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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 陳譽仁(Yu-Jen Chen) | |
dc.contributor.author | Tzu-Hui Hunag | en |
dc.contributor.author | 黄資惠 | zh_TW |
dc.date.accessioned | 2021-06-17T08:34:39Z | - |
dc.date.available | 2024-08-26 | |
dc.date.copyright | 2019-08-26 | |
dc.date.issued | 2019 | |
dc.date.submitted | 2019-08-09 | |
dc.identifier.citation | 1 Lee MS, Vanore JV, Thomas JL, Catanzariti AR, Kogler G, Kravitz SR, et al. Diagnosis and treatment of adult flatfoot. J Foot Ankle Surg 2005; 44(2): 78-113. DOI: 10.1053/j.jfas.2004.12.001.
2 Chuter VH and Janse de Jonge XA. Proximal and distal contributions to lower extremity injury: a review of the literature. Gait Posture 2012; 36(1): 7-15. DOI: 10.1016/j.gaitpost.2012.02.001. 3 DiGiovanni CW and Langer P. The role of isolated gastrocnemius and combined Achilles contractures in the flatfoot. Foot Ankle Clin 2007; 12(2): 363-79, viii. DOI: 10.1016/j.fcl.2007.03.005. 4 Allen MK and Glasoe WM. Metrecom measurement of navicular drop in subjects with anterior cruciate ligament injury. Journal of Athletic Training 2000; 35(4): 403-406. 5 Loudon JK, Jenkins W, and Loudon KL. The relationship between static posture and ACL injury in female athletes. Journal of Orthopaedic & Sports Physical Therapy 1996; 24(2): 91-97. DOI: 10.2519/jospt.1996.24.2.91. 6 Nester CJ, van der Linden ML, and Bowker P. Effect of foot orthoses on the kinematics and kinetics of normal walking gait. Gait Posture 2003; 17(2): 180-7. 7 Tateuchi H, Shiratori S, and Ichihashi N. The effect of angle and moment of the hip and knee joint on iliotibial band hardness. Gait Posture 2015; 41(2): 522-8. DOI: 10.1016/j.gaitpost.2014.12.006. 8 Williams DS, 3rd, McClay IS, and Hamill J. Arch structure and injury patterns in runners. Clin Biomech (Bristol, Avon) 2001; 16(4): 341-7. 9 Lever CJ and Hennessy MS. Adult flat foot deformity. Orthopaedics and Trauma 2016; 30(1): 41-50. DOI: 10.1016/j.mporth.2016.02.005. 10 McKeon PO, Hertel J, Bramble D, and Davis I. The foot core system: a new paradigm for understanding intrinsic foot muscle function. Br J Sports Med 2015; 49(5): 290. DOI: 10.1136/bjsports-2013-092690. 11 Goo YM, Heo HJ, and An DH. EMG Activity of the Abductor Hallucis Muscle during Foot Arch Exercises Using Different Weight Bearing Postures. J Phys Ther Sci 2014; 26(10): 1635-6. DOI: 10.1589/jpts.26.1635. 12 Headlee DL, Leonard JL, Hart JM, Ingersoll CD, and Hertel J. Fatigue of the plantar intrinsic foot muscles increases navicular drop. J Electromyogr Kinesiol 2008; 18(3): 420-5. DOI: 10.1016/j.jelekin.2006.11.004. 13 Kelly LA, Cresswell AG, Racinais S, Whiteley R, and Lichtwark G. Intrinsic foot muscles have the capacity to control deformation of the longitudinal arch. J R Soc Interface 2014; 11(93): 20131188. DOI: 10.1098/rsif.2013.1188. 14 Kelly LA, Kuitunen S, Racinais S, and Cresswell AG. Recruitment of the plantar intrinsic foot muscles with increasing postural demand. Clin Biomech (Bristol, Avon) 2012; 27(1): 46-51. DOI: 10.1016/j.clinbiomech.2011.07.013. 15 Mann R and Inman VT. Phasic Activity of Intrinsic Muscles of the Foot. J Bone Joint Surg Am 1964; 46: 469-81. 16 Angin S, Crofts G, Mickle KJ, and Nester CJ. Ultrasound evaluation of foot muscles and plantar fascia in pes planus. Gait Posture 2014; 40(1): 48-52. DOI: 10.1016/j.gaitpost.2014.02.008. 17 Lee JE, Park GH, Lee YS, and Kim MK. A Comparison of Muscle Activities in the Lower Extremity between Flat and Normal Feet during One-leg Standing. J Phys Ther Sci 2013; 25(9): 1059-61. DOI: 10.1589/jpts.25.1059. 18 Kim MK and Lee YS. Kinematic analysis of the lower extremities of subjects with flat feet at different gait speeds. J Phys Ther Sci 2013; 25(5): 531-3. DOI: 10.1589/jpts.25.531. 19 D.A. W. Human balance and posture control during standing and walking. Gait Posture 1995; 3: 22. 20 Loram ID, Maganaris CN, and Lakie M. Human postural sway results from frequent, ballistic bias impulses by soleus and gastrocnemius. J Physiol 2005; 564(Pt 1): 295-311. DOI: 10.1113/jphysiol.2004.076307. 21 Tokuno CD, Carpenter MG, Thorstensson A, Garland SJ, and Cresswell AG. Control of the triceps surae during the postural sway of quiet standing. Acta Physiol (Oxf) 2007; 191(3): 229-36. DOI: 10.1111/j.1748-1716.2007.01727.x. 22 Menz HB, Morris ME, and Lord SR. Foot and ankle characteristics associated with impaired balance and functional ability in older people. J Gerontol A Biol Sci Med Sci 2005; 60(12): 1546-52. 23 Soysa A, Hiller C, Refshauge K, and Burns J. Importance and challenges of measuring intrinsic foot muscle strength. J Foot Ankle Res 2012; 5(1): 29. DOI: 10.1186/1757-1146-5-29. 24 McKeon PO and Fourchet F. Freeing the foot: integrating the foot core system into rehabilitation for lower extremity injuries. Clin Sports Med 2015; 34(2): 347-61. DOI: 10.1016/j.csm.2014.12.002. 25 Versino M, Candeloro E, Tavazzi E, Moglia A, Sandrini G, and Alfonsi E. The H reflex from the abductor brevis hallucis muscle in healthy subjects. Muscle Nerve 2007; 36(1): 39-46. DOI: 10.1002/mus.20775. 26 Vangsgaard S, Hansen EA, and Madeleine P. Between-day reliability of the trapezius muscle H-reflex and M-wave. Muscle Nerve 2015; 52(6): 1066-71. DOI: 10.1002/mus.24645. 27 Vila-Cha C, Falla D, Correia MV, and Farina D. Changes in H reflex and V wave following short-term endurance and strength training. J Appl Physiol (1985) 2012; 112(1): 54-63. DOI: 10.1152/japplphysiol.00802.2011. 28 Avela J, Kyrolainen H, and Komi PV. Altered reflex sensitivity after repeated and prolonged passive muscle stretching. J Appl Physiol (1985) 1999; 86(4): 1283-91. DOI: 10.1152/jappl.1999.86.4.1283. 29 CL S, DA N, and KD T. <Measurement of the Medial Longitudinal Arch>. Arch Phys Med Rehabil. 1995; 76(1): 45-9. 30 Palmieri RM, Ingersoll CD, and Hoffman MA. The Hoffmann reflex: Methodologic considerations and applications for use in sports medicine and athletic training research. Journal of Athletic Training 2004; 39(3): 268-277. 31 Hunt AE and Smith RM. Mechanics and control of the flat versus normal foot during the stance phase of walking. Clin Biomech (Bristol, Avon) 2004; 19(4): 391-7. DOI: 10.1016/j.clinbiomech.2003.12.010. 32 Shibuya N, Kitterman RT, LaFontaine J, and Jupiter DC. Demographic, physical, and radiographic factors associated with functional flatfoot deformity. J Foot Ankle Surg 2014; 53(2): 168-72. DOI: 10.1053/j.jfas.2013.11.002. 33 Resende RA, Deluzio KJ, Kirkwood RN, Hassan EA, and Fonseca ST. Increased unilateral foot pronation affects lower limbs and pelvic biomechanics during walking. Gait Posture 2015; 41(2): 395-401. DOI: 10.1016/j.gaitpost.2014.10.025. 34 Hunt AE, Fahey AJ, and Smith RM. Static measures of calcaneal deviation and arch angle as predictors of rearfoot motion during walking. Australian Journal of Physiotherapy 2000; 46(1): 9-16. DOI: 10.1016/s0004-9514(14)60309-3. 35 Khamis S and Yizhar Z. Effect of feet hyperpronation on pelvic alignment in a standing position. Gait Posture 2007; 25(1): 127-34. DOI: 10.1016/j.gaitpost.2006.02.005. 36 Richardson C, P Hodges, and Hides J, Therapeutic Exercise for Lumbopelvic Stabilization: A Motor Control Approach for the Treatment and Prevention of Low Back Pain. 2004, Edinburgh: Churchill Livingstone. 37 Kaye RA and MH J. Tibialis posterior: a review of anatomy and biomechanics in relation to support of the medial longitudinal arch. Foot Ankle 1991; 11(4): 4. DOI: 10.1177/107110079101100414. 38 Watanabe K, Kitaoka HB, Fujii T, Crevoisier X, Berglund LJ, Zhao KD, et al. Posterior tibial tendon dysfunction and flatfoot: analysis with simulated walking. Gait Posture 2013; 37(2): 264-8. DOI: 10.1016/j.gaitpost.2012.07.015. 39 Powers CM. The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: a theoretical perspective. J Orthop Sports Phys Ther 2003; 33(11): 639-46. DOI: 10.2519/jospt.2003.33.11.639. 40 Hollman JH, Kolbeck EK, Hitchcock JL, and Koverman JW. Correlations between Hip Strength and Static Foot and Knee Posture. Journal of sport rehabilitation 2006; 15(1): 12-23. DOI: 10.1123/jsr.15.1.12. 41 Souza RB and Powers CM. Predictors of hip internal rotation during running: an evaluation of hip strength and femoral structure in women with and without patellofemoral pain. Am J Sports Med 2009; 37(3): 579-87. DOI: 10.1177/0363546508326711. 42 Souza RB and Powers CM. Differences in hip kinematics, muscle strength, and muscle activation between subjects with and without patellofemoral pain. J Orthop Sports Phys Ther 2009; 39(1): 12-9. DOI: 10.2519/jospt.2009.2885. 43 Basmajian JV and Stecko G. The Role of Muscles in Arch Support of the Foot. J Bone Joint Surg Am 1963; 45: 1184-90. 44 Arinci Incel N, Genc H, Erdem HR, and Yorgancioglu ZR. Muscle imbalance in hallux valgus: an electromyographic study. Am J Phys Med Rehabil 2003; 82(5): 345-9. DOI: 10.1097/01.PHM.0000064718.24109.26. 45 Wearing SC, Smeathers JE, Urry SR, Hennig EM, and Hills AP. The pathomechanics of plantar fasciitis. Sports Med 2006; 36(7): 585-611. DOI: 10.2165/00007256-200636070-00004. 46 Fiolkowski P, Brunt D, Bishop M, Woo R, and Horodyski M. Intrinsic pedal musculature support of the medial longitudinal arch: an electromyography study. J Foot Ankle Surg 2003; 42(6): 327-33. DOI: 10.1053/j.jfas.2003.10.003. 47 Barron BA. Rehabilitation of the spine. A practitioner's manual. Journal of Occupational Rehabilitation 2007; 17(1): 167-168. 48 Hiemstra LA, Lo IK, and Fowler PJ. Effect of fatigue on knee proprioception: implications for dynamic stabilization. J Orthop Sports Phys Ther 2001; 31(10): 598-605. DOI: 10.2519/jospt.2001.31.10.598. 49 Brinkworth RS, Tuncer M, Tucker KJ, Jaberzadeh S, and Turker KS. Standardization of H-reflex analyses. J Neurosci Methods 2007; 162(1-2): 1-7. DOI: 10.1016/j.jneumeth.2006.11.020. 50 Zehr EP. Considerations for use of the Hoffmann reflex in exercise studies. European Journal of Applied Physiology 2002; 86(6): 455-468. DOI: 10.1007/s00421-002-0577-5. 51 Aagaard P, Simonsen EB, Andersen JL, Magnusson P, and Dyhre-Poulsen P. Neural adaptation to resistance training: changes in evoked V-wave and H-reflex responses. J Appl Physiol (1985) 2002; 92(6): 2309-18. DOI: 10.1152/japplphysiol.01185.2001. 52 Bell KR and Lehmann JF. Effect of cooling on H- and T-reflexes in normal subjects. Arch Phys Med Rehabil 1987; 68(8): 490-3. 53 de Oliveira Silva D, Magalhaes FH, Faria NC, Pazzinatto MF, Ferrari D, Pappas E, et al. Lower Amplitude of the Hoffmann Reflex in Women With Patellofemoral Pain: Thinking Beyond Proximal, Local, and Distal Factors. Arch Phys Med Rehabil 2016; 97(7): 1115-20. DOI: 10.1016/j.apmr.2015.12.017. 54 Hall R.C., Nyland J., Nitz A.J., Pinerola J., and D.L. J. Relationship between ankle invertor H-reflexes and acute swelling induced by inversion ankle sprain. J Orthop Sports Phys Ther 1999; 29(6): 339-44. 55 Krause BA, Hopkins JT, Ingersoll CD, Cordova ML, and Edwards JE. The relationship of ankle temperature during cooling and rewarming to the human soleus H reflex. Journal of Sport Rehabilitation 2000; 9(3): 253-262. DOI: DOI 10.1123/jsr.9.3.253. 56 Leroux A, Belanger M, and Boucher JP. Pain effect on monosynaptic and polysynaptic reflex inhibition. Arch Phys Med Rehabil 1995; 76(6): 576-82. 57 Raglin JS, Koceja DM, Stager JM, and Harms CA. Mood, neuromuscular function, and performance during training in female swimmers. Med Sci Sports Exerc 1996; 28(3): 372-7. 58 Trimble MH and Koceja DM. Modulation of the triceps surae H-reflex with training. Int J Neurosci 1994; 76(3-4): 293-303. 59 Yamanaka K, Yamamoto S, Nakazawa K, Yano H, Suzuki Y, and Fukunaga T. The effects of long-term bed rest on H-reflex and motor evoked potential in the human soleus muscle during standing. Neurosci Lett 1999; 266(2): 101-4. DOI: 10.1016/s0304-3940(99)00284-0. 60 Casabona A., Polizzi M.C., and V. P. Differences in H-reflex between athletes trained for explosive contractions and non-trained subjects. Eur J Appl Physiol Occup Physiol 1990; 61(1-2): 26-32. 61 Budini F and Tilp M. Changes in H-reflex amplitude to muscle stretch and lengthening in humans. Rev Neurosci 2016; 27(5): 511-22. DOI: 10.1515/revneuro-2016-0001. 62 Luque-Suarez A, Gijon-Nogueron G, Baron-Lopez FJ, Labajos-Manzanares MT, Hush J, and Hancock MJ. Effects of kinesiotaping on foot posture in participants with pronated foot: a quasi-randomised, double-blind study. Physiotherapy 2014; 100(1): 36-40. DOI: 10.1016/j.physio.2013.04.005. 63 Aguilar MB, Abian-Vicen J, Halstead J, and Gijon-Nogueron G. Effectiveness of neuromuscular taping on pronated foot posture and walking plantar pressures in amateur runners. J Sci Med Sport 2016; 19(4): 348-53. DOI: 10.1016/j.jsams.2015.04.004. 64 Del Rossi G, Fiolkowski P, Horodyski MB, Bishop M, and Trimble M. For how long do temporary techniques maintain the height of the medial longitudinal arch? Physical Therapy in Sport 2004; 5(2): 84-89. DOI: 10.1016/j.pstp.2004.02.001. 65 Franco AH. Pes cavus and pes planus. Analyses and treatment. Phys Ther 1987; 67(5): 688-94. DOI: 10.1093/ptj/67.5.688. 66 Nicolopoulos CS, Scott BW, and Giannoudis PV. Biomechanical basis of foot orthotic prescription. Current Orthopaedics 2000; 14(6): 464-469. DOI: 10.1054/cuor.2000.0150. 67 Lack S, Barton C, Malliaras P, Twycross-Lewis R, Woledge R, and 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) 2014; 29(2): 177-82. DOI: 10.1016/j.clinbiomech.2013.11.015. 68 Sheykhi-Dolagh R, Saeedi H, Farahmand B, Kamyab M, Kamali M, Gholizadeh H, et al. The influence of foot orthoses on foot mobility magnitude and arch height index in adults with flexible flat feet. Prosthet Orthot Int 2015; 39(3): 190-6. DOI: 10.1177/0309364614521652. 69 Castro-Mendez A, Munuera PV, and Albornoz-Cabello M. The short-term effect of custom-made foot orthoses in subjects with excessive foot pronation and lower back pain: a randomized, double-blinded, clinical trial. Prosthet Orthot Int 2013; 37(5): 384-90. DOI: 10.1177/0309364612471370. 70 Jung DY, Kim MH, Koh EK, Kwon OY, Cynn HS, and Lee WH. A comparison in the muscle activity of the abductor hallucis and the medial longitudinal arch angle during toe curl and short foot exercises. Phys Ther Sport 2011; 12(1): 30-5. DOI: 10.1016/j.ptsp.2010.08.001. 71 Heo HJ and An DH. The Effect of an Inclined Ankle on the Activation of the Abductor Hallucis Muscle during Short Foot Exercise. J Phys Ther Sci 2014; 26(4): 619-20. DOI: 10.1589/jpts.26.619. 72 Jung DY, Koh EK, and Kwon OY. Effect of foot orthoses and short-foot exercise on the cross-sectional area of the abductor hallucis muscle in subjects with pes planus: a randomized controlled trial. J Back Musculoskelet Rehabil 2011; 24(4): 225-31. DOI: 10.3233/BMR-2011-0299. 73 Lynn SK, Padilla RA, and Tsang KK. Differences in static- and dynamic-balance task performance after 4 weeks of intrinsic-foot-muscle training: the short-foot exercise versus the towel-curl exercise. J Sport Rehabil 2012; 21(4): 327-33. 74 Maffiuletti NA. Physiological and methodological considerations for the use of neuromuscular electrical stimulation. European Journal of Applied Physiology 2010; 110(2): 223-234. DOI: 10.1007/s00421-010-1502-y. 75 Paillard T. Combined application of neuromuscular electrical stimulation and voluntary muscular contractions. Sports Med 2008; 38(2): 161-77. DOI: 10.2165/00007256-200838020-00005. 76 James DC, Chesters T, Sumners DP, Cook DP, Green DA, and Mileva KN. Wide-pulse electrical stimulation to an intrinsic foot muscle induces acute functional changes in forefoot-rearfoot coupling behaviour during walking. Int J Sports Med 2013; 34(5): 438-43. DOI: 10.1055/s-0032-1321893. 77 Cornwall MW, McPoil TG, Lebec M, Vicenzino B, and Wilson J. Reliability of the modified Foot Posture Index. J Am Podiatr Med Assoc 2008; 98(1): 7-13. 78 Mueller MJ, Host JV, and Norton BJ. Navicular Drop as a Composite Measure of Excessive Pronation. Journal of the American Podiatric Medical Association 1993; 83(4): 198-202. DOI: 10.7547/87507315-83-4-198. 79 Marquez G, Morenilla L, Taube W, and Fernandez-del-Olmo M. Effect of surface stiffness on the neural control of stretch-shortening cycle movements. Acta Physiol (Oxf) 2014; 212(3): 214-25. DOI: 10.1111/apha.12356. 80 Dietz V, Faist M, and Pierrotdeseilligny E. Amplitude-Modulation of the Quadriceps H-Reflex in the Human during the Early Stance Phase of Gait. Experimental Brain Research 1990; 79(1): 221-224. 81 Larsen B, Mrachacz-Kersting N, Lavoie BA, and Voigt M. The amplitude modulation of the quadriceps H-reflex in relation to the knee joint action during walking. Experimental Brain Research 2006; 170(4): 555-566. DOI: 10.1007/s00221-005-0237-1. 82 Nielsen J, Petersen N, Deuschl G, and Ballegaard M. Task-related changes in the effect of magnetic brain stimulation on spinal neurones in man. J Physiol 1993; 471: 223-43. 83 Stein RB, Estabrooks KL, McGie S, Roth MJ, and Jones KE. Quantifying the effects of voluntary contraction and inter-stimulus interval on the human soleus H-reflex. Exp Brain Res 2007; 182(3): 309-19. DOI: 10.1007/s00221-007-0989-x. 84 Capaday C. Neurophysiological methods for studies of the motor system in freely moving human subjects. J Neurosci Methods 1997; 74(2): 201-18. 85 Pinar S, Kitano K, and Koceja DM. Role of vision and task complexity on soleus H-reflex gain. J Electromyogr Kinesiol 2010; 20(2): 354-8. DOI: 10.1016/j.jelekin.2009.03.002. 86 Kim KM, Ingersoll CD, and Hertel J. Altered postural modulation of Hoffmann reflex in the soleus and fibularis longus associated with chronic ankle instability. Journal of Electromyography and Kinesiology 2012; 22(6): 997-1002. DOI: 10.1016/j.jelekin.2012.06.002. 87 McVey ED, Palmieri RM, Docherty CL, Zinder SM, and Ingersoll CD. Arthrogenic muscle inhibition in the leg muscles of subjects exhibiting functional ankle instability. Foot & Ankle International 2005; 26(12): 1055-1061. DOI: 10.1177/107110070502601210. 88 Koceja DM, Markus CA, and Trimble MH. Postural modulation of the soleus H reflex in young and old subjects. Electromyography and Motor Control-Electroencephalography and Clinical Neurophysiology 1995; 97(6): 387-393. DOI: Doi 10.1016/0924-980x(95)00163-F. 89 Voigt M, Chelli F, and Frigo C. Changes in the excitability of soleus muscle short latency stretch reflexes during human hopping after 4 weeks of hopping training. Eur J Appl Physiol Occup Physiol 1998; 78(6): 522-32. DOI: 10.1007/s004210050455. 90 Llewellyn M, Yang JF, and Prochazka A. Human H-Reflexes Are Smaller in Difficult Beam Walking Than in Normal Treadmill Walking. Experimental Brain Research 1990; 83(1): 22-28. DOI: 10.1007/BF00232189. 91 Mynark RG and Koceja DM. Comparison of soleus H-reflex gain from prone to standing in dancers and controls. Electroencephalogr Clin Neurophysiol 1997; 105(2): 135-40. 92 Zhang X, Schutte KH, and Vanwanseele B. Foot muscle morphology is related to center of pressure sway and control mechanisms during single-leg standing. Gait Posture 2017; 57: 52-56. DOI: 10.1016/j.gaitpost.2017.05.027. 93 Kim EK and Kim JS. The effects of short foot exercises and arch support insoles on improvement in the medial longitudinal arch and dynamic balance of flexible flatfoot patients. J Phys Ther Sci 2016; 28(11): 3136-3139. DOI: 10.1589/jpts.28.3136. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/74417 | - |
dc.description.abstract | 背景:柔軟性性扁平足為常見的足部變形,且與許多症狀相關如足部疼痛、不穩定、下背痛及其他下肢問題,進而影響生活品質。根據足核心系統理論,足掌肌肉尤其是外展拇指肌,在支持及動態調節內側縱弓扮演重要的角色。對柔軟性扁平足而言,外展拇指肌長時間及反覆的被動牽拉可能會造成肌肉反射特性的改變,進而影響姿勢表現。雖然過去的文獻顯示足掌肌肉的神經肌肉表現在健康足及柔軟性性扁平足有差異,然而,在不同姿勢下外展拇指肌H反射的差異性還尚未被比較。縮足運動能獨立收縮足掌肌肉群,尤其是外展拇指肌。而過去研究也指出搭配神經肌肉電刺激可促進正確地學習縮足運動。雖然縮足運動已被用來獨立收縮足掌肌肉,但其訓練後的在神經肌肉改變的證據仍有限。目的:(1)探討執行不同姿勢下,外展拇指肌 H 反射及姿勢晃動在正常足及柔軟性扁平足的差異。(2)探討介入三週縮足運動後,柔軟性扁平足執行不同姿勢任務時,外展拇指肌H 反射及姿勢晃動的變化。方法:實驗一共有12位正常足及12位柔軟性扁平足受試者參與。兩組受試者的外展拇指肌 H 反射及姿勢晃動在三種姿勢下進行紀錄包含趴姿、雙腳站姿及單腳站姿。實驗二共有10位柔軟性扁平足參與訓練。三週的縮足運動訓練包含3階段(被動建模、主動協助建模及主動建模)12部分。受試者的外展拇指肌 H 反射及姿勢晃動在訓練前後分別記錄並進行分析比較。統計分析:實驗一以獨立樣本t檢定進行兩組受試者基本資料的比較。外展拇指肌 H 反射及肌電圖相關參數則以二因子混合設計變異數分析進行比較,並以Bonferroni校正進行事後比較。兩組受試者的足底壓力中心位移則使用獨立樣本t檢定來進行比較。實驗二以重複設計變異數分析比較三週縮足運動介入前後,柔軟性扁平足外展拇指肌 H 反射、肌肉電訊號及姿勢晃動的改變。結果:實驗一,在所有姿勢下,柔軟性扁平足的外展拇指肌 H 反射均較正常足低(趴姿:正常足:3.24 ± 1.05,柔軟性扁平足:1.08 ± 0.61;雙腳站姿:正常足:0.906 ± 0.55,柔軟性扁平足:0.442 ± 0.38;單腳站姿:正常足: 0.197 ± 0.18,柔軟性扁平足:0.036 ± 0.012)。在單腳站姿下,柔軟性扁平足外展拇指肌的肌電圖訊號較正常足低(正常足:74.44 ± 10.79%最大自主等長收縮;柔軟性扁平足:130.31 ± 8.41%最大自主等長收縮)。在單腳站姿下,柔軟性扁平足的前-後、左-右足底壓力中心位移較正常足大(P <.05)。實驗二,在三週的縮足運動訓練介入後,柔軟性扁平足的外展拇指肌 H 反射在單腳站姿下有顯著增加(訓練前:0.12 ± 0.03,訓練後:0.19 ± 0.07)。訓練後的外展拇指肌肌電圖訊號在單腳站的姿勢下較訓練前顯著下降(訓練前:114.42 ± 34.76 %最大自主等長收縮,訓練後:78.77 ± 28.04%最大自主等長收縮)。在站姿下,柔軟性扁平足的左-右足底壓力中心位移也較訓練前有顯著減少(P <.05)。結論:柔軟性扁平足受試者可能表現出神經肌肉的適應性,例如降低H反射和增加肌電訊號,以及降低姿勢穩定性。在為期3週的縮足運動訓練之後,具有柔性扁平足的受試者之H反射路徑的興奮性在單腳站下增加。此外,訓練後增加的姿勢穩定性也反映了功能的改善。 | zh_TW |
dc.description.abstract | Background: Flexible flatfoot (FF) is a common foot deformity that can be associated with symptoms such as pain, instability, lower back and lower extremity disorders as well as health-related hazards that directly or indirectly impacting the quality of life. Foot core system theory indicates that plantar intrinsic foot muscles (IFMs) play an important role in supporting and regulating medial longitudinal arch dynamically, especially abductor hallucis muscles (AbH). Prolonged and repeated stretching of AbH in FF may cause changes in muscle reflex properties and further influence postural performance. Although there are some evidences showing neuromuscular differences in IFMs between individuals with and without FF, however, AbH muscle reflex under different postural conditions have never been examined. ‘Short foot exercise’ has been described as a maneuver to isolate the contractions of plantar intrinsic muscles, especially AbH. Previous study also recommended that short foot exercise combined with neuromuscular electrical stimulation is an effective way to learn this exercise. Although short foot exercise could isolate IFMs’ contractions, very limited evidence showed differences in muscle activities and neuromuscular control changes after training. Purposes: (1) to investigate differences in AbH H-reflex and postural sway between individuals with normal foot (NF) alignment and FF under different postural conditions (2) to investigate Changes in reflex of AbH and postural sway during different postural tasks after a 3-week short foot exercises training regimen in individuals with FF. Methods: In the study one, 12 normal foot (NF) and 12 FF individuals were recruited. The AbH H-reflex and CoP displacement were recorded during 3 postural tasks: prone, double-leg stance (DLS), and single-leg stance (SLS) conditions. In the study two, 10 FF individuals were recruited. There were three stages and 12 sections in the short foot exercise training protocol: passive modeling, active-assistive modeling and active modeling. AbH H-reflex and CoP displacement were elevated before and after 3-week short foot exercise to explore the training effects. Statistical analysis: In the study one, the demographic characteristics were compared among the groups by an independent-sample t-tests. A two-way mixed model analysis of variance and Bonferroni corrections was used to compare the AbH H-reflex and EMG related outcomes. An independent-sample t-tests was used to compare CoP displacements between the groups. In the study two, two-way repeated measured analysis of variance was used to compare AbH H-reflex, EMG and CoP displacements before and after a three-week training program under prone, DLS and SLS postural conditions. Results: Study one: Under all postural conditions, AbH H-reflex was significantly lower in the FF group (prone: NF: 3.24 ± 1.05, FF: 1.08 ± 0.61; DLS: NF: 0.906 ± 0.55, FF: 0.442 ± 0.38; SLS: NF: 0.197 ± 0.18, FF: 0.036 ± 0.012). Under the SLS condition, AbH EMG was significantly higher in the FF group (NF: 74.44 ± 10.79% MVIC; FF: 130.31 ± 8.41% MVIC), and CoP displacement for the medial-lateral and anterior-posterior directions were significantly higher in the FF group (P < .05). Study two: There was significantly higher AbH H-reflex ratio under the SLS conditions after the 3-week short foot exercise training interventions ( pre-training: 0.12 ± 0.03, post-training: 0.19 ± 0.07). AbH EMG was significantly lower under the SLS postural conditions after the interventions (pre-training: 114.42 ± 34.76 % MVIC, post-training: 78.77 ± 28.04% MVIC). Significant decreased CoP displacement for the medial-lateral directions under DLS and SLS conditions were observed when compared to pre-training situation. Conclusions: Individuals with FF may exhibit neuromuscular adaptations, such as decreasing H-reflex and increasing EMG, and decreasing postural stability. After the 3-week short foot exercise training, the excitability in the H-reflex pathway increased during the SLS condition in individuals with FF. Furthermore, the increased postural stability after the training also reflected the functional improvement. | en |
dc.description.provenance | Made available in DSpace on 2021-06-17T08:34:39Z (GMT). No. of bitstreams: 1 ntu-108-D01428004-1.pdf: 1296359 bytes, checksum: 7f2bbdcc7dc5f62e06988ce35c015350 (MD5) Previous issue date: 2019 | en |
dc.description.tableofcontents | 中文摘要 i
Abstract iii Chapter 1 Introduction 1 1.1 Background 1 1.2 Purposes 5 1.3 Research questions 5 1.4 Hypotheses 6 1.5 Research significance 7 Chapter 2 Literature Review 9 2.1 Flexible flatfoot 9 2.1.1 Excessive foot pronation in flexible flatfoot 10 2.1.2 Factors related to flexible flatfoot 11 2.2 Intrinsic foot muscles (IFMs) functions in MLA 12 2.2.1 Supporting MLA 13 2.2.2 Dynamic control of MLA 14 2.2.3 IFMs in individuals with FF 15 2.3 Neuromuscular control concepts of IFMs 16 2.3.1 Relationship between active and neural subsystems 16 2.3.2 H-reflex-neurophysiological and neuromuscular indicators 17 2.4 IFMs assessments 19 2.5 Methods in improving MLA from local factors 20 2.5.1 Passive support of MLA 21 2.5.2 Active control of MLA 22 Chapter 3 Research Methods 25 3.1 Study design 25 3.2 Participants 25 3.3 Instrumentation 28 3.3.1 Surface EMG 28 3.3.2 Electrical stimulator 29 3.3.3 Force Platform 29 3.3.4 Short Foot Training Board (only study 2) 29 3.4 Procedures 30 3.4.3 Short foot exercise training protocol (study two) 34 3.5 Data analysis 36 3.6 Statistical analysis 37 Chapter 4 Research Results 39 4.1 Study one 39 4.2 Study two 40 Chapter 5 Research Discussions 41 5.1 Study one 41 5.1.1 Lower AbH H-reflex in the FF group under each postural condition 41 5.1.2. Decreased postural stability in the FF group 43 5.1.3. Inhibition of AbH H-reflex with increased postural difficulty 43 5.2 Study two 45 5.2.1 Increased AbH H-reflex after short foot exercise training program under the SLS postural condition 45 5.2.2 Decreased AbH EMG after short foot exercise training program under the SLS postural condition 47 5.2.3 Decreased postural sways after short foot exercise training program 48 5.3 Study limitations 48 Chapter 6 Conclusions 50 References 63 List of Figures Figure 1 H-reflex assessment in prone position and AbH EMG electrode placements.. 51 Figure 2 Sample recordings of the abductor hallucis H-reflex from a normal foot 52 Figure 3 Differences in the abductor hallucis H-reflex under different postural conditions. 54 Figure 4 Differences in CoP displacement during two standing postural conditions.. 54 Figure 5 Differences in the abductor hallucis H-reflex under different postural conditions after 3-week short foot exercise training. 55 Figure 6 AbH activities under different conditions before and after 3-week short foot exercises training. 56 Figure 7 Differences in CoP displacement during two standing postural conditions. 57 List of Tables Table 1 Participant characteristics- study one 58 Table 2 Mmax and Msti for the three postural conditions 59 Table 3 Abductor hallucis EMG (%MVIC) under different postural conditions.. 60 Table 4 Participant characteristics- study two. 61 Table 5 Mmax and Msti for the three postural conditions and two training statuses…..62 | |
dc.language.iso | en | |
dc.title | 足掌內肌的神經肌肉評估:(1)正常足與柔軟性扁平足的差異;(2)柔軟性扁平足介入三週縮足運動前後的差異 | zh_TW |
dc.title | Neuromuscular assessments of foot intrinsic muscles: (1) between individuals with and without flexible flatfoot (2) before and after a 3-week short foot
exercise training in individuals with flexible flatfoot | en |
dc.type | Thesis | |
dc.date.schoolyear | 107-2 | |
dc.description.degree | 博士 | |
dc.contributor.oralexamcommittee | 黃正雅(Cheng-Ya Huang),周立偉(Li-Wei Chou),蔚順華(Shun-Hwa Wei),蔡一如(Yi-Ju Tsai) | |
dc.subject.keyword | 柔軟性扁平足,外展拇指肌,H 反射,姿勢控制,縮足運動, | zh_TW |
dc.subject.keyword | Flexible flatfoot,Abductor hallucis muscle,H- reflex,Postural control,Short foot exercise, | en |
dc.relation.page | 72 | |
dc.identifier.doi | 10.6342/NTU201902953 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2019-08-12 | |
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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