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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 呂東武 | zh_TW |
| dc.contributor.advisor | Tung-Wu Lu | en |
| dc.contributor.author | 黃鼎鈞 | zh_TW |
| dc.contributor.author | Ting-Chun Huang | en |
| dc.date.accessioned | 2023-08-30T16:08:58Z | - |
| dc.date.available | 2023-11-10 | - |
| dc.date.copyright | 2023-08-30 | - |
| dc.date.issued | 2023 | - |
| dc.date.submitted | 2023-07-18 | - |
| dc.identifier.citation | 1. Prescher, A., Anatomy and pathology of the aging spine. European journal of radiology, 1998. 27(3): p. 181-195.
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/89165 | - |
| dc.description.abstract | 病灶位於脊椎的疾病中，最常見的是脊椎關節退化。脊椎關節退化在初期常常沒有症狀，或不容易發覺。生物力學對脊椎研究的其中一個切入點是動作分析，目前的研究進度對影響斜坡行走的因素尚未釐清。所以本研究分為兩個部分，第一部分是以動作分析技術，來對於健康年輕及健康年長兩組受試者作分析，以釐清平地及斜坡行走時的全身控制策略，由此探討老年化對的下肢關節協調性和平衡控制的影響。第二部分是以動作分析技術，來對於腰椎退化年長者及健康年長者兩組受試者作分析，以釐清平地行走時的全身控制策略，由此探討腰椎脊椎關節退化患者的下肢關節協調性和平衡控制，希望對預防評估與治療計畫有幫助。第一部分召募15位健康年長者及15位健康年輕人共兩組受試者，第二部分招募11位腰椎退化年長者及11位健康年長者共兩組受試者，運動學資料部分是採用三維動作分析系統，地面反作用力是使用三塊測力板量測，關節運動學、力動學與全身動態平衡參數皆納入統計分析，統計方法採用獨立樣本t檢定、皮爾森積動差相關係數、變異數分析及共變異數分析，結論是老年化的確會造成平地及斜坡行走時的全身控制策略，脊椎退化也的確會影響年長者平地行走時的下肢關節協調性和平衡控制。 | zh_TW |
| dc.description.abstract | Among the disease that affect human spine, the most common encounter was Spondylosis . Spondylosis is a silent killer which means the initial symptoms were not apparent nor easy to discover. One perspective of research in biomechanics is motion analysis, the current research frontier about slope walking is still in the beginnings. Therefore, this study was divided into two parts. The first part was aimed to use the technique of motion analysis to analyze aging effects on whole-body-strategy during slope walking, and to shed light on of balance control and lower limb inter-joint coordination. The second part was aimed to use the technique of motion analysis to analyze spondylotic effects on whole-body-strategy during of level walking. The second part would be helpful for the clinical assessment and treatment plan for lumbar spondylotic patients. Fifteen healthy old people and fifteen healthy people were included as test subjects into two groups in the first part. Eleven healthy elderly and eleven spondylotic patients were divided into two groups in part two. Kinematic data were collected by three-dimensional, ground reaction force was measured by three force plates. In terms of the kinematics, kinetics of the joints and dynamic balance was enumerated and statistically examined. Statistical method included independent t-test, Pearson’s correlation coefficient, ANOVA and ANCOVA. The conclusion was aging and spondylosis would affected whole-body-strategy during level walking and aging would affect whole-body-strategy during slope walking, and to shed light on of balance control and lower limb inter-joint coordination. | en |
| dc.description.provenance | Submitted by admin ntu (admin@lib.ntu.edu.tw) on 2023-08-30T16:08:58Z No. of bitstreams: 0 | en |
| dc.description.provenance | Made available in DSpace on 2023-08-30T16:08:58Z (GMT). No. of bitstreams: 0 | en |
| dc.description.tableofcontents | 中文摘要 ii
Abstract iii Acknowledgement iv Table of Contents v List of Figure viii List of Table x Chapter 1 Introduction 1 1.1 Background 1 1.1.1 Lumbar Spondylosis 1 1.2 Neurological Factors 2 1.3 Biomechanical Factors 2 1.4 Mechanics of Slope Walking 4 1.4.1 Mechanics of Slope Walking in Patient with Spondylosis 5 1.5 Limitations of Previous Studies 7 1.6 Aims of Dissertation 9 Chapter 2 Materials and Methods 10 2.1 Subjects 10 2.1.1 Sex-Matched Controls 10 2.1.2 Inclusion and Exclusion Criteria 11 2.2 Clinical Assessments 11 2.3 Instruments 11 2.4 Experimental Procedure 12 2.5 Biomechanical Analysis Models 16 2.5.1 Coordinate Systems 17 2.5.2 Anthropometric Parameters 23 2.5.3 Inverse Dynamics Analysis 25 2.6 Data Analysis 36 2.6.1 Center of Pressure Variables 36 2.6.2 Definition of the Crossing Cycles 36 2.6.3 End-Point Variables and Crossing Speed 37 2.6.4 Joint Kinematics 37 2.6.5 Inter-Joint Coordination 38 2.7 Statistical Analysis 40 Chapter 3. Age effects on balance control during level walking and the correlation between balance control and standing balance 41 3.1 Subjects 45 3.2 Data Analysis 46 3.3 Results 49 3.4 Discussion 61 3.5 Conclusion 64 Chapter 4. Balance control and lumbar loading during slope walking and its correlation with standing balance in the elderly and young adults 66 4.1 Subjects 71 4.2 Data Analysis 73 4.3 Results 77 4.4 Discussion 129 4.5 Conclusion 135 Chapter 5. Age and slope effects on inter-joint coordination and foot clearance during slope walking 138 5.1 Subjects 141 5.2 Data Analysis 142 5.3 Results 147 5.4 Discussion 169 5.5 Conclusion 171 Chapter 6. Balance control during level walking and its correlation with standing balance in patients with lumbar Spondylosis IS 172 6.1 Subjects 174 6.2 Data Analysis 175 6.3 Results 179 6.4 Discussion 191 6.5 Conclusion 195 Chapter 7. Conclusion and Suggestions 196 7.1 Conclusions 196 7.2 Suggestions and Further Study 197 Bibliography 198 | - |
| dc.language.iso | en | - |
| dc.subject | 脊椎 | zh_TW |
| dc.subject | 動作分析 | zh_TW |
| dc.subject | 退化 | zh_TW |
| dc.subject | 斜坡行走 | zh_TW |
| dc.subject | 老年化 | zh_TW |
| dc.subject | Spondylosis | en |
| dc.subject | motion analysis | en |
| dc.subject | slope walking | en |
| dc.subject | Spine | en |
| dc.subject | aging | en |
| dc.title | 老年化對平地及斜坡行走的平衡控制及下肢關節間協調性之影響 | zh_TW |
| dc.title | Effects of Aging on Balance Control and Lower Limb Inter-Joint Coordination During Level and Slope Walking | en |
| dc.type | Thesis | - |
| dc.date.schoolyear | 111-2 | - |
| dc.description.degree | 博士 | - |
| dc.contributor.oralexamcommittee | 陳文斌;許維君;陳祥和;彭志維 | zh_TW |
| dc.contributor.oralexamcommittee | Weng-Pin Chen ;Wei-Chun Hsu;Hsiang-Ho Chen;Chih-Wei Peng | en |
| dc.subject.keyword | 脊椎,退化,動作分析,斜坡行走,老年化, | zh_TW |
| dc.subject.keyword | Spine,Spondylosis,motion analysis,slope walking,aging, | en |
| dc.relation.page | 206 | - |
| dc.identifier.doi | 10.6342/NTU202301468 | - |
| dc.rights.note | 未授權 | - |
| dc.date.accepted | 2023-07-18 | - |
| dc.contributor.author-college | 工學院 | - |
| dc.contributor.author-dept | 醫學工程學系 | - |
| 顯示於系所單位： | 醫學工程學研究所 | |
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