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研究生： 里德荻
Chandee, Sirinad
論文名稱： 慢性踝關節不穩定者單腳跳下於倒置平台時的踝關節神經肌肉控制
Neuromuscular Control of Ankle Muscles in Chronic Ankle Instability Individuals during Single Leg Drop Landing on Inverted Platform
指導教授： 林呈鳳
Lin, Cheng-feng
學位類別： 碩士
Master
系所名稱： 醫學院 - 物理治療學系
Department of Physical Therapy
論文出版年： 2025
畢業學年度： 113
語文別： 英文
論文頁數： 97
外文關鍵詞： chronic ankle instability, neuromuscular control, extensor digitorum longus, kinematics, single-leg landing, perturbation
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    • Abstract I Acknowledge V Table of contents VII List of Table X List of Figures XI List of abbreviations XII CHAPTER 1 INTRODUCTION 1 1.1 Background 1 1.2 Purpose and hypothesis of this study 4 1.3 Definition 4 1.4 Theoretical Rationale 7 CHAPTER 2 LITERATURE REVIEW 9 2.1 Anatomy and function of ankle evertor muscle 9 2.2 Anatomy of ankle joint 10 2.3 Chronic ankle instability 12 2.4 Epidemiology of chronic ankle instability (CAI) 13 2.5 Pathomechanism of LAS and CAI 15 2.6 Role of Extensor digitorum longus (EDL) 16 2.7 Proprioception 17 2.8 Landing task and Neuromuscular control 19 2.9 Medial foot 20 CHAPTER 3 RESEARCH DESIGN AND METHODOLOGY 22 3.1 The setting 22 3.2 Research Design 22 3.3 Participants 22 3.4 Sample size 23 3.5 Instruments 23 3.5.1 Motion capture system 23 3.5.2 Force plate 24 3.5.2 Surface electromyography 24 3.5.3 Inertial Measurement Unit (IMU) 25 3.6 Procedure 26 3.6.1 Basic information 26 3.6.2 Anthropometry measurement 26 3.6.3 Active and passive ankle range of motion 27 3.6.4 Muscle strength 28 3.6.5 Joint Reposition Sense 28 3.6.6 Experimental protocol 29 3.7 Data Reduction 30 3.7.1 Root Mean Square (RMS) EMG of EDL, PL, and PB muscle 30 3.7.2 EDL, PL, and PB muscle latency 31 3.7.3 The maximum ankle inversion angle 31 3.7.4 The number of movement units of the medial foot 32 3.8 Statistical Analysis 33 CHAPTER 4 RERULTS 34 4.1 Participant's characteristics 34 4.2 Active and passive range of motion of ankle joint 36 4.3 Muscle strength of the dominant leg 36 4.4 Mean Absolute Error (MAE) of the ankle proprioception 38 4.5 EDL, PL, and PB Muscle activity 38 4.5.1 Muscle activity during pre-landing 38 4.5.2 Muscle activity during post-landing 40 4.5.3 Muscle activity at the initial contact 40 4.5.4 Muscle activity at the maximum ankle inversion angle 43 4.6 EDL, PL, and PB muscle latency 45 4.7 Maximum ankle inversion angle 47 4.8 The plantar flexion angle at the maximum ankle inversion 47 4.9 The number of movement unit of medial foot 47 CHAPTER 5 DISCUSSION 51 5.1 Participant characteristics 51 5.2 Proprioception 53 5.3 Muscle latency 55 5.4 Muscle activation during pre- and post-landing 57 5.5 Muscle activation at initial contact 59 5.6 Maximum ankle inversion angle 60 5.7 Movement unit of the medial foot 62 Limitation 64 Clinical implication 64 CHAPTER 6 CONCLUSIONS 66 Reference 67 APPENDIX 1 The Cumberland Ankle Instability Tool 78 APPENDIX 2 The collecting data form 79 APPENDIX 3 Human Ethic Approval 82

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