Please use this identifier to cite or link to this item: http://hdl.handle.net/11455/35552
標題: 脊椎後凸症患者之步態分析
Analysis for Kyphosis''s Gait
作者: 潘宗鍇
Pan, Kai-Tsung
關鍵字: biomechanical;生物力學;kyphosis;gait analysis;脊椎後凸;步態分析
出版社: 生物產業機電工程學系所
引用: 1.Castaing, J., and J. J. Santini。1999。關節‧運動器的機能解剖:上肢‧脊柱編(井原秀俊、中山彰一&井原和彥譯)。日本東京:協同醫書。 2.Janet, P.。2004。人體解剖學:人體功能的系統與局部解剖彩色圖譜(曾廣文、李景如譯)。台北:合記。 3.王智偉。2002。驚爆醫學內幕-脊椎影響你一身的健康。台北:世茂。 4.許世昌。2000。解剖生理學。台北:永大書局。 5.許自宏。2007。臀中肌無力症之生物力學效應模擬與分析。碩士論文。台中:中興大學生物產業機電工程研究所。 6.陳振昇。2001。腰椎融合手術的生物力學分析。博士論文。台北:陽明大學醫學工程研究所。 7.陳英和。2006。僵直性脊椎關節炎胸腰椎駝背變形之手術矯正。慈濟醫學18(3): 1-11。 8.張鳯儀。2003。運動員脊柱側彎之探討。教練科學,2,270-277。 9.彭英毅。1996。解剖生理學。台北:南山堂。 10.韓毅雄。1983。骨骼肌肉系統之生物力學。台北:華杏。 11.Bot, S. D., M. Caspers, and B. J. V. Royen. 1999. Biomechanical analysis of posture in patients with spinal kyphosis due to ankylosing spondylitis: a pilot study .Rheumatology. 38: 441-443. 12.Chou, Y. L. 1987. The study in biomechanics. 25th proc of annual meeting ofthe chinese institute of engineerings. 61-70. 13.Elfman, H. 1939. Force and energy change in the leg during walking.American Journal of Physiology. 125: 339-356. 14.Edward, J. H. 1992. Intermediate Dynamics. New Jersey: Prentice-Hall. 15.Frigo, C., R. Carabalona, M. M. and Dalla, S. Negrini. 2003. The upper body segmental movements during walking by young females.Clinical Biomechanics. 18:419-425. 16.Goh, J., S. E. Solomonidis, W. D. Spence, and J. P. Paul. 1984. Biomechanical evaluation of SACH and uniaxial feet. Prosthet Orthot Int . 8: 147-154. 17.Gage, J. R., R. Hicks. 1985. Gait analysis in prosthetics. Clinical Prosthetics and Orthotics. 9(3): 17-23. 18.Jarrett, M. O., B. J. Andrews, and J. P. Paul. 1976. A television/computer system for the analysis of human locomotion. IERE Conf. Proc. 34: 357-370. 19.Katoh, Y., E. Y. Chao, and R. K. Laughman. 1983. Biomechanical analysis of foot function during gait and clinical applications. Clini Orthop Relat Res. 177: 23-33. 20.Kaufman, K. R., C. Hughes, B. F. Morrey, M. Morrey, and K. N. An. 2001. Gait characteristics of patients with knee osteoarthritis. Journal of Biomechanics. 34: 907-915. 21.Kadaba, M. P., H. K. Ramakrishnan, and M. E. Wootten. 1990. Measurement of lowerextremity kinematics during level walking. J. Orthop. 8(3): 383-392. 22.Nordin, M., and V. F. Frankel. 2001. Basic Biomechanics of the Mussuloskeletal System. 3rd. New York: Lippincott Williams & Wilkins. 23.Perry, J. 1992. Gait Analysis-Normal and Pathological Function. New Jersey: Slack. 24.Vaughan, C. L., B. L. Davis, and J. C. O’Connor. 1992. Dynamics of human gait. Illinois, Champaign: Human Kinetics Publishers. 25.White, A., and M. Pabjabi. 1978. The Basic Kinematics of The Human Spine: A review of past and current knowledge. Spine. 3: 12-22.
摘要: 
Kyphosis means an abnormal backward curve to the vertebral column. The purpose of this research was calculating the 3D dynamics data for lower limb of kyphosis's patients. The moments of the lower limb joint and angles of the joint were compared with normal gaits in references. The research could provide the gait difference between Kyphosis's patient and normal people for clinic physician to understand.
The methods of experience used a Motion Analysis system to get the marks from patients which could analysis the positions and time relative to space. The positions and time could establish the segment coordinate to compute the rotation angles by using Euler-angle. The force plate test could get walking reaction forces of feet relative to ground. Newton-Euler equation was used to calculate forces and moments of the joint.
The experimental results show the patients' knee joint motions in the sagittal plane were lower than normal people while walking; however, the hip joint motions in the frontal plane and transverse plane were higher than normal people. According to the joint angles and joint moments in this result, it was to infer that the patients were hardly able to extend their hips when standing. Patients who had Kyphosis with scoliosis would cause lateral trunk lean and the asymmetric moments of the hip joint in the frontal plane.

脊椎後凸變形(Kyphosis),指相對於正常角度脊椎後凸過度異常。本研究目的為計算脊椎後凸患者下肢三維運動力學資料。得到下肢關節力矩、關節角度並與文獻中正常步態比對,說明脊椎後凸患者步態跟一般人步態的差異,提供臨床了解患者步態問題之參考。
實驗方法為利用動作分析系統,擷取貼於受試者肢段上之反光標記於空間中對應之位置與時間,建立肢段座標系,用尤拉角求出各肢段座標系旋轉角度。配合力板測得步行時雙腳對地面的反作用力,以牛頓-尤拉方程式(Newton-Euler eqution)計算出關節受力及力矩。
實驗結果顯示受測者步行時矢狀面上之膝關節活動度均較正常人低。冠狀面與橫截面上,髖關節活動度則高於正常人。由關節角度及關節力矩的結果推論受測者於站立時,對於將下肢向後伸展感到困難。受測者脊椎畸形包含了及側彎,造成軀幹產生側向傾斜,導致冠狀面髖關節力矩左右不對稱且有差異。
URI: http://hdl.handle.net/11455/35552
其他識別: U0005-2508200808055500
Appears in Collections:生物產業機電工程學系

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