請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/70665
完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 呂東武(Tung-Wu Lu) | |
dc.contributor.author | Hsin-Yi Lu | en |
dc.contributor.author | 盧欣怡 | zh_TW |
dc.date.accessioned | 2021-06-17T04:34:14Z | - |
dc.date.available | 2028-08-10 | |
dc.date.copyright | 2018-08-13 | |
dc.date.issued | 2018 | |
dc.date.submitted | 2018-08-10 | |
dc.identifier.citation | 1. Waterman, B.R., et al., The epidemiology of ankle sprains in the United States. JBJS, 2010. 92(13): p. 2279-2284.
2. Kadaba, M.P., H. Ramakrishnan, and M. Wootten, Measurement of lower extremity kinematics during level walking. Journal of orthopaedic research, 1990. 8(3): p. 383-392. 3. Reinschmidt, C., et al., Tibiocalcaneal motion during running, measured with external and bone markers. Clinical Biomechanics, 1997. 12(1): p. 8-16. 4. Lundgren, P., et al., Invasive in vivo measurement of rear-, mid- and forefoot motion during walking. Gait Posture, 2008. 28(1): p. 93-100. 5. Nester, C., et al., Foot kinematics during walking measured using bone and surface mounted markers. J Biomech, 2007. 40(15): p. 3412-23. 6. Lu, T.-W. and J. O’connor, Bone position estimation from skin marker co-ordinates using global optimisation with joint constraints. Journal of biomechanics, 1999. 32(2): p. 129-134. 7. Stindel, E., et al., An in vivo analysis of the motion of the peri-talar joint complex based on MR imaging. IEEE transactions on biomedical engineering, 2001. 48(2): p. 236-247. 8. Siegler, S., et al., The Clinical Biomechanics Award 2013 -- presented by the International Society of Biomechanics: new observations on the morphology of the talar dome and its relationship to ankle kinematics. Clin Biomech (Bristol, Avon), 2014. 29(1): p. 1-6. 9. Mattingly, B., et al., Three-dimensional in vivo motion of adult hind foot bones. Journal of biomechanics, 2006. 39(4): p. 726-733. 10. Wolf, P., et al., A MR imaging procedure to measure tarsal bone rotations. Journal of biomechanical engineering, 2007. 129(6): p. 931-936. 11. Beimers, L., et al., In-vivo range of motion of the subtalar joint using computed tomography. Journal of biomechanics, 2008. 41(7): p. 1390-1397. 12. Imai, K., et al., In vivo three-dimensional analysis of hindfoot kinematics. Foot & ankle international, 2009. 30(11): p. 1094-1100. 13. Tuijthof, G.J., et al., Accuracy of a CT-based bone contour registration method to measure relative bone motions in the hindfoot. J Biomech, 2009. 42(6): p. 686-91. 14. Selvik, G., Roentgen stereophotogrammetry. Acta Orthopaedica Scandinavica, 2009. 60(sup232): p. 1-51. 15. Baltzopoulos, V., A videofluoroscopy method for optical distortion correction and measurement of knee-joint kinematics. Clinical Biomechanics, 1995. 10(2): p. 85-92. 16. Lundberg, A., Kinematics of the ankle and foot: In vivo roentgen stereophotogrammetry. Acta Orthopaedica Scandinavica, 2009. 60(sup233): p. 1-26. 17. Kozinska, D., et al., Multidimensional alignment using the Euclidean distance transform. Graphical models and image processing, 1997. 59(6): p. 373-387. 18. Kriegman, D.J. and J. Ponce, Computing exact aspect graphs of curved objects: Solids of revolution. International Journal of Computer Vision, 1990. 5(2): p. 119-135. 19. Yeung, M., et al., An epidemiological survey on ankle sprain. British journal of sports medicine, 1994. 28(2): p. 112-116. 20. Baumhauer, J.F., et al., A prospective study of ankle injury risk factors. The American journal of sports medicine, 1995. 23(5): p. 564-570. 21. Andersen, T.E., et al., Video analysis of the mechanisms for ankle injuries in football. The American journal of sports medicine, 2004. 32(1_suppl): p. 69-79. 22. Callaghan, M.J., Role of ankle taping and bracing in the athlete. British journal of sports medicine, 1997. 31(2): p. 102-108. 23. Monaghan, K., E. Delahunt, and B. Caulfield, Ankle function during gait in patients with chronic ankle instability compared to controls. Clin Biomech (Bristol, Avon), 2006. 21(2): p. 168-74. 24. Caputo, A.M., et al., In vivo kinematics of the tibiotalar joint after lateral ankle instability. Am J Sports Med, 2009. 37(11): p. 2241-8. 25. Kobayashi, T., et al., In vivo kinematics of the talocrural and subtalar joints during weightbearing ankle rotation in chronic ankle instability. Foot Ankle Spec, 2014. 7(1): p. 13-9. 26. Kobayashi, T., et al., In vivo kinematics of the talocrural and subtalar joints with functional ankle instability during weight-bearing ankle internal rotation: a pilot study. Foot Ankle Spec, 2013. 6(3): p. 178-84. 27. Mahesh, M., Fluoroscopy: patient radiation exposure issues. Radiographics, 2001. 21(4): p. 1033-1045. 28. Van Lysel, M.S., The AAPM/RSNA physics tutorial for residents: Fluoroscopy: Optical coupling and the video system. Radiographics, 2000. 20(6): p. 1769-1786. 29. Abdel-Aziz, Y.I. and H.M. Karara, Direct Linear Transformation from Comparator Coordinates into Object Space Coordinates in Close-Range Photogrammetry. Photogrammetric Engineering & Remote Sensing, 2015. 81(2): p. 103-107. 30. Abdel-Aziz, Y. Direct linear transformation from comparator coordinates into object space in close-range photogrammetry. in Proceedings of the ASP Symposium on Close-Range Photogrammetry, 1971. 1971. American Society of Photogrammetry. 31. Lorensen, W.E. and H.E. Cline. Marching cubes: A high resolution 3D surface construction algorithm. in ACM siggraph computer graphics. 1987. ACM. 32. Tsai, T.Y., et al., A volumetric model‐based 2D to 3D registration method for measuring kinematics of natural knees with single‐plane fluoroscopy. Medical physics, 2010. 37(3): p. 1273-1284. 33. Lin, C.C., et al., A Model‐Based Tracking Method for Measuring 3‐D Dynamic Joint Motion Using an Alternating Biplane X‐Ray Imaging System. Medical physics, 2018. 34. Penney, G.P., et al., Validation of a two‐to three‐dimensional registration algorithm for aligning preoperative CT images and intraoperative fluoroscopy images. Medical physics, 2001. 28(6): p. 1024-1032. 35. Lagarias, J.C., et al., Convergence properties of the Nelder--Mead simplex method in low dimensions. SIAM Journal on optimization, 1998. 9(1): p. 112-147. 36. de Asla, R.J., et al., Six DOF in vivo kinematics of the ankle joint complex: Application of a combined dual-orthogonal fluoroscopic and magnetic resonance imaging technique. J Orthop Res, 2006. 24(5): p. 1019-27. 37. Koo, S., K.M. Lee, and Y.J. Cha, Plantar-flexion of the ankle joint complex in terminal stance is initiated by subtalar plantar-flexion: A bi-planar fluoroscopy study. Gait Posture, 2015. 42(4): p. 424-9. 38. de Asla, R.J., et al., Function of anterior talofibular and calcaneofibular ligaments during in-vivo motion of the ankle joint complex. J Orthop Surg Res, 2009. 4: p. 7. 39. Anderst, W.J. and S. Tashman, The association between velocity of the center of closest proximity on subchondral bones and osteoarthritis progression. Journal of Orthopaedic Research, 2009. 27(1): p. 71-77. 40. Andriacchi, T.P., et al., Rotational changes at the knee after ACL injury cause cartilage thinning. Clinical Orthopaedics and Related Research®, 2006. 442: p. 39-44. 41. Andriacchi, T.P., et al., A framework for the in vivo pathomechanics of osteoarthritis at the knee. Annals of biomedical engineering, 2004. 32(3): p. 447-457. 42. Harrington, K., Degenerative arthritis of the ankle secondary to long-standing lateral ligament instability. The Journal of bone and joint surgery. American volume, 1979. 61(3): p. 354-361. 43. Hintermann, B., A. Boss, and D. Schäfer, Arthroscopic findings in patients with chronic ankle instability. The American journal of sports medicine, 2002. 30(3): p. 402-409. 44. Taga, I., et al., Articular cartilage lesions in ankles with lateral ligament injury: an arthroscopic study. The American journal of sports medicine, 1993. 21(1): p. 120-127. 45. Marcus Hollis, J., R. Dale Blasier, and C.M. Flahiff, Simulated lateral ankle ligamentous injury: change in ankle stability. The American journal of sports medicine, 1995. 23(6): p. 672-677. 46. Marcus Hollis, J., et al., Biomechanical comparison of reconstruction techniques in simulated lateral ankle ligament injury. The American journal of sports medicine, 1995. 23(6): p. 678-682. 47. Hubbard, T.J., Ligament laxity following inversion injury with and without chronic ankle instability. Foot & ankle international, 2008. 29(3): p. 305-311. 48. Löfvenberg, R., J. Karrholm, and O. Ahlgren, Ligament reconstruction for ankle instability: a 5-year prospective RSA follow-up of 30 cases. Acta Orthopaedica Scandinavica, 1994. 65(4): p. 401-407. 49. Ringleb, S., et al., The effect of ankle ligament damage and surgical reconstructions on the mechanics of the ankle and subtalar joints revealed by three‐dimensional stress MRI. Journal of orthopaedic research, 2005. 23(4): p. 743-749. 50. Stormont, D.M., et al., Stability of the loaded ankle: relation between articular restraint and primary and secondary static restraints. The American journal of sports medicine, 1985. 13(5): p. 295-300. 51. Fong, D.T.-P., et al., Kinematics analysis of ankle inversion ligamentous sprain injuries in sports: five cases from televised tennis competitions. The American Journal of Sports Medicine, 2012. 40(11): p. 2627-2632. 52. Konradsen, L., M. Voigt, and C. Hojsgaard, Ankle inversion injuries: the role of the dynamic defense mechanism. The American Journal of Sports Medicine, 1997. 25(1): p. 54-58. 53. Fong, D.T., et al., Kinematics analysis of ankle inversion ligamentous sprain injuries in sports: five cases from televised tennis competitions. Am J Sports Med, 2012. 40(11): p. 2627-32. 54. Fong, D.T., et al., Biomechanics of supination ankle sprain: a case report of an accidental injury event in the laboratory. Am J Sports Med, 2009. 37(4): p. 822-7. 55. Northeast, L., et al., Full gait cycle analysis of lower limb and trunk kinematics and muscle activations during walking in participants with and without ankle instability. Gait & posture, 2018. 56. Roach, K.E., et al., Application of High-Speed Dual Fluoroscopy to Study In Vivo Tibiotalar and Subtalar Kinematics in Patients With Chronic Ankle Instability and Asymptomatic Control Subjects During Dynamic Activities. Foot & ankle international, 2017. 38(11): p. 1236-1248. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/70665 | - |
dc.description.abstract | 踝關節扭傷是常見的運動傷害之一,且往往導致外側韌帶損傷。而外側韌帶的損傷已被證實會影響踝關節的正常運動,並且會改變關節原有的運動模式,從而導致軟骨損傷和長期的踝關節不穩定。慢性外側踝關節不穩定也與創傷後關節炎之發生率有相當高的相關性。但是相關的運動學變化,以及外側韌帶對於踝關節穩定性之影響尚未有完整研究。
本研究目的為建構以雙平面動態X光結合斷層掃描重建骨頭模型方法為基礎的踝關節運動學量測平台,量測健康踝關節受試者與慢性外側踝關節不穩定患者在功能性動作情況下之三維踝關節運動學,更進一步搭配磁振造影而得的韌帶計算其長度變化,探討功能性動作中外側韌帶損傷對踝關節運動學之影響,釐清外側韌帶在控制踝關節活動與穩定所扮演的角色。本研究目的為建構以雙平面動態X光結合斷層掃描重建骨頭模型方法為基礎的踝關節運動學量測平台,量測健康踝關節受試者與慢性外側踝關節不穩定患者在功能性動作情況下之三維踝關節運動學,探討功能性動作中外側韌帶損傷對踝關節運動學之影響,釐清外側韌帶在控制踝關節活動與穩定所扮演的角色。 本研究結果顯示,外側踝關節不穩定會改變距骨脛骨關節和距下關節之運動模式,使得矢狀面與橫切面上的旋轉活動度與運動往返路徑變異性增加,並且會使距骨有顯著往前後方向滑動的現象,而在內轉和蹠曲時會使前距腓韌帶伸長量明顯增加。研究活體人體踝關節在功能性動作下的運動學分析有助於瞭解踝關節及其周圍軟組織結構於健康或損傷時之功能,進而瞭解踝關節疾病與損傷之機制與病因,以提供治療與後續復健計畫評估所需的重要訊息。 | zh_TW |
dc.description.abstract | Among the sport injuries of the lower extremities, ankle sprain is arguably the most frequent injury, which often results in lateral ligament injuries. Lateral ligament injuries of the ankle joint complex (AJC) had been found to alter the normal kinematic patterns of the AJC during weight-bearing activities. Abnormal kinematics of the AJC may contribute to the lesion of the articular cartilage and chronic instability of the joint, leading to persistent pain. Chronic lateral instability of the ankle has been shown to be associated with various pathological conditions of the ligaments, capsules and cartilage with high risk of joint osteoarthritis (OA).
The purposes of the current study were to establish a platform for measuring AJC kinematics during functional activities based on the technique combining CT bone models and bi-planer fluoroscopy. The health AJC subjects and the patients with CAI are recruited, aiming to measure the AJC kinematics during during functional activities. The lateral ligament elongation of AJC is calculated from MRI model. This study will provide a better understanding of the effect of lateral instability on the kinematics of the AJC during functional activities and clarify the roles of the lateral ligaments in controlling the mobility and stability of the AJC. The results show that, chronic ankle instability (CAI) alters the kinematic of the talocrural and subtalat joint. Furthermore, CAI leads to increased range of motion and variability in the return path of kinematic motion of the talocrural joint and subtalar joint in the sagittal plane and transverse plane. The coupled patterns of the motion component in sagittal plane significantly different between joints with CAI with and health ankle joints. Additionally, CAI joints demonstrate the greater change in length of ATFL during plantarflexion and internal rotation. In-vivo measurement of the three-dimensional kinematics of the ankle joint complex during functional activities helps to establish a better understanding of the functions of the AJC as well as its surrounding passive and active structures in the normal and pathological conditions. Such study hence provides necessary knowledge for the establishment of the mechanisms of relevant injuries, the etiology and diagnosis of joint diseases, as well as the planning and evaluation of subsequent treatment and rehabilitation programs. | en |
dc.description.provenance | Made available in DSpace on 2021-06-17T04:34:14Z (GMT). No. of bitstreams: 1 ntu-107-R05548013-1.pdf: 6135521 bytes, checksum: 7c763683b153fc609f1603f773d7125e (MD5) Previous issue date: 2018 | en |
dc.description.tableofcontents | 誌謝 I
中文摘要 II Abstract III 圖目錄 VIII 表目錄 XII 第一章 緒論 1 1.1 研究背景 1 1.2 踝關節功能解剖構造 1 1.3 踝關節運動學 4 1.4 活體踝關節運動學量測 6 1.5 慢性外側踝關節不穩定之影響 10 1.6 研究目的 13 第二章 材料與方法 14 2.1 受試者 14 2.1.1 健康踝關節受試者 (Health control group, HC group) 14 2.1.2 單側慢性外側踝關節不穩定患者 (Chronic lateral ankle instability, CAI group) 14 2.2 實驗設備與儀器 15 2.2.1 動態X光系統成像原理 15 2.2.2 雙平面動態X光系統校正流程 18 2.2.3 動態X光校正方法 21 2.3 骨模型建立與定位 23 2.4 踝關節動態運動之踏板平台 25 2.5 活體踝關節影像資料收集 27 2.6 數據分析 29 2.6.1 數位化重建投影影像系統 29 2.6.2 模擬動態X光投影介面 29 2.6.3 影像對位(Image Registration)31 2.6.4 踝關節運動學分析 34 2.7 資料分析 36 2.8 統計分析 37 2.8.1 組間因素之差異 37 2.8.2 阻力因素之差異 37 2.8.3 兩族群上階梯之運動學 37 第三章 結果 38 3.1 主動背屈與蹠屈 39 3.1.1 活動度 39 3.1.2 運動往返路徑之變異性 44 3.1.3 耦合運動 49 3.1.4 韌帶長度變化 62 3.2 主動內轉與外轉 64 3.2.1 活動度 64 3.2.2 運動往返路徑之變異性 69 3.2.3 耦合運動 74 3.2.4 韌帶長度變化 77 3.3 主動內翻與外翻 79 3.3.1 活動度 79 3.3.2 運動往返路徑之變異性 84 3.3.3 耦合運動 89 3.3.4 韌帶長度變化 92 3.4 上階梯 93 3.4.1 活動度 93 3.4.2 耦合運動 93 第四章 討論 99 4.3 主動背屈與蹠屈 99 4.4 主動內轉與外轉 101 4.5 主動內翻與外翻 103 4.6 上階梯 104 4.7 限制與未來展望 105 第五章 結論 106 參考文獻 107 | |
dc.language.iso | zh-TW | |
dc.title | 利用雙平面動態X光量測外側韌帶不穩定患者在功能性動作下踝關節之三維運動 | zh_TW |
dc.title | In vivo Three-Dimensional Kinematics of the Ankle Joint Complex in Patients with Lateral Ankle Instability During Functional Activities Using Biplane Fluoroscopy | en |
dc.type | Thesis | |
dc.date.schoolyear | 106-2 | |
dc.description.degree | 碩士 | |
dc.contributor.coadvisor | 林正忠(Cheng-Chung Lin) | |
dc.contributor.oralexamcommittee | 陳文斌(Weng-Pin Chen),陳祥和(Hsiang-Ho Chen) | |
dc.subject.keyword | 扭傷,慢性外側踝關節不穩定,動態X光,功能性動作,踝關節運動學,韌帶伸長量, | zh_TW |
dc.subject.keyword | sprain,chronic lateral ankle instability,fluoroscopy,functional activities,ankle kinematics,ligament elongation, | en |
dc.relation.page | 111 | |
dc.identifier.doi | 10.6342/NTU201802670 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2018-08-10 | |
dc.contributor.author-college | 工學院 | zh_TW |
dc.contributor.author-dept | 醫學工程學研究所 | zh_TW |
顯示於系所單位: | 醫學工程學研究所 |
文件中的檔案:
檔案 | 大小 | 格式 | |
---|---|---|---|
ntu-107-1.pdf 目前未授權公開取用 | 5.99 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。