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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 郭德盛(Te-Son Kuo) | |
dc.contributor.author | Jheng-Hong Hou | en |
dc.contributor.author | 侯政宏 | zh_TW |
dc.date.accessioned | 2021-05-20T21:48:05Z | - |
dc.date.available | 2020-12-31 | |
dc.date.available | 2021-05-20T21:48:05Z | - |
dc.date.copyright | 2010-08-10 | |
dc.date.issued | 2010 | |
dc.date.submitted | 2010-08-04 | |
dc.identifier.citation | 1. King, S., D. Butterwick, and J. Cuerrier, The anterior cruciate ligament: a review of recent concepts. The Journal of orthopaedic and sports physical therapy, 1986. 8(3): p. 110-122.
2. Marshall, J., F. Girgis, and R. Zelko, The biceps femoris tendon and its functional significance. The Journal of bone and joint surgery. American volume, 1972. 54(7): p. 1444-1450. 3. Rohen, J., C. Yokochi, and E. Lutjen-Drecoll, Color atlas of anatomy: a photographic study of the human body. 2006: Schattauer Verlag. 4. Tsuda, E., et al., Restoration of anterior cruciate ligament-hamstring reflex arc after anterior cruciate ligament reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy, 2003. 11(2): p. 63-67. 5. Noyes, F., et al., The symptomatic anterior cruciate-deficient knee. Part II: the results of rehabilitation, activity modification, and counseling on functional disability. The Journal of Bone and Joint Surgery, 1983. 65(2): p. 163-174. 6. Anderson, M., et al., The Relationships among Isometric, Isotonic, and Isokinetic Concentric and Eccentric Quadriceps and Hamstring Force and Three Components of Athletic Performance. The Journal of orthopaedic and sports physical therapy, 1991. 14(3): p. 114-120. 7. Davies, G., A compendium of isokinetics in clinical usage:(workshop and clinical notes). 1985: S&S Publishers. 8. Hooper, D., et al., Open and closed kinetic chain exercises in the early period after anterior cruciate ligament reconstruction. The American Journal of Sports Medicine, 2001. 29(2): p. 167-174. 9. Perrin, D., Open chain isokinetic assessment and exercise of the knee. J Sport Rehabil, 1994. 3: p. 245-254. 10. Witvrouw, E., et al., Open versus closed kinetic chain exercises in patellofemoral pain. The American Journal of Sports Medicine, 2004. 32(5): p. 1122-1130. 11. Beynnon, B., et al., The measurement of anterior cruciate ligament strain in vivo. International orthopaedics, 1992. 16(1): p. 1-12. 12. Coombs, R. and G. Garbutt, Developments in the use of the hamstring/quadriceps ratio for the assessment of muscle balance. Journal of Sports Science and Medicine, 2002. 1(3): p. 56-62. 13. Van Boxtel, A., Skin resistance during square-wave electrical pulses of 1 to 10 mA. Medical and Biological Engineering and Computing, 1977. 15(6): p. 679-687. 14. Crago, P., et al., The choice of pulse duration for chronic electrical stimulation via surface, nerve, and intramuscular electrodes. Annals of Biomedical Engineering, 1974. 2(3): p. 252-264. 15. Malone, T., Clinical use of the johnson anti-shear device: how and why to use it. The Journal of orthopaedic and sports physical therapy, 1986. 7(6): p. 304-309. 16. Passaro, A., et al., Mechanisms of agonist and antagonist activation in the knee of individuals with anterior cruciate ligament reconstruction: kinetic and eletromyographic study. Acta Ortopedica Brasileira, 2008. 16: p. 117-121. 17. Chalmers, G., Re-examination of the possible role of Golgi tendon organ and muscle spindle reflexes in proprioceptive neuromuscular facilitation muscle stretching. Sports biomechanics/International Society of Biomechanics in Sports, 2004. 3(1): p. 159-183. 18. Baldwin, E., P. Klakowicz, and D. Collins, Wide-pulse-width, high-frequency neuromuscular stimulation: implications for functional electrical stimulation. Journal of Applied Physiology, 2006. 101(1): p. 228-240. 19. Solomonow, M. and M. Krogsgaard, Sensorimotor control of knee stability. A review. Scandinavian journal of medicine & science in sports, 2002. 11(2): p. 64-80. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/10664 | - |
dc.description.abstract | 運動傷害常見之前十字韌帶斷裂會造成股四頭肌萎縮以及膝關節活動不穩定等情形。為避免患者在進行股四頭肌等速肌力訓練時產生脛骨前移的現象,本研究開發一套結合功能性電刺激之回授系統用以取代制式防脛骨前移裝置,以解決先前相關訓練效果不彰的現象。該回授系統之工作原理係利用等速肌力訓練儀所提供之角度、角速度、及力矩等信號做為膝關節屈肌電刺激強度與模式之根據,藉由屈肌適度的收縮以補償伸展時前十字韌帶的拉扯進而防止脛骨前移,以提高伸肌自主運動之復健訓練效果。
透過自行開發之側錄攝影裝置可觀察到受試者於股四頭肌等速肌力訓練時,使用功能性電刺激不但可達到與制式防脛骨前移裝置相似之防脛骨前移功效,且能改善先前膝關節活動範圍受限及力矩平順度減少的現象。此一系統將有助於運動員在受到類似傷害後能以最有效的復健方式提早回復到受傷前的最佳狀態。 | zh_TW |
dc.description.abstract | Rupture of anterior cruciate ligament (ACL) in knee is a common sports injury which may cause knee instability and quadriceps atrophy. In order to prevent anterior translation of the tibia during isokinetic training exercises of the quadriceps, a feedback system incorporating functional electrical stimulation (FES) is implemented to replace conventional anti-shear devices. The feedback system modulates FES parameters according to angle position, angle velocity, and torque signals acquired from the isokinetic dynamometer system to induce moderate contractions of the hamstrings to compensate ACL dysfunction and to avoid anterior translation of the tibia during voluntary exercises of the quadriceps. The restriction of tibial anterior translation induced by the feedback system is confirmed by image processing techniques of captured knee joint images during quadriceps contractions, while better results in terms of range of motion and smoothness of torque curves were measured as compared to the conventional device. This new FES system will accelerate functional recovery of quadriceps in athletes who suffer from rupture of ACL by facilitating more efficient rehabilitation exercises of their quadriceps muscles. | en |
dc.description.provenance | Made available in DSpace on 2021-05-20T21:48:05Z (GMT). No. of bitstreams: 1 ntu-99-R96945022-1.pdf: 5022803 bytes, checksum: ff81d538ec052bf1bf692333106838b9 (MD5) Previous issue date: 2010 | en |
dc.description.tableofcontents | 誌謝 II
摘要 III Abstract IV 目錄 V 圖目錄 VII 表目錄 IX 第一章 前言與簡介 1 1-1 前十字韌帶生理解剖構造、其損傷機制、及重建手術後復健 1 1-2 前十字韌帶損傷之術後復健 3 1-2-1 等長收縮訓練、等張收縮訓練、及等速收縮訓練 3 1-2-2 閉鎖動力鏈運動與開放動力鏈運動 5 第二章 系統內容與整合 9 2-1等速肌力訓練儀 9 2-2 功能性電刺激器 9 2-3 等速肌力訓練儀與功能性電刺激器之整合 12 第三章 系統評估方法 16 3-1 以等速肌力訓練儀本身所產生之信號進行評估 16 3-2 以相關肌群之肌電圖信號進行評估 17 3-3以標記影像信號判斷脛骨位移 17 第四章 臨床試驗結果 22 4-1最大力矩值、總功、及膕肌/股四頭肌強度比值 22 4-2對應力矩之肌電圖信號 28 4-3標記影像所產生之脛骨位移數據 33 第五章 討論 34 5-1 依據力矩資訊解釋相關表現 34 5-2 依據肌電圖資訊解釋相關表現 35 5-3 依據標記影像資訊解釋相關表現 35 5-4 功能性電刺激所可能引發之交互抑制作用與韌帶肌肉保護性反射 37 第六章 結論與未來工作 39 參考文獻 40 附錄 42 台大醫工部功能測試及電性安全評估檢驗合格證明 42 等速肌力訓練儀使用手冊 43 國立台灣大學醫學院附設醫院B研究倫理委員會之臨床試驗許可書 49 | |
dc.language.iso | zh-TW | |
dc.title | 功能性電刺激應用於膝關節前十字韌帶之復健 | zh_TW |
dc.title | Application of Functional Electrical Stimulation in Anterior Cruciate Ligament Rehabilitation | en |
dc.type | Thesis | |
dc.date.schoolyear | 98-2 | |
dc.description.degree | 碩士 | |
dc.contributor.coadvisor | 賴金鑫(Jin-Shin Lai) | |
dc.contributor.oralexamcommittee | 陸哲駒(Jer-Junn Luh),陳適卿,陳友倫 | |
dc.subject.keyword | 前十字韌帶,功能性電刺激器,脛骨前移,膕肌,股四頭肌, | zh_TW |
dc.subject.keyword | anterior cruciate ligament,functional electrical stimulation,tibial translation,hamstring,quadriceps, | en |
dc.relation.page | 49 | |
dc.rights.note | 同意授權(全球公開) | |
dc.date.accepted | 2010-08-04 | |
dc.contributor.author-college | 電機資訊學院 | zh_TW |
dc.contributor.author-dept | 生醫電子與資訊學研究所 | zh_TW |
顯示於系所單位: | 生醫電子與資訊學研究所 |
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