON THE CHRONIC ANKLE INSTABILITY INDIVIDUALS
指導教授: 李恆儒
Lee, Heng-Ju
學位類別: 碩士
Master
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: 55
中文關鍵詞: 踝關節不穩定著地反跳潛在族群運動學動力學
英文關鍵詞: box drop vertical jump
DOI URL: http://doi.org/10.6345/NTNU201900003
論文種類: 學術論文
相關次數: 點閱:217下載:26
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
  • 腳踝扭傷為常見運動傷害之一,腳踝扭傷常發生在需要大量反覆跳躍著地的情境當中。根據研究統計,腳踝扭傷中有80%為內翻扭傷,這些經歷過腳踝扭傷的患者中,可能因為受傷導致腳踝神經肌肉損傷、本體感覺缺失與運動控制的能力下降,而使得扭傷容易再次發生,最後形成慢性腳踝不穩定 (Chronic Ankle Instability, CAI)。過去對於慢性腳踝不穩定之研究,大多在比較健康人與不穩定族群之差異,然而健康人在過去未曾有過腳踝扭傷,因此在某些程度上無法推測不穩定組之特徵。為此,本研究加入曾經經歷過一次腳踝扭傷病史實驗參與者 (Copers),配合不同高度著地反跳動作,希望找出三個族群間 (健康組、潛在組與不穩定組) 有何漸進關係與特徵,藉以作為降低及預防腳踝重複扭傷之風險。目的: 探討不同踝關節形態從不同高度著地反跳的影響。方法: 尋找29名大專甲組運動員分別區分為健康組、潛在組與不穩定組。實驗工作進行不同高度 (10公分、30公分、50公分) 著地反跳測驗;利用十台Vicon紅外線攝影機 (200Hz) 與兩塊Kistler測力板 (1000Hz) 同步收集下肢生物力學參數;使用二因子混合設計比較高度與組別間有無交互作用和三組間有無差異。結果: 不穩定組在著地瞬間的踝關節外翻角度高於健康組(p < .05),不穩定組在下蹲最低點踝關節外翻高於健康組與潛在組 (p < .05)。結論: 不穩定組踝關節著地階段的外翻動作可能為預防再次扭傷代償動作,有穩定關節與降低踝關節內翻風險之作用,潛在族群在動作過程中會表現出與其他兩不同的動作模式,健康族群踝關節背屈力矩顯著大於不穩定族群(p < .05),歸因於受傷後背屈肌群控制不佳所致,且有過扭傷病史族群會減少足底壓力中心(COP)左右擺盪範圍和面積來穩定平衡,本研究發現踝關節不穩定族群在執行著地反跳時會採取不同動作策略,並且利用更複雜策略來維持關節穩定,而在三組間確實存在依序變化的趨勢和特徵。

    The purpose of this study was to investigate the effects of different height of box drop vertical jump (DVJ) among the healthy control, coper, and CAI groups. Participants were asked to perform a box drop vertical jump and followed with a single-leg landing on the force plate. The DVJ height was 10cm, 30cm, and 50cm. Results from the current study indicated our major findings: CAI groups showed in frontal plan when initial contact, In sequence for CAI ,coper and healthy group,and Copers showed mores knee flexion and hip flexion when initial contact,and more eversion torque when initial leave the ground, CAI ,Copers groups decrease the COP(mediolateral and area range),this may be a mechanism to prevent reinjury.

    目 次 摘要(i) 目次(iii) 表次(v) 圖次(vi) 第壹章 緒論(1) 第一節、前言(1) 第二節、研究問題(2) 第三節、研究目的(3) 第四節、研究假設(3) 第五節、研究範圍與限制(4) 第六節、名詞操作型定義(4) 第貳章 文獻探討(6) 第一節、踝關節不穩定相關研究(6) 第二節、不同踝關節型態構造相關研究(7) 第三節、不同踝關節型態步態與神經肌肉控制相關研究(7) 第四節、不同踝關節型態在臨床及功能性檢測相關研究(9) 第五節、著地相關研究(10) 第六節、不同高度著地相關研究(11) 第七節、文獻總結(12) 第參章 研究方法(13) 第一節、實驗參與者(13) 第二節、實驗儀器與設備(16) 第三節、實驗設計(20) 第四節、資料處理分析(23) 第五節、統計方法(24) 第肆章 研究結果(25) 第一節、運動學資料(27) 第二節、動力學資料(30) 第三節、足底壓力中心資料(33) 第四節、不同高度運動學資料(34) 第伍章 討論(38) 第一節、運動學資料(38) 第二節、著地瞬間踝、膝、髖三關節運動學資料(39) 第三節、下蹲期踝、膝、髖三關節運動學資料(40) 第四節、離地瞬間踝、膝、髖三關節運動學資料(41) 第五節、著地瞬間踝、膝、髖三關節動力學資料(42) 第六節、下蹲期踝、膝、髖三關節動力學資料(43) 第七節、離地瞬間踝、膝、髖三關節動力學資料(44) 第八節、足底壓力中心資料(45) 第九節、不同高度(46) 第十節、結論(47) 第十一節、研究限制(47) 引用文獻(48)

    引用文獻
    李育銘、李恆儒(2013)。不同方向的躍起著地對 下肢矢狀面關節運動學、動力學和能
    量學的影響。體育學報,46 卷 1 期,33-43 頁。
    林純彬(1996)。腳踝扭傷患者之單腳站立平衡表 現。中華民國物理治療學會雜誌,21
    卷 1 期, 46-58 頁。
    許太彥. (1999). 國小學童不同高度赤腳著地之生物力學分析. 國立台灣師範 大學體育
    研究所, 台北市.
    張維綱、傅麗蘭(2012)。腳踏車訓練對膝關節股 內斜肌與股外側肌活化表現的影響。
    大專體育 學刊,14 卷 2 期,255-262 頁。
    張英智. (1995). 大專男子籃球選手不同高度著地動作之生物力學分析. 國立台灣師範
    大學體育研究所, 台北市
    錢思佑、吳忠政、張怡雯(2012)。踝關節不穩定 之排球選手過網攔網動作的下肢肌電
    訊號分 析。大專體育學刊,14 卷 1 期,100-108 頁。
    Anandacoomarasamy A, Barnsley L. Long term outcomes of ___inversion ankle injuries. Br J
    Sports Med. 2005;39(3):1–4.

    Brown CN, Padua DA, Marshall SW, et al. Individuals with mechanical ankle instability
    exhibit different motion patterns than those with functional ankle instability and ankle
    sprain copers. Clin Biomech. 2008;23(6):822–31.

    Brown CN, Padua DA, Marshall SW, et al. Variability of motion in individuals with
    mechanical or functional ankle instability during a stop jump maneuver. Clin Biomech.
    2009;24(9):762–8.

    Brown C. Foot clearance in walking and running in individuals with ankle instability. Am J
    Sports Med. 2011;39(8):1769–76.

    Brown C, Padua DA, Marshall SW, et al. Hip kinematics during a stop-jump task in patients
    with chronic ankle instability. J Athl Train. 2011;46(5):461–7.

    Brown C, Bowser B, Simpson KJ. Movement variability during single leg jump landings in
    individuals with and without chronic ankle instability. Clin Biomech. 2012;27(1):52–63.

    Bates, N., Ford, K., Myer, G., & Hewett, T. (2013b). Timing differences in the generation of
    ground reaction forces between the initial and secondary landing phases of the drop
    vertical jump. Clinical Biomechanics (Bristol, Avon), 28, 796–799.

    Bahr, R., & Bahr, I. A. (1997). Incidence of acute volleyball injuries: A prospective cohort
    study of injury mechanisms and risk factors. Scandinavian Journal of Medicine & Science
    in Sports, 7(3), 166-171.

    Baratta, R., Solomonow, M., Zhou, B. H., Letson, D., Chuinard, R., & D'Ambrosia, R. (1988).
    Muscular coactivation. The role of the antagonist musculature in maintaining knee
    stability. American Journal of Sports Medicine, 16(2), 113-122.

    Beckman, S. M., & Buchanan, T. S. (1995). Ankle inversion injury and hypermobility: 250
    Effect on hip and ankle muscle electromyography onset latency. Archives of Physical
    Medicine & Rehabilitation, 76(12), 1138-1143.

    Caulfield, B., & Garrett, M. (2004). Changes in ground reaction force during jump landing in
    subjects with functional instability of the ankle joint. Clinical Biomechanics, 19(6),
    617-621.

    Croy T, Saliba S, Saliba E, et al. Differences in lateral ankle laxity measured via stress
    ultrasonography in individuals with chronic ankle instability, ankle sprain copers, and
    healthy individuals. J Orthop Sports Phys Ther.
    2012;42(7):593–600.

    Doherty, C., Bleakley, C., Hertel, J., Caulfield, B., Ryan, J., & Delahunt, E. (2014a). Postural
    control strategies during single limb stance following acute lateral ankle sprain. Clinical
    Biomechanics, 29, 643–649.

    Doherty, C., Delahunt, E., Caulfield, B., Hertel, J., Ryan, J., & Bleakley, C. (2014b). The
    incidence and prevalence of ankle sprain injury: A systematic review and meta-analysis of
    prospective epidemiological studies. Sports Medicine (Auckland, N. Z.), 44, 123–140.

    Delahunt E, Coughlin GF, Caulfield B, et al. Inclusion criteria when investigating
    insufficiencies in chronic ankle instability. Med Sci Sports Exer.
    2010;42(11):2106–21.

    De Ridder R, Willems T, Vanrenterghem J, et al. Gait kinematics of subjects with ankle
    instability using a multisegmented foot model. Med Sci Sports Exer. 2013.

    Ebig, M., Lephart, S. M., Burdett, R. G., Miller, M. C., & Pincivero, D. M. (1997). The effect
    of sudden inversion stress on EMG activity of the peroneal and tibialis anterior muscles in
    the chronically unstable ankle. Journal of Orthopaedic & Sports Physical Therapy, 26(2),
    73-77.

    Freeman, M. A. R. (1965). Instability of the foot after injuries to the lateral ligament of the
    ankle. Journal of Bone & Joint Surgery - British Volume, 47(4), 669-677.

    Fernandez WG, Yard EE, Comstock RD. Epidemiology of lower extremity injuries among
    U.S. high school athletes. Acad Emerg Med. 2007;14(7):641–5.

    Fong DT, Hong Y, Chan LK, et al. A systematic review on ankle injury and ankle sprain in
    sports. Sports Med. 2007;37(1):73–94.

    Gutierrez GM, Kaminski TW. A novel dynamic ankle-supinating device. J Appl Biomech.
    2010;26:114–21.

    Gutierrez GM, Knight CA, Swanik CB, et al. Examining neuromuscular control during
    landings on a supinating platform in persons with and without ankle instability. Am J
    Sports Med. 2012;40(1):193–201.

    Gerber, J. P., Williams, G. N., Scoville, C. R., Arciero, R. A., & Taylor, D. C. (1998).
    Persistent disability associated with ankle sprains: A prospective examination of an
    athletic population. Foot & Ankle International, 19(10), 653-660.

    Garrick, J. G. (1977). The frequency of injury, mechanism of injury, and epidemiology of
    ankle sprains. The American Journal of Sports Medicine, 5(6), 241-242

    Horita, T., Komi, P. V., Nicol, C., & Kyrolainen, H. (2002). Interaction between pre-landing
    activites and stiffness regulation of the knee joint musculoskeletal system in the drop
    jump:Implication to performance. European Journal of Applied Physiology, 88(1-2),
    76-84. doi: 10.1007/s00421-002-0673-6

    Harrington KD. Degenerative arthritis of the ankle secondary to ___long-standing lateral
    ligament instability. J Bone Joint Surg. 1979;61:354–61.

    Hass CJ, Bishop M, Doidge D, et al. Chronic ankle instability alters central organization of
    movement. Am J Sports Med. 2010;38(4):829–34.

    Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle
    instability. J Athl Train. 2002;37(4):364–75.

    Hertel J, Kaminski TW. Second international ankle symposium summary statement. J Orthop
    Sports Phys Ther. 2005;35(5): A2–6

    Hiller, C. E., Refshauge, K. M., Bundy, A. C., Herbert, R. D., & Kilbreath, S. L. (2006). The
    Cumberland ankle instability tool: A report of validity and reliability testing. Archives of
    Physical Medicine and Rehabilitation, 87(9), 1235-1241.

    Hiller CE, Kilbreath SL, Refshauge KM. Chronic ankle instability: evolution of the model. J
    Athl Train. 2011;46(2):133–41.

    Hiller CE, Nightingale EJ, Raymond J, et al. Prevalence and impact of chronic
    musculoskeletal ankle disorders in the community. Arch Phys Med Rehabil.
    2012;93(10):1801–7.

    Hintermann B, Boss A, Schafer D. Arthroscopic findings in ___patients with chronic ankle

    Hirose K, Murakami G, Minowa T, et al. Lateral ligament injury of the ankle and
    associated cartilage degeneration in the talocrural join: anatomic study using elderly
    cadavers. J Orthop Sci. 2004;9(1):37–43.

    Hootman JM, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and
    recommendations for injury prevention initiatives. J Athl Train. 2007;42(2):311–9.

    Hubbard TJ. Ligament laxity following inversion injury with and without chronic ankle
    instability. Foot Ankle Int. 2008;29(3): 305–11.

    Hurd WJ, Axe MJ, Snyder-Mackler L. Influence of age, gender, and injury mechanism on the
    development of dynamic knee stability after acute ACL rupture. J Orthop Sports Phys
    Ther. 2008;38(2):36–41.

    Hughes, T., & Rochester, P. (2008). The effects of proprioceptive exercise and taping on
    proprioception in subjects with functional ankle instability: A review of the literature.
    Physical Therapy in Sport, 9(3), 136-147

    Hirai, D., Docherty, C. L., & Schrader, J. (2009). Severity of functional and mechanical ankle
    instability in an active population. Foot & Ankle International, 30(11), 1071-1077.

    Konradsen L, Bech L, Ehrenbjerg M, et al. Seven years follow-up ___after ankle inversion
    trauma. Scand J Med Sci Sports.2002;12(3):129–35.

    Konradsen, L. (2002). Sensori-motor control of the uninjured and injured human ankle.
    Journal of Electromyography & Kinesiology, 12(3), 199-203.

    Konradsen, L., & Magnusson, P. (2000). Increased inversion angle replication error in
    functional ankle instability. Knee Surgery, Sports Traumatology, Arthroscopy, 8(4),
    246-251.

    Komi, P. V. (1992). Stretch-shortening cycle. In P. V. Komi (Ed.), Strength and power in sport
    (pp. 169-179). Oxford, England: Blackwell Scientific

    Lee, A. J. Y., & Lin, W. H. (2007). The influence of gender and somatotype on single-leg
    upright standing postural stability in children. Journal of Applied Biomechanics, 23,
    173-179

    Liu K, Glutting J, Wikstrom EA, et al. Examining the diagnostic accuracy of dynamic
    postural stability measure in differentiating among ankle instability status. Clin Biomech.
    2013;28(2):211–7.

    McKay GD. Ankle injuries in basketball: injury rate and risk factors. Br J Sports Med. 2001;35:103–8.

    McKeon PO, Hertel J. The dynamical-systems approach to studying athletic injury. Athl Ther
    Today. 2006;11(1):31–3.

    Miller H, Needle AR, Swanik CB, et al. Role of external prophylactic support in restricting
    accessory ankle motion after exercise. Foot Ankle Int. 2012;33(10):862–9.

    Morrison KE, Hudson DJ, Davis IS, et al. Plantar pressure during running in subjects with
    chronic ankle instability. Foot Ankle Int. 2010;31(11):994–1000.

    Nyland, J., Klein, S., & Caborn, D. N. (2010). Lower extremity compensatory neuromuscular
    and biomechanical adaptations 2–11 years after anterior cruciate ligament reconstruction.
    Arthroscopy, 26, 1212-1225. doi: 10.1016/j.arthro.2010.01.003

    Nashner, L. (1997). Fixed patterns of rapid postural responses among leg muscles during
    stance. Experimental Brain Research, 30, 13-24.

    Peters JW, Trevino SG, Renstrom PA. Chronic lateral ankle instability. Foot Ankle.
    1991;12(3):182–91.

    Plante JE, Wikstrom EA. Differences in clinician-oriented out- comes among controls,
    copers,and chronic ankle instability groups. Phys Ther Sport. 2013;14(4):221–6.

    Shields CA, Needle AR, Rose WC, et al. Effect of taping on postural control deficits in
    subjects with healthy ankles, copers, and individuals with functional ankle instability.
    Foot Ankle Int. 2013;34(10):1427–35.

    Smith RW, Reischl SF. Treatment of ankle sprains in young athletes. Am J Sports Med.
    1986;14(6):465–71.

    Suda, E. Y., Amorim, C. F., & Sacco, Ide. C. (2009). Influence of ankle functional instability
    on the ankle electromyography during landing after volleyball blocking. Journal of
    Electromyography and Kinesiology, 19(2), e84-e93.

    Santello, M., & McDonagh, M. J. (1998). The control of timing and amplitude of EMG
    activity in landing movements in humans. Experimental Physiology, 83(6), 857-874.

    Santilli, V., Frascarelli, M. A., Paoloni, M., Frascarelli, F., Camerota, F., & De Natale, L. et al.
    (2005). Peroneus longus muscle activation pattern during gait cycle in athletes affected by
    functional ankle instability: A surface electromyographic study. American Journal of
    Sports Medicine, 33(8), 1183-1187.

    Shultz, S. J., Perrin, D. H., Adams, J. M., Arnold, B. L., Gansneder, B. M., & Granata, K. P.,
    (2000). Assessment of neuromuscular response characteristics at the knee following a
    functional perturbation. Journal of Electromyography and Kinesiology, 10, 159-170. doi:
    10.1016/S1050-6411(00)00002-X

    Wikstrom EA, Fournier KA, McKeon PO. Postural control differs between those with and
    without chronic ankle instability. Gait Posture. 2010;32(2):82–6.

    Wikstrom EA, Tillman MD, Chmielewski TL, et al. Dynamic postural control but not
    mechanical stability differs among those with and without chronic ankle instability and
    uninjured controls. Scand J Med Sci Sports. 2010;20(1):e137–44.

    Wikstrom, E. A., Arrigenna, M. A., Tillman, M. D., & Borsa, P. A. (2006). Dynamic postural
    stability in subjects with braced, functionally unstable ankles. Journal of Athletic Training,
    41(3), 245- 250

    Wikstrom EA, Tillman MD, Chmielewski TL, et al. Discriminating between copers and
    people with chronic ankle instability. J Athl Train. 2012;47(2):136–42.

    Willems T, Witvrouw E, Verstuyft J, et al. Proprioception and muscle strength in subjects
    with a history of ankle sprains and chronic instability. J Athl Train. 2002;37(4):487–93.

    Wright CJ, Arnold BL. Clinical exam results differ among individuals with functional ankle
    instability and ankle sprain copers. J Athl Train. 2013;48(5):581–9.

    Wright, I. C., Neptune, R. R., van den Bogert, A. J., & Nigg, B. M. (2000). The influence of
    foot positioning on ankle sprains. Journal of Biomechanics, 33(5), 513-519.

    Wu, H. W., Chang, Y. W., Liu, C. W., & Wang, L. H. (2010). Biomechanical analysis of
    landing from counter movement jump and vertical jump with run-up in the individuals
    with functional ankle instability. International Journal of Sport and Exercise Science, 2(2),
    43-48.

    Yeung MS, Chan KM, So CH, et al. An epidemiological survey on ankle sprain. Br J
    Sports Med. 1994;28(2):112–6.

    Yoshida, M., Taniguchi, K., & Katayose, M. (2011). Analysis of muscle activity and ankle
    joint movement during the side-hop test. The Journal of Strength & Conditioning
    Research, 25(8), 2255-2264.

    Schmidtbleicher, D., & Gollhofer, A. (1982). Neuromuskulaere untersuchungen zur
    bestimmung individueller belastungsgroessen for ein tiefsprungtrain-Ing. Leistungssport,
    12, 298-307.

    下載圖示
    QR CODE