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題名:比較穿戴新式與傳統式護具對於網球肘患者之伸腕肌群肌力、肌電活化、及疼痛之差異
書刊名:體育學報
作者:李凌岳陳重年傅書毅張曉昀 引用關係
作者(外文):Li, Lin-yuehChen, Chung-nienFu, Su-yiChang, Hsiao-yun
出版日期:2016
卷期:49:2
頁次:頁167-176
主題關鍵詞:手肘關節運動傷害護肘肘外上髁炎Elbow jointSports injuryOrthosisLateral elbow epicondylitis
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(3) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:4
  • 點閱點閱:4
緒論:網球肘是一種常見之手肘運動傷害,過去運動愛好者常使用網球肘護具保護受傷部位,這些護具是藉由壓迫肌肉,改變肌肉收縮時對受傷疼痛部位的拉扯,然而這樣的方式可能造成肌肉拉力分散而導致肌力下降的問題。因此,本研究之目的是設計一種新式的網球肘護具,並驗證對於網球肘患者的伸腕肌群肌力、肌電訊號、及疼痛的效果。方法:本研究共徵召14位受試者(6位網球肘患者,8位為健康者),分別穿戴傳統肌肉壓迫式護具與新式肌肉夾擰式護具,進行未穿戴護具與穿戴護具之伸腕肌群肌電訊號、手腕用力時的視覺類比疼痛量表、及伸腕肌群肌力。使用重複量數二因子變異數分析進行統計分析。結果:結果顯示不論是在網球肘組或是健康組,在伸腕肌群肌力比值上,新式肌肉夾擰護具肌力均顯著大於傳統肌肉壓迫式護具(p < .05),但是伸腕肌群肌電訊號比值則無差異(p > .05)。在手腕用力時的視覺類比疼痛量表則顯示穿戴傳統肌肉壓迫式護具與新式肌肉夾擰式護具均能顯著地使疼痛量表分數降低、改善疼痛問題(p< .05)。結論:本研究建議網球肘患者穿戴新式肌肉夾擰護具不會影響伸腕肌群的肌電比值,但是可增加伸腕肌群肌力、並降低疼痛。
Introduction: Tennis elbow is a common sports injury. Elbow braces are often used to protect the elbows of sports enthusiasts with the injury. Braces have been designed with a counterforce compression pad over the muscle belly of the wrist extensor muscles to reduce the pull force of the muscle contractions in the painful area. However, this design may reduce the strength of the wrist extensor muscles and athletic performance. Therefore, this study designed a novel tennis-elbow brace and determined its effect on wrist extensor strength, electromyography values of extensor carpi radialis brevis muscle, and pain levels for subjects with tennis elbow. Methods: Fourteen participants (six with tennis elbow and eight without) were recruited for this study. The wrist extensor strength, electromyography values of extensor carpi radialis brevis muscle, and pain scale scores during an activity were assessed under three conditions (no brace, wearing a traditional tennis-elbow brace, and wearing the proposed brace). Repeat measured two-way ANOVA was used to analyze the outcome results of wrist extensor strength, electromyography values of extensor carpi radialis brevis muscle, and pain scale scores among no brace, wearing a traditional tennis-elbow brace, and wearing the proposed brace condition. Results: The results showed that both groups had greater wrist extensor strength while wearing the proposed brace than wearing the traditional brace (p < .05). However, no difference existed in the electromyography values of the extensor carpi radialis brevis muscle between the novel and traditional braces conditions or between the groups (p > .05). The pain scale showed significantly reduced pain levels while wearing either brace compared with not wearing a brace (p < .05). Conclusion: This study indicated that wearing the proposed brace does not affect the electromyography values of the Extensor carpi radialis brevis muscle but does increase the strength of the wrist extensor muscles and reduces the pain associated with tennis elbow.
期刊論文
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2.周正亮(19911200)。護肘對於網球肘患者手腕肌力及痛覺的影響。復健醫學會雜誌,19,31-36。  延伸查詢new window
3.Chan, H. L.、Ng, G. Y. F.(2003)。Effect of counterforce forearm bracing on wrist extensor muscles performance。American Journal of Physical Medicine & Rehabilitation,82,290-295。  new window
4.Chiang, Y. P.、Hsieh, S. F.、Lew, H. L.(2012)。The role of ultrasonography in the differential diagnosis and treatment of tennis elbow。American Journal of Physical Medicine & Rehabilitation,91(1),94-95。  new window
5.Descatha, A.、Dale, A. M.、Jaegers, L.、Herquelot, E.、Evanoff, B.(2013)。Self-reported physical exposure association with medial and lateral epicondylitis incidence in a large longitudinal study。Occupational and Environmental Medicine,70(9),670-673。  new window
6.Faes, M.、van Elk, N.、de Lint, J. A.、Degens, H.、Kooloos, J. G.、Hopman, M. T.(2006)。A dynamic extensor brace reduces electromyographic activity of wrist extensor muscles in patients with lateral epicondylalgia。Journal of Orthopaedic & Sports Physical Therapy,36(3),170-178。  new window
7.Herquelot, E.、Guéguen, A.、Roquelaure, Y.、Bodin, J.、Sérazin, C.、Ha, C.、Leclerc, A.、Descatha, A.(2013)。Work-related risk factors for incidence of lateral epicondylitis in a large working population。Scandinavian Journal of Work, Environment & Health,39(6),578-588。  new window
8.Graven-Nielsen, T.、Lund, H.、Arendt-Nielsen, L.、Danneskiold-Samsøe, B.、Bliddal, H.(2002)。Inhibition of maximal voluntary contraction force by experimental muscle pain: A centrally mediated mechanism。Muscle Nerve,26(5),708-712。  new window
9.Forbes, A.、Hopper, D.(1990)。The effect of counterforce bracing on grip strength in tennis players with painful elbows。Australian Journal of Physiotherapy,36,259-265。  new window
10.Fayson, S. D.、Needle, A. R.、Kaminski, T. W.(2014)。The effect of ankle Kinesio Tape on ankle muscle activity during a drop landing。Journal of Sport Rehabilitation,24(4),391-397。  new window
11.Farina, D.、Arendt-Nielsen, L.、Graven-Nielsen, T.(2005)。Experimental muscle pain decreases voluntary EMG activity but does not affect the muscle potential evoked by transcutaneous electrical stimulation。Clinical Neurophysiology,116(7),1558-1565。  new window
12.Jafarian, F. S.、Demneh, E. S.、Tyson, S. F.(2009)。The immediate effect of orthotic management on grip strength of patients with lateral epicondylosis。The Journal of Orthopaedic and Sports Physical Therapy,39(6),484-489。  new window
13.Lundin, O.、Styf, J. R.(1998)。Intramuscular pressure in the leg and thigh related to tensile strap force during knee brace wear: An experimental study in man。The American Journal of Sports Medicine,26(4),567-570。  new window
14.Murthy, G.、Ballard, R. E.、Breit, G. A.、Watenpaugh, D. E.、Hargens, A. R.(1994)。Intramuscular pressures beneath elastic and inelastic leggings。Annals of Vascular Surgery,8(6),543-548。  new window
15.Oken, O.、Kahraman, Y.、Ayhan, F.、Canpolat, S.、Yorgancioglu, Z. R.、Oken, O. F.(2008)。The short-term efficacy of laser, brace, and ultrasound treatment in lateral epicondylitis: A prospective, randomized, controlled trial。Journal of Hand Therapy,21(1),63-67。  new window
16.Snyder-Mackler, L.、Epler, M.(1989)。Effect of standard and Aircast tennis elbow bands on integrated electromyography of forearm extensor musculature proximal to the bands。The American Journal of Sports Medicine,17(2),278-281。  new window
17.Yoon, J. J.、Bae, H.(2013)。Change in electromyographic activity of wrist extensor by cylindrical brace。Yonsei Medical Journal,54(1),220-224。  new window
18.Verbunt, J. A.、Seelen, H. A.、Vlaeyen, J. W.、Bousema, E. J.、van der Heijden, G. J.、Heuts, P. H.、Knottnerus, J. A.(2005)。Pain-related factors contributing to muscle inhibition in patients with chronic low back pain: An experimental investigation based on superimposed electrical stimulation。The Clinical Journal of Pain,21(3),232-240。  new window
19.Styf, J. R.、Nakhostine, M.、Gershuni, D. H.(1992)。Functional knee braces increase intramuscular pressures in the anterior compartment of the leg。The American Journal of Sports Medicine,20,46-49。  new window
20.Styf, J. R.、Körner, L. M.、Suurkula, M.(1987)。Intramuscular pressure and muscle blood flow during exercise in chronic compartment syndrome。Journal of Bone and Joint Surgery,69B,301-305。  new window
21.王鶴森(20020900)。網球肘關節肌腱病變之成因與對策。中華體育季刊,16(3)=62,28-36。new window  延伸查詢new window
22.Ng, G. Y.、Chan, H. L.(2004)。The immediate effects of tension of counterforce forearm brace on neuromuscular performance of wrist extensor muscles in subjects with lateral humeral epicondylosis。The Journal of Orthopaedic and Sports Physical Therapy,34(2),72-78。  new window
學位論文
1.羅楚玲(2004)。除壓貼紮相對於傳統物理治療對手肘外上髁炎患者之附加治療效果(碩士論文)。國立陽明大學。  延伸查詢new window
圖書
1.Magee, D. J.(2007)。Orthopedic physical assessment。St. Louis, Missouri:Saunders。  new window
2.Myers, T. W.(2014)。Anatomy trains: Myofascial meridians for manual and movement therapist。Philadelphia, PA:Churchill Livingstone:Elsevier Ltd.。  new window
3.Cram, J. R.、Kasman, G. S.、Holtz, J.(1998)。Introduction to surface electromyography。Gaithersburg, MD:Aspen Publications。  new window
其他
1.傅書毅,李凌岳,張曉昀,葉純妤,陳坤鍾,陳重年(2014)。可產生肌肉夾捏及上提效果之彈性護帶(M483777)。,http://twpatLtipo.gov.tw/tipotwoc/tipotwkm?@@323871639。  延伸查詢new window
圖書論文
1.Nawoczenski, Deborah A.、Epler, M. E.(1997)。Orthoses for the ankle。Orthotics in functional rehabilitation of the lower limb。Philadelphia, PA:W. B. Saunders Company。  new window
2.Morrissey, D.(2007)。Unloading and proprioceptive taping。Positional release techniques。Philadelphia, PA:Churchill Livingstone。  new window
 
 
 
 
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