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研究生: 王冠貿
Wang, Kuan-Mao
論文名稱: 上肢影響恢復平衡動作之生物力學分析
Biomechanical analysis of how upper limbs influence balance recovery
指導教授: 鄭匡佑
Cheng, Bruce
學位類別: 碩士
Master
系所名稱: 管理學院 - 體育健康與休閒研究所
Institute of Physical Education, Health & Leisure Studies
論文出版年: 2013
畢業學年度: 101
語文別: 中文
論文頁數: 29
中文關鍵詞: 平衡恢復上肢擺動膝關節策略動作協調
外文關鍵詞: balance recovery, arm swing, knee strategy
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  • 維持平衡是一項很重要且很基本的技巧,如何利用身體肢段維持平衡更是一個很重要的課題。過去的研究大多著重在下肢的探討,鮮少討論到上肢,由於進行平衡動作時上肢並非固定不動,故也應該一併被考慮。本研究目的為探討個體在受到擾動時,上肢擺動與否對恢復平衡所造成的影響。實驗對象為健康成年男性,分為上肢不固定組(arm swing, AS)和上肢固定組(arm constrained, AC),受試者站立於一塊測力板上進行平衡恢復動作,並收集動力學資料;運動學資料則利用動作捕捉系統取得。動作過程中不可使用跨步的方式來恢復平衡,腳尖不能離地但腳跟可以離地。實驗結果顯示,上肢不固定組恢復平衡的成功率較高、恢復平衡時間較短,代表恢復平衡過程中有上肢的參與的確可以使個體更容易更快速的恢復平衡,也可以讓個體處於可以進行下一項動作的狀態以避免受傷。雖然手臂對於降低地面反作用力的幫助並不明顯,但似乎可以有較好的平衡調節機制,所以即使在傾斜角度變大時地面反作用力並不會顯著增加。本研究定義動作過程中膝關節彎曲大於30度為膝關節策略,上肢固定組使用膝關節策略的比例很高,即沒有上肢參與時,膝蓋彎曲成為恢復平衡的主要方法之一。除此之外,經由實驗中觀察,個體間平衡動作的差異性很大,受試者所使用的平衡策略皆有差異。由本研究可以證實上肢對於恢復平衡動作是有幫助的。上肢僅為身體肢段其中的一部分,如何使身體各肢段之間產生更好的協調作用,需要透過訓練以及不斷地練習。

    The ability to maintain balance is an important skill in daily life. Although participation of the arms has been reported in balance recovery, previous researches have focused extensively on lower limb strategies. The aim of this study was to investigate whether the arms could influence standing balance recovery with the hypothesis that enhanced performance could be achieved with unconstrained arm motions. Participates were released from three forward-lean angles and regained balance without moving the forefoot under arm swing (AS) and arm constrained (AC) conditions. Higher success rate and shorter recovery time were found in balance recovery with arm swing. Unlike the significant increases in ground reaction forces (GRF) between adjacent lean angles in AC, less (or no) significant differences between different lean angles in AS conditions implied the arms’ role in reducing GRF increase caused by the same external disturbances. Furthermore, greater lean angles increased difficulty in balance recovery, making the knee strategy (in addition to the existing ankle and hip strategies) more necessary and the influences of arms less significant. It was concluded that arm swing can indeed enhance standing balance recovery performances.

    摘 要 I ABSTRACT II 致 謝 III 表目錄 VI 圖目錄 VII 附錄資料 VIII 第壹章 緒論 1 第一節 前言 1 第二節 研究背景及動機 1 第三節 研究目的 2 第四節 研究假設 2 第五節 操作型定義 3 第六節 研究限制 3 第貳章 文獻探討 4 第一節 繩索釋放方法(TETHER-RELEASE METHOD)探討 4 第二節 跨步平衡 5 第三節 平衡恢復與上肢動作 6 第四節 總結 7 第參章 研究方法 8 第一節 實驗對象 8 第二節 實驗儀器 8 第三節 實驗流程 9 第四節 資料分析 10 第五節 統計分析 11 第四章 研究結果 12 第一節 動力學分析 12 第二節 運動學分析 14 第五章 討論 17 第一節 動力學分析 18 第二節 運動學分析 19 第六章 結論 22 參考文獻 23

    Allum, J. H., Carpenter, M. G., Honegger, F., Adkin, A. L., & Bloem, B. R. (2002). Age-dependent variations in the directional sensitivity of balance corrections and compensatory arm movements in man. J Physiol, 542(Pt 2), 643-663
    Campbell, A. J., Borrie, M. J., & Spears, G. F. (1989). Risk factors for falls in a community-based prospective study of people 70 years and older. Journals of Gerontology, 44(4), M112-117
    Cham, R., & Redfern, M. S. (2001). Lower extremity corrective reactions to slip events. J Biomech, 34(11), 1439-1445
    Cumming, R. G., & Klineberg, R. J. (1994). Fall frequency and characteristics and the risk of hip fractures. J Am Geriatr Soc, 42(7), 774-778
    Do, M. C., Breniere, Y., & Brenguier, P. (1982). A Biomechanical Study of Balance Recovery during the Fall Forward. J Biomech, 15(12), 933-939
    Dyson, G. H. G. (1977). The mechanics of athletics (7th ed.). New York: Holmes & Meier Publishers.
    Forner Cordero, A., Koopman, H. F. J. M., & van der Helm, F. C. T. (2003). Multiple-step strategies to recover from stumbling perturbations. Gait Posture, 18(1), 47-59
    Gabell, A., Simons, M. A., & Nayak, U. S. L. (1985). Falls in the Healthy Elderly - Predisposing Causes. Ergonomics, 28(7), 965-975
    Grabiner, M. D., Owings, T. M., & Pavol, M. J. (2005). Lower extremity strength plays only a small role in determining the maximum recoverable lean angle in older adults. J Gerontol A Biol Sci Med Sci, 60(11), 1447-1450
    Hsiao-Wecksler, E. T. (2008). Biomechanical and age-related differences in balance recovery using the tether-release method. J Electromyogr Kinesiol, 18(2), 179-187
    Hsiao-Wecksler, E. T., & Robinovitch, S. N. (2007). The effect of step length on young and elderly women's ability to recover balance. Clin Biomech (Bristol, Avon), 22(5), 574-580
    Hsiao, E. T., & Robinovitch, S. N. (1999). Biomechanical influences on balance recovery by stepping. J Biomech, 32(10), 1099-1106
    King, G. W., Luchies, C. W., Stylianou, A. P., Schiffman, J. M., & Thelen, D. G. (2005). Effects of step length on stepping responses used to arrest a forward fall. Gait Posture, 22(3), 219-224
    Lockhart, T. E. (2008). An integrated approach towards identifying age-related mechanisms of slip initiated falls. J Electromyogr Kinesiol, 18(2), 205-217
    Madigan, M. L., & Lloyd, E. M. (2005). Age and stepping limb performance differences during a single-step recovery from a forward fall. Journals of Gerontology Series a-Biological Sciences and Medical Sciences, 60(4), 481-485
    Maki, B. E., McIlroy, W. E., & Fernie, G. R. (2003). Change-in-support reactions for balance recovery. IEEE Eng Med Biol Mag, 22(2), 20-26
    Maki, B. E., McIlroy, W. E., & Perry, S. D. (1996). Influence of lateral destabilization on compensatory stepping responses. J Biomech, 29(3), 343-353
    Marigold, D. S., Bethune, A. J., & Patla, A. E. (2003). Role of the unperturbed limb and arms in the reactive recovery response to an unexpected slip during locomotion. J Neurophysiol, 89(4), 1727-1737
    McNitt-Gray, J. L. (1993). Kinetics of the lower extremities during drop landings from three heights. J Biomech, 26(9), 1037-1046
    Misiaszek, J. E. (2003). Early activation of arm and leg muscles following pulls to the waist during walking. Experimental Brain Research, 151(3), 318-329
    Nashner, L. M., Shupert, C. L., Horak, F. B., & Black, F. O. (1989). Organization of posture controls: an analysis of sensory and mechanical constraints. Prog Brain Res, 80, 411-418; discussion 395-417
    Nijhuis, L. B. O., Bloem, B. R., Carpenter, M. G., & Allum, J. H. J. (2007). Incorporating voluntary knee flexion into nonanticipatory balance corrections. J Neurophysiol, 98(5), 3047-3059
    Pai, Y. C., & Patton, J. (1997). Center of mass velocity-position predictions for balance control. J Biomech, 30(4), 347-354
    Patla, A. E., Ishac, M. G., & Winter, D. A. (2002). Anticipatory control of center of mass and joint stability during voluntary arm movement from a standing posture: interplay between active and passive control. Experimental Brain Research, 143(3), 318-327
    Pavol, M. J., Owings, T. M., Foley, K. T., & Grabiner, M. D. (1999). Gait characteristics as risk factors for falling from trips induced in older adults. Journals of Gerontology Series a-Biological Sciences and Medical Sciences, 54(11), M583-M590
    Pijnappels, M., Bobbert, M. F., & van Dieen, J. H. (2004). Contribution of the support limb in control of angular momentum after tripping. J Biomech, 37(12), 1811-1818
    Pijnappels, M., Kingma, I., Wezenberg, D., Reurink, G., & van Dieen, J. H. (2010). Armed against falls: the contribution of arm movements to balance recovery after tripping. Experimental Brain Research, 201(4), 689-699
    Prudham, D., & Evans, J. G. (1981). Factors associated with falls in the elderly: a community study. Age Ageing, 10(3), 141-146
    Rietdyk, S., Patla, A. E., Winter, D. A., Ishac, M. G., & Little, C. E. (1999). NACOB presentation CSB New Investigator Award. Balance recovery from medio-lateral perturbations of the upper body during standing. North American Congress on Biomechanics. J Biomech, 32(11), 1149-1158
    Roos, P. E., McGuigan, M. P., Kerwin, D. G., & Trewartha, G. (2008). The role of arm movement in early trip recovery in younger and older adults. Gait Posture, 27(2), 352-356
    Runge, C. F., Shupert, C. L., Horak, F. B., & Zajac, F. E. (1999). Ankle and hip postural strategies defined by joint torques. Gait Posture, 10(2), 161-170
    Schillings, A. M., Van Wezel, B. M. H., Mulder, T., & Duysens, J. (2000). Muscular responses and movement strategies during stumbling over obstacles. J Neurophysiol, 83(4), 2093-2102
    Smeesters, C., Hayes, W. C., & McMahon, T. A. (2001). Disturbance type and gait speed affect fall direction and impact location. J Biomech, 34(3), 309-317
    Thelen, D. G., Schultz, A. B., Alexander, N. B., & AshtonMiller, J. A. (1996). Effects of age on rapid ankle torque development. Journals of Gerontology Series a-Biological Sciences and Medical Sciences, 51(5), M226-M232
    Thelen, D. G., Wojcik, L. A., Schultz, A. B., Ashton-Miller, J. A., & Alexander, N. B. (1997). Age differences in using a rapid step to regain balance during a forward fall. J Gerontol A Biol Sci Med Sci, 52(1), M8-13
    Tinetti, M. E., Doucette, J. T., & Claus, E. B. (1995). The Contribution of Predisposing and Situational Risk-Factors to Serious Fall Injuries. J Am Geriatr Soc, 43(11), 1207-1213
    Troy, K. L., & Grabiner, M. D. (2006). Recovery responses to surrogate slipping tasks differ from responses to actual slips. Gait Posture, 24(4), 441-447
    Welch, T. D., & Ting, L. H. (2009). A feedback model explains the differential scaling of human postural responses to perturbation acceleration and velocity. J Neurophysiol, 101(6), 3294-3309
    Wojcik, L. A., Thelen, D. G., Schultz, A. B., Ashton-Miller, J. A., & Alexander, N. B. (1999a). Age and gender differences in single-step recovery from a forward fall. J Gerontol A Biol Sci Med Sci, 54(1), M44-50
    Wojcik, L. A., Thelen, D. G., Schultz, A. B., Ashton-Miller, J. A., & Alexander, N. B. (1999b). Age and gender differences in single-step recovery from a forward fall. J Gerontol A Biol Sci Med Sci, 54(1), M44-50
    Zadpoor, A. A., & Nikooyan, A. A. (2011). The relationship between lower-extremity stress fractures and the ground reaction force: A systematic review. Clinical Biomechanics, 26(1), 23-28

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