目的:本研究目的為評估膝關節肌內效貼紮對不同方向躍起著地下肢運動生物力 學之影響。方法:招募 10 位健康男性受試者，在無貼紮與肌內效貼紮情形下進行 三個方向 (前、斜、橫) 的躍起著地;利用六台 Vicon 紅外線攝影機 (200 Hz) 和一塊 AMTI 測力板 (1000 Hz) 同步收集運動學和地面反作用力資料; 統計 方法以重複量數二因子變異數分析進行統計考驗肌內效貼紮與否對於三個方向 躍起著地下肢運動學及地面反作用力的差異，統計若達顯著差異，則以 Bonferroni 法 進行事後比較，顯著水準 α 定為.05。結果:一、運動學方面:(1) 肌內效貼紮後之 踝關節活動範圍比未貼紮顯著減少。(2) 前跳方向在著地瞬間與地面反作用力峰 值時，髖關節屈曲角度顯著大於斜跳與橫跳方向，斜跳顯著大於橫跳方向。(3) 前 跳方向髖關節最大屈曲角度顯著大於橫跳，斜跳顯著大於橫跳方向，前跳與斜跳 方向無顯著差異;橫跳方向踝關節最大背屈角度顯著大於斜跳，前跳與斜跳、前 跳與橫跳方向無顯著差異。(4) 前跳方向膝關節最大屈曲角速度顯著快於橫跳， 斜跳顯著大於橫跳方向，前跳與斜跳方向無顯著差異;橫跳方向踝關節最大屈曲 角速度顯著大於前跳與斜跳，前跳與斜跳方向無顯著差異。(5) 其餘運動學參數 均無顯著差異。二、地面反作用力:(1) 肌內效貼紮後之前後、垂直方向與總地面反作用力峰值顯著降低;左右方向地面反作用力峰值無顯著差異。(2) 橫跳方 向左右方向地面反用力峰值顯著大於斜跳與前跳，斜跳顯著大於前跳方向;前後、 垂直方向與總地面反作用力峰值各跳躍方向無顯著差異。結論:在肌內效貼紮後， 著地策略傾向於以膝關節與髖關節屈曲為主的軟著陸可減少運動傷害，斜向與橫 向跳躍會增加運動受傷風險。因此，建議在運動時進行膝關節貼紮且著重斜向和 橫向著地時的軟著陸技術學習，降低受傷風險。
關鍵詞:單腳著地、韌帶撕裂、不穩定、運動防護

Purpose: The purpose of this study is to evaluate the influence of knee joint kinesio taping on the lower limbs that jump landing on different directions. Method: 10 healthy male subjects were recruited to jump to the ground and land on three directions （front, oblique, and horizontal） with kinesio taping and without taping; using six Vicon infrared cameras （200 Hz） and an AMTI force plate （1000 Hz） simultaneously collects kinematics and ground reaction force data; Two-way ANOVA was conducted to compare the differences of lower extremity biomechanics data during different directions jump-landing among kinesio taping and control groups. The significant level was set at α = .05. Post hoc comparisons were performed using the Bonferroni test, if statistical significance was found among the groups. Results： Kinematics: 1. The range of motion of the ankle joint is significantly reduced after kinesio taping. 2. The flexion angle of the hip joint at the moment of landing and peak ground reaction force, the forward jump is significantly greater than the oblique jump and lateral jump, and the oblique jump is significantly greater than the lateral jump. 3. The maximum flexion angle of the hip joint forward jump is significantly greater than the lateral jump, and the oblique jump is significantly greater than the lateral jump. There is no significant difference between the forward jump and the oblique jump; The maximum ankle dorsiflexion angle the horizontal jump is significantly greater than the forward jump and the oblique jump. There is no significant difference between forward jump and lateral jump. 4. The maximum flexion angular velocity of the knee joint forward jump is significantly faster than the lateral jump, and the oblique jump is significantly larger than the lateral jump. There is no significant difference between the forward jump and the oblique jump. The maximum flexion angular velocity of the ankle joint in lateral jump was significantly greater than that of forward jump and oblique jump, and there was no significant difference between forward jump and oblique jump. 5. There are no significant differences in other kinematic parameters. Ground reaction force. 1.The front and back, vertical direction and total peak ground reaction forces are significantly reduced after kinesio taping, there is no significant difference between the left and right direction peak ground reaction forces after kinesio taping. 2.The peak ground reaction force of left and right directions, laterally jump in the was significantly greater than the oblique jump and the forward jump, and the oblique jump was significantly greater than the forward jump; there was no significant difference in the jump directions between the front and rear, vertical and total peak ground reaction forces. Conclusion： After kinesio taping, the landing strategy tends to focus on soft landing of the knee and hip joints. Oblique and lateral jumping will increase the risk of sports injuries. Therefore, it is recommended to perform knee taping during exercise and focus on learning soft landing techniques when landing obliquely and laterally to reduce the risk of injury.
Key words: single-leg landing、ligament tear、instability、sports protection

目次
摘要 I
Abstract III
謝誌 V
目次 VI
表次 VIII
圖次 IX
第壹章 緒論 1
第一節 研究背景 1
第二節 研究目的 3
第三節 名詞解釋與操作型定義 3
第四節 研究範圍與限制 7
第貳章 文獻探討 9
第一節 躍起著地與膝關節傷害相關文獻 9
第二節 肌內效貼紮對下肢運動學影響 13
第三節 肌內效貼在躍起著地時下肢地面反作用力相關文獻 16
第四節 文獻總結 20
第參章 研究方法 22
第一節 研究架構與流程 22
第二節 研究對象 23
第三節 研究工具 23
第四節 實驗日期與地點 25
第五節 實驗儀器與設備 25
第六節 實驗場地與儀器架設 26
第七節 實驗步驟與流程 27
第八節 資料處理與統計分析 31
第肆章 結果 32
第一節 肌內效貼紮與否在不同方向躍起著地下肢運動學結果 32
第二節 肌內效貼紮與否在不同方向躍起著地地面反作用力結果 39
第伍章 討論與結論 41
第一節 肌內效貼紮與否在不同方向躍起著地下肢運動學討論 41
第二節 肌內效貼紮與否在不同方向躍起著地地面反作用力討論 45
第三節 結論 48
第四節 建議 49
引用文獻 50

表次
表4-1-1 著地瞬間的角度二因子變異數分析摘要表 33
表4-1-2 最大屈曲角度二因子變異數分析摘要表 33
表4-1-3 地面反作用力峰值時角度二因子變異數分析摘要表 33
表4-1-4 活動範圍參數二因子變異數分析摘要表 35
表4-1-5 最大角速度二因子變異數分析摘要表 37
表4-1-6 觸地到膝關節最大屈曲時間二因子變異數分析摘要表 38
表4-1-7 觸地到地面反作用力峰值時間二因子變異數分析摘要表 38
表4-2-1 地面反作用力峰值二因子變異數分析摘要表 39

圖次
圖1-3-1 躍起著地方向 4
圖1-3-2 動作分期 5
圖1-3-3 下肢關節角度 5
圖3-1-1 研究架構圖 22
圖3-3-1 日東肌內效貼 23
圖3-3-2 肌內效貼紮方式 24
圖3-5-1 Vicon Plugin gait Model（SACR）下肢反光球黏貼位置參照 26
圖3-6-1 實驗場地佈置 27
圖3-7-1 實驗流程 30
圖4-1-1 不同跳躍方向著地瞬間角度差異 34
圖4-1-2 不同跳躍方向最大屈曲角度差異 34
圖4-1-3 不同跳躍方向地面反作用力峰值時角度差異 35
圖4-1-4 不同跳躍方向活動範圍差異 36
圖4-1-5 不同跳躍方向最大角速度差異 37
圖4-2-1 不同跳躍方向地面反作用力峰值差異 40
圖4-2-2 是否貼紮地面反作用力峰值差異 40

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