請用此 Handle URI 來引用此文件：
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/38673完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 郭德盛(Te-Son Kuo),賴金鑫(Jin-Shin Lai) | |
| dc.contributor.author | Yi-Hsuan Kuo | en |
| dc.contributor.author | 郭易軒 | zh_TW |
| dc.date.accessioned | 2021-06-13T16:41:31Z | - |
| dc.date.available | 2016-07-27 | |
| dc.date.copyright | 2011-07-27 | |
| dc.date.issued | 2011 | |
| dc.date.submitted | 2011-07-17 | |
| dc.identifier.citation | [1] G. J. Davies, A compendium of isokinetics in clinical usage:(workshop and clinical notes), 2nd ed.p. 11: S&S Publishers, 1985.
[2] D. M. Hooper, M. C. Morrissey, W. Drechsler, D. Morrissey, and J. King, 'Open and closed kinetic chain exercises in the early period after anterior cruciate ligament reconstruction,' The American Journal of Sports Medicine, vol. 29, p. 167, 2001. [3] E. Witvrouw, R. Lysens, J. Bellemans, K. Peers, and G. Vanderstraeten, 'Open versus closed kinetic chain exercises for patellofemoral pain,' The American Journal of Sports Medicine, vol. 28, p. 687, 2000. [4] CSMi. HUMAC NORM Available: http://www.csmisolutions.com/cmt/publish/humac_product_overview.shtml [5] S. King, D. J. Butterwick, and J. P. Cuerrier, 'The anterior cruciate ligament: a review of recent concepts,' Journal of Orthopaedic & Sports Physical Therapy, vol. 8, pp. 110-122, 1986. [6] L. J. Vorvick and C. B. Ma. (2010 ). Knee arthroscopy. Available: http://health.allrefer.com/pictures-images/knee-arthroscopy-series.html [7] J. L. Marshall, F. G. Girgis, and R. R. Zelko, 'The biceps femoris tendon and its functional significance,' The Journal of Bone and Joint Surgery, vol. 54, p. 1444, 1972. [8] G. E. Lutz, M. J. Stuart, F. H. Sim, and S. Scott, 'Rehabilitative techniques for athletes after reconstruction of the anterior cruciate ligament,' 1990, p. 1322. [9] J. Irrgang, 'Modern trends in anterior cruciate ligament rehabilitation: nonoperative and postoperative management,' Clinics in sports medicine, vol. 12, p. 797, 1993. [10] 陳昭瑩, 詹美華, 柴惠敏, and 賴金鑫, '前十字韌帶重建術後膝部等速肌力之物理治療效果,' 中華民國物理治療學會雜誌, vol. 19, pp. 46-52, 1994. [11] M. Solomonow and M. Krogsgaard, 'Sensorimotor control of knee stability. A review,' Scandinavian Journal of Medicine & Science in Sports, vol. 11, pp. 64-80, 2001. [12] M. R. Krogsgaard, P. Dyhre-Poulsen, and T. Fischer-Rasmussen, 'Cruciate ligament reflexes,' Journal of Electromyography and kinesiology, vol. 12, pp. 177-182, 2002. [13] T. Yanagawa, K. Shelburne, F. Serpas, and M. Pandy, 'Effect of hamstrings muscle action on stability of the ACL-deficient knee in isokinetic extension exercise,' Clinical Biomechanics, vol. 17, pp. 705-712, 2002. [14] 林永福 and 詹美華, '膝部韌帶機能不全,' 中華民國物理治療學會雜誌, vol. 9, pp. 46-51, 1984. [15] C. Rangger, D. Daniel, M. Stone, and K. Kaufman, 'Diagnosis of an ACL disruption with KT-1000 arthrometer measurements,' Knee Surgery, Sports Traumatology, Arthroscopy, vol. 1, pp. 60-66, 1993. [16] 陳建名, 江清泉, and 詹美華, '以 K T-1000 量測台灣健康成人脛骨前移鬆弛度,' 臺灣醫學, vol. 8, pp. 622-629, 2004. [17] R. A. Vasconcelos, J. C. Arakaki, A. P. Simao, A. S. Oliveira, C. J. Paccola, and D. Bevilaqua-Grossi, 'Analysis of anterior tibial translation, peak torque, and quadriceps and hamstrings coactivation in individuals with anterior cruciate ligament injuries performing isometric open kinetic chain exercises,' Acta Ortopedica Brasileira, vol. 15, pp. 14-18, 2007. [18] MEDmetric. MEDmetric® Corporation KT-1000 Arthrometer Information. Available: http://www.medmetric.com/kt1.htm [19] S. Kizuki, 'Dynamic analysis of anterior tibial translation during isokinetic quadriceps femoris muscle concentric contraction exercise,' Knee, vol. 2, p. 151, 1995. [20] N. Sato, 'Quantitative evaluation of anterior tibial translation during isokinetic motion in knees with anterior cruciate ligament reconstruction using either patellar or hamstring tendon grafts,' International Orthopaedics, vol. 29, p. 385, 2005. [21] M. O'Malley and D. L. A. M. de Paor, 'Kinematic analysis of human walking gait using digital image processing,' Medical and Biological Engineering and Computing, vol. 31, pp. 392-398, 1993. [22] M. A. Lafortune, 'Three-dimensional kinematics of the human knee during walking,' Journal of Biomechanics, vol. 25, p. 347, 1992. [23] K. Manal, 'The accuracy of estimating proximal tibial translation during natural cadence walking: bone vs. skin mounted targets,' Clinical Biomechanics, vol. 18, p. 126, 2003. [24] D. K. Ramsey, M. Lamontagne, P. F. Wretenberg, A. Valentin, B. Engström, and G. Németh, 'Assessment of functional knee bracing: an in vivo three-dimensional kinematic analysis of the anterior cruciate deficient knee,' Clinical Biomechanics, vol. 16, pp. 61-70, 2001. [25] R. A. Meiss, 'Contractile Properties of Muscle Cells,' Medical Physiology, p. 137, 2003. [26] J. E. Adams, 'Neurostimulation: An Overview,' JAMA: The Journal of the American Medical Association, vol. 255, p. 3022, 1986. [27] D. R. McNeal, R. Nakai, P. Meadows, and W. Tu, 'Open-loop control of the freely-swinging paralyzed leg,' Biomedical Engineering, IEEE Transactions on, vol. 36, pp. 895-905, 1989. [28] C. Caldwell and J. Reswick, 'A percutaneous wire electrode for chronic research use,' Biomedical Engineering, IEEE Transactions on, pp. 429-432, 1975. [29] D. M. Durand, W. M. Grill, and R. Kirsch, 'Electrical Stimulation of the Neuromuscular System,' Neural Engineering, pp. 157-191, 2005. [30] P. H. Peckham and J. S. Knutson, 'FUNCTIONAL ELECTRICAL STIMULATION FOR NEUROMUSCULAR APPLICATIONS*,' Annu. Rev. Biomed. Eng., vol. 7, pp. 327-360, 2005. [31] D. R. Merrill, M. Bikson, and J. G. R. Jefferys, 'Electrical stimulation of excitable tissue: design of efficacious and safe protocols,' Journal of Neuroscience Methods, vol. 141, pp. 171-198, 2005. [32] Wapcaplet. (2002). HSV color space as a color wheel. Available: http://zh.wikipedia.org/wiki/File:Hsv_sample.png [33] 廖文炫, 張梅蘭, 蔡美文, and 王淑芬, 物理因子治療學: 電磁療學, 1st ed.p. 149, 2001. [34] B. Beynnon, 'The measurement of anterior cruciate ligament strain in vivo,' International Orthopaedics, vol. 16, p. 1, 1992. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/38673 | - |
| dc.description.abstract | 膝關節前十字韌帶扭傷或斷裂為常見的運動傷害之一，嚴重者會造成股四頭肌萎縮無力以及膝關節活動時鬆脫不穩等功能障礙。患者在進行傳統之股四頭肌等速肌力復健訓練時，常因為前十字韌帶張力不足造成脛骨前移的現象。本研究運用攝影裝置拍攝復健過程中，黏貼於脛骨與股骨之標籤位置變化，透過影像分析計算出脛骨與股骨相對位移之變化，開發出一套脛骨前移量測系統以提供客觀脛骨前移量測數據，此系統並結合功能性電刺激器刺激腿後肌收縮以補償因前十字韌帶張力不足所造成之脛骨前移現象。透過本研究開發之脛骨前移量測系統可針對兩種不同防止脛骨前移方式進行臨床試驗，初步結果顯示傳統制式防止脛骨前移裝置對於防止脛骨前移具有顯著之功效，但因為其機械結構而降低在肌力訓練上之表現。因此，本研究希望藉由功能性電刺激器搭配脛骨前移量測裝置，與等速訓練結合，開發出一套完整復健系統，以幫助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 | Sprain or rupture of anterior cruciate ligament (ACL) in knee is a common sports injury which may cause knee instability and disuse atrophy of quadriceps. In order to prevent anterior translation of the tibia during traditional isokinetic training exercises of quadriceps, this study looks at feasible means of detecting and restricting anterior tibial translation (ATT) in isokinetic exercises. By using a camera that tracks markers placed on bony prominences of the distal femur and proximal tibia, the ATT can be measured by image processing procedures. The preliminary results demonstrate reduction of ATT despite restricted training effects with the use of a conventional anti-shearing device, suggesting that an alternative device for replacing the conventional anti-shearing device is probably necessary. Accordingly, a new functional electrical stimulation feedback system that incorporates marker tracking is demonstrated to promote functional recovery of quadriceps in athletes who suffer from ACL insufficiency by facilitating more efficient rehabilitation exercises of their quadriceps muscles during isokinetic training exercises. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-13T16:41:31Z (GMT). No. of bitstreams: 1 ntu-100-R98945054-1.pdf: 2945705 bytes, checksum: ac01ed1bf86314ed21636d4f522fae1a (MD5) Previous issue date: 2011 | en |
| dc.description.tableofcontents | 致謝 ii
中文摘要 iii ABSTRACT iv 目錄 v 圖目錄 vii 表目錄 ix 第 一 章 諸論 1 1.1 前言簡介 1 1.1.1 等長收縮訓練、等張收縮訓練以及等速收縮訓練 1 1.1.2 開放式動力鏈與閉鎖式動力鏈、等速訓練所衍生的問題 3 1.1.3 前十字韌帶生理解剖構造及其損傷後生理反應機制 5 1.1.4 韌帶肌肉保護性反射 7 1.2 研究動機與目的 8 第 二 章 文獻回顧 9 2.1 脛骨前移量測裝置 9 2.1.1 徒手量測 9 2.1.2 KT-1000韌帶鬆弛度量測儀 10 2.1.3 CA-4000關節測試儀 11 2.1.4 影像拍攝式量測裝置 12 2.2 功能性電刺激 13 2.2.1 電刺激之肌肉生理 13 2.2.2 功能性電刺激器型態 13 2.2.3 刺激樣式設計 14 2.2.4 電刺激器輸出級 15 第 三 章 系統內容與簡介 16 3.1 硬體系統架構 16 3.1.1 脛骨前移量測系統 16 3.1.2 功能性電刺激器 16 3.1.3 系統整合 18 3.2 數位影像處理方法 20 3.2.1 色彩系統 20 3.2.2 彩色影像區分 22 3.2.3 斷開與閉合 24 3.2.4 圓形偵測 24 第 四 章 實驗設計方法 26 4.1 實驗動作與參數設定 26 4.1.1 實驗動作 26 4.1.2 等速訓練儀參數設定 27 4.2 脛骨前移量測之參數設定 28 4.2.1 攝影機架設位置 28 4.2.2 標記貼紙黏貼位置 29 4.2.3 脛骨前移量計算方式 30 4.2.4 系統可性度確認 33 4.3 功能性電刺激器裝置參數設定 34 4.3.1 電極貼片位置 34 4.3.2 介入時機 34 4.3.3 刺激強度與頻率設定 36 第 五 章 臨床試驗結果與討論 37 5.1 比較三種模式與文獻量測之脛骨前移 38 5.2 最大力矩強度、總功、膝關節活動範圍 42 第 六 章 結論與未來工作 48 參考文獻 49 附錄A 52 附錄B 53 | |
| dc.language.iso | zh-TW | |
| dc.subject | 臨床試驗 | zh_TW |
| dc.subject | 前十字韌帶 | zh_TW |
| dc.subject | 脛骨前移 | zh_TW |
| dc.subject | 等速肌力訓練 | zh_TW |
| dc.subject | 功能性電刺激 | zh_TW |
| dc.subject | anterior tibial translation | en |
| dc.subject | clinical trial | en |
| dc.subject | functional electrical stimulation | en |
| dc.subject | isokinetic training | en |
| dc.subject | anterior cruciate ligament | en |
| dc.title | 等速訓練結合影像追蹤標記與功能性電刺激應用於膝關節前十字韌帶鬆弛者之復健 | zh_TW |
| dc.title | Isokinetic Rehabilitation System Incorporated with Synchronous Marker Tracking Device and Functional Electrical Stimulator: An Approach for Individuals with Anterior Cruciate Ligament Insufficiency | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 99-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 陸哲駒,陳友倫,鄭伯壎 | |
| dc.subject.keyword | 前十字韌帶,脛骨前移,等速肌力訓練,功能性電刺激,臨床試驗, | zh_TW |
| dc.subject.keyword | anterior cruciate ligament,anterior tibial translation,isokinetic training,functional electrical stimulation,clinical trial, | en |
| dc.relation.page | 53 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2011-07-18 | |
| 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 | |
文件中的檔案：
| 檔案 | 大小 | 格式 | |
|---|---|---|---|
| ntu-100-1.pdf 未授權公開取用 | 2.88 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。