離心運動對阿基里斯肌腱炎修復的影響

The Recovery Effect of Eccentric Exercise on Achilles Tendinosis

楊昌斌(Chang-Bin Yang) ； 莊忠杰(Chung-Chieh Chuang) ； 曹德弘(Te-Hung Tsao)

《大專體育》 115期 (2011/08) Pp. 50-58

https://doi.org/10.6162/SRR.2011.115.08

摘要

現代人非常重視參與休閒活動，而在從事休閒運動時常伴隨著運動傷害的產生。對於喜歡參與跑步運動型態的人來說，阿基里斯肌腱炎(Achilles tendinosis)是一種令人困擾的運動傷害類型，雖然臨床上對於肌腱炎的治療方式有很多種，卻沒有任何一種治療方式被認定是最為有效的。本篇整理許多以離心運動為治療方式的文獻，首先介紹肌腱結構及肌腱炎的病理特徵，再提出兩種有效的離心運動處方，最後說明離心運動對於阿基里斯肌腱炎修復的機制。

關鍵字

休閒活動 ； 受傷 ； 跑步

並列摘要

Today, many people participate in leisure activities. However, sport injuries may occur when people engage in leisure physical activity without proper preparation. Achilles tendinosis is one of disturbing injuries for individuals who enjoy running and jogging. Although several kinds of clinical therapies have been reported and used, the most effective treatment for Achilles tendinosis has not been developed completely. This review focused on the literature relating to the effects of eccentric exercise on Achilles tendinosis. The article presented the structure of tendon and the pathologic characteristics of Achilles tendinosis. Two kinds of effective eccentric exercises using in the treatments of tendinosis were introduced and summarized. Finally, the possible mechanisms of eccentric exercise for the recovery of Achilles tendinosis were reported.

並列關鍵字

leisure activity ； injury ； running

參考文獻

黃彥富、湯正明、徐善慧(2003)。揭開膠原蛋白的神祕面紗。科學發展。362，44-47。

Alfredson, H.(2005).The chronic painful Achilles and patellar tendon: Research on basic biology and treatment..Scandinavian Journal of Medicine & Science in Sports.15(4),252-259.

Alfredson, H.,Pietilä, T.,Jonsson, P.,Lorentzon, R.(1998).Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis.The American Journal of Sports medicine.26(3),360-366.

Bjordal, J. M.,Lopes-Martins, R. A.,Joensen, J.,Couppe, C.,Ljunggren, A. E.,Stergioulas, A.(2008).A systematic review with procedural assessments and meta-analysis of low level laser therapy in lateral elbow tendinopathy (tennis elbow)..BMC Musculoskeletal Disorders.9(75)

Cheema, U.,Brown, R.,Mudera, V.,Yang, S. Y.,McGrouther, G.,Goldspink, G.(2005).Mechanical signals and IGF-I gene splicing in vitro in relation to development of skeletal muscle.Journal of Cellular Physiology.202(1),67-75.