中文摘要
目的：比較增強式訓練(plyometric training, PT)結合肌力訓練(strength training, ST)與PT結合平衡訓練(Balance training, BT)組合訓練兩者間對改善ACL傷害風險之效益。方法：受試對象為大學各系女子籃球隊46位選手，以隨機分派分為PT+ST組(n=14)、PT+BT組(n=15)與控制組(C, n=17)。所有受試者皆規律進行每週1~3次，每次120分鐘的籃球專項訓練，實驗組則額外進行每次20分鐘，每週3次，連續6週的神經肌肉訓練組合。每位受試者皆以等速測力儀進行每秒60°/s、120°/s與240°/s的膝關節屈伸(extension, E & flexion, F)最大肌力峰值(peak torque strength, PTS)評估；垂直地面反作用力(ground reaction force, GRF)則是以AMTI三軸測力板進行雙腳之蹲踞跳(squat jump, SJ)與單腳急停跳躍(vertical stop jump, VSJ)評估，以相依樣本t檢定與單因子共變數分析訓練前後膝關節PTS與SJ/VSJ落地垂直/水平最大GRF之差異，顯著水準皆定為α= .05。結果：ST+PT組訓練前後能提升60°/s E/F、120°/s E/F與240°/s E/F的PTS與降低SJ/VSJ的GRF，BT+PT組能提升60°/s F、120°/s E/F與240°/s E/F的PTS，但SJ/VSJ的GRF皆無達顯著差異。而相較ST+PT組與ST+BT組之間在訓練後的所有角速度PTS與GRF表現則無達顯著差異。不過比較ST+PT組在SJ/VSJ的GRF表現以及60°/s F、120°/s E/F與240°/s E/F屈伸PTS皆與C組達顯著差異，而ST+BT組只有在VSJ的GRF以及120°/s E/F與240°/s E/F屈伸PTS與C組達顯著差異。結論：六週ST結合PT組合在改善ACL傷害風險之效益優於BT結合PT組合。

Abstract
The purpose of this study was to evaluate the effects of 6-weeks Between the two neuromuscular training programs. Forty-six college female basketball amateurs volunteered as participants. Subjects were randomly divided into two training groups (plyometric training, PT + strength training, ST, n=14 and PT+ Balance training, BT, n=15) and a control group (n=17). All the players were underwent regular basketball practicing, 120 minutes, 1~3 times per week for 6 weeks, but the PT+ST group and PT+BT group underwent extra NT combinations, 20 minutes, 3 times per week for 6 weeks during this period. The non-dominant leg knee extension/flexion (E/F) peak torque strength (PTS) was evaluated by the Biodex S4 at 60°/s、120°/s and 240°/s test in isokinetic concentric mode. The ground reaction force (GRF) was measured by AMTI force plate for single / foot of vertical stop jump (VSJ) and squat jump (SJ). Repeated measure t test and analysis of covariance was used to compare the different change between groups before and after training for each parameter, the statistic significance was set at α= .05. The results showed that 6 weeks PT+ST group can significant increased the non-dominant leg knee all angular velocity PTS, reduced the GRF in VSJ/SJ. PT+BT group can significant increased the non-dominant leg knee 60°/s F, 120°/s E/F and 240°/s E/F PTS, However there were no statistical differences in VSJ/SJ. There were no statistical differences between the experimental groups with regard to any posttraining parameters. In addition, a comparison of the two groups after training revealed that the PT+ST group had significantly higher PTS in 60°/s F, 120°/s E/F and 240°/s E/F, lower GRF in VSJ/SJ than the control group. But PT+BT group had significantly higher PTS only in 120°/s E/F and 240°/s E/F, lower GRF in VSJ. It was concluded that 6 weeks PT+ST NT programs was the most effective prevention anterior cruciate ligament injuries risk than the PT+BT NT programs.

參考文獻
一、中文部份

許孟霖、林晉利(2009)。神經肌肉訓練降低非接觸性前十字韌帶傷害之效果。大專體育，(101)，210-216。

李成碩、姚承義、林威秀與黎俊彥(2011)。增強式訓練對籃球選手動態平衡與專項運動表現之影響。大專體育學刊，13，418-426。

陳永錚、賴怡婷、李茵、林佩伶、施怡芬、陳文英與李雪禎（2012)。預防性訓練計劃對於女性運動員前十字韌帶傷害預防效果：系統性回顧與統合分析。物理治療，37，30-40。

蔡崇濱、林信甫、林政東、吳柏翰、鄭景峰、博正思、戴堯種 (譯) (2004)。肌力與體能訓練(原作者：T. R., Baechle, & R. W. Earle)。新北市：藝軒圖書文具有限公司(原著出版年：2000)。

李成碩(2010)。增強式訓練對籃球選手下肢專項體能與動態平衡的影響。未出版碩士論文，新竹教育大學，新竹市。

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。

歐宗明(2000)。膝關節傷害與運動。中華體育季刊，14，102-110。
林寶城(2008)。運動生物力學。台中市：華格納企業。

二、英文部分

Aggressive quadriceps loading can induce noncontact anterior cruciate ligament injury. American Journal of Sports Medicine, 32, 477-483.

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, 705-729.

Baratta, R., Solomonow, M., Zhou, B. H., Letson, D., Chuinard, R., & D'ambrosia, R. (1988). Muscular coactivation The role of the antagonist musculature in maintaining knee stability. The American journal of sports medicine, 16, 113-122.

Besier, T. F., Lloyd, D. G., & Ackland, T. R. (2003). Muscle activation strategies at the knee during running and cutting maneuvers. Medicine and science in sports and exercise, 35, 119-127.

Boden, B. P., & Garrett, W. E. J. (1996). Mechanisms of injuries to the anterior 　　　cruciate ligament[Abstract]. Med Sci Sports Exerc, 28, S26.

Boden, B. P., Dean, G. S., Feagin, J. A., & Garrett, W. E. (2000). Mechanisms of anterior cruciate ligament injury. Orthopedics, 23, 573-578.

Chaouachi, A., Othman, A. B., Hammami, R., Drinkwater, E. J., & Behm, D. G. (2014). The combination of plyometric and balance training improves sprint and shuttle run performances more often than plyometric-only training with children.The Journal of Strength & Conditioning Research, 28, 401-412.

Chappell, J. D., Herman, D. C., Knight, B. S., Kirkendall, D. T., Garrett, W. E., & Yu, B. (2005). Effect of fatigue on knee kinetics and kinematics in stop-jump tasks. The American journal of sports medicine, 33, 1022-1029.

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. American Journal of Sports Medicine, 30, 261-267.

DeMorat, G., Weinhold, P., Blackburn, T., Chudik, S., & Garrett, W. (2004).

Di Stasi, S., Myer, G. D., & Hewett, T. E. (2013). Neuromuscular training to target deficits associated with second anterior cruciate ligament injury. journal of orthopaedic & sports physical therapy, 43, 777-A11.

Gilchrist, J., Mandelbaum, B. R., Melancon, H., Ryan, G. W., Silvers, H. J., Griffin, L. Y., ... & Dvorak, J. (2008). A randomized controlled trial to prevent noncontact anterior cruciate ligament injury in female collegiate soccer players. The American Journal of Sports Medicine, 36, 1476-1483.

Griffin, L. Y., Agel, J., Albohm, M. J., Arendt, E. A., Dick, R. W., Garrett, W. E., Garrick, J. G., Hewett,T. E., Huston, L., Ireland, M. L., Johnson, R. J., Kibler, W. B., Lephart, S., Lewis, J. L., Lindenfeld, T. N., Mandelbaum, B. R., Marchak, P., Teitz, C. C., & Wojtys, E. M. (2000). Noncontact anteriorcruciate ligament injuries: Risk factors and prevention strategies. J Am Acad Orthop Surg, 8, 141-150.

Hewett, T. E., Myer, G. D., Ford, K. R., Heidt, 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, 492-501.

Hewett, T. E., Myer, G. D., Ford, K. R., Paterno, M. V., & Quatman, C. E. (2012). The 2012 ABJS Nicolas Andry Award: The sequence of prevention: a systematic approach to prevent anterior cruciate ligament injury. Clinical Orthopaedics and Related Research®, 470, 2930-2940.

Hewett, T. E., Paterno, M. V., & Myer, G. D. (2002). Strategies for enhancing proprioception and neuromuscular control of the knee. Clinical Orthopaedics and related research, 402, 76-94.

Li, G., Rudy, M.S., Kanamori, A., B, M.C., & Woo, S.L.-Y. (1999). The importance of quadriceps and hamstring muscle loading on knee kinematics and in-situ forces in the ACL. Journal of biomechanics. 32,395-400.

Lim, B. O., Lee, Y. S., Kim, J. G., An, K. O., Yoo, J., & Kwon, Y. H. (2009). Effects of sports injury prevention training on the biomechanical risk factors of anterior cruciate ligament injury in high school female basketball players. The American journal of sports medicine, 37, 1728-1734.

Markovic, G., & Mikulic, P. (2010). Neuro-musculoskeletal and performance adaptations to lower-extremity plyometric training. Sports medicine, 40, 859-895.

McLeod, T. C., Armstrong, T., Miller, M., & Sauers, J. L. (2009). Balance improvements in female high school basketball players after a 6-week neuromuscular-training program. J Sport Rehabil, 18, 465-481.

Miller, M. G., Herniman, J. J., Ricard, M. D., Cheatham, C. C., & Michael, T. J. (2006). The effects of a 6-week plyometric training program on agility. Journal of sports science & medicine, 5, 459.

Myer, G. D., Ford, K. R., Brent, J. L., & Hewett, T. E. (2006). The effects of plyometric vs. dynamic stabilization and balance training on power, balance, and landing force in female athletes. Journal of Strength and Conditioning Research, 20, 345-353.

Myer, G. D., Ford, K. R., Khoury, J., Succop, P., & Hewett, T. E. (2010). Development and validation of a clinic-based prediction tool to identify female athletes at high risk for anterior cruciate ligament injury. The American journal of sports medicine, 38, 2025-2033.

Myer, G. D., Ford, K. R., McLean, S. G., & Hewett, T. E. (2006). The effects of plyometric versus dynamic stabilization and balance training on lower extremity biomechanics. Am J Sports Med, 34, 445-455.

Myer, G. D., Ford, K. R., PALUMBO, O. P., & Hewett, T. E. (2005). Neuromuscular training improves performance and lower-extremity biomechanics in female athletes. The Journal of Strength & Conditioning Research, 19, 51-60.

Myklebust, G., Engebretsen, L., Brækken, I. H., Skjølberg, A., Olsen, O. E., & Bahr, R. (2003). Prevention of anterior cruciate ligament injuries in female team handball players: a prospective intervention study over three seasons. Clinical Journal of Sport Medicine, 13, 71-78.

Noyes, F. R., Barber-Westin, S. D., Fleckenstein, C., Walsh, C., & West, J. (2005). The Drop-Jump Screening Test Difference in Lower Limb Control By Gender and Effect of Neuromuscular Training in Female Athletes. The American journal of sports medicine, 33, 197-207.

Noyes, F. R., Barber-Westin, S. D., Smith, S. T., & Campbell, T. (2011). A training program to improve neuromuscular indices in female high school volleyball players. The Journal of Strength & Conditioning Research, 25, 2151-2160.

Perez-Gomez, J., Olmedillas, H., Delgado-Guerra, S., Royo, I. A., Vicente-Rodriguez, G., Ortiz, R. A., & Calbet, J. A. (2008). Effects of weight lifting training combined with plyometric exercises on physical fitness, body composition, and knee extension velocity during kicking in football. Applied Physiology, Nutrition, and Metabolism, 33, 501-510.

Petersen, W., Braun, C., Bock, W., Schmidt, K., Weimann, A., Drescher, W., & Zantop, T. (2005). A controlled prospective case control study of a prevention training program in female team handball players: the German experience.Archives of orthopaedic and trauma surgery, 125, 614-621.

Pollard, C. D., Sigward, S. M., Ota, S., Langford, K., & Powers, C. M. (2006). The influence of in-season injury prevention training on lower-extremity kinematics during landing in female soccer players. Clinical Journal of Sport Medicine, 16, 223-227.

Ronnestad, B. R., Kvamme, N. H., Sunde, A., & Raastad, T. (2008). Short-term effects of strength and plyometric training on sprint and jump performance in professional soccer players. The Journal of Strength & Conditioning Research, 22, 773-780.

Sadoghi, P., Müller, P. E., Jansson, V., van Griensven, M., Kröpfl, A., & Fischmeister, M. F. (2011). Reconstruction of the anterior cruciate ligament: a clinical comparison of bone-patellar tendon-bone single bundle versus semitendinosus and gracilis double bundle technique. International orthopaedics, 35, 127-133.

Sell, T. C., Ferris, C. M., Abt, J. P., Tsai, Y. S., Myers, J. B., & Fu, F. H., et al. (2007). Predictors of proximal tibia anterior shear force during a vertical stop-jump. Journal of Orthopaedic Research, 25, 1589-1597.

Söderman, K., Werner, S., Pietilä, T., Engström, B., & Alfredson, H. (2000). Balance board training: prevention of traumatic injuries of the lower extremities in female soccer players?. Knee surgery, sports traumatology, arthroscopy, 8, 356-363.

Söderman, K., Werner, S., Pietilä, T., Engström, B., & Alfredson, H. (2000). Balance board training: prevention of traumatic injuries of the lower extremities in female soccer players?. Knee surgery, sports traumatology, arthroscopy, 8, 356-363.

Steffen, K., Myklebust, G., Olsen, O. E., Holme, I., & Bahr, R. (2008). Preventing injuries in female youth football–a cluster‐randomized controlled trial.Scandinavian journal of medicine & science in sports, 18, 605-614.

Wilkerson, G. B., Colston, M. A., Short, N. I., Neal, K. L., Hoewischer, P. E., & Pixley, J. J. (2004). Neuromuscular changes in female collegiate athletes resulting from a plyometric jump-training program. Journal of Athletic Training, 39, 17-23.

Williams, D. S., McClay, I. S., Scholz, J. P., Hamill, J., & Buchanan, T. S. (2004). High-arched runners exhibit increased leg stiffness compared to low-arched runners. Gait and Posture, 19, 263-269.
Withrow, T. J., Huston, L. J., Wojtys, E. M., & Ashton-Miller, J. A. (2008). Effect of varying hamstring tension on anterior cruciate ligament strain during in vitro impulsive knee flexion and compression loading. The Journal of Bone and Joint Surgery, 90, 815-823.

Withrow, T.J., Huston, L.J., Wojtys, E.M., Ashton-Miller, J.A., 2006a. The relationship between quadriceps muscle force, knee flexion, and anterior cruciate ligament strain in an in vitro simulated jump landing. Am. J. Sports Med. 34, 269-274.

Yoo, J. H., Lim, B. O., Ha, M., Lee, S. W., Oh, S. J., Lee, Y. S., & Kim, J. G. (2010). A meta-analysis of the effect of neuromuscular training on the prevention of the anterior cruciate ligament injury in female athletes. Knee surgery, sports traumatology, arthroscopy, 18, 824-830.

Yu, B., & Garrett, W. E. (2007). Mechanisms of non-contact ACL injuries. British Journal of Sports Medicine, 41, i47-i51.

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.

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.

Zhang, S. N., Bates, B. T., & Dufek, J. S. (2000). Contributions of lower extremity joints to energy dissipation during landings. Medicine and Science in Sports and Exercise, 32, 812-819.