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題名：長短腿個案之站姿平衡能力分析
書刊名：輔仁大學體育學刊
作者：許夏菁／邱永興／陳祺富／林信良／陳張榮 引用關係／張芝綺
作者(外文)：Hsu, Hsia-ching／Chiu, Yung-hsing／Chen, Chi-fu／Lin, Hsin-liang／Cheen, Jang-rong／Chang, Chih-chi
出版日期：2010
卷期：9
頁次：頁35-50
主題關鍵詞：平衡控制；矯正鞋；移動半徑；COP；LLD；Balance control；Orthopedic shoes；Moving radius
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(1) 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:1
  • 共同引用共同引用:19
  • 點閱點閱:34
摘要 長短腿(leg length discrepancy, LLD)係一常見疾病，佐以外科手術或矯正鞋，為行之有年的治療方式。目的：本研究的主要目的是藉由量測LLD患者包含足底壓力中心移動平均半徑與擺動面積等兩項平衡參數，以探討穿著矯正鞋後平衡狀態之改變與促進之效益情形。方法：受試者為一名21歲女性LLD患者，並以日常實際穿著之矯正鞋進行實驗。實驗以Posturomed®平衡檢測系統測試其在赤腳及穿著矯正鞋的情境下，開眼併足立、開眼健側單足立、開眼患側單足立、閉眼併足立、閉眼健側單足立、閉眼患側單足立等6項靜態站立姿勢測驗項目之足底壓力中心(center of pressure, COP)移動平均半徑及擺動面積等兩項平衡參數，做為評估平衡控制能力之依據，並以相依樣本t考驗進行統計分析。結果：COP移動平均半徑在閉眼併足立平衡動作( p =.029)與開眼併足立動作( p =.028)上呈現顯著差異；COP擺動面積在閉眼併足立平衡動作( p =.032)上呈現顯著差異。結論：本研究發現穿了矯正鞋對LLD患者平衡狀態會進行改變，且在靜態站立動作上併足立、單足立有所不同。在併足立動作上，穿著矯正鞋的平衡能力顯著優於赤腳。患側單足立時赤腳平衡能力有優於穿矯正鞋的趨勢，而健側單足立情況下穿矯正鞋平衡能力有趨於較赤腳佳的情形。
Abstract Leg length discrepancy (LLD) is a common disease. The general treatment are surgical operation or orthopedic shoes. Purpose: The aim of this research is to analyze the effect of balance and improvement after wearing orthopaedic shoes on two balance parameter in measuring mean moving radius of center of pressure (COP) and sway area. Method: Subject is a 21-year-old LLD patient, taking test with daily use orthopedic shoes. Using Posturomed® balance examine system to evaluate two balance parameter in mean moving radius of center of pressure and sway area through following six static standing items: feet together stand with eyes opened, unaffected side of foot stand with eyes opened, affected side of foot stand with eyes opened, feet together stand with eyes closed, unaffected side of foot stand with eyes opened and affected side of foot stand with eyes opened, which can be used in the evaluation basis of balance control and test on dependent sample. Result: We found significant difference on the COP mean moving radius of center of pressure between feet together stand with eyes closed (p=.029) and feet together stand with eyes opened (p=.028). Conclusion: This research had proved that wearing orthopedic shoes can improve Balance of LLD patients. It makes differences in feet together stand and unaffected side of foot stand. Wearing orthopedic shoes can help patient to have better balance on feet together stand. Patient when wearing orthopedic shoes has better balance on unaffected side of foot stand than on barefoot.
期刊論文
1.Gurney, B.(2002)。Leg length discrepancy。Gait & Posture，15，195-206。  new window
2.田詠惠、林貴福(20081200)。老年人身體組成與靜態平衡表現的關係。運動生理暨體能學報，8，55-61。new window  延伸查詢new window
3.林威秀、黎俊彥(20030300)。踝內翻外翻肌力與平衡控制的相關。體育學報，34，53-64。new window  延伸查詢new window
4.張玄松、陳貞夙、龍希文、楊樑怡、鄧復旦、倪壽民(20070000)。踝足裝具對於中風患者站立平衡能力與行走表現的影響：比較前置型與後置型踝足裝具的效益。臺灣職能治療研究與實務雜誌，3(2)，94-109。new window  延伸查詢new window
5.Affatato, S.、Toni, A.(2000)。Leg length mealsurement: a new method to assure the correct leg length in total hip arthroplasty。Med Eng Phys，22，435-439。  new window
6.Bal, B. S.(1996)。A technique for comparison of leg lengths during total hip replacement。Am J Orthop，25(1)，61-62。  new window
7.Bruhn, S.、Kullmann, N.、Gollhofer, A.(2004)。The effects of a sensorimotor training and a strength training on postural stabilisation, maximum isometric contraction and jump performance。International Journal of Sports Medicine，25，56-60。  new window
8.Chen, C. L.、Yeung, K. T.、Wang, C. H.、Chu, H. T.、Yeh, C. Y.(1999)。Anterior ankle-foot orthosis effects on postural stability in hemiplegic patients。Archives of Physical Medicine and Rehabilitation，80(12)，1587-1592。  new window
9.De Wit, D. C.、Buurke, J. H.、Nijlant, J. M.、Ijzerman, M. J.、Hermens, H. J.(2004)。The effect of an ankle-foot orthosis on walking ability in chronic stroke patients: a randomized controlled trial。Clinical Rehabilitation，75(5)，550-557。  new window
10.Friberg, O.(1983)。Clinical symptoms and biomechanics of lumbar spine and hip joint in leg length inequality。Spine，5(6)，643-651。  new window
11.Gofton, J. P.(1985)。Persistent low back pain and leg length disparity。J Rheum，12(4)，747-750。  new window
12.Gok, H.、Kucukdeveci, A.、Altinkaynak, H.、Yavuzer, G.、Ergin, S.(2003)。Effects of ankle-footorthoses onhemiparetic gait。Clinical Rehabilitation，17(2)，137-139。  new window
13.Guichet, J. M.、Spivak, J. M.、Trouilloud, P.、Grammont, P. M.(1991)。Lower limb-length discrepancy. An epidemiologic study。Clin Orthop Relat Res，272，235-241。  new window
14.Hilberg, T.、Herbsleb, M.、Gabriel, H. H. W.、Jeschke, D.、Schramm, W.(2001)。Proprioception and isometric muscular strength in haemophilic subjects。Haemophilia，7(6)，582-588。  new window
15.Liu, X. C.、Fabry, G.、Molenaers, G.、Lammens, J.、Moens, P.(1998)。Kinematic and kinetic asymmetry in patients with leg-length discrepancy。J Pediatr Orthop，18，187-189。  new window
16.Pohl, M.、Mehrholz, J.(2006)。Immediate effects of an individually designed functional ankle-foot orthosis on stance and gait in hemiparetic patients。Clinical Rehabilitation，20(4)，324-330。  new window
17.Walsh, M.、Connoly, P.、Jenkinson, A.、O’Brien, T.(2000)。Leg length discrepancy-an experimental study of compensatory changes in three dimensions using gait analysis。Gait & Posture，12，156-161。  new window
18.Young, R. S.、Andrew, P. D.、Cummings, G. S.(2000)。Effect of simulating leg length inequality on pelvic torsion and trunk mobility。Gait & Posture，11，217-223。  new window
19.吳孟恬、陳惠姿、詹元碩(20090500)。六週知覺動作訓練對高齡者平衡控制能力之影響。輔仁大學體育學刊，8，198-209。new window  延伸查詢new window
20.蔡佳良、吳昇光(20030400)。從動作發展的觀點來看兒童的平衡能力。大專體育，65，142-147。new window  延伸查詢new window
21.Wang, R. Y.、Yen, L.、Lee, C. C.、Lin, P. Y.、Wang, M. F.、Yang, Y. R.(2005)。Effects of an anklefoot orthosis on balance performance in patients with hemiparesis of different durations。Clinical Rehabilitation，19(1)，37-44。  new window
22.Lee, Alex J. Y.、Lin, Wei-Hsiu(2007)。The influence of gender and somatotype on single-leg upright standing postural stability in children。Journal of Applied Biomechanics，23(3)，173-179。  new window
23.Berg, K. O.、Maki, B. E.、Williams, J. I.、Holliday, P. J.、Wood-Dauphinee, S. L.(1992)。Clinical and laboratory measures of postural balance in an elderly population。Archives of Physical Medicine & Rehabilitation，73(11)，1073-1080。  new window
24.Brauer, S. G.、Woollacott, M.、Shumway-Cook, A.(2002)。The influence of a concurrent cognitive task on the compensatory stepping response to a perturbation in balance-impaired and healthy elders。Gait & Posture，15，83-93。  new window
學位論文
1.田詠惠(2007)。老年族群身體活動與靜態平衡表現的關係(碩士論文)。國立新竹教育大學。  延伸查詢new window
2.紀偉民(2007)。不對稱步態之生物力學效應研究(博士論文)。中興大學。  延伸查詢new window
3.陳志偉(2006)。功能性長短腿之生物力學效應模擬與分析(碩士論文)。中興大學。  延伸查詢new window
圖書
1.教育部體育大辭典編定委員會(1996)。體育大辭典。臺北市：臺北商務。  延伸查詢new window
2.Spirduso, Waneen W.、Francis, Karen L.、MacRae, Priscilla G.(2005)。Physical dimensions of aging。Human Kinetics。  new window
3.Allison, L.、Fuller, K.(2001)。Balance and vestibular disorders。Neurplogical Rhabilitation。New York：Mosby-Year Book Inc。  new window
 
 
 
 
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