請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/64597
完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 陳顥齡(Hao-Ling Chen) | |
dc.contributor.author | Hsiu-Chen Yeh | en |
dc.contributor.author | 葉修辰 | zh_TW |
dc.date.accessioned | 2021-06-16T17:57:04Z | - |
dc.date.available | 2013-09-18 | |
dc.date.copyright | 2012-09-18 | |
dc.date.issued | 2012 | |
dc.date.submitted | 2012-08-12 | |
dc.identifier.citation | Abdallah, A. A., & Radwan, A. Y. (2011). Biomechanical changes accompanying unilateral and bilateral use of laterally wedged insoles with medial arch supports in patients with medial knee osteoarthritis. Clinical Biomechanics, 26(7), 783-789.
Al-Zahrani, K. S., & Bakheit, A. M. O. (2002). A study of the gait characteristics of patients with chronic osteoarthritis of the knee. Disability & Rehabilitation, 24(5), 275-280. Astephen, J. L., Deluzio, K. J., Caldwell, G. E., & Dunbar, M. J. (2008). Biomechanical changes at the hip, knee, and ankle joints during gait are associated with knee osteoarthritis severity. Journal of Orthopaedic Research, 26(3), 332-341. Baker, K., Goggins, J., Xie, H., Szumowski, K., LaValley, M., Hunter, D. J., & Felson, D. T. (2007). A randomized crossover trial of a wedged insole for treatment of knee osteoarthritis. Arthritis & Rheumatism, 56(4), 1198-1203. Baliunas, A. J., Hurwitz, D. E., Ryals, A. B., Karrar, A., Case, J. P., Block, J. A., & Andriacchi, T. P. (2002). Increased knee joint loads during walking are present in subjects with knee osteoarthritis. Osteoarthritis and Cartilage, 10(7), 573-579. Barrios, J. A., Crenshaw, J. R., Royer, T. D., & Davis, I. S. (2009). Walking shoes and laterally wedged orthoses in the clinical management of medial tibiofemoral osteoarthritis: a one-year prospective controlled trial. Knee, 16(2), 136-142. Bell, A. L., Pedersen, D. R., & Brand, R. A. (1990). A comparison of the accuracy of several hip center location prediction methods. Journal of Biomechanics, 23(6), 617-621. Butler, R. J., Barrios, J. A., Royer, T., & Davis, I. S. (2009). Effect of laterally wedged foot orthoses on rearfoot and hip mechanics in patients with medial knee osteoarthritis. Prosthetics & Orthotics International, 33(2), 107-116. Butler, R. J., Marchesi, S., Royer, T., & Davis, I. S. (2007). The effect of a subject-specific amount of lateral wedge on knee mechanics in patients with medial knee osteoarthritis. Journal of Orthopaedic Research, 25(9), 1121-1127. Crenshaw, S. J., Pollo, F. E., & Calton, E. F. (2000). Effects of lateral-wedged insoles on kinetics at the knee. Clinical orthopaedics and related research(375), 185-192. Dempster, W. T., Gabel, W. C., & Felts, W. J. L. (1959). The anthropometry of the manual work space for the seated subject. American Journal of Physical Anthropology, 17(4), 289-317. Elftman, H. (1939). Force and energy changes in the leg during walking. American Journal of Physiology, 125(2), 339-356. Eslami, M., Begon, M., Farahpour, N., & Allard, P. (2007). Forefoot-rearfoot coupling patterns and tibial internal rotation during stance phase of barefoot versus shod running. Clinical Biomechanics, 22(1), 74-80. Feldman, F., & Chaudhury, H. (2008). Falls and the physical environment: A review and a new multifactorial falls-risk conceptual framework. Canadian Journal of Occupational Therapy, 75(2), 83-95. Gok, H., Ergin, S., & Yavuzer, G. (2002). Kinetic and kinematic characteristics of gait in patients with medial knee arthrosis. Acta Orthopaedica Scandinavica, 73(6), 647-652. Greenwood, D. T. (1988). Principles of Dynamcis. New Jersey: Prentice Hall. Grood, E. S., & Suntay, W. J. (1983). A joint coordinate system for the clinical description of three-dimensional motions: application to the Knee. Journal of Biomechanical Engineering 105(2), 136-144. Guo, M., Axe, M. J., & Manal, K. (2007). The influence of foot progression angle on the knee adduction moment during walking and stair climbing in pain free individuals with knee osteoarthritis. Gait & Posture, 26(3), 436-441. Haim, A., Rozen, N., Dekel, S., Halperin, N., & Wolf, A. (2008). Control of knee coronal plane moment via modulation of center of pressure: A prospective gait analysis study. Journal of Biomechanics, 41(14), 3010-3016. Haim, A., Wolf, A., Rubin, G., Genis, Y., Khoury, M., & Rozen, N. (2011). Effect of center of pressure modulation on knee adduction moment in medial compartment knee osteoarthritis. Journal of orthopaedic research, 29(11), 1668-1674. Haq, S. A., & Davatchi, F. (2011). Osteoarthritis of the knees in the COPCORD world. International Journal of Rheumatic Diseases, 14(2), 122-129. Hinman, R. S., & Bennell, K. L. (2009). Advances in insoles and shoes for knee osteoarthritis. Current Opinion in Rheumatology, 21(2), 164-170. Hinman, R. S., Bowles, K. A., & Bennell, K. L. (2009). Laterally wedged insoles in knee osteoarthritis: do biomechanical effects decline after one month of wear? BMC Musculoskeletal Disorders, 10, 146. Hinman, R. S., Bowles, K. A., Metcalf, B. B., Wrigley, T. V., & Bennell, K. L. (2012). Lateral wedge insoles for medial knee osteoarthritis: effects on lower limb frontal plane biomechanics. Clin Biomech (Bristol, Avon), 27(1), 27-33. Hinman, R. S., Bowles, K. A., Payne, C., & Bennell, K. L. (2008). Effect of length on laterally-wedged insoles in knee osteoarthritis. Arthritis & Rheumatism, 59(1), 144-147. Hinman, R. S., Payne, C., Metcalf, B. R., Wrigley, T. V., & Bennell, K. L. (2008). Lateral wedges in knee osteoarthritis: what are their immediate clinical and biomechanical effects and can these predict a three-month clinical outcome? Arthritis & Rheumatism, 59(3), 408-415. Hsu, W. C., Wang, T. M., Liu, M. W., Chang, C. F., Chen, H. L., & Lu, T. W. (2010). Control of body's center of mass motion during level walking and obstacle-crossing in older patients with knee osteoarthritis. Journal of Mechanics, 26(2), 229-237. Huang, S. C., Wei, I. P., Chien, H. L., Wang, T. M., Liu, Y. H., Chen, H. L., . . . Lin, J. G. (2008). Effects of severity of degeneration on gait patterns in patients with medial knee osteoarthritis. Medical Engineering & Physics, 30(8), 997-1003. Huang, Y. C., Harbst, K., Kotajarvi, B., Hansen, D., Koff, M. F., Kitaoka, H. B., & Kaufman, K. R. (2006). Effects of Ankle-Foot Orthoses on Ankle and Foot Kinematics in Patients With Subtalar Osteoarthritis. Archives of Physical Medicine and Rehabilitation, 87(8), 1131-1136. Hunt, A. E., Smith, R. M., Torode, M., & Keenan, A. M. (2001). Inter-segment foot motion and ground reaction forces over the stance phase of walking. Clinical Biomechanics, 16(7), 592-600. Hurwitz, D. E., Ryals, A. B., Case, J. P., Block, J. A., & Andriacchi, T. P. (2002). The knee adduction moment during gait in subjects with knee osteoarthritis is more closely correlated with static alignment than radiographic disease severity, toe out angle and pain. Journal of Orthopaedic Research, 20(1), 101-107. Jenkyn, T. R., Hunt, M. A., Jones, I. C., Giffin, J. R., & Birmingham, T. B. (2008). Toe-out gait in patients with knee osteoarthritis partially transforms external knee adduction moment into flexion moment during early stance phase of gait: A tri-planar kinetic mechanism. Journal of Biomechanics, 41(2), 276-283. Jenkyn, T. R., Shultz, R., Giffin, J. R., & Birmingham, T. B. (2010). A comparison of subtalar joint motion during anticipated medial cutting turns and level walking using a multi-segment foot model. Gait & Posture, 31(2), 153-158. Kakihana, W., Akai, M., Nakazawa, K., Naito, K., & Torii, S. (2007). Inconsistent knee varus moment reduction caused by a lateral wedge in knee osteoarthritis. American Journal of Physical Medicine & Rehabilitation, 86(6), 446-454. Kakihana, W., Akai, M., Nakazawa, K., Takashima, T., Naito, K., & Torii, S. (2005). Effects of laterally wedged insoles on knee and subtalar joint moments. Archives of Physical Medicine & Rehabilitation, 86(7), 1465-1471. Kakihana, W., Akai, M., Yamasaki, N., Takashima, T., & Nakazawa, K. (2004). Changes of joint moments in the gait of normal subjects wearing laterally wedged insoles. American Journal of Physical Medicine & Rehabilitation, 83(4), 273-278. Kaufman, K. R., Hughes, C., Morrey, B. F., Morrey, M., & An, K. N. (2001). Gait characteristics of patients with knee osteoarthritis. Journal of Biomechanics, 34(7), 907-915. Keating, E. M., Faris, P. M., Ritter, M. A., & Kane, J. (1993). Use of lateral heel and sole wedges in the treatment of medial osteoarthritis of the knee. Orthopaedic Review, 22(8), 921-924. Kellgren, J. H., & Lawrence, J. S. (1957). Radiological Assessment of Osteo-Arthrosis. Annals of the Rheumatic Diseases, 16(4), 494-502. Kerrigan, D. C., Lelas, J. L., Goggins, J., Merriman, G. J., Kaplan, R. J., & Felson, D. T. (2002). Effectiveness of a lateral-wedge insole on knee varus torque in patients with knee osteoarthritis. Archives of Physical Medicine & Rehabilitation, 83(7), 889-893. Kuroyanagi, Y., Nagura, T., Matsumoto, H., Otani, T., Suda, Y., Nakamura, T., & Toyama, Y. (2007). The lateral wedged insole with subtalar strapping significantly reduces dynamic knee load in the medial compartment gait analysis on patients with medial knee osteoarthritis. Osteoarthritis & Cartilage, 15(8), 932-936. Landry, S. C., McKean, K. A., Hubley-Kozey, C. L., Stanish, W. D., & Deluzio, K. J. (2007). Knee biomechanics of moderate OA patients measured during gait at a self-selected and fast walking speed. Journal of Biomechanics, 40(8), 1754-1761. Leardini, A., Benedetti, M. G., Berti, L., Bettinelli, D., Nativo, R., & Giannini, S. (2007). Rear-foot, mid-foot and fore-foot motion during the stance phase of gait. Gait & Posture, 25(3), 453-462. Lee, H. J., & Chou, L. S. (2006). Detection of Gait Instability Using the Center of Mass and Center of Pressure Inclination Angles. Archives of Physical Medicine and Rehabilitation, 87(4), 569-575. Levinger, P., Murley, G. S., Barton, C. J., Cotchett, M. P., McSweeney, S. R., & Menz, H. B. (2010). A comparison of foot kinematics in people with normal- and flat-arched feet using the Oxford Foot Model. Gait & Posture, 32(4), 519-523. Lu, T. W. (1997). Geometric and mechanical modelling of the human locomotor system. Oxford: University of Oxford. Lynn, S. K., & Costigan, P. A. (2008). Effect of foot rotation on knee kinetics and hamstring activation in older adults with and without signs of knee osteoarthritis. Clinical Biomechanics, 23(6), 779-786. Mundermann, A., Dyrby, C. O., & Andriacchi, T. P. (2005). Secondary gait changes in patients with medial compartment knee osteoarthritis: Increased load at the ankle, knee, and hip during walking. Arthritis & Rheumatism, 52(9), 2835-2844. MacWilliams, B. A., Cowley, M., & Nicholson, D. E. (2003). Foot kinematics and kinetics during adolescent gait. Gait & Posture, 17(3), 214-224. Maillefert, J. F., Hudry, C., Baron, G., Kieffert, P., Bourgeois, P., Lechevalier, D., . . . Dougados, M. (2001). Laterally elevated wedged insoles in the treatment of medial knee osteoarthritis: a prospective randomized controlled study. Osteoarthritis & Cartilage, 9(8), 738-745. Morio, C., Lake, M. J., Gueguen, N., Rao, G., & Baly, L. (2009). The influence of footwear on foot motion during walking and running. Journal of Biomechanics, 42(13), 2081-2088. Moseley, L., Smith, R., Hunt, A., & Gant, R. (1996). Three-dimensional kinematics of the rearfoot during the stance phase of walking in normal young adult males. Clinical Biomechanics, 11(1), 39-45. Nakajima, K., Kakihana, W., Nakagawa, T., Mitomi, H., Hikita, A., Suzuki, R., . . . Fukui, N. (2009). Addition of an arch support improves the biomechanical effect of a laterally wedged insole. Gait & Posture, 29(2), 208-213. Nester, C. J., van der Linden, M. L., & Bowker, P. (2003). Effect of foot orthoses on the kinematics and kinetics of normal walking gait. Gait & Posture, 17(2), 180-187. Pham, T., Maillefert, J. F., Hudry, C., Kieffert, P., Bourgeois, P., Lechevalier, D., & Dougados, M. (2004). Laterally elevated wedged insoles in the treatment of medial knee osteoarthritis. A two-year prospective randomized controlled study. Osteoarthritis & Cartilage, 12(1), 46-55. Powell, D. W., Long, B., Milner, C. E., & Zhang, S. (2011). Frontal plane multi-segment foot kinematics in high- and low-arched females during dynamic loading tasks. Human Movement Science, 30(1), 105-114. Rao, S., Saltzman, C., & Yack, H. J. (2007). Segmental foot mobility in individuals with and without diabetes and neuropathy. Clinical Biomechanics, 22(4), 464-471. Rodrigues, P. T., Ferreira, A. F., Pereira, R. M., Bonfa, E., Borba, E. F., Lieberman, J. R., & Fuller, R. (2009). Medial-wedge insoles improved pain and function in osteoarthritic knees with valgus deformity. Journal of Bone and Joint Surgery - Series A, 91(2), 493. Rodrigues, P. T., Ferreira, A. F., Pereira, R. M. R., Bonfa, E., Borba, E. F., & Fuller, R. (2008). Effectiveness of medial-wedge insole treatment for valgus knee osteoarthritis. Arthritis & Rheumatism, 59(5), 603-608. Rubin, R., & Menz, H. B. (2005). Use of laterally wedged custom foot orthoses to reduce pain associated with medial knee osteoarthritis: a preliminary investigation. Journal of the American Podiatric Medical Association, 95(4), 347-352. Rutherford, D. J., Hubley-Kozey, C. L., Deluzio, K. J., Stanish, W. D., & Dunbar, M. (2008). Foot progression angle and the knee adduction moment: a cross-sectional investigation in knee osteoarthritis. Osteoarthritis and Cartilage, 16(8), 883-889. Rutherford, D. J., Hubley-Kozey, C. L., & Stanish, W. D. (2010). The neuromuscular demands of altering foot progression angle during gait in asymptomatic individuals and those with knee osteoarthritis. Osteoarthritis and Cartilage, 18(5), 654-661. Sasaki, T., & Yasuda, K. (1987). Clinical evaluation of the treatment of osteoarthritic knees using a newly designed wedged insole. Clinical Orthopaedics & Related Research(221), 181-187. Schmalz, T., Blumentritt, S., Drewitz, H., & Freslier, M. (2006). The influence of sole wedges on frontal plane knee kinetics, in isolation and in combination with representative rigid and semi-rigid ankle-foot-orthoses. Clinical Biomechanics, 21(6), 631-639. Segal, N. A., Foster, N. A., Dhamani, S., Ohashi, K., & Yack, H. J. (2009). Effects of concurrent use of an ankle support with a laterally wedged insole for medial knee osteoarthritis. Pm & R, 1(3), 214-222. Shimada, S., Kobayashi, S., Wada, M., Uchida, K., Sasaki, S., Kawahara, H., . . . Baba, H. (2006). Effects of disease severity on response to lateral wedged shoe insole for medial compartment knee osteoarthritis. Archives of Physical Medicine & Rehabilitation, 87(11), 1436-1441. Toda, Y., & Segal, N. (2002). Usefulness of an insole with subtalar strapping for analgesia in patients with medial compartment osteoarthritis of the knee. Arthritis & Rheumatism, 47(5), 468-473. Toda, Y., Segal, N., Kato, A., Yamamoto, S., & Irie, M. (2001). Effect of a novel insole on the subtalar joint of patients with medial compartment osteoarthritis of the knee. Journal of Rheumatology, 28(12), 2705-2710. Toda, Y., & Tsukimura, N. (2004). A six-month followup of a randomized trial comparing the efficacy of a lateral-wedge insole with subtalar strapping and an in-shoe lateral-wedge insole in patients with varus deformity osteoarthritis of the knee. Arthritis & Rheumatism, 50(10), 3129-3136. Toda, Y., & Tsukimura, N. (2006). A 2-year follow-up of a study to compare the efficacy of lateral wedged insoles with subtalar strapping and in-shoe lateral wedged insoles in patients with varus deformity osteoarthritis of the knee. Osteoarthritis & Cartilage, 14(3), 231-237. Toda, Y., & Tsukimura, N. (2008). Influence of concomitant heeled footwear when wearing a lateral wedged insole for medial compartment osteoarthritis of the knee. Osteoarthritis & Cartilage, 16(2), 244-253. Toda, Y., Tsukimura, N., & Kato, A. (2004). The effects of different elevations of laterally wedged insoles with subtalar strapping on medial compartment osteoarthritis of the knee. Archives of Physical Medicine & Rehabilitation, 85(4), 673-677. Tohyama, H., Yasuda, K., & Kaneda, K. (1991). Treatment of osteoarthritis of the knee with heel wedges. International Orthopaedics, 15(1), 31-33. Tulchin, K., Orendurff, M., & Karol, L. (2010). A comparison of multi-segment foot kinematics during level overground and treadmill walking. Gait & Posture, 31(1), 104-108. Twomey, D., McIntosh, A. S., Simon, J., Lowe, K., & Wolf, S. I. (2010). Kinematic differences between normal and low arched feet in children using the Heidelberg foot measurement method. Gait & Posture, 32(1), 1-5. van Raaij, T. M., Reijman, M., Brouwer, R. W., Bierma-Zeinstra, S. M. A., & Verhaar, J. A. N. (2010). Medial knee osteoarthritis treated by insoles or braces: a randomized trial. Clinical Orthopaedics & Related Research, 468(7), 1926-1932. Wolf, S., Simon, J., Patikas, D., Schuster, W., Armbrust, P., & Doderlein, L. (2008). Foot motion in children shoes: a comparison of barefoot walking with shod walking in conventional and flexible shoes. Gait & Posture, 27(1), 51-59. Woltring, H. J. (1991). Representation and calculation of 3D joint movement. Human Movement Science, 10(5), 603-610. Wu, G., & Cavanagh, P. R. (1995). ISB recommendations for standardization in the reporting of kinematic data. Journal of Biomechanics, 28(10), 1257-1261. Yildiz, N., Topuz, O., Gungen, G. O., Deniz, S., Alkan, H., & Ardic, F. (2010). Health-related quality of life (Nottingham Health Profile) in knee osteoarthritis: correlation with clinical variables and self-reported disability. Rheumatology International, 30(12), 1595-1600. Zeni, J. A., Jr., & Higginson, J. S. (2009). Differences in gait parameters between healthy subjects and persons with moderate and severe knee osteoarthritis: a result of altered walking speed? Clinical Biomechanics, 24(4), 372-378. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/64597 | - |
dc.description.abstract | 內側退化性膝關節炎為中老年族群常見之關節退化疾患,嚴重地影響患者的社會參與、情緒、睡眠與肢體功能。患者行走時的關節疼痛不僅會改變行走時下肢的運動學及力動學狀態,行走時整體的穩定度也會受到影響。患者亦會以外八步態企圖減輕膝關節關節力矩。外側楔型鞋墊藉由改變行走時地面反作用力的壓力中心位置,縮短地面反作用力與膝關節中心之間的力臂,進而減少患者的膝關節關節力矩、降低關節疼痛;而足弓墊能夠加強上述效果。本研究利用配備六台紅外線攝影機之動作分析系統量測運動學資料,輔以兩塊測力板量測地面反作用力,比較一款可增加行走時外八角度之後足外側暨前足內側楔型墊搭配足弓墊,與全足長外側楔型鞋墊搭配足弓墊於內側退化性膝關節炎患者行走時減輕膝關節外展力矩的效果;並探討此兩款鞋墊對於行走時步態的影響。結果發現穿戴全足長外側楔型鞋墊搭配足弓墊能夠藉由增加外八角度使壓力中心外移、減少地面反作用力與膝關節中心之間的力臂,進而減輕膝關節外展力矩,且有助於單腳站立期與雙腳站立期轉換時的穩定度;但踝關節內翻力矩顯著上升。而後足外側暨前足內側楔型墊搭配足弓墊雖亦能增加行走時的外八角度,但因內側楔型墊無法使壓力中心外移,且髖關節內收角度與踝關節外翻力矩的增加使膝關節外展力矩上升。全足長外側楔型鞋墊搭配足弓墊能立即降低輕微與中度內側退化性膝關節炎患者的膝關節負擔與疼痛,但長期追蹤效果未知,且需注意穿戴時對於踝關節的副作用;後足外側暨前足內側楔型墊搭配足弓墊則無減輕膝關節負擔的助益。 | zh_TW |
dc.description.abstract | Medial knee osteoarthritis (MKOA), the most common joint disease among the middle-aged adults and the elderly, seriously affects the function of daily living. The patients tend to adopt toe-out gait to reduce knee joint pain. Laterally-wedged insole may reduce knee joint moments and joint pain through laterally-shifting COP and decreasing lever arm between knee joint center and ground reaction force; furthermore, the arch support might enhance these effects. The aims of the current study were investigate that the differences in effect of reducing knee abductor moments in patients with mild-to-moderate MKOA between hind-laterally-wedged and fore-medially-wedged insole with arch support (HFW), the new-designed insole for increasing foot progression angle, and full-length laterally-wedged insole with arch support (FLW) through motion analysis techniques. The results indicated that FLW would reduce peak knee abductor moment through increasing foot progression angle and lateral-shifted COP. Also, it was helpful to the stability. Furthermore, ankle invertor moments were increased. In contrast, although increasing foot progression angle, HFW would increase peak knee abductor moment through increased lever arm between knee joint center and ground reaction force due to failing to make COP lateral-shifted induced by medial wedge. Therefore, compared with HFW, it is recommended that FLW is suitable for patients with mild-to-moderate MKOA but with cautioned about increased ankle loading. | en |
dc.description.provenance | Made available in DSpace on 2021-06-16T17:57:04Z (GMT). No. of bitstreams: 1 ntu-101-R98429012-1.pdf: 2446992 bytes, checksum: b5bcc2cf95326c531872d610e93f5f2f (MD5) Previous issue date: 2012 | en |
dc.description.tableofcontents | Chapter 1 Introduction 1
1.1 Backgrounds 1 1.2 Effects of Medial Knee Osteoarthritis on Gait Patterns During Level Walking 2 1.2.1 Difference in Spatiotemporal Parameters 3 1.2.2 Difference in Joint Kinematics 4 1.2.3 Difference in Joint Kinetics 5 1.2.4 Difference in Stability 6 1.3 Applications of Laterally-wedged Insole 7 1.3.1 Types of Laterally-wedged Insole 7 1.3.2 Outcome Measures Adopted by Previous Studies 8 1.3.3 Effects of Laterally-wedged Insole in Normal Adults 9 1.3.4 Effects of Laterally-wedged Insole in Patients with Medial Knee Osteoarthritis 10 1.4 Multi-segment Model of the Foot 12 1.4.1 The Importance of the Midfoot 13 1.4.2 Clinical Applications of Multi-segment Model of the Foot 15 1.5 Limitations of Previous Studies 15 1.6 Purposes 16 1.7 Hypotheses 17 Chapter 2 Materials and Methods 18 2.1 Subjects 18 2.1.1 Including and Excluding Criteria of Patients with Medial Knee Osteoarthritis 18 2.1.2 Including and Excluding Criteria of Normal Adults 18 2.2 Experimental Instruments 19 2.3 Interventions 19 2.4 Fabrication of Wedged Insoles 20 2.5 Experimental Procedures 21 2.6 Biomechanical Analysis Model 22 2.6.1 Coordinated systems of Pelvis, Thigh, Shank and Foot 22 2.6.2 Coordinated systems of Hindfoot, Midfoot, and Forefoot 25 2.6.3 Inertial Properties 27 2.6.4 Inverse Dynamics 27 2.6.5 Body COM Model 32 2.7 Dependent Variables 32 2.7.1 Demographic Data 33 2.7.2 Subjective Outcomes 34 2.7.3 Definition for the Locomotion Cycle of Dynamic Trials 34 2.7.4 Spatiotemporal Parameters 34 2.7.5 Joint Kinematics 35 2.7.6 Joint Kinetics and GRF 35 2.7.7 Stability 36 2.8 Statistical Analysis 37 Chapter 3 Results 38 3.1 Demographic Data 38 3.2 Spatiotemporal Parameters 38 3.2.1 Temporal parameters 38 3.2.2 Spatial Parameters 39 3.3 VAS Pain Score and Comfort Score 39 3.4 Peak Knee Abductor moments During Early Stance and Late Stance 39 3.5 Foot Progression Angles During Locomotion 40 3.6 Joint Kinematics When Peak Knee Abductor moments Occurred 40 3.6.1 Hip Joint Angles 40 3.6.2 Knee Joint Angles 41 3.6.3 Ankle Joint Angles 42 3.6.4 Hindfoot Angles 43 3.6.5 Midfoot Angles 43 3.6.6 Forefoot Angles 43 3.7 Joint Kinetics When Peak Knee Abductor moments Occurred 44 3.7.1 Hip Joint Moments 44 3.7.2 Knee Joint Moments 45 3.7.3 Ankle Joint Moments 46 3.8 Ground Reaction Force 47 3.8.1 Ground Reaction Force in A/P Direction 47 3.8.2 Ground Reaction Force in M/L Direction 48 3.8.3 Ground Reaction Force in Vertical Direction 48 3.9 Stability 48 3.9.1 COM Position in A/P, M/L and Vertical Direction 48 3.9.2 COP Position in A/P and M/L Direction 49 3.9.3 COMCOP Angle in A/P and M/L Direction 49 Chapter 4 Discussions 51 4.1 Subjects 51 4.2 The Effects of Full-length Laterally-wedged Insole with Arch Support on Peak Knee Abductor Moments and Gait Patterns 52 4.3 The Effects of Hind-laterally-wedged and Fore-medially-wedged Insole with Arch Support on Peak Knee Abductor Moments and Gait Patterns 55 4.4 Limitations 57 Chapter 5 Conclusions and Suggestions 58 5.1 Conclusions 58 5.2 Suggestions 58 References 60 List of Tables Table 1 Locations of the markers used in the current study. 73 Table 2 The inertial properties used in the current study. 74 Table 3 Definitions of joint motions and segment motions 75 Table 4 Demographic data (*: p≦0.05) 76 List of Figures Figure 1 The experimental instruments used in the current study (A) The cluster. (B) The kung-fu shoes. 77 Figure 2 The insoles used in the current study (A) The flat insole. (B) The FLW, anterior-lateral view. (C) The FLW, anterior-medial view. (D) The HFW, posterior-lateral view. (E) The HFW, anterior-medial view. 78 Figure 3 The process of insole fabrication. 79 Figure 4 Locations of the markers used in the current study (A) Whole body, anterior view. (B) Whole body, posterior view. (C) Multi-segment model of left foot, anterior view. (D) Multi-segment model of left foot, posterior view. 80 Figure 5 Body-embedded coordinated system (A) Pelvis. (B) Thigh. (C) Shank. (D) Foot. (E) Hindfoot, Midfoot and Forefoot. 81 Figure 6 Free body diagram of a rigid body segment. 82 Figure 7 Locations of the markers used for the COM model (A) Anterior view. (B) Posterior view. 83 Figure 8 Events during the cycle of level walking. 84 Figure 9 The temporal parameters (A) Percentage of stance phase. (B) Walking speed. (C) Walking time. 85 Figure 10 The spatial parameters (A) Step length. (B) Step width. 86 Figure 11 The VAS scores (A) Pain score. (B) Comfort score. 87 Figure 12 The knee abductor moments. (A) The knee abductor moments during gait cycle. (B) First peak knee abductor moments during early stance. (C) Second peak knee abductor moments during late stance. 88 Figure 13 The foot progression angle during locomotion. 89 Figure 14 The hip joint angles during gait cycle. (A) Hip flexion angles. (B) Hip adduction angles. (C) Hip internal rotation angles. 90 Figure 15 The hip joint angles at 1st PKAbdM. (A) Hip flexion angles at 1st PKAbdM. (B) Hip adduction angles at 1st PKAbdM. (C) Hip external rotation angles at 1st PKAbdM. 91 Figure 16 The hip joint angles at 2nd PKAbdM. (A) Hip flexion angles at 2nd PKAbdM. (B) Hip adduction angles at 2nd PKAbdM. (C) Hip internal rotation angles at 2nd PKAbdM. 92 Figure 17 The knee joint angles during gait cycle. (A) Knee flexion angles. (B) Knee adduction angles. (C) Knee internal rotation angles. 93 Figure 18 The knee joint angles at 1st PKAbdM. (A) Knee flexion angles at 1st PKAbdM. (B) Knee abduction angles at 1st PKAbdM. (C) Knee internal rotation angles at 1st PKAbdM. 94 Figure 19 The knee joint angles at 2nd PKAbdM. (A) Knee flexion angles at 2nd PKAbdM. (B) Knee adduction angles at 2nd PKAbdM. (C) Knee internal rotation angles at 2nd PKAbdM. 95 Figure 20 The ankle joint angles during gait cycle. (A) Ankle dorsiflexion angles. (B) Ankle inversion angles. (C) Ankle internal rotation angles. 96 Figure 21 The ankle joint angles at 1st PKAbdM. (A) Ankle dorsiflexion angles at 1st PKAbdM. (B) Ankle eversion angles at 1st PKAbdM. (C) Ankle internal rotation angles at 1st PKAbdM. 97 Figure 22 The ankle joint angles at 2nd PKAbdM. (A) Ankle dorsiflexion angles at 2nd PKAbdM. (B) Ankle eversion angles at 2nd PKAbdM. (C) Ankle internal rotation angles at 2nd PKAbdM. 98 Figure 23 The hindfoot angles during gait cycle. (A) Hindfoot dorsiflexion angles. (B) Hindfoot inversion angles. (C) Hindfoot internal rotation angles. 99 Figure 24 The hindfoot angles at 1st PKAbdM. (A) Hindfoot dorsiflexion angles at 1st PKAbdM. (B) Hindfoot eversion angles at 1st PKAbdM. (C) Hindfoot internal rotation angles at 1st PKAbdM. 100 Figure 25 The hindfoot angles at 2nd PKAbdM. (A) Hindfoot dorsiflexion angles at 2nd PKAbdM. (B) Hindfoot eversion angles at 2nd PKAbdM. (C) Hindfoot internal rotation angles at 2nd PKAbdM. 101 Figure 26 The midfoot angles during gait cycle. (A) Midfoot dorsiflexion angles. (B) Midfoot inversion angles. (C) Midfoot internal rotation angles. 102 Figure 27 The midfoot angles at 1st PKAbdM. (A) Midfoot plantarflexion angles at 1st PKAbdM. (B) Midfoot eversion angles at 1st PKAbdM. (C) Midfoot external rotation angles at 1st PKAbdM. 103 Figure 28 The midfoot angles at 2nd PKAbdM. (A) Midfoot plantarflexion angles at 2nd PKAbdM. (B) Midfoot eversion angles at 2nd PKAbdM. (C) Midfoot internal rotation angles at 2nd PKAbdM. 104 Figure 29 The forefoot angles during gait cycle. (A) Forefoot dorsiflexion angles. (B) Forefoot inversion angles. (C) Forefoot internal roatation angles. 105 Figure 30 The forefoot angles at 1st PKAbdM. (A) Forefoot dorsiflexion angles at 1st PKAbdM. (B) Forefoot eversion angles at 1st PKAbdM. (C) Forefoot internal rotation angles at 1st PKAbdM. 106 Figure 31 The forefoot angles at 2nd PKAbdM. (A) Forefoot dorsiflexion angles at 2nd PKAbdM. (B) Forefoot eversion angles at 2nd PKAbdM. (C) Forefoot internal rotation angles at 2nd PKAbdM. 107 Figure 32 The hip joint moments during gait cycle. (A) Hip extensor moments. (B) Hip abductor moments. (C) Hip internal rotator moments. 108 Figure 33 The hip joint moments at 1st PKAbdM. (A) Hip extensor moments at 1st PKAbdM. (B) Hip abductor moments at 1st PKAbdM. (C) Hip internal rotator moments at 1st PKAbdM. 109 Figure 34 The hip joint moments at 2nd PKAbdM. (A) Hip flexor moments at 2nd PKAbdM. (B) Hip abductor moments at 2nd PKAbdM. (C) Hip external rotator moments at 2nd PKAbdM. 110 Figure 35 The knee joint moments during gait cycle. (A) Knee extensor moments. (B) Knee abductor moments. (C) Knee internal rotator moments. 111 Figure 36 The knee joint moments at 1st PKAbdM. (A) Knee extensor moments at 1st PKAbdM. (B) Knee external rotator moments at 1st PKAbdM. 112 Figure 37 The knee joint moments at 2nd PKAbdM. (A) Knee flexor moments at 2nd PKAbdM. (B) Knee external rotator moments at 2nd PKAbdM. 113 Figure 38 The ankle joint moments during gait cycle. (A) Ankle plantarflexor moments. (B) Ankle evertor moments. (C) Ankle internal rotator moments. 114 Figure 39 The ankle joint moments at 1st PKAbdM. (A) Ankle plantarflexor moments at 1st PKAbdM. (B) Ankle invertor moments at 1st PKAbdM. (C) Ankle external rotator moments at 1st PKAbdM. 115 Figure 40 The ankle joint moments at 2nd PKAbdM. (A) Ankle plantarflexor moments at 2nd PKAbdM. (B) Ankle invertor moments at 2nd PKAbdM. (C) Ankle external rotator moments at 2nd PKAbdM. 116 Figure 41 The A/P ground reaction force. (A) A/P GRF during stance phase. (B) A/P GRF at 1st PKAbdM. (C) A/P GRF at 2nd PKAbdM. 117 Figure 42 The M/L ground reaction force. (A) M/L GRF during stance phase. (B) M/L GRF at 1st PKAbdM. (C) M/L GRF at 2nd PKAbdM. 118 Figure 43 The vertical ground reaction force. (A) Vertical GRF during stance phase. (B) Vertical GRF at 1st PKAbdM. (C) Vertical GRF at 2nd PKAbdM. 119 Figure 44 The A/P COM position. (A) Lead A/P COM position at 1st PKAbdM. (B) Trail A/P COM position at 1st PKAbdM. (C) Lead A/P COM position at 2nd PKAbdM. (D) Trail A/P COM position at 2nd PKAbdM. 120 Figure 45 The M/L COM position. (A) M/L COM position at 1st PKAbdM. (B) M/L COM position at 2nd PKAbdM. 121 Figure 46 The vertical COM position. (A) Vertical COM position at 1st PKAbdM. (B) Vertical COM position at 2nd PKAbdM. 122 Figure 47 The A/P COP position. (A) Lead A/P COP position at 1st PKAbdM. (B) Trail A/P COP position at 1st PKAbdM. (C) Lead A/P COP position at 2nd PKAbdM. (D) Trail A/P COP position at 2nd PKAbdM. 123 Figure 48 The M/L COP position. (A) M/L COP position at 1st PKAbdM. (B) M/L COP position at 2nd PKAbdM. 124 Figure 49 The A/P COM-COP inclination angles. (A) A/P COM-COP inclination angles at 1st PKAbdM. (B) A/P COM-COP inclination angles at 2nd PKAbdM. 125 Figure 50 The M/L COM-COP inclination angles. (A) M/L COM-COP inclination angles at 1st PKAbdM. (B) M/L COM-COP inclination angles at 2nd PKAbdM. 126 | |
dc.language.iso | en | |
dc.title | 楔型鞋墊於內側退化性膝關節炎患者行走時之立即療效 | zh_TW |
dc.title | Immediate Effects of Wedged Insole on Patients with Medial Knee Osteoarthritis During Level Walking | en |
dc.type | Thesis | |
dc.date.schoolyear | 100-2 | |
dc.description.degree | 碩士 | |
dc.contributor.coadvisor | 呂東武(Tung-Wu Lu) | |
dc.contributor.oralexamcommittee | 許維君(Wei-Chun Hsu) | |
dc.subject.keyword | 楔型鞋墊,足弓墊,退化性膝關節炎, | zh_TW |
dc.subject.keyword | Wedged insole,Arch support,Medial knee osteoarthritis, | en |
dc.relation.page | 126 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2012-08-13 | |
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 |
文件中的檔案:
檔案 | 大小 | 格式 | |
---|---|---|---|
ntu-101-1.pdf 目前未授權公開取用 | 2.39 MB | Adobe PDF |
系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。