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http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/69042完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 林居正 | |
| dc.contributor.author | Wan-Yu Du | en |
| dc.contributor.author | 杜婉瑜 | zh_TW |
| dc.date.accessioned | 2021-06-17T02:48:43Z | - |
| dc.date.available | 2017-09-13 | |
| dc.date.copyright | 2017-09-13 | |
| dc.date.issued | 2017 | |
| dc.date.submitted | 2017-08-15 | |
| dc.identifier.citation | Alqunaee M, Galvin R and Fahey T. Diagnostic accuracy of clinical tests for subacromial impingement syndrome: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2012; 93: 229-36.
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/69042 | - |
| dc.description.abstract | Background: Subacromial impingement syndrome (SIS) is associated with scapular dyskinesis, imbalanced scapular muscle activity. It is crucial to focus on scapular control during the initial stage of rehabilitation. Evidence showed that feedback can be beneficial to this population. However, it is unknown whether real-time electromyography (EMG) biofeedback or video feedback is optimal for improving scapular kinematics and muscle activity during functional tasks. Objective: There were 3 objectives for the present study: (1) to compare the effects between EMG and video feedback sessions on absolute muscle activity (UT, LT, SA), muscle balance ratios (UT/LT, UT/SA) and scapula kinematics (anterior/posterior tilt, external/ internal rotation, upward rotation) in SIS subjects during functional tasks ;(2) to compare the effects of feedback on absolute muscle activity, muscle balance ratios and scapula kinematics in SIS subjects during functional tasks; (3) to compare the effects of feedback training on shoulder girdle proprioception in SIS participants. Design: Patients with SIS and scapular dyskinesis (prominmence of medial border) was recruited in this study. Participants was randomized into EMG biofeedback group or video feedback group. Each patient learned to control their scapula through feedback session during arm elevation/ lowering in the scapula plane and placing a light load on a shoulder height desk. Three-dimensional electromagnetic motion analysis system and electromyography muscle activity was used to record scapular kinematics, absolute muscle activation and muscular balance ratios during tasks before and after feedback training. Main outcome measures: Scapula kinematics (internal/ external rotation, anterior/ posterior tilt, upward rotation), absolute muscle activity (UT, LT, SA) and muscle balance ratios (UT/LT, UT/ SA) were main outcomes of the study. Results: In comparisons of video group and EMG biofeedback group, EMG biofeedback group had significant increase in increased LT muscle activity and decrease in UT/LT. Both groups had decreased UT muscle activity, UT/LT, UT/SA and scapular internal rotation, increased LT muscle activity after feedback training. In contrast, subjects did not improve in shoulder girdle proprioception in either video group or EMG biofeedback group. Conclusion: It is suggested that EMG biofeedback application on SIS patients could maximize the learning effect on both muscle control and scapular correction. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-17T02:48:43Z (GMT). No. of bitstreams: 1 ntu-106-R04428001-1.pdf: 3447273 bytes, checksum: d6f7e22f97478dcca31df7b2358fbc49 (MD5) Previous issue date: 2017 | en |
| dc.description.tableofcontents | 口試委員審定書 i
致謝 ii Abstract viii List of tables xiii List of figures xv Nature of the study 1 Background 1 Statement of problems 4 Purposes of the study 5 Hypotheses 6 Literature review 8 Subacromial impingement syndrome (SIS) 8 SIS and shoulder function 10 Scapular dyskinesis in SIS patients 12 Altered scapular muscle activation in SIS patients 14 Benefits of feedback 16 Application of real-time electromyography feedback 17 Application of real-time video feedback 19 Methods 20 Design 20 Subjects 20 Inclusion criteria 20 Exclusion criteria 21 Instrumentation 22 Procedures 24 Outcome measures 30 Statistical analysis 33 Results 35 Basic data 35 Scapular plane arm elevation and lowering 35 Reaching 39 Shoulder girdle proprioception 42 Discussion 43 Conclusions 52 References 53 Tables 63 Figures 82 Appendix 102 Appendix 1: Flexilevel Scale of Shoulder Function-Self reported 102 Appendix 2: Permission of Institutional Review Board and Consent 106 | |
| dc.language.iso | en | |
| dc.subject | 隨機控制實驗 | zh_TW |
| dc.subject | 肌肉表現 | zh_TW |
| dc.subject | 肩峰下夾擠症候群 | zh_TW |
| dc.subject | 肩胛骨動作 | zh_TW |
| dc.subject | 肌電生理回饋 | zh_TW |
| dc.subject | 影像回饋 | zh_TW |
| dc.subject | Scapular kinematics | en |
| dc.subject | Subacromial impingement syndrome | en |
| dc.subject | EMG biofeedback | en |
| dc.subject | Video feedback | en |
| dc.subject | Randomized control trial | en |
| dc.subject | Muscle performance | en |
| dc.title | 比較肌電訊號回饋與影像回饋訓練法於肩峰下夾擠族群之效果：
隨機控制實驗 | zh_TW |
| dc.title | Comparison of the effect of EMG biofeedback and video feedback in patients with subacromial impingement syndrome:
a randomized control trial | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 105-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 洪立維,揚靜蘭,劉玫舫 | |
| dc.subject.keyword | 肩峰下夾擠症候群,肌電生理回饋,影像回饋,隨機控制實驗,肌肉表現,肩胛骨動作, | zh_TW |
| dc.subject.keyword | Subacromial impingement syndrome,EMG biofeedback,Video feedback,Randomized control trial,Muscle performance,Scapular kinematics, | en |
| dc.relation.page | 109 | |
| dc.identifier.doi | 10.6342/NTU201703362 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2017-08-16 | |
| 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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