請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/16870
完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 趙福杉 | |
dc.contributor.author | Chi-lun Rau | en |
dc.contributor.author | 饒紀倫 | zh_TW |
dc.date.accessioned | 2021-06-07T23:48:26Z | - |
dc.date.copyright | 2014-02-26 | |
dc.date.issued | 2014 | |
dc.date.submitted | 2014-02-17 | |
dc.identifier.citation | 1. Ahern, D. K., M. J. Follick, J. R. Council and N. Laser-Wolston (1986). 'Reliability of lumbar paravertebral EMG assessment in chronic low back pain.' Arch Phys Med Rehabil 67(10): 762-765.
2. Ahern, D. K., M. J. Follick, J. R. Council, N. Laser-Wolston and H. Litchman (1988). 'Comparison of lumbar paravertebral EMG patterns in chronic low back pain patients and non-patient controls.' Pain 34(2): 153-160. 3. Ahern, D. K., D. J. Hannon, A. J. Goreczny, M. J. Follick and J. R. Parziale (1990). 'Correlation of chronic low-back pain behavior and muscle function examination of the flexion-relaxation response.' Spine (Phila Pa 1976) 15(2): 92-95. 4. Allen, C. E. (1948). 'Muscle action potentials used in the study of dynamic anatomy.' Br J Phys Med 11(3): 66-73. 5. Ambroz, C., A. Scott, A. Ambroz and E. O. Talbott (2000). 'Chronic low back pain assessment using surface electromyography.' J Occup Environ Med 42(6): 660-669. 6. Arendt-Nielsen, L., T. Graven-Nielsen, H. Svarrer and P. Svensson (1996). 'The influence of low back pain on muscle activity and coordination during gait: a clinical and experimental study.' Pain 64(2): 231-240. 7. Arokoski, J. P., M. Kankaanpaa, T. Valta, I. Juvonen, J. Partanen, S. Taimela, K. A. Lindgren and O. Airaksinen (1999). 'Back and hip extensor muscle function during therapeutic exercises.' Arch Phys Med Rehabil 80(7): 842-850. 8. Bogduk, N. (1992). The source of low back pain. The lumbar spine and Back pain. M. I. V. Jayson. Edinburgh, Churchill Livingstone: 61-88. 9. Butler, H. L., C. Lariviere, C. L. Hubley-Kozey and M. J. Sullivan (2010). 'Directed attention alters the temporal activation patterns of back extensors during trunk flexion-extension in individuals with chronic low back pain.' Eur Spine J 19(9): 1508-1516. 10. Cailliet, R. (1995). Low Back Pain Syndrome, F. A. Davis Company. 11. Chenot, J. F., A. Becker, C. Leonhardt, S. Keller, N. Donner-Banzhoff, J. Hildebrandt, H. D. Basler, E. Baum, M. M. Kochen and M. Pfingsten (2008). 'Sex differences in presentation, course, and management of low back pain in primary care.' Clin J Pain 24(7): 578-584. 12. Cholewicki, J. and S. M. McGill (1996). 'Mechanical stability of the in vivo lumbar spine: implications for injury and chronic low back pain.' Clin Biomech (Bristol, Avon) 11(1): 1-15. 13. Collins, G. A., M. J. Cohen, B. D. Naliboff and S. L. Schandler (1982). 'Comparative analysis of paraspinal and frontalis EMG, heart rate and skin conductance in chronic low back pain patients and normals to various postures and stress.' Scand J Rehabil Med 14(1): 39-46. 14. Cram, J. R. and J. C. Steger (1983). 'EMG scanning in the diagnosis of chronic pain.' Biofeedback Self Regul 8(2): 229-241. 15. DeGood, D. E., W. R. Stewart, L. E. Adams and J. A. Dale (1994). 'Paraspinal EMG and autonomic reactivity of patients with back pain and controls to personally relevant stress.' Percept Mot Skills 79(3 Pt 1): 1399-1409. 16. Descarreaux, M., D. Lafond, R. Jeffrey-Gauthier, H. Centomo and V. Cantin (2008). 'Changes in the flexion relaxation response induced by lumbar muscle fatigue.' BMC Musculoskelet Disord 9: 10. 17. Dolce, J. J. and J. M. Raczynski (1985). 'Neuromuscular activity and electromyography in painful backs: psychological and biomechanical models in assessment and treatment.' Psychol Bull 97(3): 502-520. 18. Flor, H. and N. Birbaumer (1993). 'Comparison of the efficacy of electromyographic biofeedback, cognitive-behavioral therapy, and conservative medical interventions in the treatment of chronic musculoskeletal pain.' J Consult Clin Psychol 61(4): 653-658. 19. Flor, H., N. Birbaumer, M. M. Schugens and W. Lutzenberger (1992). 'Symptom-specific psychophysiological responses in chronic pain patients.' Psychophysiology 29(4): 452-460. 20. Flor, H., N. Birbaumer, W. Schulte and R. Roos (1991). 'Stress-related electromyographic responses in patients with chronic temporomandibular pain.' Pain 46(2): 145-152. 21. Flor, H., N. Birbaumer and D. C. Turk (1990). 'The psychobiology of chronic pain.' Adv Behav Res Ther 12(2): 47-84. 22. Floyd, W. F. and P. H. Silver (1955). 'The function of the erectores spinae muscles in certain movements and postures in man.' J Physiol 129(1): 184-203. 23. Geisser, M. E., M. Ranavaya, A. J. Haig, R. S. Roth, R. Zucker, C. Ambroz and M. Caruso (2005). 'A meta-analytic review of surface electromyography among persons with low back pain and normal, healthy controls.' J Pain 6(11): 711-726. 24. Gockel, M., H. Lindholm, L. Niemisto and H. Hurri (2008). 'Perceived disability but not pain is connected with autonomic nervous function among patients with chronic low back pain.' J Rehabil Med 40(5): 355-358. 25. Graven-Nielsen, T., P. Svensson and L. Arendt-Nielsen (1997). 'Effects of experimental muscle pain on muscle activity and co-ordination during static and dynamic motor function.' Electroencephalogr Clin Neurophysiol 105(2): 156-164. 26. Greene, L. C. and J. D. Hardy (1962). 'Adaptation of thermal pain in the skin.' J Appl Physiol 17(4): 693-696. 27. Haig, A. J., G. Weismann, L. D. Haugh, M. Pope and L. J. Grobler (1993). 'Prospective evidence for change in paraspinal muscle activity after herniated nucleus pulposus.' Spine (Phila Pa 1976) 18(7): 926-930. 28. Hermens, H. J., B. Freriks, C. Disselhorst-Klug and G. Rau (2000). 'Development of recommendations for SEMG sensors and sensor placement procedures.' J Electromyogr Kinesiol 10(5): 361-374. 29. Herr, K., P. J. Coyne, M. McCaffery, R. Manworren and S. Merkel (2011). 'Pain assessment in the patient unable to self-report: position statement with clinical practice recommendations.' Pain Manag Nurs 12(4): 230-250. 30. Hides, J. A., C. A. Richardson and G. A. Jull (1996). 'Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain.' Spine (Phila Pa 1976) 21(23): 2763-2769. 31. Hindle, R. J. and M. J. Pearcy (1989). 'Rotational mobility of the human back in forward flexion.' J Biomed Eng 11(3): 219-223. 32. Hindle, R. J., M. J. Pearcy, J. M. Gill and G. R. Johnson (1989). 'Twisting of the human back in forward flexion.' Proc Inst Mech Eng H 203(2): 83-89. 33. Holleran, K., M. Pope, L. Haugh and R. Absher (1995). 'The response of the flexion-relaxation phenomenon in the low back to loading.' Iowa Orthop J 15: 24-28. 34. Hoyt, W. H., H. H. Hunt, Jr., M. A. De Pauw, D. Bard, F. Shaffer, J. N. Passias, D. H. Robbins, Jr., D. G. Runyon, S. E. Semrad, J. T. Symonds and K. C. Watt (1981). 'Electromyographic assessment of chronic low-back pain syndrome.' J Am Osteopath Assoc 80(11): 728-730. 35. Jayasinghe, W. J., R. H. Harding, J. A. Anderson and B. J. Sweetman (1978). 'An electromyographic investigation of postural fatigue in low back pain--a preliminary study.' Electromyogr Clin Neurophysiol 18(3-4): 191-198. 36. Jones, J., D. N. Rutledge, K. D. Jones, L. Matallana and D. S. Rooks (2008). 'Self-assessed physical function levels of women with fibromyalgia: a national survey.' Womens Health Issues 18(5): 406-412. 37. Jorgensen, M. J., W. S. Marras, P. Gupta and T. R. Waters (2003). 'Effect of torso flexion on the lumbar torso extensor muscle sagittal plane moment arms.' Spine J 3(5): 363-369. 38. Kaigle, A. M., P. Wessberg and T. H. Hansson (1998). 'Muscular and kinematic behavior of the lumbar spine during flexion-extension.' J Spinal Disord 11(2): 163-174. 39. Kasman, G. S., J. R. Cram and S. L. Wolf (1998). Clinical applications in surface electromyography : chronic musculoskeletal pain. Gaithersburg, Md., Aspen. 40. King, J. C., D. L. Lehmkuhl, J. French and M. Dimitrijevic (1988). 'Dynamic postural reflexes: Comparison in normal subjects and patients with chronic low back pain.' Curr Concepts Rehabil Med 4: 7-11. 41. Komi, P. V. and E. R. Buskirk (1972). 'Effect of eccentric and concentric muscle conditioning on tension and electrical activity of human muscle.' Ergonomics 15(4): 417-434. 42. Kravitz, E., M. E. Moore and A. Glaros (1981). 'Paralumbar muscle activity in chronic low back pain.' Arch Phys Med Rehabil 62(4): 172-176. 43. Krismer, M. and M. van Tulder (2007). 'Strategies for prevention and management of musculoskeletal conditions. Low back pain (non-specific).' Best Pract Res Clin Rheumatol 21(1): 77-91. 44. Kuriyama, N. and H. Ito (2005). 'Electromyographic functional analysis of the lumbar spinal muscles with low back pain.' J Nippon Med Sch 72(3): 165-173. 45. Large, R. G. (1985). 'Prediction of treatment response in pain patients: the illness self-concept repertory grid and EMG feedback.' Pain 21(3): 279-287. 46. Lethem, J., P. D. Slade, J. D. Troup and G. Bentley (1983). 'Outline of a Fear-Avoidance Model of exaggerated pain perception--I.' Behav Res Ther 21(4): 401-408. 47. Linsinski, P. (2000). 'Surface EMG in chronic low back pain.' Eur Spine J 9(6): 559-562. 48. Lund, J. P., R. Donga, C. G. Widmer and C. S. Stohler (1991). 'The pain-adaptation model: a discussion of the relationship between chronic musculoskeletal pain and motor activity.' Can J Physiol Pharmacol 69(5): 683-694. 49. Markolf, K. L. (1972). 'Deformation of the thoracolumbar intervertebral joints in response to external loads: a biomechanical study using autopsy material.' J Bone Joint Surg Am 54(3): 511-533. 50. Marshall, P. and B. Murphy (2006). 'Changes in the flexion relaxation response following an exercise intervention.' Spine (Phila Pa 1976) 31(23): E877-883. 51. McGill, S. M. and V. Kippers (1994). 'Transfer of loads between lumbar tissues during the flexion-relaxation phenomenon.' Spine (Phila Pa 1976) 19(19): 2190-2196. 52. McNulty, W. H., R. N. Gevirtz, D. R. Hubbard and G. M. Berkoff (1994). 'Needle electromyographic evaluation of trigger point response to a psychological stressor.' Psychophysiology 31(3): 313-316. 53. Olson, M. W., L. Li and M. Solomonow (2004). 'Flexion-relaxation response to cyclic lumbar flexion.' Clin Biomech (Bristol, Avon) 19(8): 769-776. 54. Paquet, N., F. Malouin and C. L. Richards (1994). 'Hip-spine movement interaction and muscle activation patterns during sagittal trunk movements in low back pain patients.' Spine (Phila Pa 1976) 19(5): 596-603. 55. Pearcy, M. J. (1990). 'Inferred strains in the intervertebral discs during physiological movements.' J Manual Med 5: 68. 56. Rathleff, M. S., E. M. Roos, J. L. Olesen, S. Rasmussen and L. Arendt-Nielsen (2013). 'Lower mechanical pressure pain thresholds in female adolescents with patellofemoral pain syndrome.' J Orthop Sports Phys Ther 43(6): 414-421. 57. Salaffi, F., R. De Angelis, A. Stancati and W. Grassi (2005). 'Health-related quality of life in multiple musculoskeletal conditions: a cross-sectional population based epidemiological study. II. The MAPPING study.' Clin Exp Rheumatol 23(6): 829-839. 58. Sarti, M. A., J. F. Lison, M. Monfort and M. A. Fuster (2001). 'Response of the flexion-relaxation phenomenon relative to the lumbar motion to load and speed.' Spine (Phila Pa 1976) 26(18): E421-426. 59. Schultz, A. B., K. Haderspeck-Grib, G. Sinkora and D. N. Warwick (1985). 'Quantitative studies of the flexion-relaxation phenomenon in the back muscles.' J Orthop Res 3(2): 189-197. 60. Schwartz, G. and J. P. Lund (1995). 'Modification of rhythmical jaw movements by noxious pressure applied to the periosteum of the zygoma in decerebrate rabbits.' Pain 63(2): 153-161. 61. Shirado, O., T. Ito, K. Kaneda and T. E. Strax (1995). 'Flexion-relaxation phenomenon in the back muscles. A comparative study between healthy subjects and patients with chronic low back pain.' Am J Phys Med Rehabil 74(2): 139-144. 62. Shirazi-Adl, A., A. M. Ahmed and S. C. Shrivastava (1986). 'Mechanical response of a lumbar motion segment in axial torque alone and combined with compression.' Spine (Phila Pa 1976) 11(9): 914-927. 63. Sihvonen, T., J. Partanen, O. Hanninen and S. Soimakallio (1991). 'Electric behavior of low back muscles during lumbar pelvic rhythm in low back pain patients and healthy controls.' Arch Phys Med Rehabil 72(13): 1080-1087. 64. Solomonow, M., R. V. Baratta, A. Banks, C. Freudenberger and B. H. Zhou (2003). 'Flexion-relaxation response to static lumbar flexion in males and females.' Clin Biomech (Bristol, Avon) 18(4): 273-279. 65. Sterling, M., G. Jull and A. Wright (2001). 'The effect of musculoskeletal pain on motor activity and control.' J Pain 2(3): 135-145. 66. Stohler, C. S. and J. P. Lund (1994). Effects of noxious stimulation of the jaw muscles on the sensory experience of human volunteers. Biological and psychological aspects of orofacial pain. C. S. Stohler and J. P. Lund. MI, Center for Human Growth and Development, University of Michigan, Ann Arbor: 55-73. 67. Stohler, C. S., X. Zhang and J. P. Lund (1996). 'The effect of experimental jaw muscle pain on postural muscle activity.' Pain 66(2-3): 215-221. 68. Tanti, K. and T. Masuda (1985). 'A kinesiologic study of erectores spinae activity during trunk flexion and extension.' Ergonomics 28(6): 883-893. 69. Tousignant-Laflamme, Y., P. Rainville and S. Marchand (2005). 'Establishing a link between heart rate and pain in healthy subjects: a gender effect.' J Pain 6(6): 341-347. 70. Travell, J., S. Rinzler and M. Herman (1942). 'Pain and disability of the shoulder and arm: Treatment by intramuscular infiltration with procaine hydrochloride.' JAMA 120(6): 417-422. 71. Triano, J. J. and A. B. Schultz (1987). 'Correlation of objective measure of trunk motion and muscle function with low-back disability ratings.' Spine (Phila Pa 1976) 12(6): 561-565. 72. Tsai, P. F., C. Beck, K. C. Richards, L. Phillips, P. K. Roberson and J. Evans (2008). 'The Pain Behaviors for Osteoarthritis Instrument for Cognitively Impaired Elders (PBOICIE).' Res Gerontol Nurs 1(2): 116-122. 73. Tsai, Y.-C. (2003). Measurement systems for electrophysiology signals: from basic biomedical recordings to clinical applications Master Thesis. 74. van Dieen, J. H., L. P. Selen and J. Cholewicki (2003). 'Trunk muscle activation in low-back pain patients, an analysis of the literature.' J Electromyogr Kinesiol 13(4): 333-351. 75. Vlaeyen, J. W. S., A. M. J. Kole-Snijders, R. G. B. Boeren and H. van Eek (1995). 'Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance.' Pain 62(3): 363-372. 76. Watson, P. J., C. K. Booker, C. J. Main and A. C. Chen (1997). 'Surface electromyography in the identification of chronic low back pain patients: the development of the flexion relaxation ratio.' Clin Biomech (Bristol, Avon) 12(3): 165-171. 77. Webster, J. G. and J. W. Clark (1998). Medical instrumentation: application and design. New York, Wiley. 78. White, A. A. and M. M. Panjabi (1990). Clinical biomechanics of the spine. Philadelphia, Lippincott. 79. Wolf, S. L. and J. V. Basmajian (1978). Assessment of paraspinal electromyographic activity in normal subjects and in chronic back pain patients using a muscle biofeedback device. International Series on Biomechanics VIB. E. Asmussen and K. Jorgensen. Baltimore, University Park Press: 319–324. 80. Wolf, S. L., M. Nacht and J. L. Kelly (1982). 'EMG feedback training during dynamic movement for low back pain patients.' Behav Ther 13(4): 395-406. 81. Wyke, B. (1976). Neurological aspects of low back pain. The lumbar spine and Back pain. M. I. V. Jayson. New York, Grune & Stratton: 189-256. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/16870 | - |
dc.description.abstract | 研究目的:下背痛是復健科門診最常見的疾病之一。下背痛患者的全面性疼痛評估是非常重要的;因此,臨床醫療與研究專家需要發展出一套客觀和量化地測量下背痛的系統。下背痛患者最常見的疼痛來源為肌肉性疼痛,而動態表面肌電圖正是用於評估下背部肌肉的穩定可靠的工具。動態表面肌電圖中所呈現的特殊彎腰後放鬆現象是辨別下背痛的良好指標。此外,為了表達疼痛,握拳是忍受疼痛時病人常見的疼痛行為,並且易於量化分析。本研究所發展的系統結合了動態表面肌電圖與握力量測,用於定量分析下背痛患者彎腰所誘發的疼痛行為。
方法:本系統包含無線多通道訊號記錄器、無線傳輸模組、表面肌電圖、握力器、桌上電腦。受試者為27位下背痛患者(8位男性,19位女性)。首先記錄視覺疼痛類比量表(VAS),奧氏下背痛失能問卷(ODQ),以及貝氏憂鬱量表(BDI)。實驗過程中,受試者先彎腰後直立,同時必需握著握力器。彎腰過程中,若疼痛強度越強,握力器就握越緊。 結果:本研究受試者平均年齡為45.4±17.2歲;VAS平均分數為 5.37 ± 2.05;ODQ平均分數為30.03 ±17.93 %;BDI 平均分數為9.3 ± 7.1。此結果顯示本研究受試者為中度疼痛,低度失能,而並無憂鬱的下背痛患者。在彎腰測試方面,受試者的握力與表面肌電圖面積的相關係數平均值為0.93。進一步分析表面肌電圖與握力訊號開始的潜期差,男性與女性下背痛患者之間有顯著差異(p<0.05)。男性下背痛患者的握力訊號會較表面肌電圖訊號更慢出現,女性下背痛患者則呈現快慢不一致的潜期。 結論:本研究結果顯示動態表面肌電圖和握力的量測可以用於客觀量化地分析下背痛患者疼痛行為。本研究也顯示男性與女性下背痛患者的疼痛行為有顯著的不同。 | zh_TW |
dc.description.abstract | Background: Low back pain (LBP) is one of the most common reasons which bring patients to consult a health care professional, especially in a rehabilitation outpatient clinic. A comprehensive pain assessment for LBP patients is very important; researchers and clinicians need to develop a system to record the pain intensity of LBP patients quantitatively and objectively. The most common possible source of pain in LBP patients is muscular pain. For evaluation of muscles over low back, dynamic surface electromyography (SEMG) is a reliable and stable tool. The special flexion-relaxation phenomenon (FRP) in dynamic SEMG is a good indicator of LBP patients. For expression of pain, hand grasp is a common pain behavior when tolerating pain and hand grasp is easy to be analyzed quantitatively. Our research developed a system combining dynamic SEMG and grasp force measurement to analyze the pain behavior induced by bending in low back pain patients quantitatively.
Methods: Our system included a wireless multi-channel biomedical signal recording device, wireless transceiver module, SEMG, dynamometer, and a personal computer (PC). 27 LBP patients (8 males and 19 females) were included in this research. We recorded the score of visual analog scale (VAS), Oswestry low back disability questionnaire (ODQ), and Beck depression inventory (BDI) before testing. In SEMG and dynamometer test, subjects grasped the dynamometer and performed a flexion-extension test maneuver. They were instructed to grasp the dynamometer tighter if stronger pain. Results: In basic data, the average age of subjects is 45.4±17.2 years old, the average score of VAS is 5.37 ± 2.05, the average score of ODQ is 30.03 ±17.93 %, and the average score of BDI is 9.3 ± 7.1. These results show that the pain intensity is moderate, the disability level is low, and there is almost no depression in our subjects. In SEMG and dynamometer test, the mean of correlation-coefficient between the grasp force area and the SEMG area is 0.93. The latency difference between gasp force and SEMG is significantly different between male and female LBP patients (p<0.05). Male patients show a slower onset of grasp force than SEMG, but female patients show an inconsistence on latency difference. Conclusions: The measurement of dynamic SEMG and grasp force can be used to analyze the pain behavior objectively and quantitatively in LBP patients. There is obvious difference of pain behavior between male and female LBP patients. Key words: pain behavior, low back pain. | en |
dc.description.provenance | Made available in DSpace on 2021-06-07T23:48:26Z (GMT). No. of bitstreams: 1 ntu-103-D92548006-1.pdf: 1836186 bytes, checksum: 810980f65a0e9fd150d8243febf5b47f (MD5) Previous issue date: 2014 | en |
dc.description.tableofcontents | 目錄
中文摘要 ix Abstract xi Chapter 1 Background 1 Chapter 2 Objective 3 Chapter 3 Paper Review 4 3.1 Structure and Function of the Lumbosacral Spine 4 3.1.1 Structure of the Lumbosacral Spine 4 3.1.2 The Static Spine 9 3.1.3 The Kinetic Spine 9 3.2 Source and Mechanism of Low Back Pain 15 3.2.1 Superficial Somatic Pain 15 3.2.2 Deep Somatic Pain – General 16 3.2.3 Deep Somatic Pain – Tendon 16 3.2.4 Deep Somatic Pain – Muscle 16 3.2.5 Deep Somatic Pain – Joint 18 3.2.6 Deep Somatic Pain – Ligament and Fascia 19 3.2.7 Deep Somatic Pain – Bone 20 3.2.8 Deep Somatic Pain – Vessel 20 3.2.9 Deep Somatic Pain – Dura 21 3.2.10 Deep Somatic Pain – Disc 21 3.2.11 Radicular Pain 21 3.2.12 Neurogenic Pain and Neuropathic Pain 22 3.2.13 Viscerogenic Referred Pain 23 3.2.14 Psychogenic Pain 24 3.2.15 Conclusion 25 3.3 Pain Assessment in Low Back Pain 26 3.3.1 Pain Assessment Methods 26 3.3.2 Psychosocial/Behavioral Component - Interview 26 3.3.3 Sensory Component - Interview 28 3.3.4 Sensory Component - Quantitative Sensory Testing 28 3.3.5 Autonomic Component - Heart Rate Variability 30 3.3.6 Motor Component 30 3.3.7 Nerve Conduction Study and Electromyography 31 3.3.8 Surface Electromyography (SEMG) 32 3.3.9 Quantification of Pain Intensity in Low Back Pain 34 3.3.10 Conclusion 35 3.4 Surface Electromyography 36 3.4.1 The Basics of Surface Electromyography 36 3.4.2 SEMG Signal Processing 37 3.4.3 SEMG Artifacts and Filter 39 3.4.4 SEMG Signal Analysis 40 3.5 Surface Electromyography and Low Back Pain 42 3.5.1 General Mechanism of Muscle Pain in Low Back Pain 42 3.5.2 Basic Models of Low Back Pain 44 3.5.3 Flexion-Relaxation Phenomenon in Low Back Pain 49 3.5.4 Possible Mechanism of FRP in Low Back Pain 51 3.5.5 Conclusion 52 Chapter 4 System Design 53 4.1 Introduction 53 4.2 Wireless Multi-channel Biomedical Signal Recording Device 55 4.2.1 Signal Conditioning Unit and Driven-Right-Leg (DRL) Circuit 56 4.2.2 Microprocessor Circuit 58 4.2.3 Flowchart of Firmware 59 4.2.4 Wireless Transceiver Module 61 4.3 Dynamometer and Dynamometer Conditioning Circuit 62 4.3.1 Power Supply Circuit 64 4.4 Software 66 4.4.1 Data Acquisition Program 66 4.4.2 Signal Analysis Program 67 CHAPTER 5 Material and Method 68 5.1 Subjects 68 5.1.1 Inclusion Criteria Form 68 5.1.2 Exclusion Criteria 68 5.2 Questionnaire 69 5.2.1 Basic Data Form 69 5.2.2 Visual Analog Scale 69 5.2.3 Oswestry Low Back Disability Questionnaire 69 5.2.4 Beck Depression Inventory 69 5.3 SEMG and Dynamometer Test Procedure 70 CHAPTER 6 Result 72 6.1 System Test 72 6.1.1 EMG Test 72 6.1.2 Dynamometer Test 73 6.1.3 Wireless Transmission Test 74 6.2 Clinical Test 76 6.2.1 Demographic Data 76 6.2.2 Questionnaire 76 6.2.3 SEMG and Dynamometer 77 CHAPTER 7 Discussion 83 7.1 System 83 7.1.1 Stability and Reliability 83 7.1.2 Wireless Design 83 7.1.3 Small Size and Low Cost 83 7.2 Subjects 84 7.2.1 Age 84 7.2.2 Sex 84 7.2.3 Body Height and Body Weight 84 7.3 Questionnaire 85 7.4 Dynamometer 85 7.4.1 Type of force 85 7.4.2 Sex Difference 85 7.5 SEMG 86 7.5.1 Flexion-Relaxation Phenomenon 86 7.5.2 Possible Mechanism of Flexion-Relaxation Phenomenon 88 7.6 SEMG and Dynamometer 89 7.6.1 Correlation of Grasp Force and SEMG 89 7.6.2 Possible Mechanism of Correlation between Grasp Force and SEMG 89 7.6.3 Latency Difference and Sex Difference 90 7.6.4 Possible Mechanism of Latency Difference and Sex Difference 90 7.7 Limitation 91 7.7.1 Subjects 91 7.7.2 Clinical Evaluation 92 7.7.3 System 92 7.7.4 SEMG 92 7.8 Conclusion 93 7.9 Acknowledgements 93 Reference 94 Appendix 101 Appendix A Demographics Questionnaire 101 Appendix B Pain Visual Analog Scale 102 Appendix C Oswestry Low Back Disability Questionnaire 103 Appendix D Beck Depression Inventory 106 | |
dc.language.iso | en | |
dc.title | 下背痛患者彎腰誘發疼痛行為之量化分析 | zh_TW |
dc.title | Quantitative Analysis of Pain Behavior Induced by Bending in Low Back Pain Patients | en |
dc.type | Thesis | |
dc.date.schoolyear | 102-1 | |
dc.description.degree | 博士 | |
dc.contributor.oralexamcommittee | 郭德盛,黃基礎,賴金鑫,陸哲駒 | |
dc.subject.keyword | 疼痛行為,下背痛, | zh_TW |
dc.subject.keyword | pain behavior,low back pain, | en |
dc.relation.page | 109 | |
dc.rights.note | 未授權 | |
dc.date.accepted | 2014-02-17 | |
dc.contributor.author-college | 工學院 | zh_TW |
dc.contributor.author-dept | 醫學工程學研究所 | zh_TW |
顯示於系所單位: | 醫學工程學研究所 |
文件中的檔案:
檔案 | 大小 | 格式 | |
---|---|---|---|
ntu-103-1.pdf 目前未授權公開取用 | 1.79 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。