Title

柺杖輔具介入對老年人坐到站之生物力學分析

Translated Titles

Biomechanical Analysis of Sit-to-Stand Movement using Cane Aids as Intervention for the Elderly

Authors

曾瑜齡

Key Words

輔具 ; 坐到站 ; crane aids ; sit-to-stand

PublicationName

國立臺北教育大學體育學系學位論文

Volume or Term/Year and Month of Publication

2010年

Academic Degree Category

碩士

Advisor

翁梓林

Content Language

繁體中文

Chinese Abstract

研究目的:比較柺杖輔具介入對老年人(徒手、柺杖)坐到站之運動學、動力學與下肢肌電圖參數的變化情形與差異性。研究對象:8名健康老年人(年齡:68.5±3.37歲,身高:164.43±4.2公分,體重:70.37±5.62公斤)。方法與步驟:以一部Mega speed 25k 高速攝影機(100Hz)、一台AMTI測力板(1000Hz)與Biovision肌電儀(1000Hz)以同步方法擷取受試者由坐到站之完整動作。影片以Kwon3D動作分析軟體處理,經人體肢段參數建製、直接線性轉換及濾波後,取得動作時間、下肢關節角度與軀幹前傾角度等運動學參數。測力板原始訊號透過DASYLab 6.0分析軟體,經濾波、模組校正得到原始地面反作用力,並以體重倍率(B.W)作為標準化。肌電訊號由DASYLab 6.0軟體分析股直肌、股二頭肌、脛骨前肌、腓腸肌等肌群之原始肌電訊號後,進行10-500Hz的band-pass濾波處理,經全波整流上翻、10 Hz低通率波帄滑化處理,再經積分運算後,可得積分肌電值(IEMG),並除以積分區間之作用時間,得出肌電訊號的帄均肌電振幅,並以動作週期中最大肌電值進行標準化處理。統計資料以SPSS 12.0中文版軟體進行重複量數單因子變異數分析,顯著水準訂為α=.05。結果:一、隨著柺杖的介入,完成動作的時間與離開座椅的時間點、軀幹最大前傾角度都有隨之減少的現象並達顯著差異(P<.05)。二、隨著輔具介入,垂直分力峰值、壓力中心的左右向偏移會跟著減少且達顯著差異(P<.05)。三、柺杖輔具介入對老年人坐到站之下肢帄均肌電振幅,股直肌與脛骨前肌、腓腸肌達顯著差異(P<.05)。結論:輔具柺杖的介入,對於由坐到站動作能部分減輕髖關節的負擔、垂直分力峰值及下肢肌肉收縮變小。對於老年人在執行由坐到站時,為了防止後倒或跌倒,應可使用柺杖幫助起身站立,來減少下肢肌肉的不足,減緩膝關節傷害。

English Abstract

Study Objective: To compare the sit-to-stand movement performed with and without cane aid intervention in the elderly, measuring change and differences in defined parameters of kinematics, kinetics and lower extremity EMG. Research object: 8 healthy elderly participants (age: 68.5 ± 3.37 years old, height:164.43 ± 4.2 cm, weight:70.37 ± 5.62 kg). Methods and Process: A Mega speed 30k high-speed camera (100Hz) , an AMTI force plate (1000Hz) and four Biovision EMG systems (1000Hz) are used to synchronously capture kinematical, dynamics and lower limbs EMG parameters during the subjects brisk walking with different step width in one gait cycle. Then the movement was divided into braking phase and pushing phase. Kinematical parameters are filmed through the camera, then the obtain film undergoes human limb sections of parameter organization system, Direct Linear Transformation and filter by the Kwon3D movement analysis software, in order to obtain the parameters such as hip, knee, ankle of joint angle, trunk forward inclination angle, the position of center of body mass. The original signal from the force plate, processed by DASY Lab 6.0 software to low-pass filtering (10Hz) and calibrate modular, calculates the original ground reaction forece. Body weight (B.W) is used as the basis for standardization to obtain ground reaction force values and impulse values. EMG signal analysis software from DASYLab 6.0 rectus femoralis, biceps femoris, tibialis anterior , the gastrocnemius and iii other muscles of the original EMG signal, the 10-500Hz to the band-pass filter processing, the full-wave rectifier on the turn, rate of 10 Hz low-pass smoothing wave treatment, and then by the integral operation, the available IEMG values (IEMG), and divided by the integral interval of time, come to the average EMG EMG signal amplitude, and action cycle the largest standardized EMG values. SPSS 12.0 statistical information to the Chinese version of the software for t-test , the significant level set at α =. 05. Results: 1. Intervention of cane aids was found to significantly decrease the time required to complete the movement of lifting off a chair, as well as decreasing the angle of incline of the upper body. (P<.05) 2. Use of cane aids also had a significant effect on peak vertical force, with the concomitant effect of diverting the pressure center to offset the change(P<.05). 3. Average EMG amplitude of the rectus femoralis, tibialis anterior and gastrocnemius muscles were significantly different as a result of cane-aid intervention.(P<.05).Conclusion: The intervention of cane for sit-to-stand activities may relieve the burden on the hips, lessen peak vertical force and lower extremity muscle contraction. For elderly people performing the sit-stand movement, crutch aids may be used for prevention of falling forward or backward, for reducing knee injuries and to compensate for muscle weakness in the lower extremities.

Topic Category 理學院 > 體育學系
社會科學 > 體育學
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