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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 林克忠 | |
| dc.contributor.author | Tzu-Hui Wei | en |
| dc.contributor.author | 魏慈慧 | zh_TW |
| dc.date.accessioned | 2021-06-13T06:40:59Z | - |
| dc.date.available | 2005-08-04 | |
| dc.date.copyright | 2005-08-04 | |
| dc.date.issued | 2005 | |
| dc.date.submitted | 2005-07-29 | |
| dc.identifier.citation | Part1
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Qualitative discrepancies between trunk muscle activity and dynamic postural requirements at the initiation of reaching movements performed while sitting. Experimental Brain Research, 107, 87-95. Wang, J. & Stelmach, G. (2001). Spatial and temporal control of trunk-assisted prehensile actions. Experimental Brain Research, 136, 231-240. Winstein, C. & Pohl, P. (1995). Effects of unilateral brain damage on the control goal-directed hand movements. Experimental Brain Research, 105, 163-174. Winzeler-Mercay, U. & Mudie, H. (2002). The nature of the effects of stroke on trunk flexor and extensor muscles during work and at rest. Disability and Rehabilitation, 24, 875-886. Wu, C., Trombly, C., Lin, K. & Tickle-Degnen, L. (2000). A kinematic study of contextual effects on reaching performance in persons with and without stroke: influences of object availability. Archives of Physical Medicine and Rehabilitation, 81, 95-101. Part2 Benaim, C., Perennou, D., Villy, J., Rousseaux, M., & Pelissier, J. (1999). Validation of a standardized assessment of postural control in stroke patients: The Postural Assessment Scale for Stroke Patients. Stroke, 30, 1862-1868. Berg, K., Wood-Dauphinee, S., & Williams, J. (1995). The Balance Scale: Reliability assessment with elderly residents and patients with an acute stroke. Scandinavian Journal of Rehabilitation Medicine, 27, 27-36. Bobath, B. (1990). Adult hemiplegia. Evaluation and treatment (3rd ed.). Oxford: Heinemann Medical. Brott, T., Holinger, A., & Olinger, C. (1989). Measurement of acute cerebral infarction: A clinical examination scale. Stroke, 20, 864-870. Collins, C. & Wade, D. (1990). Assessing motor impairment after stroke: A pilot reliability study. Journal of Neurology, Neurosurgery, and Psychiatry, 53, 576-579. Dean, C., Shepherd, R., & Adams, R. (1999). Sitting balanceⅠ: Trunk-arm coordination and the contribution of the lower limbs during self-paced reaching in sitting. Gait and Posture, 10, 135-146. Desrosiers, J., Bourbonnairs, D., Bravo, G., Roy, P., & Guay, M. (1996). Performance of the unaffected upper extremity of elderly stroke patients. Stroke, 27, 1564-1570. Fugl-Meyer, A., Jaasko, L., Leyman, I., Olsson, S., & Steglind, S. (1975). The post-stroke hemiplegic patient: A method for evaluation of physical performance. Scandinavian Journal of Rehabilitation Medicine, 7, 13-31. Haaland, K., & Harrington, D. (1994). Limb-sequencing deficits after left but not right hemisphere damage. Brain & Cognition, 24, 104-122. Haaland, K., Prestopnik, J., Knight, R. & Lee, R.(2004). Hemispheric asymmetries for kinematic and positional aspects of reaching. Brain, 127, 1145-1158. Hanlon, C., Buffington, A., & Mckeown, M. (2005). New brain networks are active after right MCA stroke when moving the ipsilesional arm. Neurology, 64, 114-120. Hanna-Pladdy, B., Mendaza, J., Apostolos, G., & Heilaman, K. (2002). Lateralised motor control: Hemispheric damage and the loss of deftness. Journal of Neurology, Neurosurgery, and Psychiatry, 73, 574-577. Helm-Estabrook, N. (1992). Test of Oral and Limb Apraxia. Chicago: Riverside Publishing Co. Hermsdorfer, J., Laingruber, K., Kerkhoff, G., Mai, N., & Goldenberg, G. (1999). Effects of unilateral brain damage on grip selection, coordination, and kinematics of ipsilesional prehension. Experimental Brain Research, 128, 41-51. Kaminski, T., Bock, C., & Gentile, A. (1995). The coordination between trunk and arm motion during pointing movements. Experimental Brain Research, 106, 457-466. Lacquaniti, F. & Soechting, J. (1982). Coordination of arm and wrist motion during a reaching task. The Journal of Neuroscience, 2, 399-408. Levin, M. (1996). Interjoint coordination during pointing movements is disrupted in spastic hemiparesis. Brain, 119, 218-293. Levy, C., Nichols, D., Schmalbrock, P., Keller, P., & Chakeres, D. (2001). Functional MRI evidence of cortical reorganization in upper-limb stroke hemiplegia treated with constraint-induced movement therapy. American Journal of Physical Medicine & Rehabilitation, 80, 4-12. Mao, H., Hsueh, I., Tang, P., Sheu, C., & Hsieh, C. (2002). Analysis and comparison of the psychometric properties of three balance measures for stroke patients. Stroke, 33, 1022-1027. Mark, L., Nemeth, K., Gardner, D., Dainoff, M., Paasche, F., Duffy M., & Grandt, K. (1997). Postrual dynamics and the preferred critical boundary for visually guided reaching. Journal of Experimental Psychology: Human Perception and Performance, 23, 1365-1379. Michaelsen, S., Luta, A., Roby-Brami, A., & Levin, M. (2001). Effect of trunk restraint on the recovery of reaching movements in hemiparetic patients. Stroke, 32, 1875-1883. Michaelsen, S. & Levin, M. (2004). Short-term effects of practice with trunk restraint on reaching movements in patients with chronic stroke. Stroke, 35, 1914-1919. Moore, S. & Brunt, D. (1991). Effects of trunk support and target distance on postural adjustments prior to a rapid reaching task by seated subjects. Archives of Physical Medicine and Rehabilitation, 72, 638-641. Moore, S., Brunt, D., Nesbitt, M., & Juarez, T. (1992). Investigation of evidence for anticipatory postural adjustments in seated subjects who performed a reaching task. Physical Therapy, 72, 335-343. Nagasaki, H. (1989). Asymmetric velocity and acceleration profiles of human arm movements. Experimental Brain Research, 74,319-326. Nichols, D. (1997). Balance retraining after stroke using force platform biofeedback. Physical Therapy, 77, 553-558. Ploughman, M. & Corbett, D. (2004). Can forced-use therapy be clinically applied after stroke? An exploratory randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 85, 1417-1423. Roby-Brami, A., Feydy, A. Combeaud, M., Biryukova, E. Bussel, B. & Levin, M. (2003). Motor compensation and recovery for reaching in stroke patients. Acta Neurologica Scandinavica, 107, 369-381. Rosenbaum, D., Engelbrecht, S., Bushe, M., & Loukopoulos, L. (1993). Knowledge model for selecting and producing reaching movements. Journal of Motor Behavior, 25, 217-227. Roth, E., Heinemann, W., Lovell, L., Harvey, R., McGuire, J., & Diaz, S. (1998). Impairment and disability: Their relation during stroke rehabilitation. Archives of Physical Medicine and Rehabilitation, 79, 329-335. Schenkenberg, T., Bradford, D., & Ajax, E. (1988). Line bisection and unilateral visual neglect in patients with neurological impairment. Neurology, 30, 509-517. Sugarman, H., Avni, A., Nathan, R., Weisel-Eichler, A., & Tiran, J. (2002). Movement in the ipsilesional hand is segmented following unilateral brain damage. Brain & Cognition, 48, 579-587. Shumway-Cook, A. & Woollacott, M. (2001). Motor control: Issues and theories. In Shumway-Cook & M. Woollacott (Eds.). Motor Control: Theory and Practical Applications. (2nd ed., pp. 1-26). Baltimore, MD.: Williams & Wilkins. Trombly, C. (1993). Observations of improvement of reaching in five subjects wit left hemiparesis. Journal of Neurology, Neurosurgery, and Psychiatry, 56, 40-45. Trombly, C. (1995). Purposeful activity. In C. Trombly (Ed.). Occupational Therapy for Physical Dysfunction (4th ed., pp. 239-242). Baltimore, MD.: Williams & Wilkins. Tunik, E., Poizner, H., Levin, M., Adamovich, S., Messier, J., Lamarrae, Y., & Feldman, A. (2003). Arm-trunk coordination in the absence of proprioception. Experimental Brain Research, 153, 343-355. Winstein, C. & Pohl, P. (1995). Effects of unilateral brain damage on the control goal-directed hand movements. Experimental Brain Research, 105, 163-174. Wu, C., Trombly, C., Lin, K. & Tickle-Degnen, L. (2000). A kinematic study of contextual effects on reaching performance in persons with and without stroke: Influences of object availability. Archives of Physical Medicine and Rehabilitation, 81, 95-101. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/35102 | - |
| dc.description.abstract | 目標物距離於中風後伸手及物動作之情境效應
摘要 目標：探討中風病人伸手及物動作的距離效應，以及軀幹、手臂的協調情形。 方法：25位中風病人使用健側手分別在手長範圍內、手長及手長範圍外執行按鈴任務，使用運動學分析來探討動作表現。 結果：距離影響軀幹、手臂以及兩者之間的協調；距離增加，軀幹及手臂的速度、位移量及角度變化量都增加。軀幹及手臂的協調有固定模式，在時間上，軀幹比手臂先開始動作；在空間上，不論目標物的距離遠近，動作後段的位移主要由軀幹貢獻。 結論：目標物距離對健側手和軀幹動作的影響很大，特別在時間及空間的協調上；軀幹不只做為姿勢穩定之用，負責在動作後半部將手帶到目標物上。研究結果顯示左腦傷者在手臂及軀幹動作控制的障礙包括動作軌跡及時間協調兩部分。 目標物距離與軀幹侷限於中風後伸手及物動作之情境效應 摘要 目標：研究目標物距離與軀幹侷限對中風病人伸手及物動作的影響。 方法：25位中風病人使用健側手在四種實驗情境下執行伸手及物動作，實驗情境由目標物距離（遠、近）以及軀幹侷限與否共同決定：近距離及軀幹侷限、遠距離及軀幹侷限、近距離及不侷限軀幹、遠距離及不侷限軀幹。 結果：目標物距離及軀幹侷限對增加手臂關節角度變化量有顯著且高度的效應，在軀幹侷限而且目標物在近距離的情況下，可以改善動作流暢度。 結論：本研究結果顯示內在侷限及外在侷限都會影響動作表現。左腦傷及失用症患者在手臂動作流暢度的控制出現明顯的障礙，臨床評估及治療時應該納入考量，另外軀幹控制能力對伸手及物動作有很大的影響，尤其是反應時間及動作時間。 | zh_TW |
| dc.description.abstract | Task context and reaching performance after stroke: Effects of target distance
Abstract Purposes: To examine the effect of target distance on reaching performance in persons after stroke and the influence of voluntary trunk movement on the arm endpoint trajectory during reaching. Methods: Twenty-five persons after stroke using ipsilesional arm performed reaching task. Kinematics of reaching movements to targets placed within arm length, arm length and beyond arm length were analyzed. Results: As reaching distance increased, the velocity, displacement and active joint ranges of trunk and arm increased. Whenever the trunk was involved, there was a stereotyped sequential recruitment of the arm and trunk in that the trunk began moving before the hand. The trunk played an important role in positioning the hand close to the target during the terminal stage of the reaching movement. Conclusions: Reaching distance affected the spatio-temporal aspects of coordination between the trunk and arm. The trunk not only acts as a postural stabilizer during reaching, but also becomes an integral component in positioning the hand close to the target. Persons with left brain damage showed deficits in trunk and arm movement trajectory control and in temporal coordination of trunk and arm. Task context and reaching performance after stroke: Effects of target distance and trunk restraint Abstract Purpose: To examine the effects of context on reaching performance in persons with stroke. Methods: Twenty-five persons with stroke used ipsilesional arm to perform an upper-extremity reaching task under four experimental conditions, formed by the crossing of target distance and trunk restraint. Results: Significant and large effects of target distance and trunk restraint were found on increasing elbow and shoulder joint ranges. Movement smoothness was improved under condition of trunk restraint and target placed in near distance. Conclusions: The results of this study showed that the influence of internal and external constraints on reaching performance. Participants with left brain damage and apraxia showed deficits in movement trajectory control. The ability of trunk control affected reaching performance in the variables of movement time and reaction time. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-13T06:40:59Z (GMT). No. of bitstreams: 1 ntu-94-R92429010-1.pdf: 352873 bytes, checksum: f3eac485ec31c5aa6c8278d0dd065679 (MD5) Previous issue date: 2005 | en |
| dc.description.tableofcontents | 摘要 ii
第1部 目標物距離於中風後伸手及物動作之情境效應 表目錄 viii 圖目錄 ix 1. 文獻回顧 1.1 目標物距離對伸手及物動作的影響 1-1 1.2 中風後健側手的動作表現 1-2 1.3 影響伸手及物動作的因素 1-3 1.4 研究目的及假設 1-3 2. 方法 1-5 2.1 參與者 1-5 2.2 評估工具 1-7 2.3 實驗設計 1-7 2.4 實驗流程 1-8 2.5 資料處理 1-8 2.6 資料分析 1-9 3. 結果 1-10 3.1 線性運動學變項 1-10 3.2 角度運動學變項 1-10 3.3 軀幹-手臂協調性 1-11 3.4 腦傷側對動作表現的影響 1-12 3.5 臨床評估與運動學分析 1-12 4. 討論 1-13 4.1 距離效應 1-13 4.2 腦傷側對動作表現的影響 1-14 4.3 研究的優點及限制 1-16 4.4 對未來研究的建議 1-16 4.5 臨床意義及應用 1-17 4.6 結論 1-17 5. 參考文獻 1-18 6. 圖表 1-23 表目錄 Table 1 Characteristics of participants with right brain damage 1-23 Table 2 Characteristics of participants with left brain damage 1-24 Table 3 Linear parameters of reaching movements to three distances 1-25 Table 4 Angular parameters of reaching movements to three distances 1-26 Table 5 Trunk-arm time coordination of reaching movements to three distances 1-27 Table 6 Slopes of arm versus trunk displacement in the forward direction in the sagittal plane 1-28 Table 7 Correlations between clinical scores and kinematic variables 1-29 圖目錄 Figure 1 The mean angular changes of shoulder flexion and elbow flexion for three reaching distance conditions 1-30 Figure 2 The mean shoulder-elbow correlation of three reaching distance conditions 1-31 Figure 3 The mean trunk-arm time coordination related to the start and end of movement as a function of reaching distance 1-32 Figure 4 The mean trunk contribution slope related to the first, middle and last part of movement as a function of reaching distance 1-33 Figure 5 The mean trunk NTD and arm NTD with SD bars is displayed separately for the LCVA and RCVA groups 1-34 Figure 6 The mean arm PPV with SD bars is displayed separately for the LCVA and RCVA groups 1-35 Figure 7 The mean trunk-arm time coordination related to the end of movement with SD bars is displayed separately for the LCVA and RCVA groups 1-36 第２部 目標物距離與軀幹侷限於中風後伸手及物動作之情境效應 表目錄 xii 圖目錄 xiii 1. 文獻回顧 2-1 1.1 平衡能力對伸手及物動作的影響 2-1 1.2 中風後患側手的動作表現 2-1 1.3 中風後健側手的動作表現 2-2 1.4 影響伸手及物動作的因素 2-3 1.5 研究目的及假設 2-4 2. 方法 2-5 2.1 參與者 2-5 2.2 評估工具 2-7 2.3 實驗設計 2-7 2.4 實驗流程 2-8 2.5 資料處理 2-8 2.6 資料分析 2-9 3. 結果 2-10 3.1 軀幹侷限效應 2-10 3.2 次分析 2-11 4. 討論 2-12 4.1 軀幹侷限效應 2-12 4.2動作表現的影響因子 2-12 4.3 研究的優點及限制 2-13 4.4 對未來研究的建議 2-14 4.5 臨床意義及應用 2-14 5. 參考文獻 2-15 6. 圖表 2-21 表目錄 Table 1 Experimental conditions 2-21 Table 2 A priori hypotheses for experimental conditions 2-22 Table 3 Characteristics of participants with right brain damage 2-23 Table 4 Characteristics of participants with left brain damage 2-24 Table 5 Kinematic parameters of reaching movements associated with testing conditions 2-25 Table 6 Contrast analyses for kinematic parameters of stroke patients 2-26 Table 7 Results of post hoc contrast analyses 2-27 圖目錄 Figure 1 The mean arm NTD with SD bars is displayed for the CVA between different laterality, neurological severity and apraxia sverity. 2-28 Figure 2 The mean shoulder-elbow correlation with SD bar is displayed for the CVA with mild and severe apraxia severity 2-29 Figure 3 The mean arm MT & RT with SD bars is displayed for the CVA with more impaired and less impaired trunk control ability 2-30 Figure 4 The mean arm PV with SD bars is displayed for the CVA with and without extinction. 2-31 | |
| dc.language.iso | zh-TW | |
| dc.subject | 健側手 | zh_TW |
| dc.subject | 伸手及物動作 | zh_TW |
| dc.subject | 距離效應 | zh_TW |
| dc.subject | 軀幹侷限 | zh_TW |
| dc.subject | 軀幹及手臂協調 | zh_TW |
| dc.subject | 距離 | zh_TW |
| dc.subject | 運動學分析 | zh_TW |
| dc.subject | Destance effect | en |
| dc.subject | ipsilesional arm | en |
| dc.subject | kinematics | en |
| dc.subject | distance | en |
| dc.subject | trunk-arm | en |
| dc.subject | coordination | en |
| dc.subject | reaching | en |
| dc.subject | trunk restraint | en |
| dc.title | 目標物距離與軀幹侷限於中風後伸手及物動作之情境效應 | zh_TW |
| dc.title | Task context and reaching performance after stroke: Effects of target distance and trunk restarint | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 93-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 吳菁宜,陳嘉玲 | |
| dc.subject.keyword | 伸手及物動作,運動學分析,距離,軀幹及手臂協調,軀幹侷限,距離效應,健側手, | zh_TW |
| dc.subject.keyword | reaching,kinematics,distance,trunk-arm,coordination,trunk restraint,Destance effect,ipsilesional arm, | en |
| dc.relation.page | 68 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2005-08-01 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 職能治療研究所 | zh_TW |
| 顯示於系所單位： | 職能治療學系 | |
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