請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/43764
完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 林居正(Jiu-Jenq Lin) | |
dc.contributor.author | Han-Yi Huang | en |
dc.contributor.author | 黃瀚儀 | zh_TW |
dc.date.accessioned | 2021-06-15T02:27:59Z | - |
dc.date.available | 2014-10-07 | |
dc.date.copyright | 2011-10-07 | |
dc.date.issued | 2011 | |
dc.date.submitted | 2011-08-17 | |
dc.identifier.citation | Allander E. Prevalence, incidence, and remission rates of some common rheumatic diseases or syndromes. Scand J Rheumatol. 1974; 3:145-53.
Basmajian JV. Biofeedback in rehabilitation- a review of principles and practices. Arch Phys Med Rehab. 1981; 62: 469-475. Bang MD, Deyle GD. Comparison of supervised exercise with and without manual physical therapy for patients with shoulder impingement syndrome. J Orthop Sports Phys Ther. 2000; 30: 126-37. Brox JI, Staff PH, Ljunggren AE, Brevik JI. Arthroscopic surgery compared with supervised exercises in patients with rotator cuff disease (stage II impingement syndrome). BMJ. 1993; 307: 899-903. Brox JI, Gjengedal E, Uppheim G, Bohmer AS, Brevik JI, Ljunggren AE, et al. Arthroscopic surgery versus supervised exercises in patients with rotator cuff disease (stage II impingement syndrome): a prospective, randomized, controlled study in 125 patients with a 2 1/2-year follow-up. J Shoulder Elbow Surg. 1999; 8:102-11. Braman JP, Engel SC, Laprade RF, Ludewig PM. In vivo assessment of scapulohumeral rhythm during unconstrained overhead reaching in asymptomatic subjects. J Shoulder Elbow Surg. 2009; 18: 960-7. Borstad JD, Ludewig PM. Comparison of scapular kinematics between elevation and lowering of the arm in the scapular plane. Clin Biomech 2002; 17:650-9. Borstad JD, Ludewig PM. The effect of long versus short pectoralis minor resting length on scapular kinematics in healthy individuals. J Orthop Sports Phys Ther. 2005; 35: 227-38. Borstad JD, Mathiowetz KM, Minday LE, Prabhu B, Christopherson DE, Ludewig PM. Clinical measurement of posterior shoulder flexibility. Man Ther. 2007; 12: 386-9. Borstad JD. Resting position variables at the shoulder: evidence to support a posture-impairment association. Phys Ther. 2006; 86: 549-57. Bandholm T, Rasmussen L, Aagaard P, Jensen BR, Diederichsen L. Force steadiness, muscle activity and maximal muscle strength in subjects with subacromial impingement syndrome. Muscle Nerve. 2006; 34: 631-63. Cook KF, Roddey TS, Gartsman GM, Olson SL. Development and psychometric evaluation of the Flexilevel Scale of Shoulder Function. Medical Care. 2003; 41: 823-35. Cools AM, Witvrouw EE, Declercq GA, Danneels LA, Cambier DC. Scapular muscle recruitment patterns: trapezius muscle latency with and without impingement symptoms. Am J Sports Med. 2003; 31: 542-9. Cools AM, Witvrouw EE, Declercq GA, Vanderstraeten GG, Cambier DC. Evaluation of isokinetic force production and associated muscle activity in the scapular rotators during a protraction–retraction movement in overhead athletes with impingement symptoms. Br J Sports Med. 2004; 38: 64-8. Cools AM, Dewitte V, Lanszweert F, Notebaert D, Roets A, Soetens B et al. Rehabilitation of scapular muscle balance: which exercises to prescribe? Am J Sports Med. 2007; 35: 1744-51. Decker MJ, Hintermeister RA, Faber KJ, Hawkins RJ. Serratus anterior muscle activity during selected rehabilitation exercises. Am J Sports Med. 1999; 27: 784-91. DeWeerdt WJG, HarrisonMA. Electromyographic biofeedback for stroke patients: some practical considerations. Physiotherapy. 1986; 72: 106-8. Diederichsen LP, Winther A, Dyhre-Poulsen P, Krogsgaard MR, Norregaard J. The influence of experimentally induced pain on shoulder muscle activity. Exp Brain Res. 2009; 194:329-37. Endo K, Ikata T, Katoh S, Takeda Y. Radiographic assessment of scapular rotational tilt in chronic shoulder impingement syndrome. J Orthop Sci. 2001; 6:3-10. Ebaugh DD, McClure PW, Karduna AR. Three-dimensional scapulothoracic motion during active and passive arm elevation. Clin Biomech. 2005; 20:700-9. Ellenbecker TS, Cools AM. Rehabilitation of shoulder impingement syndrome and rotator cuff injuries: an evidence-based review. Br J Sports Med. 2010; 44: 319-27. Ellenbecker TS, Davies GJ. The application of isokinetics in testing and rehabilitation of the shouldercomplex. J Athl Train. 2000; 35: 338-50. Fu FH, Harner CD, Klein AH. Shoulder impingement syndrome: a critical review. Clin Orthop. 1991; 269: 162-173. Flatow EL, Soslowsky LJ, Ticker JB, Pawluk RJ, Hepler M, Ark J, Mow VC, Bigliani LU. Excursion of the rotator cuff under the acromion. Patterns of subacromial contact. Am J Sports Med. 1994; 22: 779-88. Glousman R, Jobe F, Tibone J, Moynes D, Antonelli D, Perry J. Dynamic electromyographic analysis of the throwing shoulder with glenohumeral instability. J Bone Joint Surg Am. 1988; 70: 220-6. Glanz M, Klawansky S, Chalmers T. Biofeedback therapy in stroke rehabilitation: a review. J Royal Soc Med. 1997; 90: 33-9. Hardwick DH, Beebe JA, McDonnell MK, Lang CE. A comparison of serratus anterior muscle activation during a wall slide exercise and other traditional exercises. J Orthop Sports Phys Ther. 2006; 36: 903-10. Hebert LJ, Moffet H, McFadyen BJ, Dionne CE. Scapular behavior in shoulder impingement syndrome. Arch Phys Med Rehabil. 2002; 83: 60-69. Holtermann A, Roeleveld K, Mork PJ, Gronlund C, Karlsson JS, Andersen LL, et al. Selective activation of neuromuscular compartments within the human trapezius muscle. J Electromyogr Kinesiol. 2009; 19: 896-902. Holtermann A, Mork PJ, Andersen LL, Olsen HB, Sogaard K. The use of EMG biofeedback for learning of selective activation of intra-muscular parts within the serratus anterior muscle: a novel approach for rehabilitation of scapular muscle imbalance. J Electromyogr Kinesiol. 2010; 20: 359-65. Jobe FW, Bradley JP. The diagnosis and nonoperative treatment of shoulder injuries in athletes. Clin Sports Med. 1989; 8: 419–438 Jobe CM, Coen MJ, Screnar P. Evaluation of impingement syndromes in the overhead-throwing athlete. J Athl Train. 2000; 35: 293–9. Johnson G, Bogduk N, Nowitzke A, House D. Anatomy and actions of the trapezius muscle. Clinical Biomechanics. 1994; 9: 44-50. Karduna AR, McClure PW, Michener LA, Sennett B. Dynamic measurements of three-dimensional scapular kinematics: a validation study. J Biomech Eng. 2001; 123:184-90. Kelly SM, Wrightson PA, Meads CA. Clinical outcomes of exercise in the management of subacromial impingement syndrome: a systematic review. Clin Rehabil. 2010; 24: 99-109. Kibler WB, McMullen J. Scapular dyskinesis and its relation to shoulder pain. J Am Acad Orthop Surg. 2003; 11: 142–51. Kibler WB, Sciascia AD. Rehabilitation of the athlete's shoulder. Clin Sports Med. 2008; 27: 821-31. Kebaetse M, McClure P, Pratt NA. Thoracic position effect on shoulder range of motion, strength, and three-dimensional scapular kinematics. Arch Phys Med Rehabil. 1999; 80: 945-50. Laudner KG, Stanek JM, Meister K. The relationship of periscapular strength on scapular upward rotation in professional baseball pitchers. J Sport Rehabil. 2008; 17: 95-105. Lin JJ, Lim HK, Soto-quijano DA, Hanten WP, Olson SL, Roddey TS, et al. Altered patterns of muscle activation during performance of four functional tasks in patients with shoulder disorders: interpretation from voluntary response index. J Electromyogr Kinesiol. 2006; 16: 458- 68. Ludewig PM, Cook TM. Alterations in shoulder kinematics and associated muscle activity in people with symptoms of shoulder impingement. Phys Ther. 2000; 80: 276-291. Ludewig PM, Phadke V, Braman JP, Hassett DR, Cieminski CJ, LaPrade RF. Motion of the shoulder complex during multiplanar humeral elevation. J Bone Joint Surg Am. 2009; 91: 378-89. Ludewig PM, Cook TM, Nawoczenski DA. Three-dimensional scapular orientation and muscle activity at selected positions of humeral elevation. J Orthop Sports Phys Ther. 1996; 24: 57-65. Ludewig PM, Reynolds JF. The association of scapular kinematics and glenohumeral joint pathologies. J Orthop Sports Phys Ther. 2009; 39: 90-104. Ludewig PM, Hoff MS, Osowski EE, Meschke SA, Rundquist PJ. Relative balance of serratus anterior and upper trapezius muscle activity during push-up exercises. Am J Sports Med. 2004; 32: 484-93. Ludewig PM and Braman JP. Shoulder impingement: Biomechanical considerations in rehabilitation. Man Ther. 2011; 16: 33-9. Lunden JB, Braman JP, Laprade RF, Ludewig PM. Shoulder kinematics during the wall push-up plus exercise. J Shoulder Elbow Surg. 2010; 19: 216-23. Lukasiewicz AC, McClure P, Michener L, Pratt N, Sennett B. Comparison of 3-dimensional scapular position and orientation between subjects with and without shoulder impingement. J Orthop Sports Phys Ther. 1999; 29: 574-83. Maenhout A, Van Praet K, Pizzi L, Van Herzeele M, Cools A. Electromyographic analysis of knee push up plus variations: what is the influence of the kinetic chain on scapular muscle activity? Br J Sports Med. 2010; 44:1010-5. McClure, PW, Bialker, J, Neff, N, Williams, G, Karduna, A. Shoulder function and 3-dimensional kinematics in people with shoulder impingement syndrome before and after a 6-week exercise program. Phys Ther. 2004; 84: 832-48. Mottram SL, Woledge RC, Morrissey D. Motion analysis study of a scapular orientation exercise and subjects' ability to learn the exercise. Man Ther. 2009; 14:13-8. McClure, PW, Michener, LA, Karduna, AR. Shoulder function and 3-dimensionalscapular kinematics in people with and without shoulder impingement syndrome. Phys Ther. 2006; 86: 1075-90. McClure PW, Michener LA, Sennett BJ, Karduna AR. Direct 3-dimensional measurement of scapular kinematics during dynamic movements in vivo. J Shoulder Elbow Surg. 2001; 10:269-77. Michener, LA, Walsworth, MK, Burnet, EN. Effectiveness of rehabilitation for patients with subacromial impingement syndrome: a systematic review. J Hand Ther. 2004; 17: 152-64. Michener LA, McClure PW, Karduna AR. Anatomical and biomechanical mechanisms of subacromial impingement syndrome. Clin Biomech. 2003; 18: 369-79. Neer CS. Impingement lesions. Clin Orthop. 1983:70-7. Payne LZ, Deng XH, Craig EV, Torzilli PA, Warren RF. The combined dynamic and static contributions to subacromial impingement. A biomechanical analysis. Am J Sports Med. 1997; 25: 801-8. Reddy AS, Mohr KJ, Pink MM, Jobe FW: Electromyographic analysis of the deltoid and rotator cuff muscles in persons with subacromial impingement. J Shoulder Elbow Surg. 2000; 9: 519-523. Rupp S, Berninger K, Hopf T. Shoulder problems in high level swimmers--impingement, anterior instability, muscular imbalance? Int J Sports Med. 1995; 16: 557-62. Roy JS, Moffet H, Hebert LJ, Lirette R. Effect of motor control and strengthening exercises on shoulder function in persons with impingement syndrome: A single-subject study design. Man Ther. 2009; 14: 180-8. Roquelaure Y, Ha C, Leclerc A, Touranchet A, Sauteron M, Melchior M, Imbernon E, Goldberg M. Epidemiologic surveillance of upper-extremity musculoskeletal disorders in the working population. Arthritis Rheum. 2006; 55: 765-78. Solem-Bertoft E, Thuomas KA, Westerberg CE. The influence of scapular retraction and protraction on the width of the subacromial space. An MRI study. Clin Orthop Relat Res. 1993; 296: 99-103. Senbursa G, Baltaci G, Atay A. Comparison of conservative treatment with and withoutmanual physical therapy for patients with shoulder impingement syndrome: a prospective, randomized clinical trial. Knee Surg Sports Traumatol Arthrosc. 2007; 15: 915-21. Tucker WS, Armstrong CW, Gribble PA, Timmons MK, Yeasting RA. Scapular muscle activity in overhead athletes with symptoms of secondary shoulder impingement during closed chain exercise. Arch Phys Med Rehabil. 2010; 91: 550-6. Townsend H, Jobe FW, Pink M, Perry J. Electromyographic analysis of the glenohumeral muscles during a baseballrehabilitation program. Am J Sports Med. 1991; 19: 264-72. Woodford H, Price C. EMG biofeedback for the recovery of motor function after stroke. Cochrane Database Syst Rev. 2007; 18:CD004585. Wu G, van der Helm FC, Veeger HE, Makhsous M, Van Roy P, Anglin C, et al. ISB recommendation on definitions of joint coordinate systems of various joints for the reporting of human joint motion e Part II: shoulder, elbow, wrist and hand. J Biomech. 2005; 38: 981-92. Walther M, Werner A, Stahlschmidt T, Woelfel R, Gohlke F. The subacromial impingement syndrome of the shoulder treated by conventional physiotherapy, self-training, and a shoulder brace: results of a prospective, randomized study. J Shoulder Elbow Surg. 2004; 13: 41-23. Warner JJ, Micheli LJ, Arslanian LE, Kennedy J, Kennedy R. Clin Orthop Relat Res. Scapulothoracic motion in normal shoulders and shoulders with glenohumeral instability and impingement syndrome. A study using Moire topographic analysis.1992; 285: 191-9. Zuckerman JD, Kummer FJ, Cuomo F, et al. The influence of coracoacromial arch anatomy on rotator cuff tears. J Shoulder Elbow Surg. 1992; 1: 4-14. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/43764 | - |
dc.description.abstract | 背景:臨床上針對肩關節疾病的患者,發現其肩胛骨在動作過程中會產生動作不能的情形,及在動作過程中前鋸肌、上斜方肌及下斜方肌肌肉控制不平衡的現象發生,特別是肩夾擠症候群患者。文獻指出,這種現象可能會造成肩關節動作的改變進而造成更進一步的傷害,因此針對有動態肌肉控制不能及動作不能的患者,臨床上以肌力訓練其肌肉及動作控制,一般相信肌電回饋治療配合運動治療計畫有加乘的療效。目的:本實驗之目的以健康人及患有肩夾擠症候群患者為研究對象探討 (1)運動結合肌電回饋是否能改變在各種運動治療中肌肉控制 (2)健康人及肩夾擠症候群患者對於運動結合肌電回饋對於肌肉控制之效果是否不同 (3)運動結合肌電回饋對於肩胛骨運動學的立即效果。實驗設計:以12位健康成人及13位有肩夾擠症候群患者為研究對象,使用運動結合肌電回饋儀訓練及運動訓練,檢視其肌電圖之肌肉平衡比率。並在兩種訓練前後,測量在肩胛骨平面抬手動作的肩胛骨關節動作。主要測量:運動中及運動中結合肌電回饋時肌肉的平衡比率(上斜方肌/下斜方肌、上斜方肌/中斜方肌及上斜方肌/前鋸肌)及兩種訓練前後之肩胛骨運動學(肩胛骨上/下轉及前/後傾)。實驗結果:結果顯示患有肩夾擠症候群患者在執行上舉運動結合肌電回饋訓練能有效降低肌肉平衡比率(上斜方肌/前鉅肌:70.3- 45.2; 上斜方肌/下斜方肌: 124.8- 94.6)。而患者在側躺肩外轉運動結合肌電回饋訓練也能達到降低肌肉平衡比率的效果(上斜方肌 /中斜方肌:58.5- 36.4)。而在兩種訓練前後的肩胛骨運動學,無論是在肩胛骨上轉及前傾並無差異。結論:根據結果,兩組受試者在上舉及側躺肩外轉這兩種運動下結合肌電回饋訓練皆能達到降低肌肉平衡比率的立即效果。肌力訓練運動訓練結合肌電回饋可以使肌肉平衡比率下降,然而肌電回饋之短期及長期療效仍有待未來更
一步的研究。 | zh_TW |
dc.description.abstract | Background: Muscle imbalance between searratus anterior and trapezius muscles as well as scapular dyskinesis have been observed in subjects with shoulder disorder such as impingement syndrome. Previous studies indicate that the muscle imbalance of scapular muscle can result in abnormal scapular motion and may contribute to further damage of impingement. In clinics, physical therapists usually use strengthening exercises to restore proper scapular muscle balance and motor control in patients with subacromial impingement syndrome (SAIS). Electromyography (EMG) biofeedback technique is believed to allow subjects to learn how to control the activities of stabilizers/force couples and to enhance motor program training. Objective: The purposes of this study are (1) to investigate the effect of EMG biofeedback training on muscle balance ratios during exercises in healthy adults and subjects with SAIS; (2) to investigate whether the effects of EMG biofeedback on muscle balance ratios are different between healthy adults and subjects with SAIS (3) to investigate the immediate effect of EMG biofeedback training on scapular kinematics in healthy adults and subjects with SAIS. Design: Twelve healthy adults and thirteen subjects with SAIS were recruited in this study. 3-D electromagnetic motion analysis and EMG muscle activity were used to record the scapular kinematics and muscle balance ratios during exercises with and without EMG biofeedback. The scapular kinematics were also recorded before and after exercises with/without EMG biofeedback. Main outcome measures: The balance ratios (UT/LT, UT/MT and UT/SA) and scapular kinematics (scapular upward/downward rotation, anterior/posterior tipping) were outcomes of this study. Result: For the subjects with SAIS, the lower muscle balance ratios were found when the subjects performed the forward flexion exercises with EMG biofeedback than exercise only (UT/SA: 70.3- 45.2; UT/LT: 124.8- 94.6). Additionally, the similar results were found in the side-lying external rotation (UT/MT: 58.5- 36.4). For the kinematics, there were non-significant differences between exercise and exercise with biofeedback in change scores of upward rotation and tipping angle in both groups. Conclusion: Results illustrated the potential of EMG biofeedback for restoring the scapular muscular balance during the forward flexion and side-lying external rotation exercises in both groups. Based on our results, we suggest the use of EMG biofeedback combined with the strengthening exercise to promote the scapular muscle balance. Further clinical trial should investigate the short-term and long-term effects of EMG biofeedback. | en |
dc.description.provenance | Made available in DSpace on 2021-06-15T02:27:59Z (GMT). No. of bitstreams: 1 ntu-100-R98428008-1.pdf: 6961960 bytes, checksum: 2bff01adfd4292f08c1e84c6e3d9408b (MD5) Previous issue date: 2011 | en |
dc.description.tableofcontents | Table of Contents
口試委員審定書…………………………………………………………………………i 致謝…………………………………………………………...…………………………ii 中文摘要………………………………………………………...………………….......iv Abstract………………………………………………………………………………vi Nature of the Study……………………………………………...……………………...1 Background…………………………………………………………………………1 Statement of the Problem…………………………………………………………...4 Purpose of the Study……………………………………………...………………...5 Hypotheses……………………………………………………………………….....6 Literature review……………………………………………...………………………..7 Subcaromial impingement syndrome (SAIS)………………………………………8 Scapular kinematics alteration in patients with SAIS……………………………9 Scapular muscle imbalance in patients with SAIS…………...…………………...12 Exercise for patients with SAIS…………………………………………………...14 EMG biofeedback training………………………………………...……………...17 Methods……………………………………………………………...………………...20 Design…………………………………………………………...………………...20 Subjects……………………………………………………………………………20 Sample size estimation…………………………………………………………....20 Inclusion criteria……………………………………...…………………………...20 Exclusion criteria……………………………………...…………………………..21 Instrumentation………………………………………...………………………….21 Procedures……………………………………………...………………………....23 Outcomes……………………………………………...………………………......26 Three-dimensional scapular kinematics…………………...………………….. 26 EMG muscle activity………………………………...…………………………26 Functional measure: shoulder functional self-report scale………...…………...27 Data reduction……………………………………………………………………..28 Statistic analysis…………………………………………………………………...29 Results………………………………………………………………………………….31 Basic data………………………………………………………………………….31 Muscular balance ratio……………………….………...………………………….31 Forward flexion……..………………………………….………………………31 Side- lying external rotation.……...…………………...………….……………32 Knee push- up plus……...………………………...……...……….……………33 Three-dimensional scapular kinematics………………...…………………….. 34 Discussion ………………………………………………………..……………………35 Conclusion …………………………………………………….………………………44 Reference………………………………………………………...…………………….45 Tables……………………………………………………………...…………………...59 Figures……………………………………………………………...………………….67 Appendix………………………………………………………….……………………73 Appendix 1: Flexilevel Scale of Shoulder Function- self reported…………….....73 Appendix 2: Permission of Institutional Review Board and Consent Form...........77 Tables Table 1: Selection of trapezius strengthening exercises………...…….…………..59 Table 2: Selection of push- up plus exercise exercises……………………………60 Table 3: Selection of push- up plus exercise exercises………………………… 61 Table 4: Participant demographic data: ………………………………………62 Table 5: Forward flexion: …………………………………………………………………………63 Table 6: External rotation in side- lying: ……………………………64 Table 7: Knee push- up plus: …………………………………………………………………65 Table 8: The scapular kinematics: ……………………………………………………66 Figures Figure 1: The illustration of EMG electrodes placement…………………………67 Figure 2: The illustration of measurement MVIC………………...………………68 Figure 3: The illustration of sensors of FASTRAK placement………...…………69 Figure 4: Exercise…………………………………………………………………70 Figure 5: Exercise with EMG biofeedback……………………….………………71 Figure 6: Flow chart………………………………………………………………72 | |
dc.language.iso | en | |
dc.title | 肩峰下夾擠症候群病患接受運動結合肌電回饋訓練之立即療效: 肌肉活動特性及肩胛骨運動學 | zh_TW |
dc.title | The Immediate Effect of Exercise with/without EMG Biofeedback in Subjects with Subacromial Impingement Syndrome: Muscle Activity Pattern and Scapular kinematics | en |
dc.type | Thesis | |
dc.date.schoolyear | 99-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 郭育良,王子娟,陳譽仁 | |
dc.subject.keyword | 肩峰下夾擠症候群,肌肉控制,肌電回饋,前鋸肌,斜方肌, | zh_TW |
dc.subject.keyword | subacronmial impingement syndrome,muscle control,EMG biofeedback,serratus anterior,trapezius, | en |
dc.relation.page | 83 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2011-08-17 | |
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-100-1.pdf 目前未授權公開取用 | 6.8 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。