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1
題名:Relationship between Stepping Movements and Age of Walking Attainment in Full-Term Infants without Known Impairment or Pathology     (24點)
無損傷或病變之足月兒的跨步動作與行走達成年齡的相關性研究
著者:Hong-Ji Luo(羅鴻基) ;Suh-Fang Jeng(鄭素芳) ;Tung-Wu Lu(呂東武) ;Kwan-Hwa Lin(林光華)
出版地區:台灣
出版城市:台北市
學科:物理 ; 醫學綜合
關鍵字:運動學分析 ; 跨步動作 ; 行走發展 ; 影響因子 ; Influencing factors ; Kinematic analysis ; Stepping ; Walking developemnt
刊名:Formosan Journal of Physical Therapy
卷期:29卷2期(2004.4)
頁碼:67-78
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

研究目的:本研究的目的有二:(一)探討無損傷或病變之足月兒的跨步動作與行走達成年齡的相關性,以及(二)探索可能和行走達成有關之影響因子。研究方法:本研究包括20名足月兒,於年齡7個月開始每兩個月接受跑步機跨步動作評估(速度0.1與0.2公尺/秒)直至行走達成為止,跨步動作以Peak Performance動作分析系統記錄與分析,可能之影響因子包括身體成長、皮脂厚度、與粗動作功能。結果:嬰兒之平均行走達成年齡為11.4個月(標準差1.2個月,範圍10-14.3個月)。Cox's比率危險單變項迴歸分析顯示,年齡9個月時的跨步動作具較長之著地期、較大之著地時膝關節伸直角度、以及兩腳間較對稱之著地期和離地期,則明顯有利於較早之行走達成(p<0.05)。另外,年齡7個月時較小之二頭肌與肩胛下皮脂厚度、較低之全身脂肪比率、與較高之粗動作分項分數和總分;以及年齡9個月時較小之恥骨上皮脂厚度、與較高之粗動作站立分項分數,亦明顯有利於較早之行走達成(p<0.05)。結論:本研究的結果顯示,足月兒於行走達成前呈現逐漸統整之跨步動作,而且其行走發展的過程相當複雜,可能和多系統的變化有關。
Purposes: The purposes of this study were to examine the relation between stepping movements and age of walking attainment in full-term infants who had no known impairments or pathology, and to explore the potential influencing factors for walking attainment. Methods: Twenty full-term infants were prospectively examined for stepping movements at a two-month interval from 7 months of age until walking attainment. Infants were supported stepping on a treadmill at 0.1 and 0.2m/s speeds, and the stepping movements were recorded and analyzed using Peak Performance Motion Analysis System. Potential influencing factors included physical growth, skin fold thickness, and gross motor function. Results: Infants attained walking ability at a mean age of 11.4 months (SD 1.2 months, range 10-14.3 months). Cox's proportional hazards univariate regression analysis revealed that a long stance time, a large knee extension at foot contact, and a symmetrical interlimb coordination pattern in the stance and swing time in stepping movements at 9 months of age were associated with an increased rate of walking attainment (all p<0.05). Furthermore, a small skin fold thickness at the biceps and subscapular areas together with a low percentage of total body fat and a high motor subscale and total score at 7 months of age; and a smallsk in fold thickness at the supra-iliac area together with a high standing subscale score at 9 months of age were also associated with an increased rate of walking attainment (all p<0.05). Conclusions: Our findings indicate that full-term infants demonstrate gradually organized stepping movements prior to walking attainment. The developmental process of walking appears complex that may relate to changes in multiple subsystems.


    

本卷期目次
Formosan Journal of Physical Therapy 29卷2期 (2004.4)
膝部等速向心運動對正常年青人心肺反應之影響/ 鄭湘君吳昇光高木榮
高張力的機轉與評估:反射性與非反射性/ 林光華黃國榮王淑芬葉純妤
病毒性心肌炎患者運動訓練成效-病例研究/ 吳慧芬吳英黛蕭淑芳
南投縣發展遲緩兒童早期療育跨專業團隊合作服務模式之建立經驗分享/ 孫世恒廖龍仁廖華芳李淑貞
Relationship between Stepping Movements and Age of Walking Attainment in Full-Term Infants without Known Impairment or Pathology/ Hong-Ji LuoSuh-Fang JengTung-Wu LuKwan-Hwa Lin
Reliability of Shoulder Complex Movements and Electromyograply during Functional Activities-A Preliminary Study/ Jiu-Jenq LinWilliam P HantenSharon L OlsonToni S RoddeyDavid A Soto-quijanoHyun K LimArthur M Sherwood
校園無障礙活動動線之現況與問題-以宜蘭縣國中小學為例/ 葉采青李淑貞林青松朱佩琪王華沛蔡美文陳祐蘋曾明基
 
   
 
   

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