三度空間前庭刺激的立即效應對身體重心與頭頸穩定性之影響

Immediate Effect of Whole Body and Head-Neck Stability after 3D Rotational Vestibular Stimulation

10.3966/207332672014100011001

黃鈺嵋(Yu-Mei Huang)；何維華(Wei-Hua Ho)；徐敬亭(Ching-Ting Hsu)；蔚順華(Shun-Hua Wei)

前庭 ； 身體重心 ； 頭頸 ； vestibular ； body rotation ； stability

華人運動生物力學期刊

11期（2014 / 10 / 01）

1 - 6

繁體中文

目的：探討人體經過三度空間（Three-dimensional;3D）旋轉對於前庭的刺激，比較刺激前、後測之頭頸（head-neck; HN）與全身重心（whole body center of gravity; WBCG）擺晃穩定性之研究。方法：30名健康男性（年齡：20.03 ± 2.2歲、身高：176.5 ± 7.4公分、體重：73.5 ± 10.7公斤）為研究對象，以最大努力強度進行3D前庭刺激、或刺激時間最長為15分鐘，分析刺激前與刺激後其視覺影像追蹤及靜態平衡能力作為評估指標，受試者以睜眼站立使紀錄頭頸擺晃與全身重心擺晃之外接形狀面積（external shape area; ESA）之變化。所得數據以相依樣本t檢定來檢驗前後測頭頸擺晃面積與全身重心擺晃面積之差異，並利用皮爾森相關性探討訓練前與訓練後的頭頸、全身重心擺晃面積之相關。顯著水準訂為p＜.05。結果：一、受試者經過3D旋轉前庭刺激的介入，頭頸擺晃面積後測大於前測，但沒有統計上顯著差異；反之，全身重心擺晃面積為後測小於前測，有顯著差異。二、3D前庭刺激介入前與介入後其頭頸、全身重心擺晃面積皆達正且低相關，但未達顯著差異。結論：人體經過3D旋轉前庭刺激後，全身重心面積變小，因而身體穩定性有顯著的改善、有變好的趨勢。因此，期許未來可提供相關身體重心穩定性參數進行評估，並制定前庭訓練計劃。

Purpose: The purpose of this study was to investigate the effects of 3D rotation for vestibular stimulation on the stability of head-neck (HN) and whole body center of gravity (WBCG). Methods: Thirty healthy male subjects (Age: 20.03±2.2 years, height: 176.5±7.4 cm, weight: 73.5±10.7 kg) participated in this study. They received 3D whole body rotation for vestibular stimulation for 15 minutes or until they asked to stop the trial during the stimulation period. Visual image tracking and static standing balance assessment with eyes open were measured before and after the vestibular stimulation. External shape areas (ESA) of HN and WBCG were evaluated. A paired sample t-test was conducted to compare the differences between the means of all variables before and after the stimulation. Pearson correlation coefficient was used to investigate the relationships between HN and WBCG before and after stimulation. The statistically significant level was set at .05. Results: (1) The results showed that after 3D vestibular stimulation, the ESA of HN was increased, but no significant differences was observed. On the contrary, WBCG sway was significantly decreased after stimulation. (2) The relationships between ESA of HN and WBCG before and after stimulation were both positive with low correlation, but no significant difference was found. Conclusion: According to the results, the WBCG stability was improved after the 3D rotational vestibular stimulation from this study. Thus, we expect to provide relevant parameters to assess the stability of WBCG and develop vestibular training program in the future.

1. 石翔至,蔡正中(2011)。人體平衡能力的評估與訓練成效之探討。中華體育季刊，25(1)，173-180。
   連結：
2. 江勁政,江勁彥,相子元(2004)。體操選手與非運動員平衡能力之定量評估。大專體育學刊，6(1)，203-212。
   連結：
3. 林威秀,黎俊彥(2004)。身體姿勢平衡與老年人的跌倒。中華體育季刊，18(1)，68-75。
   連結：
4. 黃得峯,何維華(2012)。探討3D轉體刺激介入對平衡能力之變化。台灣運動生物力學學術研討會，彰化市:
   連結：
5. 黎俊彥,林威秀(2003)。身體姿勢的平衡控制機轉。中華體育季刊，17(2)，66-72。
   連結：
6. 黎俊彥,林威秀,黃啟煌(2004)。規律運動訓練對踝關節本體感覺的影響。體育學報，37，57-68。
   連結：
7. Asseman, F.,Caron, O.,Cremieux, J.(2004).Is there a transfer of postural ability from specific to unspecific postures in elite gymnasts?.Neuroscience Letters,358(2),83-86.
8. Diener, H.C.,Dichgans, J.(1988).On the role of vestibular, visual and somatosensory information for dynamic postural control in human.Brain Reserch,76,253-262.
9. Hugel, F.,Cadopi, M.,Kohler, F.,Perrin, P.(1999).Postural control of ballet dancers: a specific use of visual input for artistic purpose.International Journal of Sports Medicine,20(2),86-92.
10. Jacobsen, G.(Ed.),Newman, C.(Ed.),Kartush, J.(Ed.)(1993).Handbook of balance function and testing.St. Louis:Mosby Year Book.
11. Paillard, T.,Noe, F.,Riviere, T.,Marion, V.,Montoya, R.,Dupui, P.(2006).Postural performance and strategy in the unipedal stance of soccer players at different levels of competition.Journal of Athletic Training,41,172-176.
12. Perrin, P.,Deviterne, D.,Hugel, F.,Perrot, C.(2002).Judo, better than dance, develops sensorimotor adaptabilities involved in balance control.Gait Posture,15(2),187-194.
13. Perrin, P.,Schneider, D.,Deviterne, D.,Perrot, C.,Constantinescu, L.(1998).Training improves the adaptation to changing visual conditions in maintaining human posture control in a test of sinusoidal oscillation of the support.Neuroscience Letters,245(3),155-158.
14. Schubert, M. C.,Whitney, S. L.(2010).From cawthorne-cooksey to biotechnology: where we have been and where we are headed in vestibular rehabilitation?.Journal of Neurologic Physical Therapy,34(2),62-63.
15. Thomas, Mergner,Thomas, Rosemeier(1998).Interaction of vestibular, somatosensory and visual signals for postural control and motion perception under terrestrial and microgravity conditions-a conceptual model.Brain Research Reviews,28(1-2),118-135.
16. 李昌榮,何維華(2010)。李昌榮、何維華（2010）。中華民國新型專利第M374885號。臺北市：經濟部智慧財產局。
17. 林威秀,黎俊彥,鄭秀琴(2002)。人體站立平衡能力之研究－生理特徵與KAT2000。大專體育學術專刊，91年度（下），509-517。
18. 胡名霞,何浩君,王傑賢(2004)。大專優秀運動選手平衡能力之比較研究。物理治療，30(1)，33-40。
19. 姬榮軍(2000)。臺北市，國立臺灣師範大學。
20. 曾震仁(1995)。桃園縣，國立體育學院。
21. 鍾効璟(2012)。臺中市，國立勤益科技大學。