踝關節不穩定之排球選手過網攔網動作的下肢肌電訊號分析

Electromyographic Analysis of Lower Extremity for Volleyball Players with Ankle Instability during Cross Net Blocking

10.5297/ser.1401.011

錢思佑(Szu-Yu Chien)；吳忠政(Chung-Cheng Wu)；張怡雯(Yi-Wen Chang)

共同收縮比值 ； 肌肉活化 ； 外側踝扭傷 ； 表面肌電圖 ； co-contraction ratio ； muscle activation ； lateral ankle sprain ； surface EMG

大專體育學刊

14卷1期（2012 / 03 / 01）

100 - 108

繁體中文;英文

本研究目的為比較踝關節功能性不穩定之排球球員與健康之控制組球員，在過網攔網起跳和著地時肌電訊號的差異。受測球員在球場進行過網攔網動作，以表面肌電訊號系統收集攔網各時期下肢的肌電訊號。以獨立樣本t考驗比較兩組受試者在肌電活化程度與肌肉共同收縮比值上的差異。主要結果如下：一、肌電活化程度上，兩組的差異出現在過網攔網著地前與著地後的踝部肌肉；二、共同收縮比值上，兩組主要差異在股直肌／股二頭肌、腓腸肌／脛前肌與腓骨長肌／脛前肌。本研究結論：由實驗結果發現，踝關節功能性不穩定球員在進行過網攔網動作時，在踝部與膝部的肌肉活化程度與共同收縮比值皆有顯著差異，主要出現差異的時期為落地前，表示踝關節功能性不穩定的影響不只侷限於踝關節，亦會影響近端膝關節的肌肉收縮，在復健治療上應以整體下肢的功能回復為考量。

The purpose of this study was to compare the electromyographic (EMG) difference for volleyball players with and without ankle functional instability during cross net blocking. Surface EMG system was used to measure the EMG signal of lower extremity. Independent t test was preformed to compare the EMG activities between the control group and instability group. The results were indicated as: 1. for the EMG activation level, significant difference was found at ankle muscles in pre-landing and after-landing phase. 2. for the co-contraction ratio, the significant difference was found in rectus femoris/biceps femoris, gastrocnemius/tibialis anterior and peroneal longus/tibialis anterior. These findings suggest that most EMG differences between control and instability groups were found in the muscles of ankle and knee joints in pre-landing phase of cross net blocking. It was indicated that functional ankle instability not only influences the local joint but also influences the proximal knee muscles. The rehabilitation of total lower extremity function should be taken into consideration for the volleyball players with ankle functional instability.

1. Arampatzis, A.,Morey-Klapsing, G.,Brüggemann, G. P.(2003).The effect of falling height on muscle activity and foot motion during landings.Journal of Electromyography and Kinesiology,13(6),533-544.
2. Augustsson, S. R.,Augustsson, J.,Thomeé, R.,Svantesson, U.(2006).Injuries and preventive actions in elite Swedish volleyball.Scandinavian Journal of Medicine & Science in Sports,16(6),433-440.
3. Bahr, R.,Bahr, I. A.(1997).Incidence of acute volleyball injuries: A prospective cohort study of injury mechanisms and risk factors.Scandinavian Journal of Medicine & Science in Sports,7(3),166-171.
4. Bahr, R.,Karlsen, R.,Lian, O.,Ovrebø, R. V.(1994).Incidence and mechanisms of acute ankle inversion injuries in volleyball. A retrospective cohort study.The American Journal of Sports Medicine,22(5),595-600.
5. Basmajian, J. V.,De Luca, C. J.(1985).Muscles alive: Their functions revealed by electromyography.Baltimore:Williams &Wilkins.
6. Baumhauer, J. F.,Alosa, D. M.,Renstrom, A. F.,Trevino, S.,Beynnon, B.(1995).A prospective study of ankle injury risk factors.The American Journal of Sports Medicine,23(5),564-570.
7. Beckman, S. M.,Buchanan, T. S.(1995).Ankle inversion injury and hypermobility: Effect on hip and ankle muscle electromyography onset latency.Archives of Physical Medicine & Rehabilitation,76(12),1138-1143.
8. Briner, W. W., Jr.,Kacmar, L.(1997).Common injuries in volleyball. Mechanisms of injury, prevention and rehabilitation.Sports Medicine,24(1),65-71.
9. Caulfield, B.,Garrett, M.(2004).Changes in ground reaction force during jump landing in subjects with functional instability of the ankle joint.Clinical Biomechanics,19(6),617-621.
10. da Fonseca, S. T.,Vaz, D. V.,de Aquino, C. F.,Bricio, R. S.(2006).Muscular co-contraction during walking and landing fro m a jump: Comparison between genders and influence of activity level.Journal of Electromyography and Kinesiology,16(3),273-280.
11. Ebig, M.,Lephart, S. M.,Burdett, R. G.,Miller, M. C.,Pincivero, D. M.(1997).The effect of sudden inversion stress on EMG activity of the peroneal and tibialis anterior muscles in the chronically unstable ankle.Journal of Orthopaedic & Sports Physical Therapy,26(2),73-77.
12. Freeman, M. A.(1965).Instability of the foot after injuries to the lateral ligament of the ankle.Journal of Bone & Joint Surgery- British Volume,47(4),669-677.
13. Fu, A. S.,Hui-Chan, C.(2005).Ankle joint proprioception and postural control in basketball players with bilateral ankle sprains.The American Journal of Sports Medicine,33(8),1174-1182.
14. Gribble, P. A.,Hertel, J.,Denegart, C. R.,Buckley, W. E.(2004).The effects of fatigueand chronic ankle instability on dynamic postural control.Journal of Athletic Training,39(4),321-329.
15. Hertel, J.(2000).Functional instability following lateral ankle sprain.Sports Medicine,29(5),361-371.
16. Hughes, G.,Watkins, J.(2008).Lower limb coordination and stiffness during landing from volleyball block jumps.Research in Sports Medicine,16(2),138-154.
17. Kaminski, T. W.,Perrin, D. H.,Gansneder, B. M.(1999).Eversion strength analysis of uninjured and functionally unstable ankles.Journal of Athletic Training,34(3),239-245.
18. Konradsen, L.,Magnusson, P.(2000).Increased inversion angle replication error in functional ankle instability.Knee Surgery, Sports Traumatology, Arthroscopy,8(4),246-251.
19. Konradsen, L.,Ravn, J. B.(1991).Prolonged peroneal reaction time in ankle instability.International Journal of Sports Medicine,12(3),290-292.
20. Löfvenberg, R.,Kärrholm, J.,Sundelin, G.,Ahlgren, O.(1995).Prolonged reaction time in patients with chronic lateral instability of the ankle.The American Journal of Sports Medicine,23(4),414-417.
21. Ryan, L.(1994).Mechanical stability, muscle strength, and proprioception in the functional unstable ankle.Australian Journal of Physiotherapy,40,41-47.
22. Santello, M.,McDonagh, M. J.(1998).The control of timing and amplitude of EMG activity in landing movements in humans.Experimental Physiology,83(6),857-874.
23. Santilli, V.,Frascarelli, M. A.,Paoloni, M.,Frascarelli, F.,Camerota, F.,De Natale, L.(2005).Peroneus longus muscle activation pattern during gait cycle in athletes affected by functional ankle instability: A surface electromyographic study.The American Journal of Sports Medicine,33(8),1183-1187.
24. Suda, E. Y.,Amorim, C. F.,Sacco, I. de C. N.(2009).Influence of ankle functional instability on the ankle electromyography during landing after volleyball blocking.Journal of Electromyography and Kinesiology,19(2),e84-e93.
25. Thacker, S. B.,Stroup, D. F.,Branche, C. M.,Gilchrist, J.,Goodman, R. A.,Weitman, E. A.(1999).The prevention of ankle sprains in sports. A systematic review of the literature.The American Journal of Sports Medicine,27(6),753-760.
26. Vaes, P.,Van Gheluwe, B.,Duquet, W.(2001).Control of acceleration during sudden ankle supination in people with unstable ankles.Journal of Orthopaedic & Sports Physical Therapy,31(12),741-752.
27. Van Deun, S.,Staes, F. F.,Stappaerts, K. H.,Janssens, L.,Levin, O.,Peers, K. K.(2007).Relationship of chronic ankle instability to muscle activation patterns during the transition from double-leg to single-leg stance.The American Journal of Sports Medicine,35(2),274-281.
28. Wikstrom, E. A.,Tillman, M. D.,Schenker, S.,Borsa, P. A.(2008).Failed jump landing trials: Deficits in neuromuscular control.Scandinavian Journal of Medicine & Science in Sports,18(1),55-61.
29. Willems, T.,Witvrouw, E.,Verstuyft, J.,Vaes, P.,De Clercq, D.(2002).Proprioception and muscle strength in subjects with a history of ankle sprains and chronic instability.Journal of Athletic Training,37(4),487-493.
30. Yeung, M. S.,Chan, K. M.,So, C. H.,Yuan, W. Y.(1994).An epidemiological survey on ankle sprain.British Journal of Sports Medicine,28(2),112-116.
31. 顏政通、高俊傑(2007)。排球運動中下肢關節著地動作之探究。排球教練科學，10，15-20。

1. 陳克舟(2018)。排球運動員連續攔網下肢肌電反應與動力學之分析。臺灣體育學術研究，65，57-71。
2. 黃彙茵、傅麗蘭、張維綱(2014)。功能性踝關節不穩定患者著地於傾斜地面時之運動學與肌電學分析。大專體育學刊，16(1)，113-123。
3. 賴穎良、林建志、李恆儒(2018)。高台著地反跳對踝關節不穩定運動員的影響。華人運動生物力學期刊，15(2)，8-15。
4. 林盈祥,林建志,朱寧(2019)。慢性踝關節不穩定族群著地動作之探討綜述。體育學系系刊，18，77-89。