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摘要
外文摘要
引文資料
題名:
不同處理模式對阿基里斯肌腱斷裂後修復的影響
書刊名:
運動與遊憩研究
作者:
方文怡
/
呂忠勳
/
曹德弘
/
迪魯.法納奧
/
鄧政偉
/
楊昌斌
作者(外文):
Fang, Wun-yi
/
Lyu, Zhwong-xyun
/
Tsao, Te-hung
/
Fanaw, Dilw
/
Teng, Cheng Wei
/
Yang, Chang-bin
出版日期:
2016
卷期:
11:1
頁次:
頁84-99
主題關鍵詞:
步態分析
;
固定
;
復健
;
Gait analysis
;
Immobilization
;
Rehabilitation
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:0
共同引用:
4
點閱:11
本研究目的旨在探討不同處理模式在不同時間點對阿基里斯肌腱斷裂後復健的影響。將45 隻8 週大之Spraque-Dawley 品系公鼠隨機分成控制組、『運動』組、『固定+運動』組。『運動』組在傷後第五天開始運動介入。『固定+運動』組在受傷後立刻進行模具固定,在傷後第4 週將模具拆除並進行運動介入。在第4、12 週進行阿基里斯肌腱功能評估、每組隨機犧牲3 隻大鼠,觀察肌腱外觀與膠原蛋白生長情形。在第12 週各組犧牲9 隻大鼠,測試肌腱直徑、斷裂強度與拉伸應力。結果:傷後第4 週固定組無法測量AFI 值,因此控制組與運動組進行t 考驗分析,結果兩組無顯著差異;在傷後第12 週3 組AFI 值均無顯著差異。膠原蛋白生長情形在傷後第4、12 週各組的膠原蛋白逐漸轉換為第一型膠原蛋白,且發現波紋結構,傷後第12 週固定組的組織結構較為紊亂。肌腱直徑在傷後第12 週3 組間的正常肢與受傷肢的肌腱直徑均無顯著差異。斷裂強度在傷後第12 週3 組間的正常肢與受傷肢的斷裂強度均無顯著差異。拉伸應力在傷後第12 週3 組間的正常肢與受傷肢的肌腱拉伸應力均無顯著差異。結論:運動介入能使阿基里斯肌腱功能、組織結構與機械特性比固定組更接近正常;固定4 週對於肌腱的功能負面影響很大,應縮短固定的時間。
以文找文
The aim of this study was to investigate the effect of different treatment model on Achilles tendon rupture recovery on different time in rats. Methods: Forty-five Spraque-Dawley (SD) male rats (eight weeks old) randomly assigned to three groups: control, exercise, immobilization + exercise. Exercise group was exercise intervention at five-day post injury. Immobilization + exercise group was immediately immobilization used cast after injury, and dismantle cast at the same time exercise intervention was began at four-week post injury. The Achilles tendon functional index (AFI) were evaluated at four- and twelve-week post at each groups. Each groups were randomly sacrificed three rats and observation outward appearance of tendon and growth of collagen at four- and twelve-week. Each group were sacrificed nine rats and test for diameter, breaking strength, tensile stress of tendon at twelve-week post injury. Result: AFI values: Immobilization + exercise group was unable to test to AFI at four-week post injury, so test to AFI was only to control group and exercise group at four-week post injury to used t test, and not significantly between the two groups. The AFI were not significantly between the three groups at twelve-week post injury, but the rats was unable walking to normal by foot of injury limb to immobilization + exercise group, so it was necessary further studies can calculate to more proper of AFI for immobilization+ exercise group at twelve-week post injury. Collagen growth: The type III collagen was began to change become type I collagen in three groups at four- and twelve-week post injury, and all group was form crimp to collagen structure. However, the collagen structure was confusion both control group and immobilization + exercise group at four-week post injury, collagen structure was confusion to immobilization + exercise group at twelve-week post injury. Tendon diameter: Not found significantly to normal limbs and injury limbs to tendon diameter between the three groups, but normal limbs were significantly smaller than injury limb to tendon diameter in each groups. Tendon breaking strength: Not found significantly to normal limbs and injury limbs to tendon breaking strength between the three groups, and normal limbs were significantly smaller than injury limbs to tendon breaking strength of control group at twelve-week post injury, and injury limbs were smaller than normal limbs to tendon breaking strength of immobilization + exercise group at twelve-week post injury. Tendon tensile stress: Not found significantly to normal limbs and injury limbs to tendon tensile stress between the three groups, but injury limbs were significantly smaller than normal limb to tendon tensile stress in each groups. Conclusion: Compared to immobilization, the function of Achilles tendon, tissue structure, and mechanic feature are more normal due to the intervention of exercise. However, no obvious benefit for tendon repair was found. As a result, further adjustment for exercise intensity in the latter period of the rehabilitation may lead to normal in tendon tensile stress of Achilles tendon. The period of fixing injured limbs should be shortened due to the negative results from a period of a 4-week of immobilization in the present study.
以文找文
期刊論文
1.
Buchanan, C. I.、Marsh, R. L.(2001)。Effects of long-term exercise on the biomechanical properties of the Achilles tendon of guinea fowl。Journal of Applied Physiology,90(1),164-171。
2.
Murrell, G. A.、Jang, D.、Deng, X. H.、Hannafin, J. A.、Warren, R. F.(1998)。Effects of exercise on Achilles tendon healing in a rat model。Foot and Ankle International,19(9),598-603。
3.
Simonsen, E. B.、Klitgaard, H.、Bojsen-Møller, F.(1995)。The influence of strength training, swim training and ageing on the Achilles tendon and m. soleus of the rat。Journal of Sports Sciences,13(4),291-295。
4.
See, E. K. N.、Ng, G. Y. F.、Ng, C. O. Y.、Fung, D. T. C.(2004)。Running exercises improve the strength of a partially ruptured Achilles tendon。British Journal of Sports Medicine,38(5),597-600。
5.
馮琼華、盧光輝、許典雄、張勇(2007)。跟腱再斷裂原因臨床討論。武漢大學學報,28(3),394-396。
延伸查詢
6.
陳庠侖、鄭淑媛、馬樹強、沈啟瑩、邱華文(2010)。跟腱斷裂手術修復及製動方式改進的臨床研究。徐州醫學院學報,30(7),440-441。
延伸查詢
7.
李紅、任超學(2011)。急性跟腱損傷後兩種不同康復方法的比較。價值工程,227,146-146。
延伸查詢
8.
唐斌、白靖平、加沙熱特‧杰力勒、史振濤、姜孝成、張積利(2010)。早期運動對家兔跟腱斷裂術後癒合的組織學影響。中國醫師雜誌,12(7),883-886。
延伸查詢
9.
Aspenberg, P.(2007)。Stimulation of tendon repair: mechanical loading, GDFs and platelets. A mini-review。International orthopaedics,31,783-789。
10.
Andersson, T.、Eliasson, P.、Aspenberg, P.(2009)。Tissue memory in healing tendons: short loading episodes stimulate healing。Journal of applied physiology,107(2),417-421。
11.
Andersson, T.、Eliasson, P.、Hammerman, M.、Sandberg, O.、Aspenberg, P.(2012)。Low-level mechanical stimulation is sufficient to improve tendon healing in rats。Journal of applied physiology,113(9),1398-1402。
12.
Backman, C.、Friden, J.、Widmark, A.(1991)。Blood flow in chronic Achilles tendinosis。Acta orthopaedica Scandinavica,62,386-387。
13.
Coutinho, E. L.、Gomes, A. R.、Franca, C. N.、Salvini, T. F.(2002)。A new model for the immobilization of the rat hind limb。Brazilian journal of medical and biological research,35(11),1329-1332。
14.
Chowdhury, P.、Long, A.、Harris, G.、Soulsby, M. E.、Dobretsov, M.(2013)。Animal model of simulated microgravity: a comparative study of hindlimb unloading via tail versus pelvic suspension。Physiological reports,1(1),1-11。
15.
Eliasson, P.、Andersson, T.、Aspenberg, P.(2012)。Influence of a single loading episode on gene expression in healing rat Achilles tendons。Journal of applied physiology,122(2),279-288。
16.
Khan, K. M.、Scott, A.(2009)。Mechanotherapy: how physical therapists' prescription of exercise promotes tissue repair。British journal of sports medicine,43,247-252。
17.
Egemen, O.、Ozkaya, O.、Ozturk, M. B.、Sen, E.、Akan, M.、Sakiz, D.、Aygit, C.(2014)。The biomechanical and histological effects of diabetes on tendon healing: experimental study in rats。Journal of hand and microsurgery,4(2),60-64。
18.
Maquirriain, J.、Kokalj, A.(2014)。Acute Achilles tendinopathy: effect of pain control on leg stiffness。Journal of musculoskeletal & neuronal interactions,14(1),131-136。
19.
Sharma, P.、Maffulli, N.(2006)。Biology of tendon injury: healing, modeling and remodeling。Journal of musculoskeletal & neuronal interactions,6(2),181-190。
20.
Sandberg, O.、Eliasson, P.、Andersson, T.、Agholme, F.、Aspenberg, P.(2012)。Etanercept does not impair healing in rat models of tendon or metaphyseal bone injury。Acta orthopaedica,83(3),305-310。
21.
Tipton, C. M.、Vailas, A. C.、Matthes, R. D.(1986)。Experimental studies on the influences of physical activity on ligaments, tendons and joints: a brief review。Acta Medica Scandinavica. Supplement,711,157-168。
22.
Zhang, Q.、Joshi, S. K.、Manzano, G.、Lovett, D. H.、Kim, H. T.、Liu, X.(2013)。Original article Muscle extracellular matrix degradation and contractibility following tendon rupture and disuse。Muscles, Ligaments and Tendons Journal,3(1),35-41。
23.
楊昌斌、莊忠杰、曹德弘、黃智能、林志遠(20130300)。不同運動量對大鼠阿基里斯肌腱修復的影響。大專體育學刊,15(1),113-122。
延伸查詢
學位論文
1.
楊昌斌(2008)。不同的運動介入對大鼠阿基里斯肌腱修復的影響(博士論文)。國立臺灣師範大學,臺北。
延伸查詢
2.
林煒哲(2013)。長期運動介入對大鼠阿基里斯肌腱修復的影響(碩士論文)。國立東華大學,花蓮。
延伸查詢
其他
1.
Best, T. M.,Collins, A.,Lilly, E. G.,Seaber, A. V.,Murrell, G. A.(1991)。A functional, morphological and biomechanical study of the repair process in rat Achilles tendons [Abstract]。
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