https://scholars.lib.ntu.edu.tw/handle/123456789/157912
Title: | 行政院國家科學委員會專題研究計畫成果報告:胸髓損傷患者站立平衡之研究 | Authors: | 林光華 | Keywords: | 脊髓損傷;站立平衡;壓心;Spinal cord injury;Standing balance;Center of pressure | Issue Date: | 2004 | Publisher: | 臺北市:國立臺灣大學醫學院物理治療學系暨研究所 | Abstract: | 姿勢(posture)是描述身體的位置, 而平衡(balance)是姿勢控制(postural control)的表現。正常人站立姿勢控制的 研究相當多,而脊髓損傷患者站立平衡的 報導較為缺乏,需要進一步的研究。本研 究的目的是分析中低位胸髓(T5~T12)完 全損傷患者及頸胸腰髓(C4~L3)不完全損 傷兩組受試者,手扶和不扶四腳助行器站 立時的姿勢與平衡反應。 受試者從臺大醫院復健部病房或門 診,及台北市脊髓損傷協會篩選,約八位 中低位胸髓(T5~T12)完全損傷患者及十 位頸胸腰髓(C4~L3)不完全損傷患者。實 驗方法是讓中低位胸髓完全損傷患者,雙 腳穿長腿支架,手扶或不扶四腳助行器站 在測力板(AMTI)上,由五部高速攝影機 (Vicon 250)攝取站姿,分析站立時的骨盆 前傾角度變化與地面壓力中心搖晃程度, 並與頸胸腰髓不完全損傷患者做比較。統 計兩組資料以t-test,p < 0.05 為具統計 上有意義的差別。結果顯示中低位胸髓完 全損傷患者手扶或不扶四腳助行器站立 時,骨盆前傾角度皆約為25゜,放手時站 立地面壓力中心搖晃程度增加,維持約 1sec 便失去平衡。頸胸腰髓不完全損傷患 者手扶四腳助行器站立時,骨盆前傾角度 約為5゜,放手站立時,增加至9゜,放手 站立時地面壓力中心搖晃程度增加,但仍 可維持至少5sec 以上。結論:本研究顯示 脊髓完全損傷病患骨盆前傾角度,在手扶 和不扶四腳助行器站立時,皆比脊髓不完 全損傷病患大。頸胸腰髓不完全損傷患, 不扶四腳助行器站立時,骨盆前傾角度與 地面壓力中心搖晃程度,比扶四腳助行器 站立時大。 Posture describes body position, and balance is the outcome of posture control. A lot of studies investigated the posture control in normal subjects. There is lack of study about static standing balance in spinal cord injured patients, and further study to increase the member of subjects are suggested. The purposes of this study were to compare the posture and balance response in mid-lower thoracic cord (T5-T12) complete injured subjects and cervical-thoracic-lumbar (C4~L3)card incomplete injured subjects with and without holding the pick-up walker. Eight mid-low thoracic cord complete injured subjects ( 7 males and 1 female) and ten cervical-thoracic-lumbar cord incomplete injured subjects ( 9 males and 1 female) were recruited from the OPD clinic or the ward in the Department of Rehabilitation NTUH, and from the Taipei Spinal Injury Association. The mean age of the mid-low thoracic cord injured participants was 40.13±10.34 yrs. The mean height was 166.63±7.60 cm 、mean body weight was 58.31±10.90 kg and mean duration form onset was 91.88±73.64 month. The mean age of the cervical-thoracic-lumbar cord injured participants was 49.7±11.52 yrs. The mean height was 166.6±7.9 cm 、mean body weight was 68.57±9.63 kg and mean duration form onset was 55.2±68.19 month. The results indicated: (1) the mean pelvic anterior tilt both were 25 degree in complete SCI with bilateral long leg braces while holding and without holding walker; (2) the mean pelvic anterior tilt were 5 degree and 9 degree in incomplete SCI without bilateral long leg braces while holding and without holding, respectively. Conclusions: The angle of pelvic anterior tilt is greater in complete spinal cord injured subjects than that in the incomplete subjects. The pelvic anterior tilt and postural sway are greater in the cervical-thoracic-lumbar cord incomplete injured subjects while holding the walker. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/25638 | Other Identifiers: | 922314B002113 | Rights: | 國立臺灣大學醫學院物理治療學系暨研究所 |
Appears in Collections: | 物理治療學系所 |
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922314B002113.pdf | 136.18 kB | Adobe PDF | View/Open |
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