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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:185下載:25
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  • 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)

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