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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 林居正(Jiu-Jenq Lin) | |
| dc.contributor.author | Pei-Lin Yang | en |
| dc.contributor.author | 楊沛霖 | zh_TW |
| dc.date.accessioned | 2021-06-15T06:09:34Z | - |
| dc.date.available | 2014-10-07 | |
| dc.date.copyright | 2011-10-07 | |
| dc.date.issued | 2011 | |
| dc.date.submitted | 2011-08-18 | |
| dc.identifier.citation | Aaras A, Fostervold KI, Ro O, Thoresen M. Postural load during VDU work: a comparison between various work postures. Ergonomics. 1997;40 (11):1255-1268.
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/47630 | - |
| dc.description.abstract | 肩膀前傾為一常見的姿勢變異，並且根據之前的研究指出，抱怨不適的最高頻率為肩膀。然而造成肩膀前傾的機制，有一假說認為胸小肌太緊，以致產生肩膀前傾，伴隨著肩胛運動學與肌肉運動表現的改變。因此本篇實驗目的有下列: (1) 測試肩胛運動學與胸小肌柔軟度(包括肌肉長度與鬆緊度)之間的關係; (2) 調查伸展介入對於姿勢、胸小肌柔軟度、肩胛運動學與肌肉運動表現的治療效果。(3) 確定何種伸展位置與技術可以獲得最佳的伸展治療效果。所有個案均接受下列的評估測量包括: (1) 肩胛距離 (第三胸椎棘突至肩峰下角); (2) 肩膀在肩胛面下前舉角度; (3) 胸小肌長度; (4) 肩胛面前舉時肩胛運動學; (5) 胸小肌緊度; (6) 肩部肌肉力量。完成一開始的評估後，個案會接受各自對於胸小肌的伸展治療，並再次接受以上的評估測量。各自的伸展治療持續兩個星期，並再次接受同樣的評估。本實驗第一個目的是測試肩胛運動學與胸小肌柔軟度之間的相關性，因此使用皮爾森積差相關係數來測試。二因子的變異數分析，包含組別與時間兩個因子，則用來檢驗伸展治療介入對於姿勢、胸小肌柔軟度、肩胛運動學與肩胛面下的運動表現是否有顯著差異。總共有28位受試者完成測試，實驗結果發現胸小肌與肩胛骨運動學前傾只有輕度相關(r = 0.261)。另外，伸展胸小肌後，可以觀察到肩胛距離、肩膀在肩胛面下前舉角度，肩部肌肉力量與肩胛運動學皆有時間效應(P < 0.05)。而組效應則只有肩胛距離與肩胛運動學有顯著差異(P < 0.05)。Self-30組在實驗中，表現出對於修正肩膀前傾不良姿勢的能力。Manual-30組則是可以在肩膀在肩胛面下前舉時，使得肩胛骨能降低前傾角度。總結來說，對於肩膀前傾的患者，在肩胛面下外展30度做兩種伸展胸小肌的治療，一者可以改善修正肩膀前傾，另者可以降低肩胛骨前傾角度，所以都是被建議施行在物理治療計劃中。 | zh_TW |
| dc.description.abstract | Forward shoulder posture commonly complaints in the shoulder area also showed the highest prevalence. One of the mechanisms inducing forward shoulder posture is pectoralis minor tightness. Therefore, causing shoulder is pulled forward and accompanying with changes of scapular kinematics and muscle performance. The purposes of this study are aimed: (1) to test the relationship between the scapular kinematics and pectoralis minor flexibility, including length and tightness; (2) to investigate stretch effect on posture, pectoralis minor flexibility, scapular kinematics and associated muscle performance and (3) to determine which stretching positions and techniques can obtain greatest stretch effect. The following measurements were collected: (1) total scapular distance (TSD: T3 spinous process to the inferior angle of the acromion); (2) shoulder elevation range of motion in scapular plane; (3) length of pectoralis minor; (4) three-dimensional scapular kinematics during shoulder scaption; (5) tightness of pectoralis minor; and (6) shoulder muscle strength. After the initial evaluation, the specific stretch protocol was applied to the subject. Then, the second evaluation was immediately performed to collect data again. Within the following two weeks, stretch protocol continues and subject returned to receive follow-up data collection after two weeks. For the first purpose to test the relationship between the scapular kinematics and pectoralis minor flexibility, including length and tightness, the Pearson product-moment coefficient of correlation was used. For the second and third purposes, 2-way mixed ANOVAs with group (4 levels: self-30, self-90, manual-30, manual-90) and time (3 levels: pre, post, follow-up) factors was used to investigate stretch effect on each outcome including posture, pectoralis minor muscle flexibility, scapular kinematics and scaption performance. Totally 28 subjects were included and data were analyzed. Only fair relationship between pectoralis minor length and scapular tipping (r = 0.261). TSD, ROM, STRE and TIP showed the simple effect of time (P < 0.05). TSD and TIP showed the simple effect of group (P < 0.05). The Self-30 subgroup corrected the forward shoulder posture significantly. And the Manual-30 subgroup increased the scapular posterior tipping during performing shoulder scaption. Overall, stretch at the 30 degrees of abduction in the scapular plane, both techniques should be included in the population with forward shoulder. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-15T06:09:34Z (GMT). No. of bitstreams: 1 ntu-100-R97428007-1.pdf: 8182262 bytes, checksum: 34899bb1fdd1def4ad80e9d9050430cd (MD5) Previous issue date: 2011 | en |
| dc.description.tableofcontents | CONTENTS
NATURE OF THE STUDY 1 Background 1 Statement of the problem 5 Purposes of the study 8 REVIEW OF THE LITERATURE 9 Definition of the forward shoulder posture 9 Prevalence of shoulder pain of office worker 10 Etiology of forward shoulder posture 10 Measurements of forward shoulder 11 Stretch interventions of forward shoulder posture 13 Muscle stiffness measurement 15 Three-dimensional scapular kinematics measurement 17 METHODOLOGY 20 Design 20 Subjects 20 Inclusion criteria 21 Exclusion criteria 21 Procedure 21 Three-dimensional scapular kinematics 24 Muscle length 25 Muscle tightness 26 Total scapular distance (TSD) 27 Range of motion 27 Muscle strength 28 Intervention 29 Manual stretch treatment 29 Self stretch treatment 30 Data analysis 31 RESULTS 32 Descriptive data 32 Three-dimensional scapular kinematics 33 Impairment measures 34 DISCUSSION 36 Limitation 46 CONCLUSION 48 REFERENCE 49 APPENDIX I – Flowchart 87 APPENDIX II – Informed Consent Form 89 LIST OF FIGURES Figure 1 – FASTRAK sensors attachment positions 56 Figure 2 – Scapular kinematics 57 Figure 3 – Muscle length measurement 58 Figure 4 – Muscle tightness measurement 59 Figure 5 – Total scapular distance 60 Figure 6 – Range of motion of active shoulder scaption and manual stretch angle 61 Figure 7 – Muscle strength test 62 Figure 8 – Manual-30 63 Figure 9 – Manual-90 64 Figure 10 – Self-30 65 Figure 11 – Self-90 66 Figure 12 – Total Scapular Distance 67 Figure 13 – Range of Motion 68 Figure 14 – Pectoralis Minor Muscle Length 69 Figure 15 – Scaption Strength 70 Figure 16 – Pectoralis Minor Muscle Tone 71 Figure 17 – Scapular Anterior/Posterior Tipping 72 Figure 18 – Scapular Upward/Downward Rotation 73 List of Tables Table 1 – Descriptive data – 1 74 Table 2 – Descriptive data – 2 75 Table 3 – Pearson Correlation 76 Table 4 – Two-Way Mixed ANOVA 77 Table 5 – Simple Time Effects of Total Scapular Distance 78 Table 6 – Simple Time Effects of Range of Motion 79 Table 7 – Simple Time Effects of Pectoralis Minor Length 80 Table 8 – Simple Time Effects of Scaption Strength 81 Table 9 – Simple Time Effects of Muscle Tone 82 Table 10 – Simple Time Effects of Scapular Kinematics: Scapular Tipping 83 Table 11 – Simple Time Effects of Scapular Kinematics: Scapular Rotation 84 Table 12 – Simple Group Effects of Total Scapular Distance 85 Table 13 – Simple Group Effects of Scapular Tipping 86 | |
| dc.language.iso | en | |
| dc.title | 肩膀前傾族群之胸小肌伸展位置與技術:肩胛運動學、肌肉柔軟度與肌肉運動表現 | zh_TW |
| dc.title | Stretching Positions and Techniques of the Pectoralis Minor Muscle in Population with Forward Shoulder: Scapular Kinematics, Flexibility and Performance | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 99-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 詹美華,徐阿田,王亭貴,林永福 | |
| dc.subject.keyword | 姿勢,伸展,胸小肌,肩胛,運動學, | zh_TW |
| dc.subject.keyword | Posture,Stretching,Pectoralis minor,Scapula,Kinematic, | en |
| dc.relation.page | 91 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2011-08-19 | |
| 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 | |
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