張怡雯Chang, Yi-Wen2017-02-272025-07-302017-02-272017-02-27https://ir.ntus.edu.tw/handle/987654321/71235學位類別：碩士校院名稱：國立臺灣體育運動大學系所名稱：運動健康科學系碩士班學號：19906003畢業學年度：101年論文頁數：113頁　　在所有膝關節運動傷害中，髕股骨疼痛症候群是常見傷害之一。許多學者認為髕股骨疼痛症候群發生機制是由於髕骨與股骨間滑動軌跡出現異常，導致髕骨軟骨與股骨間磨損而疼痛。日本Kase博士發明肌內效貼紮，強調透氣舒適且不影響競技動作表現，近年來已逐漸受到運動員喜愛與重視，然而現今少有研究討論肌內效貼紮對髕股骨疼痛症候群下肢生物力學效應。目的：在階梯測試中，分析五種肌內效貼紮狀態(髕骨矯正貼紮、髖外展貼紮、支持足弓貼紮、合併貼紮與無貼紮)對髕股骨疼痛症候群受試者下肢運動學參數、肌電學特性與疼痛治療效益的影響。方法：利用三維動作分析系統觀察貼紮對髖關節外展角度、膝關節屈曲角度、膝關節旋轉角度、膝關節外翻角度、股四頭肌角度與舟狀骨下墜距離的影響，使用肌電圖觀察貼紮對股內斜肌與股外側肌的肌電比值與收縮反應時間差的影響，另外用視覺疼痛量表評估貼紮的治療效益。結果：肌內效貼紮可以降低階梯測試時的股內斜肌收縮反應延緩現象，甚至可以使股內斜肌比股外側肌提早收縮。推測影響機制可能是肌內效貼紮手法提供髕骨機械效應與增加髂脛束柔軟度，以改變髕骨滑動軌跡，使降低股內斜肌收縮反應時間的延緩。建議臨床工作人員擬定髕股骨疼痛運動員的復健治療計畫時，加入髖關節與足踝關節的評估檢查，再針對不同症狀給予不同的貼紮設計，以穩定髕骨滑動軌跡，降低髕股骨關節磨損疼痛機率。　　Patellofemoral pain syndrome is one of the most common knee sports injuries. The mechanism of patellofemoral pain syndrome is the abnormal tracking between patella cartilage and femur, resulting in joint wear and pain. Kinesio taping, invented by Dr. Kase, has the nature of breathable comfort and might not affect the competitive performance of the athletes. Numerous athletes have paid attention on the use of the kinesio taping in recent years. However, little is known about the biomechanical effect of the kinesio taping. Purpose: The purpose of this study was to investigate the effect of kinesio taping (patellar corrective taping, hip abductor taping, support foot-arch taping, combined taping and no taping) on kinematics, electromyographic (EMG) characteristics and treatment effect of patellofemoral pain syndrome during stair trials. Methods: The motion analysis system was used, and the hip and knee kinematics, quadriceps angle and navicular drop were analyzed. The vastus medialis obliquus (VMO) / vastus lateralis (VL) EMG ratio and delayed onset time of VMO were calculated. Visual analogue scale was measured to evaluate taping treatment effect. Results: Kinesio taping could reduce the delayed onset time of VMO in stair trials. VMO onset occurred earlier than VL after the use of kinesio taping. It might be due to the mechanical effect of the taping on patella and the increasing iliotibial band flexibility. It might also change the tracking between patella and femur and reduce the delayed onset time of VMO. Conclusion: This study suggested that the assessments of the hip and foot are recommended when the clinicians evaluate the patellofemoral pain syndrome. Different taping is suggested in different causes of the patellofemoral pain syndrome to maximally stabilize patellar tracking and decrease pain.目　次 第壹章　緒論………………………………………………………1 　第一節　前言……………………………………………………1 　第二節　研究背景與動機………………………………………1 　第三節　研究目的與假設………………………………………3 第貳章　文獻探討…………………………………………………4 　第一節　髕股骨疼痛症候群……………………………………4 　第二節　髕股骨疼痛症候群的肌電圖特性……………………9 　第三節　髕股骨疼痛症候群的下肢運動學……………………13 　第四節　髕骨貼紮對髕股骨疼痛症候群的影響………………19 　第五節　肌內效貼紮……………………………………………24 　第六節　文獻總結………………………………………………28 第参章　研究方法與步驟…………………………………………29 　第一節　研究對象………………………………………………29 　第二節　實驗地點與時間………………………………………31 　第三節　實驗設備與測量工具…………………………………31 　第四節　實驗架構與步驟………………………………………35 　第五節　資料處理與統計分析…………………………………47 第肆章　結果………………………………………………………50 　第一節　受試者基本資料………………………………………50 　第二節　股四頭肌角度與視覺疼痛量表………………………50 　第三節　上下階梯的運動學分析………………………………52 　第四節　上下階梯的肌電圖訊號分析…………………………62 第伍章　討論………………………………………………………68 　第一節　前言……………………………………………………68 　第二節　肌內效貼紮對立即疼痛減輕效益分析………………69 　第三節　肌內效貼紮對股四頭肌角度的影響分析……………71 　第四節　肌內效貼紮對下肢關節運動學影響分析……………73 　第五節　肌內效貼紮對上下階梯肌電比值的影響……………78 　第六節　肌內效貼紮對上下階梯收縮反應時間差影響………81 　第七節　研究限制………………………………………………86 第陸章　結論………………………………………………………88 　第一節　下肢運動學影響………………………………………88 　第二節　肌電學影響……………………………………………88 　第三節　未來研究建議…………………………………………901659793 bytesapplication/pdf髕股骨疼痛症候群;肌內效貼紮;運動學;肌電圖;股內斜肌Patellofemoral pain syndrome;Kinesio taping;Kinematics;Electromyography;Vastus medialis obliquusthesis