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外文摘要
引文資料
題名:
踝關節扭傷對本體感覺與靜態平衡能力的影響研究
書刊名:
大專體育學刊
作者:
黎俊彥
/
林威秀
/
黃啟煌
作者(外文):
Lee, Alex J. Y.
/
Lin, Wei-hsiu
/
Huang, C. H.
出版日期:
2004
卷期:
6:2
頁次:
頁249-259
主題關鍵詞:
踝關節扭傷
;
本體感覺
;
靜態平衡
;
Ankle sprain
;
Proprioception
;
Static balance
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
6
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
5
共同引用:
41
點閱:185
踝關節扭傷是最常見與普遍的下肢運動傷害,Freeman指出踝關節扭傷後會降低本體感受能力,並導致身體姿勢穩定性的降低,後續研究(Tropp Ekstrand Gillquist, 1984; Tropp, Odenrick & Gillquist, 1985)亦支持此種觀點,然而最近的研究(Bernier, Perrin & Rijke, 1997; Cornwall & Murrell, 1991)卻顯示似乎並無顯著關係存在。目的:有鑑於相關研究結果的矛盾,本研究利用精密客觀的儀器,來探討有習慣性踝扭傷與正常健康者雙腳本體感覺與站立平衡表現的關係與差異。實驗設計:本研究以16位男性大學生,實驗組共8位有單側習慣性踝扭傷徵兆患者(扭傷組),而控制組則為8位雙踝健康無扭傷者(正常組),本研究以Biodex III等速肌力測量儀量測受試者本體感覺功能,以Kisterler測力板搭配Romberg開/閉眼單腳站立測試時,腳底壓力中心的變化作為靜態平衡能力指標。資料收集復以Pearson相關係數考驗各考驗間的關係,以獨立樣本t考驗檢定兩組雙腳測試差異情形,以單因子變異數分析考驗各腳本體感覺與平衡測驗的差異。結果:研究顯示:一、個體主動復位表現與閉眼或閉眼單腳站立平衡表顯有顯著關係存在;二、扭傷組受傷腳在被動復位、開/閉眼單腳測試上顯著較對側健康腳差,而被動復位與開眼單腳站立平衡表現也顯著較正常組雙踝為差。結論:踝關節扭傷的確會降低被動復位本體感覺與開/閉眼站立平衡能力,本研究顯示個體主動復位能力與平衡能力有關,因此為改善站立平衡能力應可加強此方面之復健與訓練,此外扭傷踝關節顯著較差的被動復位能力,似乎驗證個體的被動本體感覺回饋機制可能受損,而運動復健對被動復位能力的影響,與正常組雙腳不同的被動復位能力仍需進一步的研究來加以探討。
以文找文
Introduction: Ankle sprains are the most common and frequent injury in sports. Freeman demonstrated that an ankle injury would decreased the propriception sensitivity and result in poor postural steadiness in 1965. Further studies (Tropp, Ekstrand, & Gillquist, 1984; Tropp, Odenrick, & Gillquist, 1985) also showed similar results. More recent studies (Bernier, Perrin, & Rijke, 1997; Cornwall & Murrell, 1991) indicated that the injury of the ankle was not connection with the balance performance. Purpose: This study utilized the Kistler force plate and Biodex isokinetic dynamometer to testify the difference between subjects with functional instability and normal subjects. Methods: The ankles of 16 college-aged male subjects were tested in this study: 8 subjects with unilateral ankle sprain symptoms (I) and 8 with bilateral non injured healthy ankles (N).The Bioedx III isokinetic dynamometer was used to assess ankle proprioception function: active and passive position sense. The static balance ability was assessed by Kistler force plate in the form of mean radius of COP (center of pressure) distribution. Pearson correlation, independent t-test and one-way ANOVA analysis were used to exam the difference between different legs (left& right ankle in N; healthy & injured ankles in I). Results: 1, There was strong correlation between active ankle reposition sense and open/close static balance abilities. 2. The injured ankle had significant poor passive ankle reposition sense and open/close static balance abilities than healthy ankles. Otherwise, the passive ankle reposition sense and open eyes balance ability while having an injured ankle were also significantly poorer than the left & right ankle in N. Conclusions: This study clearly showed that an ankle sprain impaired the passive reposition sense and the close eyes static balance ability. The active ankle reposition sense has positive correlations with balance control. It was recommended that a rehabilitation program for sprained ankles should include proprioception training, especially in restoring the passive reposition sense. More studies are needed to examine the training or rehabilitation effects on the passive repositioning sense.
以文找文
期刊論文
1.
Grigg, P.(1994)。Peripheral neural mechanisms in proprioception。Journal of Sport Rehabilitation,3(1),2-17。
2.
Borsa, P. A.、Lephart, S. M.(1994)。Functional assessment and rehabilitation of shoulder proprioception for glenohumeral instability。Journal of Sport Rehabilitation,3,84-104。
3.
Garn, S. N.、Newton, R. A.(1988)。Kinesthetic awareness in subjects with multiple ankle sprains。Physical Therapy,68(11),1667-1671。
4.
Szcerba, J. E.、Bernier, J. N.、Perrin, D. H.、Gansneder, B. M.(1995)。Intertester reliability of active and passive ankle joint position sense training。Journal of Sport Rehabilitation,4,282-291。
5.
Cornwall, M. W.、Murrell, W.(1991)。Postural sway following inversion sprain of the ankle。Pediatry Medical Association,81,243-247。
6.
Friden, T.、Zatterstrom, R.、Lindstrand, A.、Moritz, U.(1989)。A stabilomertric technique for evaluation of lower limb instabilities。The American Journal of Sports Medicine,17(1),118-122。
7.
Isakov, E.、Mizrahi, J.(1997)。Is balance impaired by recurrent sprained ankle?。British Journal of Sports Medicine,31(1),65-67。
8.
Isakov, E.、Mizrahi, J.、Solzi, P.、Susak, Z.、Lotem, M.(1989)。Response of the Peroneal Muscles to Sudden Inversion of the Ankle during Standing。International Journal of Sport Biomechanics,2(2),100-109。
9.
Leanderson, J.、Eriksson, E.、Nilsson, C.、Wykman, A.(1996)。Proprioception in classical ballet dancer: A prospective study of the influence of an ankle sprain on propriception in the ankle joint。American Journal of Sports Medicine,24,370-374。
10.
Malone, T. R.(1989)。Basketball injuries and treatment。Sports Injury Management: Quarterly Series,1(4),22-29。
11.
McKnight, C. M.、Armstrong, C. W.(1997)。The Role of Ankle Strength in Functional Ankle Instability。Journal of Sport Rehabilitation,6(1),21-29。
12.
Perrin, P. P.、Bene, M. C.、Perrin, C. A.、Durupt, D.(1997)。Ankle trauma significantly impairs postural control--a study in basketball players and controls。International Journal of Sports Medicine,18,387-392。
13.
Smith, R. W.、Reischl, S. F.(1986)。Treatment of ankle sprains in young athletes。American Journal of Sports Medicine,14(6),465-471。
14.
Tropp, H.、Ekstrand, J.、Gillquist, J.(1984)。Stabilometry in functional instability of the ankle and its value in predicting injury。Medicine and Science in Sports and Exercise,16(1),64-66。
15.
Tropp, H.、Odenrick, P.、Gillquist, J.(1985)。Stabilometry recordings in functional and mechanical instability of the ankle joint。International Journal of Sports Medicine,6(3),180-182。
16.
McGuine, T. A.、Greene, J. J.、Best, T.、Leverson, G.(2000)。Balance as a predictor of ankle injuries in high school basketball players。Clinical Journal of Sport Medicine,10(4),239-244。
17.
Bernier, J. N.、Perrin, D. H.、Rijke, A.(1997)。Effect of unilateral functional instability of the ankle on postural sway and inversion and eversion strength。Journal of Athletic Training,32(3),226-232。
18.
Freeman, M. A. R.(1965)。Instability of the foot after injuries to the lateral ligament of the ankle。The Journal of Bone and Joint Surgery,47(4),669-677。
19.
Kaminski, T. W.、Perrin, D. H.、Gansneder, B. M.(1999)。Eversion strength analysis of uninjured and functionally unstable ankles。Journal of Athletic Training,34(3),239-245。
20.
Payne, K. A.、Berg, K.、Latin, R. W.(1997)。Ankle injuries and ankle strength, flexibility, and proprioception in college basketball players。Journal of Athletic Training,32(3),221-225。
21.
Yeung, M. S.、Chan, K. M.、So, C. H.、Yuan, W. Y.(1994)。An epidemiological survey on ankle sprain。British Journal of Sports Medicine,28(2),112-116。
22.
Zelisko, John A.、Noble, H. Bates、Porter, Marianne(1982)。A comparison of men's and women's professional basketball injuries。The American Journal of Sports Medicine,10(5),297-299。
23.
Konradsen, L.、Rave, J. B.(1991)。Prolonged peroneal reaction time in ankle instability。International Journal of Sports Medicine,12(3),290-292。
24.
Lentell, G. L.、Baas, B.、Lopez, D.、McGuire, L.、Sarrels, M.、Snyder, P.(1995)。The contributions of proprioceptive deficits, muscle function, and anatomic laxity to functional instability of the ankle。Journal of Orthopaedic and Sports Physical Therapy,21(4),206-215。
25.
吳昇光、陳俊忠(19911000)。體操運動傷害調查研究。國立體育學院論叢,2(1),133-151。
延伸查詢
26.
謝祥星、黃啟煌(19960600)。臺灣區運羽球運動傷害調查研究。大專體育,26,178-183。
延伸查詢
27.
Arnason, A.、Gudmundsson, A.、Dahl, H. A.、Johannsson, E.(1996)。Soccer injuries in Iceland。Scandinavian Journal of Medicine and Science in Sports,6(1),40-45。
28.
姬榮軍、劉宇、李宜芳(20011200)。老年人動態活動與下階梯動作條件下肌肉勁度調節能力之研究。大專體育學刊,3(2),113-124。
延伸查詢
29.
Hoffman, M.、Koceja, D.、Schrader, J.、Applegate, T.(1998)。Unilateral postural control of the functionally dominant and nondominant extremities of healthy subjects。Journal of Athletic Training,33,319-322。
學位論文
1.
Bernier, J. N.(1995)。Effect of coordination training on proprioception of the functionally unstable ankle(博士論文)。University of Virginia,Charlottesville。
2.
江勁政(2000)。不同項目運動選手平衡能力之定量評估(碩士論文)。國立體育學院,桃園縣。
延伸查詢
圖書論文
1.
Nashner, L. M.(1993)。Practical Biomechanics and Physiology of Balance。Handbook of balance function and testing。St. Louis, MO:Mosby Year Book。
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