不同膝關節貼紮類型對急停動作穩定性之影響

Effects of Stability by Using Different Types of Taping on Knee Joint during a Jump-stop Task

張博涵(Po-Han Chang) ； 翁梓林(Tzu-Lin Wong) ； 林羿君(Yi-Chun Lin)

《大專體育學刊》 15卷3期 (2013/09) Pp. 374-382

https://doi.org/10.5297/ser.1503.012

摘要

本研究目的在比較不同膝關節貼紮類型對急停動作穩定性之影響，8名無下肢病史的男性參與者（19.5±1.2歲、174.3±5.9公分、65.9±4.2公斤）在三種膝關節貼紮情境下（傳統貼紮、肌內效貼紮、無貼紮）。使用一台Mega Speed 30 Ks高速攝影機（100 Hz）、兩台AMTI測力板（1,000 Hz）及四條肌電儀（1,000 Hz）以同步方法擷取急停動作時的運動學、動力學與肌電學參數，再以Kwon3D及DASYLab 6.0軟體分別處理所得資料。得到結果發現：在動力學參數的水平分力峰值及壓力中心前後位移量上，傳統和肌內效貼紮顯著小於無貼紮情境；而平均負荷率，肌內效貼紮也顯著小於無貼紮情境。運動學方面，到達力量峰值時膝關節角度變化量，傳統與肌內效貼紮則顯著大於無貼紮；而膝關節最大角度變化量，肌內效貼紮也顯著大於無貼紮。在肌電學參數上，股直肌與腓腸肌的平均肌電振幅量是傳統與肌內效貼紮顯著小於無貼紮情境。本研究結論發現：傳統與肌內效的膝關節貼紮法在急停動作時能提升支撐功能與限制前十字韌帶的向前移動量，因此，增加穩定性並保護膝關節免於傷害。另外，亦發現使用肌內效貼紮法對提升膝關節活動度有所助益。

關鍵字

肌內效貼紮 ； 傳統貼紮 ； 肌電學

並列摘要

The purpose of this study was to investigate the effects of stability by using different types of taping on knee joint during a jump-stop task. Eight healthy males (aged=19.5±1.2 year, height=174.3±5.9 cm, weight=65.9±4.2 kg) were participated in this study. All the participants performed a jump-stop task under three knee taping conditions (traditional taping, Kinesio taping and non-taping). A high speed camera (Mega Speed 30 Ks), two AMTI force plates and four Biovision electromyography (EMG) systems were used synchronously to collect kinematic, kinetic and EMG data during the landing phase. The Kwon3D and DASYLab 6.0 software were used for further analyses of the data. The results indicated that smaller maximal anteroposterior force and fewer displacement of anteroposterior center of pressure were observed under the traditional and Kinesio taping conditions than the non-taping condition. A smaller average loading rate was reported with the Kinesio taping compared to the non-taping. Regarding kinematic parameters, an increased knee flexion angle at peak impact was observed under the traditional and Kinesio taping conditions than the non-taping condition. A larger maximum knee flexion angle was reported under the Kinesio taping compared to the non-taping. Furthermore, smaller mean EMG amplitudes were found in the rectus femoris and gastrocnemius muscles under the traditional and Kinesio taping conditions. The study concluded that the traditional and Kinesio taping techniques effectively increases the stability by giving a strong support and limiting the forward displacement of the anterior cruciate ligament at a jump-stop task. The Kinesio taping is also beneficial to increase the range of motion of knee joint.

並列關鍵字

Kinesio taping ； traditional taping ； EMG

參考文獻

黃奕銘、鴻宗穎、念裕祥、張雅如、湯文慈(2011)。電刺激增加感覺輸入之肌力訓練對前十字韌帶損傷者股四頭肌自主活化與落地表現的影響。大專體育學刊。13(3)，327-336。

張世緯、張怡雯(2011)。前十字韌帶損傷對下肢運動生物力學的影響。大專體育。112，69-75。

黃奕銘、張雅如(2011)。前十字韌帶受傷後股四頭肌萎縮的機制─周邊神經的影響。中華體育季刊。25(3)，419-426。

Ackermann, B.,Adams, R.,Marshall, E.(2002).The effect of scapula taping on electromyographic activity and musical performance in professional violinists.Australian Journal of Physiotherapy.48(3),197-208.

Akbas, E.,Atay, A. O.,Yuksel, I.(2011).The effects of additional kinesio taping over exercise in the treatment of patellofemoral pain syndrome.Acta Orthop Traumatol Turc.45(5),335-341.