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題名:前十字韌帶損傷對下肢運動生物力學的影響
書刊名:大專體育
作者:張世緯張怡雯 引用關係
作者(外文):Chang, Shih-weiChang, Yi-wen
出版日期:2011
卷期:112
頁次:頁69-75
主題關鍵詞:運動傷害前十字韌帶重建手術膝關節Sports injuryAnterior cruciate ligament reconstructionKnee joint
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(6) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:6
  • 共同引用共同引用:2
  • 點閱點閱:87
前十字韌帶損傷是一種相當普遍的運動傷害,大多數患者的受傷過程並非外在接觸性撞擊的影響,而是由於人體下肢在減速動作時,突然改變方向或是跳躍後落地動作不正常,造成前十字韌帶的負荷過大,導致非接觸性傷害的發生。前十字韌帶損傷後,在步態中可以發現有股四頭肌抑制(quadriceps avoidance)現象;在跑步方面,雖然沒有明顯股四頭肌抑制現象,但在著地期時,膝關節出現屈曲角度減少,與內側位移增加,顯示損傷後的膝關節呈現不穩定狀態。若接受前十字韌帶重建手術,在術後初期的步態中,依然會出現股四頭肌抑制現象,在術後4個月的步態已趨近於一般健康正常人的模式,然而,在脛骨旋轉動作卻仍然無法恢復至正常範圍,顯示經過前十字韌帶重建後,也無法完全恢復至受傷前的動作模式。未來研究方面,可以進一步探討穿戴護具或使用運動貼紮方法,能否有效地改善前十字韌帶損傷患者的生物力學表現。
Anterior cruciate ligament (ACL) injury is one of the most common sports injuries. The injury mechanism for most victims is the non-contact injury, resulting from the overload on the ACL due to the sudden change of moving direction in decelerating the lower extremity, or improper landing. Quadriceps avoidance is obvious in gait after ACL injury. The decreased knee flexion angle and the increased medial displacement in knee are found in the runners after ACL injury. Quadriceps avoidance in gait is still evident immediately after ACL reconstruction. However, gait pattern is reaching normal after the reconstruction of four-month, but tibial rotation is still obvious in gait. It is implied that it is difficult to regain the non-injured motion pattern even accepting ACL reconstruction. In the future studies, the effect of athletic taping or brace will be conducted to more understand the biomechanics of ACL injury so as to improve the athletic performance.
期刊論文
1.Flynn, R. K.、Pedersen, C. L.、Birmingham, T. B.、Kirkley, A.、Jackowski, D.、Fowler, P. J.(2005)。The familial predisposition toward tearing the anterior cruciate ligament: A case control study。The American Journal of Sports Medicine,33(1),23-28。  new window
2.康翠籃(19980200)。前十字韌帶重整手術後的復健。大專體育,35,127-133。new window  延伸查詢new window
3.Prodromos, C. C.、Han, Y.、Rogowski, J.、Joyce, B.、Shi, K.(2007)。A meta-analysis of the incidence of anterior cruciate ligament tears as a function of gender, sport, and a knee injury-reduction regimen。Arthroscopy: The Journal of Arthroscopic & Related Surgery,23(12),1320-1325。  new window
4.Chappell, J. D.、Creighton, R. A.、Giuliani, C.、Yu, B.、Garrett, W. E.(2007)。Kinematics and electromyography of landing preparation in vertical stop-jump: Risks for noncontact anterior cruciate ligament injury。The American Journal of Sports Medicine,35(2),235-241。  new window
5.Boden, B. P.、Dean, G. S.、Feagin, J. A. Jr.、Garrett, W. E. Jr.(2000)。Mechanisms of anterior cruciate ligament injury。Orthopedics,23(6),573-578。  new window
6.Yu, B.、Lin, C.-F.、Garrett, W. E.(2006)。Lower extremity biomechanics during the landing of a stopjump task。Clinical Biomechanics,21(3),297-305。  new window
7.Shelburne, K. B.、Pandy, M. G.、Torry, M. R.(2004)。Comparison of shear forces and ligament loading in the healthy and ACL-deficient knee during gait。Journal of Biomechanics,37,313-319。  new window
8.張曉昀、黃啟煌、蔚順華、鐘宇政(2008)。比較前十字韌帶重建手術運動員在不同動作下之膝關節運動學。物理治療,33(1),24-33。  延伸查詢new window
9.Waite, J. C.、Beard, D. J.、Dodd, C. A.、Murray, D. W.、Gill, H. S.(2005)。In vivo kinematics of the ACL-deficient limb during running and cutting。Knee Surgery, Sports Traumatology, Arthroscopy,13,377-384。  new window
10.Yu, B.、Garrett, W. E.(2007)。Mechanisms of noncontact ACL injuries。British Journal of Sports Medicine,41(Suppl. 1),i47-i51。  new window
11.Beard, D. J.、Murray, D. W.、Gill, H. S.、Price, A. J.、Rees, J. L.、Alfaro-Adrian, J.(2001)。Reconstruction does not reduce tibial translation in the cruciate-deficient knee an in vivo study。The Journal of Bone and Joint Surgery,83,1098-1103。  new window
12.DeMorat, G.、Weinhold, P.、Blackburn, T.、Chudik, S.、Garrett, W.(2004)。Aggressive quadriceps loading can induce noncontact anterior cruciate ligament injury。The American Journal of Sports Medicine,32,477-483。  new window
13.Alexis, O.、Sharon, O.、Charles, L. L.、Elaine, T. J.、Kwon, Y. H.、Bruce, E.(2008)。Landing mechanics between noninjured women and women with anterior cruciate ligament reconstruction during 2 jump tasks。The American Journal of Sports Medicine,36(1),149-157。  new window
14.Gelber, A. C.、Hochberg, M. C.、Mead, L. A.、Wang, N. Y.、Wigley, F. M.、Klag, M. J.(2000)。Joint injury in young adults and risk for subsequent knee and hip osteoarthritis。Annals of Internal Medicine,133,321-328。  new window
15.Gottlob, C. A.、Baker, C. L., Jr.、Pellissier, J. M.、Colvin, L.(1999)。Cost effectiveness of anterior cruciate ligament reconstruction in young adults。Clinical Orthopaedics and Related Research,367,272-282。  new window
16.Griffin, L. Y.、Albohm, M. J.、Arendt, E. A.、Bahr, R.、Beynnon, B. D.、Demaio, M.(2006)。Understanding and preventing noncontact anterior cruciate ligament injuries: A review of the Hunt Valley II meeting, January 2005。The American Journal of Sports Medicine,34,1512-1532。  new window
17.Knoll, Z.、Kocsis, L.、Kiss, R. M.(2004)。Gait patterns before and after anterior cruciate ligament reconstruction。Knee Surgery, Sports Traumatology, Arthroscopy,12(1),7-14。  new window
18.Petschnig, R.、Baron, R.、Albrecht, M.(1998)。The relationship between isokinetic quadriceps strength test and hop tests for distance and one-legged vertical jump test following anterior cruciate ligament reconstruction。The Journal of Orthopaedic and Sports Physical Therapy,28(1),23-31。  new window
19.Ristanis, S.、Stergiou, N.、Patras, K.、Tsepis, E.、Moraiti, C.、Georgoulis, A. D.(2006)。Follow-up evaluation 2 years after ACL reconstruction with bone-patellar tendon-bone graft shows that excessive tibial rotation persists。Clinical Journal of Sport Medicine,16(2),111-116。  new window
20.Shelburne, K. B.、Torry, M. R.、Pandy, M. G.(2005)。Effect of muscle compensation on knee instability during ACL-deficient gait。Medicine & Science in Sports & Exercise,37,642-648。  new window
21.Tashman, S.、Collon, D.、Anderson, K.、Kolowich, P.、Anderst, W.(2004)。Abnormal rotational knee motion during running after anterior cruciate ligament reconstruction。The American Journal of Sports Medicine,32(4),975-983。  new window
22.Uhorchak, J. M.、Scoville, C. R.、Williams, G. N.、Arciero, R. A.、St. Pierre, P.、Taylor, D. C.(2003)。Risk factors associated with noncontact injury of the anterior cruciate ligament: A prospective four-year evaluation of 859 West Point cadets。The American Journal of Sports Medicine,31(6),831-842。  new window
 
 
 
 
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