膝關節運動貼紮對優秀女性足球選手頭頂球動作著地階段之生物力學影響

Biomechanical effects of the athletic knee taping on the risk of the lower extremity injury during landing after heading for elite female soccer players

10.3966/207332672021031801002

王琳懷(Lin-Huai Wang)；何春生(Chun-Sheng Ho)；簡榮均(Rong-Jiun Jian)；辜瀞儀(Chin-Yi Gu)；賴建廷(Chien-Ting Lai)；王令儀(Li-I Wang)

地面反作用力 ； 運動學 ； 力矩 ； 原地躍起頭頂球 ； 跨步躍起頭頂球 ； Ground reaction force ； Kinematics ； Moment ； Landing after two-footed-takeoff heading ； Landing after one-footed-takeoff heading

華人運動生物力學期刊

18卷1期（2021 / 03 / 01）

10 - 18

繁體中文

目的：探究運動貼紮的介入，對足球頭頂球著地動作中，著地階段下肢傷害風險的生物力學影響，並比較兩種頭頂球動作的傷害風險差異。方法：本研究以12名國家優秀女子足球隊選手為研究對象，實驗介入分為膝關節無貼紮與有貼紮兩種情境，實驗測試分為原地躍起頭頂球及跨步躍起頭頂球的兩種動作。以一套含八台紅外線攝影機與兩塊測力板的動作捕捉系統擷取資料，並以動作分析軟體進行運動學、地面反作用力，以及動力學之資料處理。以2×2重複量數二因子（貼紮×動作）變異數分析（two-way ANOVA），比較各分析參數在不同頭頂球動作及有無貼紮間是否有差異存在，統計顯著水準訂為α=0.05。結果：有貼紮時，觸地瞬間膝關節屈曲角度大於無貼紮時（p＜0.05），且有貼紮時的膝關節最大伸膝力矩顯著小於無貼紮時（p＜0.05）。跨步躍起頭頂球，著地期負荷率顯著大於原地躍起頭頂球（p＜0.05），且觸地瞬間踝關節的蹠屈較少（p＜0.05），而髖關節及膝關節則較為屈曲（p＜0.05），且髖關節及膝關節皆有有較大的觸地角速度（p＜0.05）。結論：本研究推論在介入膝關節運動貼紮後，應可協助支撐膝關節之穩定，降低膝關節負荷，進而減少下肢傷害風險的產生。而相較於原地躍起頭頂球動作，跨步躍起頭頂球會有較大的傷害風險。

Purpose: The current research aims at investigating the biomechanical effects of athletic knee taping on the risk of the lower extremity injuries associated with landing after soccer heading. Two types of commonly-used landings were selected in the current study. Methods: Twelve elite athletes (players) from the U18 National Women's Soccer Team were chosen and asked to perform two types of landings: landing after two-footed-takeoff heading and landing after one-footed-takeoff heading, with and without athletic knee taping in each condition. Data were collected via eight Qualisys infrared cameras and the QTM action capture system with two AMTI triaxial sensors and then further processed through the Motion Monitor Software to gather ground reaction force and kinematic data. The statistical analyses were conducted using repeated measure two-way ANOVA (taping * landing) with a significance level α =.05. Results: Our analyses indicate that in taping condition, knee joint flexion angles at initial contact are statistically greater than without taping (p ＜ 0.05) and also the maximum knee extension moments are significantly lower than without taping (p ＜ 0.05). Landing after one-footed-takeoff heading, as expected, causes more strain than landing after two-footed-takeoff heading (p ＜ 0.05), which conforms with previous researches. In addition, landing after one-footed-takeoff heading has less ankle flexion angle (p ＜ 0.05) at the initial contact and more hip and knee flexion angle with significantly larger angular speed at initial contact (p ＜ 0.05). Conclusion: Our findings reveal that traditional taping increases knee stability, reduces loading, and, consequently, leads to lower risk of lower extremity injuries. Furthermore, landing after one-footed-takeoff heading shows a higher risk of lower extremity injuries compared to landing after two-footed-takeoff heading.

1. 王思宜,許年瑩(2017)。不同躍起方向對高臺著地反彈跳躍動作下肢著地負荷之影響。體育學報，50(4)，427-437。
   連結：
2. 張怡雯,張世緯,陳超平,吳鴻文(2014)。貼紮對前十字韌帶重建患者膝關節運動學的影響。大專體育學刊，16(2)，234-249。
   連結：
3. 張博涵,翁梓林,林羿君(2013)。不同膝關節貼紮類型對急停動作穩定性之影響。大專體育學刊，15(3)，374-382。
   連結：
4. 許年瑩,孫苑梅,張木山,王令儀(2015)。著地急停與反彈跳著地期下肢運動學與地面反作用力之比較。華人運動生物力學期刊，12(2)，65-71。
   連結：
5. 蔡佳良,黃啟煌,吳昇光(2005)。不同定義之慣用腳靜態平衡力、對地反作用力及速度之探討。大專體育學刊，7(2)，227-240。
   連結：
6. Aktas, G.,Baltaci, G.(2011).Does kinesiotaping increase knee muscles strength and functional performance?.Isokinetics and Exercise Science,19(3),149-155.
7. Alentorn-Geli, E.,Myer, G. D.,Silvers, H. J.,Samitier, G.,Romero, D.,Lázaro-Haro, C.,Cugat, R.(2009).Prevention of non-contact anterior cruciate ligament injuries in soccer players. Part 1: Mechanisms of injury and underlying risk factors.Knee Surgery, Sports Traumatology, Arthroscopy,17(7),705-729.
8. Bates, N. A.,Ford, K. R.,Myer, G. D.,Hewett, T. E.(2013).Impact differences in ground reaction force and center of mass between the first and second landing phases of a drop vertical jump and their implications for injury risk assessment.Journal of Biomechanics,7(26),1237-1241.
9. Chappell, J. D.,Creighton, R. A.,Giuliani, C.,Yu, B.,Garrett, W. E.(2007).Kinematics and electromyography of landing preparation in vertical stop-jump: risks for noncontact anterior cruciate ligament injury.The American Journal of Sports Medicine,35(2),235-241.
10. Chappell, J. D.,Yu, B.,Kirkendall, D. T.,Garrett, W. E.(2002).A comparison of knee kinetics between male and female recreational athletes in stop-jump tasks.The American Journal of Sports Medicine,30(2),261-267.
11. Chen, Z. R.,Peng, H. T.,Siao, S. W.,Ho, Y. T.,Wang, L. I.(2016).Whole body vibration immediately decreases lower extremity loading during the drop jump.Journal of Strength and Conditioning Research,30(9),2476-2481.
12. Decker, M. J.,Torry, M. R.,Noonan, T. J.,Riviere A.,Sterett, W. I.(2002).Landing adaptations after ACL reconstruction.Medicine and Science in Sports and Exercise,34(9),1408-1413.
13. Deppen, R. J.,Landfried, M. J.(1994).Efficacy of prophylactic knee bracing in high school football players.Journal of Orthopaedic & Sports Physical Therapy,20(5),243-246.
14. Gulling, L. K.,Lephart, S. M.,Stone, D. A.,Irrgang, J. J.,Pincivero, D. M.(1996).The effects of patellar bracing on quadriceps EMG activity during isokinetic exercise.Isokinetics and Exercise Science,6(2),133-138.
15. Hawkins, R. D.,Fuller, C. W.(1999).A prospective epidemiological study of injuries in four English professional football clubs.British Journal of Sports Medicine,33(3),196-203.
16. Hawkins, R. D.,Hulse, M. A.,Wilkinson, C.,Hodson, A.,Gibson, M.(2001).The association football medical research programme: an audit of injuries in professional football.British Journal of Sports Medicine,35(1),43-47.
17. Hewett, T. E.,Myer, G. D.,Ford, K. R.,Heidt Jr, R. S.,Colosimo, A. J.,McLean, S. G.,Succop, P.(2005).Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study.The American Journal of Sports Medicine,33(4),492-501.
18. Leininger, R. E.,Knox, C. L.,Comstock, R. D.(2007).Epidemiology of 1.6 million pediatric soccer-related injuries presenting to US emergency departments from 1990 to 2003.The American Journal of Sports Medicine,35(2),288-293.
19. Lilley, K.,Gass, E.,Locke, S.(2002).A retrospective injury analysis of state representative female soccer players.Physical Therapy in Sport,3(1),2-9.
20. Pritchett, J. W.(1981).Cost of high school soccer injuries.The American Journal of Sports Medicine,9(1),64-66.
21. Schmitz, R. J.,Kulas, A. S.,Perrin, D. H.,Riemann, B. L.,Shultz, S. J.(2007).Sex differences in lower extremity biomechanics during single leg landings.Clinical Biomechanics,22(6),681-688.
22. Wang, I. L.,Wang, S. Y.,Wang, L. I.(2015).Sex differences in lower extremity stiffness and kinematics alterations during double-legged drop landings with changes in drop height.Sports Biomechanics,14(4),404-412.
23. Wang, L. I.,Gu, C. Y.,Chen, W. L.,Chang, M. S.(2010).Potential for non-contact ACL injury between step-close-jump and hop-jump tasks.Journal of Sports Science and Medicine,9(1),134-139.
24. Wang, L. I.,Peng, H. T.(2014).Biomechanical comparisons of single-and double-legged drop jumps with changes in drop height.International Journal of Sports Medicine,35(6),522-527.
25. Wong, P.,Hong, Y.(2005).Soccer injury in the lower extremities.British Journal of Sports Medicine,39(8),473-482.
26. Yde, J.,Nielsen, A. B.(1990).Sports injuries in adolescents’ ball games: soccer, handball and basketball.British Journal of Sports Medicine,24,51-54.
27. Yu, B.,Lin, C. F.,Garrett, W. E.(2006).Lower extremity biomechanics during the landing of a stop-jump task.Clinical Biomechanics,21,297-305.
28. 王百川(2007).運動貼紮法.臺北縣:科正股份有限公司.
29. 黃昱倫(2001)。貼紮介入對前十字韌帶缺損者膝關節額狀面運動學與功能性表現影響。華人運動生物力學期刊，13(2)，64-70。
30. 戴偉勳,彭賢德(2014)。跨步躍起對垂直跳表現的效益。中華體育季刊，28(3)，243-250。