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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 曹昭懿 | |
dc.contributor.author | Meng-Yi Hsu | en |
dc.contributor.author | 徐孟逸 | zh_TW |
dc.date.accessioned | 2021-06-15T13:55:30Z | - |
dc.date.available | 2015-09-24 | |
dc.date.copyright | 2015-09-24 | |
dc.date.issued | 2015 | |
dc.date.submitted | 2015-08-28 | |
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Kirby K, Spooner S, Scherer P, Schuberth J. Foot orthoses. Foot Ankle Spec 2012;5:334-43. 56. Trotter L, Pierrynowski M. Changes in gait Economy Between Full-Contact Custom-made Foot Orthoses and Prefabricated Inserts in Patients with Musculoskeletal Pain. J Am Podiatr Med Assoc 2008;98:429-35. 57. Barton CJ, Munteanu SE, Menz HB. The efficacy of foot orthoses in the treatment of individuals with patellofemoral pain syndrome: a systematic review. Sports Med 2010;40:377-95. 58. HossainM AP, Burls A, Jobanputra P. Foot orthoses for patellofemoral pain in adults (Review). Cochrane Database Syst Rev 2011;19:CD008402. 59. Collins N, Bisset L, Crossley K. Efficacy of nonsurgical interventions for anterior knee pain: systematic review and meta-analysis of randomized trials. Sports Med 2012;42:31–49. 60. Swart N, Van Linschoten R, Bierma-Zeinstra S. The additional effect of orthotic devices on exercise therapy for patients with patellofemoral pain syndrome: a systematic review. Br J Sports Med 2012;46:570-7. 61. Rodrigues P, Chang R, TenBroek T, Hamill J. Medially posted insoles consistently influence foot pronation in runners with and without anterior knee pain. Gait Posture 2013;37:526-31. 62. Redmond A, Crosbie J, Ouvrier R. Development and validation of a novel rating system for scoring standing foot posture: the Foot Posture Index. Clin Biomech 2006;21:89-98. 63. Kaya D. Is there any relationship between Q-angle and lower extremity malalignment? Acta Orthop Traumatol Turc 2012;46:416-9. 64. Ireland ML, Wilson JD, Ballantyne BT, Davis IM. Hip strength in females with and without patellofemoral pain. J Orthop Sports Phys Ther. 2003;33:671-6. 65. Koblbauer I, Lambrecht Y, van der Hulst M, Neeter C, Engelbert R, Poolman R, et al. Reliability of maximal isometric knee strength testing with modified handheld dynamometry in patients awaiting total knee arthroplasty: useful in research and individual patient settings? A reliability study. BMC Musculoskelet Disord 2011;31:249. 66. Esculier JF, Roy JS, Bouyer LJ. Psychometric evidence of self-reported questionnaires for patellofemoral pain syndrome: a systematic review. Disabil Rehabil 2013;35:2181-90. 67. Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 2003;35:1381-95. 68. Van Cant J, Pineux C, Pitance L, Feipel V. Hip muscle strength and endurance in females with patellofemoral pain: a systematic review with meta-analysis. Int J Sports Phys Ther 2014 9:564-82. 69. Ireland M, Willson J, Ballantyne B, Davis I. Hip strength in females with and without patellofemoral pain. J Orthop Sports Phys Ther. 2003;33:671-676. 70. Sigward S, Salem G, Powers C. Kinematic and kinetic analysis of sidestep cutting: a comparison between males and females. Clin Biomech 2001;16:952-3. 71. Malinzak R, Colby S, Kirkendall D, Yu B, Garrett W. A comparison of knee joint motion patterns between men and women in selected athletic tasks. Clin Biomech (Bristol, Avon) 2001;16:438-45. 72. Lephart S, Ferris C, Riemann B, Myers J, Fu F. Gender differences in strength and lower extremity kinematics during landing. Clin Orthop 2002:162-9. 73. McMoreland A, O’Sullivan K, Sainsbury D. No deficit in hip isometric strength or concentric endurance in young females with mild patellofemoral pain. Isokinetics and Exercise Science 2011;19:117-25. 74. Willson J, Davis I. Lower extremity strength and mechanics during jumping in women with patellofemoral pain. J Sport Rehabil 2009;18:76-90. 75. Vicenzino B, Collins N, Cleland J. A clinical prediction rule for identifying patients with patellofemoral pain who are likely to benefi t from foot orthoses: a preliminary determination. Br J Sports Med 2010;44:862–6. 76. Sutlive T, Mitchell S, Maxfield S, McLean C, Neumann J, Swiecki C, et al. Identification of individuals with patellofemoral pain whose symptoms improved after a combined program of foot orthosis use and modified activity: a preliminary investigation. Phys Ther 2004;84:49-61. 77. Crossley K, Barton C, Menz H. Clinical predictors of foot orthoses efficacy in patellofemoral pain syndrome. Med Sci Sports Exerc 2011;43:1603-10. 78. Barton C, Menz H, Levinger P, Webster K, Crossley K. Greater peak rearfoot eversion predicts foot orthoses efficacy in individuals with patellofemoral pain syndrome. Br J Sports Med 2011;45:697-701. 79. Barton CJ, Menz HB, Crossley KM. Effects of prefabricated foot orthoses on pain and function in individuals with patellofemoral pain syndrome: a cohort study. Phys Ther Sport 2011;12:70-5. 80. Mills K, Blanch P, Dev P, Martin M, Vicenzino B. A randomised control trial of short term efficacy of in-shoe foot orthoses compared with a wait and see policy for anterior knee pain and the role of foot mobility. Br J Sports Med 2012;46:247-52. 81. Barton CJ, Menz HB, Crossley KM. Clinical predictors of foot orthoses efficacy in individuals with patellofemoral pain. Med Sci Sports Exerc 2011;43:1603-10. 82. Mills K, Blanch P, Vicenzino B. Comfort and midfoot mobility rather than orthosis hardness or contouring influence their immediate effects on lower limb function in patients with anterior knee pain. Clin Biomech 2012;27:202-8. 83. Hertel J, Sloss B, Earl J. Effect of foot orthotics on quadriceps and gluteus medius electromyographic activity during selected exercises. Arch Phys Med RehabilJan 2005 86:26-30. 84. Lack S, Barton C, Malliaras P, Twycross-Lewis R, Woledge R, Morrissey D. The effect of anti-pronation foot orthoses on hip and knee kinematics and muscle activity during a functional step-up task in healthy individuals: A laboratory study. Clin Biomech (Bristol, Avon) 2013 | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/51888 | - |
dc.description.abstract | 髕股骨疼痛症候群是造成膝關節失能、疼痛及疾病問題之最普遍的原因。此症候群包含了多種病因,治療方式需要對於病因有一定了解才能真正改善病人的問題。目前認為造成髕股骨疼痛症候群的最大原因在於髕骨的外移,導致髕骨與股骨間的壓力過大而有疼痛產生,髕骨外移的原因除了為髕骨本身的不正常位移外,還包括了其他下肢骨頭的相對錯位,例如:股骨過度內轉,以及足部的旋內動作等,都是可能的原因。近年來研究顯示,足部排列不正常,尤其是內旋足,是影響髕骨位置的原因之一,然而,以鞋墊介入的方式針對一般髕股骨疼痛症候群患者,在過去幾篇研究文獻中並沒有顯現好的療效,可能的原因即是對受試族群的足部篩選不足所致。若能精準篩選適當個案,鞋墊介入療效或許能更加彰顯。
本研究目的為探討加上鞋墊介入,對於具有內旋足之髕股骨疼痛症候群患者之療效,包含在疼痛、身體功能與活動量上的影響。 本研究設計為前瞻性隨機分配的臨床試驗,實驗組將會進行鞋墊介入加上一般物理治療訓練,控制組則接受未具療效的鞋墊加上一般物理治療運動訓練,分別在介入前與介入 6 周後接受成果評量,包括基本資料、疼痛、身體功能與活動量之評估,而基本資料將會在受試者接受治療前收集完畢。本研究共招募 27 位受試者,控制組 13 位,實驗組 14 位。所有分析使用 SPSS 17.0 套裝軟體作為統計分析之工具,除了以獨立 t 檢定(independent t test)分析受試者的基本資料,另以無母數分析方式: Mann-Whitney U test 比較控制組與對照組之間的差異,以及使用 Wilcoxon signed-rank test 比較組內的評量成果在介入前後的差異。顯著水準訂在 0.05,而檢定力則訂在 0.8。 本研究結果為客製化鞋墊相比控制組之不具治療效果的鞋墊,於六週後,不論在膝蓋一般疼痛(p=0.005)、最痛時(P=0.001)與症狀改善上(P=0.029),病人自覺評估結果都是明顯進步的,顯示針對活動度較高,且具內旋足之女性髕股骨疼痛症候群患者,除傳統物理治療運動與貼紮外,加上客製化鞋墊的介入也是一有效的治療方式。對於髕股骨疼痛症候群患者之療效,除一般物理治療運動與貼紮介入以外,在臨床治療中,觀察足部內旋的不正常排列與受試者活動度及運動習慣,給予客製化鞋墊的介入可提升對此族群之療效。然而,本研究療效評估為六週,未來針對鞋墊介入的長期療效還需要驗正。 | zh_TW |
dc.description.abstract | Patellofemoral pain syndromes (PFPS) are multifactorial conditions. A successful treatment requires the understanding of the predisposing factors. Lateral tracking of the patella has been hypothesized to be the major contribution to the development of patellofemoral pain. The increases in patellofemoral joint stress from mal-alignment have been identified in these patients. The underlying mechanisms which cause maltracking of patella include factors related to the lower limb such as excessive internal femoral rotation or rear foot movements. Lately, the evidences showed that PFPS patients may exhibit more pronated foot type. However, there was limited evidence of the intervention with insoles and the results showed no significant difference. One of the possible reasons may be lack of subgroup analysis for the subject characteristics to find those subjects who will respond better to insoles.
As a result, the purpose of the study was to investigate the effects of insoles in PFPS patients with pronated foot on pain reduction, functional improvement and activity level. This study was a prospective randomized control study. The experimental group received intervention with customized insoles plus general physical therapy; in contrast, the control group received sham insoles plus general physical therapy. The statistical analysis was performed using SPSS v.17.0 software. The demographic data was collected before receiving treatment, including basic data, pain level, functional status and activity level. There were totally 27 subjects recruited in this study with 13 subjects in control group and 14 subjects in experimental group. The basic dada was analyzed by independent t test. The outcome assessment was conducted and compared between groups with Mann-Whitney U test and within group at baseline and after 6 week with Wilcoxon signed-rank test. The significant level was set at 0.05 while the power was 0.8. The result showed that customized insoles are superior to flat inserts in both usual pain and worst pain reduction(p=0.005; P=0.001) and symptom relief (P=0.029), which may be an effective intervention in addition to PT exercise and kinesio-taping in female PFPS individuals with pronated foot and high activity level in 6 weeks. Foot pronation and high activity level of the subjects may be key characteristics to enhance the effects of insoles intervention in individuals with PFPS in clinical industry in addition to general physical therapeutic exercise and kinesio-taping. However, prospective studies are required to determine whether the effects can maintain in the long term. | en |
dc.description.provenance | Made available in DSpace on 2021-06-15T13:55:30Z (GMT). No. of bitstreams: 1 ntu-104-R01428007-1.pdf: 6930858 bytes, checksum: 2ef40de9e2ed209192a122749519959a (MD5) Previous issue date: 2015 | en |
dc.description.tableofcontents | 口試委員審定書.............................................I
誌謝.....................................................II 摘要....................................................III ABSTRACT.................................................V TABLE OF CONTENTS......................................VII LIST OF TABLES..........................................IX LIST OF FIGURES..........................................X LIST OF APPENDICES......................................XI CHAPTER 1 INTRODUCTION...................................1 1.1 Background and significance..........................1 1.2 Purpose of study.....................................2 1.3 Research question....................................2 1.4 Hypothesis...........................................3 CHAPTER 2 LITERATURE REVIEW .............................5 2.1 Patellofemoral pain syndrome.........................5 2.1.1 Prevalence and incidence...........................5 2.1.2 Definition and symptoms............................6 2.1.3 Cause of pain and mechanism........................7 2.1.4 Diagnosis and management...........................9 2.2 Pronated foot in patients with PFPS.................10 2.2.1 Static measurements...............................10 2.2.2 Motion analysis...................................12 2.3 Effects of foot orthoses............................13 2.3.1 The customized insoles............................13 2.3.2 Insole intervention in patients with PFPS.........14 2.3.2.1 Subjective measurements by questionnaire........14 2.3.2.2 Objective measurements of motion analysis and functional improvements.................................15 2.3.3 Limitation of previous studies with insoles intervention............................................17 CHAPTER 3 METHODOLOGY...................................21 3.1 Ethical consideration ..............................21 3.2 Study population....................................21 3.3 Procedure ..........................................22 3.4 Intervention........................................23 3.5 Measurement ........................................25 3.6 Data Analysis.......................................30 CHAPTER 4 RESULTS.......................................31 4.1 The characteristics of the subjects in baseline.....31 4.2 The pain relief.....................................33 4.3 The symptoms and function limitation................33 4.4 The activity level .................................34 4.5 The adherence and side effects of interventions.....34 CHAPTER 5 DISCUSSIONS ..................................36 5.1 The basic characteristics in PFPS patients .........36 5.2 Improvement in pain and functional outcomes ........39 5.3 The side effects and adherence of interventions.....41 5.4 Clinical application................................42 5.5 Study limitation ...................................43 5.6 Future study........................................44 CHAPTER 6 CONCLUSION....................................47 REFERENCES..............................................48 FIGURES.................................................57 TABLES..................................................64 APPENDICES..............................................72 | |
dc.language.iso | en | |
dc.title | 鞋墊介入對於具內旋足之女性髕股骨症候群患者之療效 | zh_TW |
dc.title | Effects of Customized Insoles in Female Patients with
Patellofemoral Pain Syndrome Correlated with Pronated Foot | en |
dc.type | Thesis | |
dc.date.schoolyear | 103-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 江清泉,陳譽仁,汪家昌,柴惠敏,徐瑋勵 | |
dc.subject.keyword | 髕股骨疼痛症候群,扁平足,鞋墊介入,物理治療運動,肌內效貼紮, | zh_TW |
dc.subject.keyword | patellofemoral pain syndrome,pronated foot,insoles intervention,physical therapeutic exercises,McConnell approach of kinesio-taping, | en |
dc.relation.page | 91 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2015-08-28 | |
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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