【醫師、教練為什麼要學肌動學?】
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以下這些名詞,可以稍微檢測自己對肌動學的了解:
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「arthrokinematics, osteokinematics, kinematics, joint movement (slide/roll/spin), creep, antagonist, length-tension curve, lumbopelvic rhythm…. 」(文章的最後還有更多名詞)
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「醫師的養成教育裡面沒有『肌動學』,但我認為對有在處理肌肉骨骼系統、運動傷害等的科別,包括復健科、骨科等,如果能對肌動學有基礎的概念,那個醫師會變超強」
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「教練們常說受傷要找物理治療師,可能是我們對於『動作分析』及『運動治療』的擅長,而這兩種能力最大的貢獻莫過於肌動學」
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最近剛跟幾位朋友,進行完肌動學的讀書會,讀的是物理治療系在肌動學課程的指定參考書。其中兩位朋友,分別是疼痛科跟復健科醫師,都很認同肌動學的重要性,我也認為肌動學對「肌肉骨骼系統、運動傷害、運動訓練」等領域的專家是不可或缺的,所以寫了這篇文章給大家參考。
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🔸 什麼是肌動學?
肌動學(Kinesiology),簡單來說,是「人體動作的知識(the study of human movement)』。更詳細的說法是「探討肌肉骨骼系統的結構及功能,以及肌肉骨骼系統在生物力學如何應用」的學問。
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物理治療師,普遍是在沒有影像學檢查或動刀下,就要直接分析病人的問題、可能的診斷。因此,「所有的骨頭跟肌肉的位置、每個肌肉會產生什麼動作、關節是如何移動、會影響到什麼軟組織、由哪個神經所支配、會與其他肌肉怎麼合作等」,都是必須從肌動學,習得的知識。
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🔸 物理治療師的腦袋在想什麼?
肌動學就是讓我們腦中有一個畫面,想像「病人受傷時,身體裡面的肌肉骨骼系統發生了什麼事情。」
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心裡想的可能是:
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「他深蹲時髖關節會痛,可能是femoral head 做的inferior glide limited,而abnormal arthrokinematics來自iliopsoas的spasm,spasm/guarding可能是在lumbopelvic stability不足所導致」。
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最後,這個深蹲時,髖關節會痛的病人是需要做腰椎穩定的訓練。
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也可能是:
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「他深蹲時髖關節會痛,是因為adductors longus 需要很大的 eccentric control,而eccentric contraction產生的張力又大於concentric時,因此在下降時會痛,上升的過程不會痛,而adductors 的 tendon反覆拉扯造成pubic symphysis的irritation」
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同樣都是深蹲時髖關節會痛,這個病人則可能需要先由醫師做些消炎、止痛的處置,再配合其他離心訓練。
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🔸 學肌動學對不同角色的好處?
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✔ 對於醫療人員來說(治療運動傷害、肌肉骨骼疾病的),可以了解:
*同樣是髕骨肌腱炎,為什麼復健訓練的動作不同?
*怎麼透過伸展、關節鬆動術,來牽動五十肩沾黏的位置?
*健康跟受傷狀態下,肌肉的使用上會產生什麼改變?
*棘上肌肌腱在什麼情況下受力最大?
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舉例來說,骨科醫師針對十字韌帶斷裂,可能會進行手術來重建韌帶,但十字韌帶之所以受傷可能來自關節穩定性不足、肌力等,要分析或找出受傷的原因,肌動學就是那個橋樑。
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「注射、手術、藥物等,大多是在處理受傷造成的結果,但要找到受傷的原因,必須從動作的分析、了解身體怎麼產生動作、軟組織跟骨頭是怎麼交互作用等」
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✔ 對於教練、訓練師來說:
*肌肉擺在什麼長度下力量最大?
*髕骨在膝蓋彎曲多少度,接觸面積最小?
*訓練臀中肌的蚌殼訓練,為什麼讓髖擺在45度的位置?
*健康跟受傷狀態下,肌肉的使用上會產生什麼改變?
*針對不同運動項目,怎樣的訓練可以讓身體發揮最大的效率?
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🔸 重點整理:
*醫療上,肌動學是分析跟評估「肌肉骨骼疾病」、「運動傷害」很重要的武器
*訓練上,肌動學是能了解各個動作的優缺點、特性、哪些能做、哪些效果好
*專業之間的差異,就是對各個領域或科目,鑽研的深度不同,例如,物理治療師的肌動學、醫師的病理學、藥師的藥理學、教練的訓練法
*開始唸肌動學吧!
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下面的專有名詞,可以測試一下對肌動學暸解的程度:
arthrokinematics、osteokinematics、concave-convex rule、scapulohumeral rhythm、kinematics、kinetics、joint movement (slide、roll、spin)、creep、viscoelasticity、agonist、antagonist、synergist、stabilizer、mover、length-tension curve、active insufficiency、passive insufficiency、lumbopelvic rhythm、concentric、eccentric、isometric、isokinetic、isotonic、sliding filament theory、golgi-tendon organ、muscle spindle、recruitment、force-couple等
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其他文章:https://jackchen.sport.blog/
其他圖片:https://www.instagram.com/chenhc82/
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#肌動學 #運動 #動作 #運動傷害 #運動員 #動作分析 #物理治療師 #教練 #醫師 #肌力與體能訓練師 #陳曉謙 #kinesiology #physicaltherapist #coach #exercise #sportsinjury #training #movement #doctor #athlete #motionanaylsis #CSCS
同時也有5部Youtube影片,追蹤數超過5,910的網紅Linora Low,也在其Youtube影片中提到,Subscribe to my channel: http://youtube.com/linoralow Happy Wesak day and Selamat Berpuasa! It's a holiday here in Malaysia and for those who are fee...
「isometric exercise」的推薦目錄:
- 關於isometric exercise 在 陳曉謙物理治療師/肌力與體能訓練師 Facebook 的最佳解答
- 關於isometric exercise 在 運動防護員x物理治療師 Lulu Lu柏伶 Facebook 的最佳解答
- 關於isometric exercise 在 Facebook 的精選貼文
- 關於isometric exercise 在 Linora Low Youtube 的最讚貼文
- 關於isometric exercise 在 Dan Lok Youtube 的最佳貼文
- 關於isometric exercise 在 Joanna Soh Official Youtube 的精選貼文
- 關於isometric exercise 在 20 Isometric Exercises Anyone Can Do (With No Equipment) 的評價
- 關於isometric exercise 在 ISOMETRIC EXERCISES TO DECREASE LOW BACK PAIN 的評價
isometric exercise 在 運動防護員x物理治療師 Lulu Lu柏伶 Facebook 的最佳解答
#跳躍膝的運動介入怎麼做比較好呢
髕骨肌腱病變(Patellar tendinopathy)又稱跳躍膝(Jumper's knee)
通常是因為反覆的跳躍落地動作、錯誤的落地姿勢、不良的活動度blah blah blah
痛的位置都在膝蓋骨下緣
伸直壓會痛、彎也痛、蹲也痛、坐太久也在痛
超過20%的運動員、在籃球排球運動員甚至超過40%曾經有或現在有這樣的玻璃膝蓋
最煩的是它很難完全恢復
常常以為它好了
等你又開始當跳跳虎的時候它又回來Say I am back
然後選手生涯就會帶著老人膝蓋一起努力真的有夠煩燥
曾經的我身為菜雞防護員時認為跳躍膝也沒什麼
建議選手多多放鬆肌肉、拉拉筋、滾滾筒就沒事了
但你會發現這樣的建議對他們沒什麼幫助
再來我多念了一點書上了一些課變得比較厲害一點
知道練練離心更能夠讓肌肉在延展的狀態下出力
有助於增加肌腱的彈性、又可以增加肌肉的長度真是一舉兩得
但又發現選手痛到無法執行
看了文獻才發現我怎麼這麼傻
所以
這篇文章提供治療師或防護員
在不同時期用不同的訓練方式來介入
會有更好的效果
但我都建議長期沒有痊癒的肌腱炎
還是先找復健科或骨科醫師掃一下超音波
看看發炎的嚴重程度或是有沒有鈣化點
如果有鈣化點或是小骨刺怎麼樣訓練都會痛都會發炎
真的有的話用震波治療效果很好可以考慮看看
其他的知識大家自己參考圖片中的資訊囉~
參考資料:
Lim, H. Y., & Wong, S. H. (2018). Effects of isometric, eccentric, or heavy slow resistance exercises on pain and function in individuals with patellar tendinopathy: a systematic review. Physiotherapy Research International, 23(4), e1721.
Cook, J. L., & Purdam, C. R. (2014). The challenge of managing tendinopathy in competing athletes. British journal of sports medicine, 48(7), 506-509.
Rio, Ebonie, et al. "Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy." British journal of sports medicine 49.19 (2015): 1277-1283.
#物理治療師PT
#運動防護員AT
#長庚運動醫學
#實證醫學Evidence_based_medicine
#跳躍膝
#Patellar_tendinopathy
#膝蓋好人生就是彩色的
isometric exercise 在 Facebook 的精選貼文
🔥 GLUTE & THIGHS 🔥
If you’re looking to build strong, great looking legs, Bulgarian Split Squats are an awesome exercise! Quite simply one of the best exercises you can do for your lower body. I always include them on my leg training days. Do them first if you aren't squatting or deadlifting or leave them until the end as a "finisher." This one BURNS 🔥
1️⃣ Bulgarian Split Squat w 2 dumbbells x10
2️⃣ Dropset w 1 dumbbell x10
3️⃣ 15 sec Isometric hold
4️⃣ Single-Leg Squat to Forward Lunge x10
5️⃣ 15 sec Pulsing Lunge
6️⃣ 15 sec Lunge Hop
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isometric exercise 在 Linora Low Youtube 的最讚貼文
Subscribe to my channel: http://youtube.com/linoralow
Happy Wesak day and Selamat Berpuasa! It's a holiday here in Malaysia and for those who are feeling lazy but still want to get some activity in give this workout a try with me and Joanna Soh :)
Here's what you will need
1. Mat
2. Chair.
3. Towel
Thats it!
Whole Workout: 35 mins.
Exercise time: 30-40s and Rest 10s
Chair Workout - Joanna
1. Narrow to Wide Squat
2. Side Lunge
3. Knee to Leg Raise
4. Knee Tuck
5. Cross Crunch
Towel - Linora
1. Single Leg Isometric Hold
2. Leg Kicks
3. Isometric Towel Pull
4. Super Ws
5. Towel Dead bug
Have fun and do tell if you did this workout! :)
You can find me here
Website: http://www.linoralow.com
Facebook:http://facebook.com/linoralow
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isometric exercise 在 Dan Lok Youtube 的最佳貼文
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Have the strength like Bruce lee with this workout and isometrics training from Sifu Dan Lok and Sigong Quintero Octavio. Watch the entire series: https://www.youtube.com/watch?v=BVZtUGOl94A&list=PLEmTTOfet46M4JhAnk9pgZvXqXGS1iHye
★☆★ SUBSCRIBE TO DAN'S YOUTUBE CHANNEL NOW ★☆★
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With over 24 years of martial arts experience, Octavio Quintero is a certified Jeet Kune Do Instructor and a Warrior Athlete Coach located in Portland Oregon. He has appeared in numerous instructional videos, books, magazines such as Inside Kung Fu, Black Belt and supported the Bruce Lee Foundation with seminars and demonstrations in 2008-2009. (http://www.theartofjkd.com)
Check out Sifu Octavio Quintero's YouTube Channel videos here:
https://youtu.be/QGrTzGYc_gs
One of Dan Lok’s passions in life is martial arts. Like many young kids, after watching a Bruce Lee movie, it changed his life forever. At 17 years old, Dan started training in martial arts seriously because he was being bullied in school. It wasn’t long for Dan to learn the techniques he needed, and gain the confidence necessary to defend himself.
Dan has studied with legendary martial artists such as Bruce Lee’s original student Ted Wong (http://tedwongjkd.net) and Joe Lewis “The Worlds Greatest Fighter” (http://joelewisassociation.com), making him a second generation student of Bruce Lee - in Bruce Lee's authentic art of Jeet Kune Do (JKD). He's also a third generation student of Ip Man (Wing Chun Kung Fu).
Dan has also trained with other great instructors like Sifu Adam Chan (https://www.pragmaticmartialarts.com), Canadian lightweight boxing champion Tony "Fire Kid" Pep (https://www.facebook.com/pepboxing), and Octavio Quintero (https://www.theartofjkd.com)
For Dan, martial arts training permeates every area of life. It’s not a hobby, it’s a way of life, and it influences how he does business.
Martial arts gave him the confidence, focus, and patience to push through these obstacles and to keep fighting when he felt like giving up.
IMPORTANT NOTE: Dan is NOT a full-time martial artist and he doesn't even claim to be that good of a fighter.
He's simply a successful businessman who enjoys the art and philosophy of Bruce Lee, just like you.
He doesn't have any online martial art videos, seminars or expensive "private training" to sell you. Quite frankly, he doesn't need the money.
He simply wants to share his passion for the art of JKD (his own version of Jeet Kune Do) through his YouTube channel.
Check out the other Jeet Kune Do (JKD) Fighting Tactics and Training Videos: https://www.youtube.com/playlist?list=PLEmTTOfet46Ocn3bqnUIaAB-cTUzsAXOG
More Wing Chun (Ving Tsun) Techniques in this Playlist: https://www.youtube.com/playlist?list=PLEmTTOfet46PuW-CM4gmmMnebKMq3WFMp
But if you think your business might benefit from one-on-one interaction with Dan, visit http://danlok.com
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Special Credit given to
Power3 Academy for permission to film in their gym.
be sure to check them out for more info:
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This video is about Bruce Lee JKD Workout and Isometrics
https://youtu.be/t08AT17B_ks
https://youtu.be/t08AT17B_ks
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isometric exercise 在 Joanna Soh Official Youtube 的精選貼文
♥ Nana used to only weigh 42kgs! She's now at a healthy 53kgs with consistent strength training and eating well. If you struggle to gain weight or if you want to get sculpted, follow this workout routine! Read below for more info.
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________
Tempo: 3 – 1 – 1
Reps: 12 – 15 reps per exercise
Sets: 3 per exercise
Do this routine 3 – 4 times weekly
Exercises
1) Squat with Dumbbells (3 – 5kgs each)
2) Romanian Deadlift (4 – 8kgs each)
3) Split Squat with Stepper
4) Hip Thrust
5) Cable Kickbacks (6 - 12kgs)
The weights should be heavy enough for you to lift between 12 - 15 reps. If you can lift more than 15 reps, then you need to increase the weight. If you struggle to lift up to 12 reps, then the weight is too heavy for you, reduce it.
________
This workout is based on HYPERTROPHY strength training. What is muscle hypertrophy? Muscle hypertrophy involves an increase in size of skeletal muscle cells (hence, weight gain). The goal of most hypertrophy exercises is progressive hypertrophy, ensuring each workout taxes the muscles more that previous through training manipulation.
What you need to consider and be aware of every time you are undergoing hypertrophy exercises is:
1) Time under tension which is how long each repetitions or sets takes.
2) Repetitions. Optimal reps range for hypertrophy is between 8 to 12 reps.
3) Tempo. How fast and slow you move the weight through the eccentric, concentric and isometric faces. For this, it's 3 - 1 - 1 tempo. 3 seconds eccentric, 1 second concentric and 1 second isometric.
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isometric exercise 在 ISOMETRIC EXERCISES TO DECREASE LOW BACK PAIN 的推薦與評價
ISOMETRIC EXERCISES TO DECREASE LOW BACK PAIN Isometric exercises are often used in practice to decrease pain. While quite some research has ... ... <看更多>
isometric exercise 在 20 Isometric Exercises Anyone Can Do (With No Equipment) 的推薦與評價
https://snapsupplements.com/shop✳️ Promo code: MINUS20 for 20% off store wide!⏩⏩⏩ Get 10% OFF BaseBlocks calisthenics equipment with ... ... <看更多>