請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/33375
完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 詹美華 | |
dc.contributor.author | Chen-Yi Song | en |
dc.contributor.author | 宋貞儀 | zh_TW |
dc.date.accessioned | 2021-06-13T04:37:12Z | - |
dc.date.available | 2007-07-31 | |
dc.date.copyright | 2006-07-31 | |
dc.date.issued | 2006 | |
dc.date.submitted | 2006-07-19 | |
dc.identifier.citation | 1.Crossley KM, Bennell KL, Cowan SM, et al. Analysis of outcome measures for persons with patellofemoral pain: which are reliable and valid? Arch Phys Med Rehabil 2004; 85: 815-22.
2.Doucette SA, Goble EM. The effect of exercise on patellar tracking in lateral patellar compression syndrome. Am J Sports Med 1992; 20(4): 434-40. 3.Insall J. Patellar pain. J Bone Joint Surg Am. 1982; 64(1): 147-52. 4.Zappala FG, Taffel CB, Scuderi GR. Rehabilitation of patellofemoral joint disorders. Orthop Clin North Am 1992; 23(4): 555-66. 5.Tria AJ, Palumbo RC, Alicea JA. Conservative care for patellofemoral pain. Orthop Clin North Am 1992; 23(4): 545-53. 6.Dye SF. The pathophysiology of patellofemoral pain. Clin Orthop 2005; 436: 100 - 10. 7.Gerbino PG, Griffin ED, d'Hemecourt PA, Kim T, Kocher MS, Zurakowski D, Micheli LJ. Patellofemoral pain syndrome: evaluation of location and intensity of pain. Clin J Pain 2006; 22(2):154-9. 8.Witvrouw E, Werner S, Mikkelsen C, et al. Clinical classification of patellofemoral pain syndrome: guidelines for non-operative treatment. Knee Surg Sports Traumatol Arthrosc 2005; 13: 122-30. 9.Escamilla RF, Fleisig GS, Zheng N, et al. Biomechanics of the knee during closed kinetic and open kinetic chain exercises. Med Sci Sports Exerc 1998; 30(4): 556-69. 10.Lieb FJ, Perry J. Quadriceps function. An anatomical and mechanical study using amputated limbs. J Bone Joint Surg Am 1968; 50: 1535-48. 11.Doucette SA, Child DD. The effect of open and closed chain exercise and knee joint position on patellar tracking in lateral patellar compression syndrome. J Orthop Sports Phys Ther 1996; 23: 104-10. 12.Karst GM, Jewett PD. Electromyographic analysis of exercises proposed for differential activation of medial and lateral quadriceps femoris muscle components. Phys Ther 1993; 73(5): 286-99. 13.Bose K, Kanagasuntheram R, Osman MBH. Vastus medialis oblique: an anatomic and physiologic study. Orthopedics 1980; 3(9): 880-3. 14.Powers CM. Rehabilitation of patellofemoral joint disorders. J Orthop Sports Phys Ther 1998; 28(5): 345-54. 15.Hubbard JK, Wayne Sampson H, Elledge JR. Prevalence and morphology of the medialis oblique muscle in human cadavers. Anat Rec 1997; 249: 135-42. 16.Raimondo RA, Ahmad CS, Blankevoort L, et al. Patellar stabilization: a quantitative evaluation of the vastus medialis oblique muscle. Orthopedics 1998; 21(7): 791-5. 17.Hubbard JK, Sampson HW, Elledge JR. The vastus medialis oblique muscle and its relationship to patellofemoral joint deterioration in human cadavers. J Orthop Sports Phys Ther 1998; 28(6): 384-91. 18.Peeler J, Cooper J, Porter MM, et al. Structural parameters of the vastus medialis muscle. Clin Anatomy 2005; 18: 281-9. 19.Malone T, Davies G, Walsh WM. Muscular control of the patella. Clin Sports Med 2002; 21: 349-62. 20.Laprade J, Culham E, Brouwer B. Comparison of five isometric exercises in the recruitment of the vastus medialis oblique in persons with and without patellofemoral pain syndrome. J Orthop Sports Phys Ther 1998; 27(3): 197-204. 21.Shelton GL, Thigpen LK. Rehabilitation of patellofemoral dysfunction: a review of literature. J Orthop Sports Phys Ther 1991; 14: 243-9. 22.Fulkerson JP. Diagnosis and treatment of patients with patellofemoral pain. Am J Sports Med 2002; 30(3): 447-56. 23.Witvrouw E, Lysens R, Bellemans J, et al. Which factor predict outcome in the treatment program of anterior knee pain? Scand J Med Sci Sports 2002; 12: 40-6. 24.Hodges PW, Richardson CA. The influence of isomeric hip adduction on quadriceps femoris activity. Scand J Rehab Med 1993; 25: 57-62. 25.Hanten WP, Schulthies SS. Exercise effect on electromyographic activity of the vastus medialis oblique and vastus lateralis muscles. Phys Ther 1990; 70(9): 561-5. 26.Grelsamer RP, McConnell J. The patella: a team approach. 1st ed. USA: Lippincott-Raven; 1998. p.127-9. 27.Cerny K. Vastus medialis oblique/vastus lateralis muscle activity ratios for selected exercises in persons with and without patellofemoral pain syndrome. Phys Ther 1995; 75(8): 672-83. 28.Earl JE, Schmitz RJ, Arnold BL. Activation of the VMO and VL during dynamic mini-squat exercises with and without isometric hip adduction. J Electromyogr kinesiol 2001; 11: 381-6. 29.Zakaria D, Harburn KL, Kramer JF. Preferential activation of the vastus medialis oblique, vastus lateralis, and hip adductor muscles during isometric exercises in females. J Orthop Sports Phys Ther 1997; 26(1): 23-8. 30.Hertel J, Earl JE, Tsang KKW, et al. Combining isometric knee extension exercises with hip adduction or abduction does not increase quadriceps EMG activity. Br J Sports Med 2004; 38: 210-3. 31.Hodges PW, Pengel LHM, Herbert RD, et al. Measurement of muscle contraction with ultrasound imaging. Muscle Nerve 2003; 27: 682-92. 32.Sipilä S, Suominen H. Quantitative ultrasonography of muscle: detection of adaptation to training in elderly women. Arch Phys Med Rehabil 1996; 77: 1173-8. 33.Blazevich AJ, Gill ND, Brnnks R, et al. Training-specific muscle architecture adaptation after 5-wk training in athletes. Med Sci Sports Exerc 2003; 35(12): 2013-22. 34.Fishman GC, Hicks JE, Cintas HM, et al. Ultrasound imaging distinguishes between normal and weak muscle. Arch Phys Med Rehabil 2004; 85: 980-6. 35.Crossley K, Bennell K, Green S, et al. Physical therapy for patellofemoral pain: a randomized, double-blinded, placebo-controlled trial. Am J Sports Med 2002; 30(6): 857-65. 36.Witvrouw E, Lysens R, Bellemans J, et al. Open versus closed kinetic chain exercises for patellofemoral pain. Am J Sports Med 2000; 28(5): 687-94. 37.Alaca R, Yilmaz B, Goktepe AS, et al. Efficacy of isokinetic exercise on functional capacity and pain in patellofemoral pain syndrome. Am J Phys Med Rehabil 2002; 81: 807-13. 38.O’Neill DB, Micheli LJ, Warner JP. Patellofemoral stress. A prospective analysis of exercise treatment in adolescents and adults. Am J Sports Med 1992; 20(2): 151-6. 39.Witvrouw E, Cambier D, Danneels L, et al. The effect of exercise regimens on reflex response time of the vasti muscles in patients with anterior knee pain: a prospective randomized intervention study. Scand J Med Sci Sports 2003; 13: 251-8. 40.Bizzini M, Childs CJD, Piva SR, et al. Systematic review of the quality of randomized controlled trials for patellofemoral pain syndrome. J Orthop Sports Phys Ther 2003; 33: 4-20. 41.Hazneci B, Yildiz Y, Sekir U, et al. Efficacy of isokinetic exercise on joint position sense and muscle strength in patellofemoral pain syndrome. Am J Phys Med Rehabil. 2005; 84(7): 521-7. 42.Clark DI, Downing N, Mitchell J, et al. Physiotherapy for anterior knee pain: a randomized controlled trial. Ann Rheum Dis 2000; 59: 700-4. 43.Roush MB, Sevier TL, Wilson JK, et al. Anterior knee pain: a clinical comparison of rehabilitation methods. Clin J Sports Med 2000; 10: 22-8. 44.Chesworth BM, Culham EG, Tata GE, et al. Validation of outcome measures in patients with patellofemoral pain syndrome. J Orthop Sports Phys Ther 1989; 17: 302-8. 45.Dehaven KE, Lintner DM: Athletic injuries: Comparison by age, sport and gender. Am J Sports Med 1986; 14: 218-24. 46.Lichota DK. Anterior knee pain: symptom or syndrome? Current Women’s Health Reports 2003; 3: 81-6. 47.Fulkerson JP, Arendt EA. Anterior knee pain in females. Clin Orthop 2000; 372: 69-73. 48.Hamstra-Wright KL, Swanik CB, Ennis TY, et al. Joint stiffness and pain in individuals with patellofemoral syndrome. J Orthop Sports Phys Ther 2005; 35: 495-501. 49.Thomee P, Thomee R, Karlsson J. Patellofemoral pain syndrome: pain, coping strategies and degree of well-being. Scand J Med Sci Sports 2002; 12: 276-81. 50.Jensen R, Hystad T, Baerheim A. Knee function and pain related to psychological variables in patients with long-term patellofemoral pain syndrome. J Orthop Sports Phys Ther 2005; 35: 594-600. 51.Lin F, Wang G, Koh JL, et al. In vivo and noninvasive three-dimensional patellar tracking induced by individual heads of quadriceps. Med Sci Sports Exerc 2004; 36(1): 93-101. 52.Stiene HA, Brosky T, Reinking MF, et al. A comparison of closed kinetic chain and isokinetic joint isolation exercise in patients with patellofemoral dysfunction. J Orthop Sports Phys Ther 1996; 24(3): 136-41. 53.Miller JP, Sedory D, Croce RV. Vastus medialis oblique and vastus lateralis activity in patients with and without patellofemoral pain syndrome. J Sports Rehab 1997; 6: 1-10. 54.Coqueiro KRR, Bevilaqua-Grossi D, Berzin F, et al. Analysis on the activation of the VMO and VLL muscles during semisquat exercises with and without hip adduction in individuals with patellofemoral pain syndrome. J Electromyography and Kinesiology 2005; 15: 596-603. 55.Callaghan MJ, Oldham JA. Quadriceps atrophy: to what extent does it exist in patellofemoral pain syndrome? Br J Sports Med 2004; 38: 295-9. 56.Lieber RL, Friden J. Clinical significance of skeletal muscle architecture. Clin Orthop 2001; 383: 140-51. 57.Frontera WR, Meredith CN, O’Reilly KP, et al. Strength conditioning in older men: skeletal muscle hypertrophy and improved function. J Appl Physiol 1988; 64(3): 1038-44. 58.Eng JJ, Pierrynowski MR. Evaluation of soft foot orthotics in the treatment of patellofemoral pain syndrome. Phys Ther 1993; 73: 62-70. 59.Bennell K, Bartram S, Crossley K, et al. Outcome measures in patellofemoral pain syndrome: test retest reliability and interrelationships. Phys Ther Sport 2000; 1: 32-4. 60.Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med 1982; 10(3): 150-4. 61.Marx RG, Jones EC, Allen AA, et al. Reliability, validity, and responsiveness of four knee outcome scales for athletic patients. J Bone Joint Surg Am. 2001; 83: 1459-69. 62.Kocher MS, Steadman JR, Briggs KK, et al. Reliability, validity, and responsiveness of the Lysholm knee scale for various chondral disorders of the knee. J Bone Joint Surg Am. 2004; 86: 1139- 46. 63.Paxton EW, Fithian DC, Stone ML, et al. The reliability and validity of knee- specific and general health instruments in assessing acute patellar dislocation outcomes. Am J Sports Med 2003; 31(4): 487-92. 64.Irrgang JJ, Mackler LS, Wainner RS, et al. Development of a patient-reported measure of function of the knee. J Bone Joint Surg Am. 1998; 80: 1132-45. 65.Bollen S, Seedhom BB. A comparison of the Lysholm and Cincinnati knee scoring questionnaires. Am J Sports Med 1991; 19(2): 189-90. 66.Risberg MA, Holm I, Steen H, et al. Sensitivity to changes over time for the IKDC form, the Lysholm score, and the Cincinnati knee score. Knee Surg, Sports Traumatol, Arthrosc 1999; 7: 152-9. 67.Kannus P, Niittymaki S. Which factors predict outcome in the nonoperative treatment of PF pain syndrome? A prospective follow-up study. Med Sci Sports Exerc 1994; 26: 289-96. 68.Grelsamer R, Klein J. The biomechanics of the patellofemoral joint. J Orthop Sports Phys Ther 1998; 28: 286-97. 69.Pedro VM, Vitti M, Berzin F, et al. The effect of free isotonic and maximal isometric contraction exercises of the hip adduction on vastus medialis oblique muscle: an electromyographic study. Electromyogr Clin Neurophysiol 1999; 39: 435-40. 70.Witvrouw E, Lysens R, Bellemans J, et al. Intrinsic risk factors for the development of anterior knee pain in an adolescent population: a two-year follow-up. Am J Sports Med 2000; 28: 480-9. 71.Mao HY. Morphology of vastus medialis obliquus in patients with patellofemoral pain syndrome and healthy young adults. A sonographic study. Master thesis 2004. 72.Enocson AG, Berg HE, Vargas R, et al. Signal intensity of MR-images of thigh muscles following acute open- and closed- chain kinetic knee extensor exercise- index of muscle use. Eur J Appl Physiol 2005; 94: 357-63. 73.McConnell J. Patellofemoral joint complications and considerations. In: Ellenbecker TS, editor. Knee ligament rehabilitation. New York: Churchill Livingstone, 2000: 202-23. 74.Teng HL. Clinical and electromyographic characteristics of Patellofemoral pain dyndrome. Master thesis 2004. 75.Wilk KE, Davies GJ, Mangine RE, et al. Patellofemoral disorders: a classification system and clinical guidelines for nonoperative rehabilitation. J Orthop Sports Phys Ther 1998; 28(5): 307-22. 76.Puniello MS. Iliotibial band tightness and medial patellar glide in patients with Patellofemoral dysfunction. J Orthop Sports Phys Ther 1993; 17(3): 144-8. 77.Cowan SM, Bennell KL, Hodges PW, et al. Delayed onset of electromyographic activity of vastus medialis obliquus relative to vastus lateralis in subjects with patellofemoral pain syndrome. Arch Phys Med Rehabil 2001; 82(2): 183-9. 78.Heintjes E, Berger MY, Bierma-Zeinstra SMA, et al. Exercise therapy for patellofemoral pain syndrome. The Cochrane Database of Systematic Reviews 2003, Issue 4. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/33375 | - |
dc.description.abstract | 背景及目的:髕股關節疼痛症候群為一臨床常見之膝關節疾病,主要原因之一乃股內斜肌失能使髕骨有不正常的外側偏移,造成髕股關節的壓迫。股內斜肌為膝關節動作時髕骨的內側動態穩定者,臨床上常用保守療法即針對股內斜肌作特定性的訓練。由於股內斜肌肌纖維起始於髖內收肌群,學者認為髖內收肌的收縮能誘發股內斜肌的活動,然而文獻除了相關的肌電圖實驗外,至今仍未有臨床試驗之研究。因此,本隨機控制試驗選用超音波儀器量測股內斜肌之肌肉型態,評估在訓練介入前後的變化,探討髖內收合併膝伸直運動訓練對髕股關節疼痛症候群患者的臨床治療效益,並且和傳統末端膝伸直運動,及控制組間作療效比較。方法:本研究徵召62位年齡小於55歲之髕股關節疼痛症候群患者,隨機分配至髖內收合併膝伸直推蹬運動訓練組、傳統末端膝伸直推蹬運動訓練組、及控制組,進行每週3次、為期8週的推蹬運動訓練,然後評估股內斜肌的肌肉型態(包括股內斜肌肌纖維角度、髕骨上緣水平位之股內斜肌截面積、及髕骨上緣水平位以下之股內斜肌體積)、膝關節視評疼痛分數(包括一般疼痛分數、最嚴重疼痛分數、及活動疼痛分數)、以及Lysholm Scale功能量表分數在介入前後之改變。結果:髖內收合併膝伸直推蹬運動及傳統末端膝伸直推蹬運動訓練組患者,經過8週運動訓練後,其髕骨上緣水平位之股內斜肌截面積、髕骨上緣水平位以下之股內斜肌體積皆有顯著進步(p< .005),然進步未較控制組顯著(p= .011~ .042)。而膝關節一般疼痛分數、最嚴重疼痛分數、活動疼痛分數、及Lysholm Scale功能量表分數除了在訓練前後有顯著進步(p< .005)外,進步亦較控制組顯著(p< .005),唯髖內收合併膝伸直推蹬運動組患者之活動疼痛分數之進步,比起控制組仍未達足夠的顯著(p= .016)。此外,兩運動組之間並無組間統計顯著差異。而股內斜肌肌纖維角度則是在訓練前後並無統計顯著差異。控制組患者之股內斜肌肌肉型態、膝關節視評疼痛分數、及Lysholm Scale功能量表分數在8週前後皆無統計顯著差異。結論:閉鎖鏈髖內收合併膝伸直推蹬運動訓練,可使髕股關節疼痛症候群患者的股內斜肌肥厚,疼痛下降,並且增加下肢功能性活動能力。然而其療效與閉鎖鏈末端膝伸直推蹬運動訓練相似。建議臨床上可以任擇一運動訓練計畫,若考量方便及實用性,則可優先選擇閉鎖鏈末端膝伸直推蹬運動。 | zh_TW |
dc.description.abstract | Background and purpose:Patellofemoral pain syndrome(PFPS) is a common knee disorder characterized by anterior or retropatellar pain associated with activities that load the patellofemoral joint. Previous studies reveal that the vastus medialis obliquus(VMO) is an important dynamic medial stabilizer of the patella. Insufficiency of the VMO leads to lateral shift of the patella and the increases of patellofemoral contact pressure. Thus VMO-specific training is a well-accepted clinical treatment conservatively. Hip adduction is thought to enhance VMO contraction because of its anatomic origin from hip adductors. In order to determine its training effect, we used ultrasonography as a measurement tool to examine the VMO morphology changes after hip adduction combination with knee extension exercise training compared with traditional terminal knee extension exercise training and control in patients with PFPS.
Methods:62 PFPS patients with age under 55 were recruited for the study and then randomly assigned to either one training or control group. Muscle morphology of VMO(including fiber angle, cross-sectional area on patella-base level, and volume under patella-base level), 10 cm-visual analog scale of usual pain(VAS-U),worst pain (VAS-W), activity pain (VAS-activity), and Lysholm Scale scores were measured before and after 8-wk leg press exercise training or control periods. Results:Significant improvements of VMO cross-sectional area, volume, VAS-U, VAS-W, VAS-activity, and Lysholm Scale scores were found after 8-wk training in both exercise groups(p< .005), but not in the control group. The improvements were also significantly different between the exercise and control groups(p< .005), except for the VMO cross-sectional area and volume(p= .011~ .042), and for the VAS-activity between the hip adduction combination with knee extension exercise and control groups(p= .016). However, no differences were found between two exercise groups. In all three groups, no significant differences were found in VMO fiber angle throughout the experiment. Conclusion:The results suggest that immediate effects of VMO hypertrophy, pain reduction, and functional ability improvement occurred following hip adduction combination with knee extension exercise. Treatment effects did not show significant differences between two exercise groups; therefore, therapists could choose either of these two exercise programs. Moreover, clinical practices may consider the application of leg-press exercise with terminal knee extension alone since additional equipments are not required. | en |
dc.description.provenance | Made available in DSpace on 2021-06-13T04:37:12Z (GMT). No. of bitstreams: 1 ntu-95-R93428004-1.pdf: 3319553 bytes, checksum: f5375b204729e49ceba2b548891716cd (MD5) Previous issue date: 2006 | en |
dc.description.tableofcontents | 目錄................................................................i
表目錄.............................................................iii 圖目錄.............................................................iv 中文摘要............................................................v 英文摘要...........................................................vii 第一章、 前言..............................................1 第一節、研究背景及動機...........................................1 第二節、研究目的.................................................4 第三節、研究問題.................................................4 第四節、實驗假說.................................................4 第二章、文獻回顧...........................................5 第一節、髕股關節疼痛症候群的相關研究.............................5 第二節、股內斜肌的重要角色.......................................6 第三節、運動訓練對髕股關節疼痛症候群患者的治療效益...............7 第四節、股內斜肌與髖內收肌間的連結...............................8 第五節、髖內收運動對股內斜肌活動之影響...........................8 第六節、髕股關節疼痛症候群常用的評估工具........................13 第三章、研究方法..........................................17 第一節、研究設計................................................17 第二節、受試者..................................................17 第三節、研究使用變項定義........................................19 第四節、實驗流程................................................20 第五節、研究使用設備及工具......................................20 第六節、評估項目................................................21 第七節、運動訓練計畫............................................25 第八節、資料分析及統計..........................................28 第四章、結果.............................................29 第一節、收案流程及患者基本資料.................................29 第二節、 結果評量參數之起始組間比較.............................30 第三節、 運動訓練之影響.........................................31 第五章、討論.............................................33 第一節、運動訓練對股內斜肌肌肉型態之影響........................33 第二節、運動訓練對視評疼痛分數之影響............................36 第三節、運動訓練對Lysholm Scale功能量表分數之影響...............38 第四節、髖內收動作對股內斜肌的影響..............................39 第五節、研究限制................................................41 第六節、臨床應用................................................42 第六章、結論.............................................43 參考文獻.................................................44 附表...............................................................51 附圖...............................................................61 附件一:台灣大學醫學院附設醫院倫理委員會公文.......................81 附件二:臨床試驗受試者說明及同意書.................................82 附件三:受試者基本及相關資料評估表.................................86 | |
dc.language.iso | zh-TW | |
dc.title | 髖內收合併膝伸直運動對髕股關節疼痛症候群病人其
股四頭肌肌肉型態、疼痛及功能性活動能力之影響 | zh_TW |
dc.title | Effect of Hip Adduction Combination with Knee Extension Exercise on Morphology of Quadriceps Muscles, Pain and Functional Outcomes in Patients with Patellofemoral Pain Syndrome | en |
dc.type | Thesis | |
dc.date.schoolyear | 94-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 王崇禮,林永福,廖建忠 | |
dc.subject.keyword | 髕股關節疼痛症候群,股內斜肌,超音波,下肢推蹬運動,髖內收, | zh_TW |
dc.subject.keyword | Patellofemoral pain syndrome,vastus medialis obliquus,ultrasonography,leg press exercise,hip adduction, | en |
dc.relation.page | 87 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2006-07-19 | |
dc.contributor.author-college | 醫學院 | zh_TW |
dc.contributor.author-dept | 物理治療學研究所 | zh_TW |
顯示於系所單位: | 物理治療學系所 |
文件中的檔案:
檔案 | 大小 | 格式 | |
---|---|---|---|
ntu-95-1.pdf 目前未授權公開取用 | 3.24 MB | Adobe PDF |
系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。