本研究顯示在四個肩關節方向的最大伸展角度時加上局部震動訓練
(40Hz，每個方向一分鐘重複三次，共 12 分鐘的訓練)，可以立即提升肩
關節活動度，並降低休息時及動作時疼痛。然而肩周圍肌肉的張力及肩 關節位置的本體感覺並無明顯變化，顯示局部震動訓練增加五十肩患者 的肩關節柔軟度的機轉可能主要為減少疼痛閾值。而五十肩的關節活動 度受限主要病因仍為關節囊攣縮，肩周圍肌肉緊繃的肌肉機械性質影響 不大。至於震動可能刺激高爾基氏腱(Golgi tendon organs)促進肌肉放 鬆，或經由 Ia 抑制神經元(Ia-inhibitory neuron)抑制拮抗肌收縮等影 響肌肉神經控制的效果，本研究設計未做這方面的資料收集，後續研究 可以加上肌肉活性的測量，以了解震動增加柔軟度的神經控制機轉。
本研究顯示局部震動伸展訓練對五十肩關節攣縮患者有立即而顯著
的幫助，提供臨床工作者一個方便省時也節省人力的新治療方法。震動
訓練的長期效果也令人期待，有待進一步的後續研究。
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附錄一 病人基本資料表
3. 是否有依照治療師指示做居家復健運動□每天_____分鐘，每周______次□無
附錄二 Modified Constant Score 中文量表
Modified Constant Score
A- 疼痛(/15): Average(1+2) =
附錄三 Oxford Shoulder Score 中文量表
Oxford Shoulder Score
1. 形容你現階段肩膀最痛時的程度
12. 你是否有辦法用雙手洗澡及擦乾身體
1 完全沒辦法 2 很困難 3 中等困難 4 有點困難 5 不影響 ______
Total score (1-60): ________
附錄四 受試者同意書(節錄)
國泰醫療財團法人國泰綜合醫院 人體試驗受試者同意書
本試驗已通過國泰綜合醫院人體試驗審查委員會審查，計畫編號：CT＿＿＿
計劃名稱：震動訓練對冰凍肩之療效 計劃執行單位：復健科
計劃贊助或委託單位：
計劃主持人姓名：林芸代 職稱： 主治醫師 電話：02-86463742 轉 3660 通訊地址：新北市汐止區建成路 59 巷 2 號
本人(即試驗主持人或授權之研究人員)已詳細解釋有關本臨床試驗中研究 方法的性質與目的，以及可能產生的危險與利益，並且已回答受試者針對本臨 床試驗所提出的問題。
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受試者已詳細瞭解本臨床試驗的研究方法，以及其所可能產生的危險與利 益；此外，針對本臨床試驗所提出的問題，試驗研究人員已經詳細予以解釋。
本人同意接受成為本臨床試驗計畫的自願受試者。
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個人小傳
Yun-Tai Lin, Ya-Ning Chiu, Hsiao-Wei Lin, Tyng-Guey Wang (2008). Sonographic diagnosis of non-traumatic musculotendinous rupture of hamstring — A case report. Journal of Medical Ultrasound, 16(3), 223-236.
Yun-Tai Lin, Yih-Tsen Lai, Ya-Wen Tu (2012). Management of shoulder pain resulting from supraspinatus tendinopathy: A literature review. 疼痛 醫學雜誌 22(1), 15-24.
林芸代、王興國、劉韶怡、相子元 (2012)。震動訓練對排球選手肩關節肌力及柔軟 度之影響。臺灣復健醫學雜誌，40(4)，197-204。
Yun-Tai Lin, Tyng-Guey Wang (2012). Ultrasonographic examination of the adult hip (review article). Journal of Medical Ultrasound, 20(4), 201-209.
林芸代、邱雅寧、饒紀倫、王亭貴、施庭芳：以高頻超音波診斷非外傷性肌腱斷裂--病例報告。2006 年復健醫學會年會。(poster)
倪昊白、黃久秦、林芸代、賴仲亮、高禎聆：以骨骼肌肉問題為主訴之復健科門診患 者使用另類療法之調查。2007 年復健醫學會年會。(poster)
Lin, Yun-Tai (2012): The Effect of Vibration on Shoulder Strength and Flexibility of Volleyball Athletes. 3rd Asia-Oceanian Conference of Physical and Rehabilitation Medicine (AOCPRM). (oral presentation) 五、專業證照
中華民國醫師執照
中華民國復健科專科醫師執照