Wireless Peripheral Measurement and  Data Processing for gait Assessment of  Knee Osteoarthritis Patients

以作者查詢圖書館館藏

、以作者查詢臺灣博碩士

、以作者查詢全國書目

、勘誤回報

、線上人數：84

、訪客IP：3.15.34.244

姓名

何政易(Cheng-Yi Ho) 查詢紙本館藏

畢業系所

機械工程學系

論文名稱

(Wireless Peripheral Measurement and Data Processing for gait Assessment of Knee Osteoarthritis Patients)

相關論文

★ TFT-LCD前框卡勾設計之衝擊模擬分析與驗證研究	★ TFT-LCD 導光板衝擊模擬分析及驗證研究
★ 數位機上盒掉落模擬分析及驗證研究	★ 旋轉機械狀態監測-以傳動系統測試平台為例
★ 發射室空腔模態分析在噪音控制之應用暨結構聲輻射效能探討	★ 時頻分析於機械動態訊號之應用
★ VKF階次追蹤之探討與應用	★ 火箭發射多通道主動噪音控制暨三種線上鑑別方式
★ TFT-LCD衝擊模擬分析及驗證研究	★ TFT-LCD掉落模擬分析及驗證研究
★ TFT-LCD螢幕掉落破壞分析驗證與包裝系統設計	★ 主動式火箭發射噪音控制使用可變因子演算法
★ 醫學/動態訊號處理於ECG之應用	★ 光碟機之動態研究與適應性尋軌誤差改善
★ 具新型菲涅爾透鏡之超音波微噴墨器分析與設計	★ 醫用近紅外光光電量測系統之設計與驗証

檔案

[Endnote RIS 格式]

[Bibtex 格式]

[相關文章]

[文章引用]

[完整記錄]

[館藏目錄]

[檢視]

[下載]

本電子論文使用權限為同意立即開放。
已達開放權限電子全文僅授權使用者為學術研究之目的，進行個人非營利性質之檢索、閱讀、列印。
請遵守中華民國著作權法之相關規定，切勿任意重製、散佈、改作、轉貼、播送，以免觸法。

摘要(中)

對於退化性膝關節炎的嚴重程度判斷多以X光等光學影像為判斷基準，但病人的疼痛和僵硬狀態與其軟骨磨損程度並不成正相關。疼痛和僵硬卻會造下肢活動不正常，部分研究會著重於膝蓋的運動分析，認為膝蓋的功能受限為主因。而臨床經驗等復健師，認為主因不再膝蓋上，因此本研究著重於髖關節和腰部的活動，並試圖找出差異性。
本研究首先整合無線多通道慣性感測器和表面肌電圖之量測系統；然後使用於退化性膝關節炎之病人，從所量測的慣性感測訊號經過頻譜分析和四元素，提取步態週期，最後提取特徵，透過統計分析判斷是否有顯著差異.由實驗結果顯示退化性膝關節炎和正常人在步態活動中，其髖關節和腰部姿態有活動受限和過多前傾的現象。研究中所收的四條伸直肌群的肌肉在退化性膝關節炎上不正常活動的現象，透過本研究所提出的特徵方法可知其顯著差異。

摘要(英)

For Knee Osteoarthritis (OA) severity is determined optical image, but the wear of cartilage isn’t related to clinical symptoms of pain and stiffness. Some researchers focus on knee movement analysis. They consider that knee movement is highly correlated with pain and stiffness. Some physiotherapists with clinical experience don’t think this. It considers lumbar and hip movement maybe is the reason.
In this study, we integrate the wireless inertial sensing and surface electromyography as a wireless peripheral measurement system first. Then, we acquire the signals from knee OA patients and extract the gait cycle through the spectral analysis and quaternion. In the end, extract the feature to distinguish normal and knee OA group through statistics analysis. The result of experiment hip movement and lumbar anterior are a significant difference. The muscles performance is also a significant difference in this study propose feature method.

關鍵字(中)

★ 慣性感測
★ 表面肌電圖
★ 退化性膝關節炎
★ 步態分析

關鍵字(英)

★ inertial sensing
★ surface electromyography
★ knee Osteoarthritis
★ gait analysis

論文目次

Wireless Peripheral Measurement and Data Processing for gait Assessment of Knee Osteoarthritis Patients i
摘要 vi
Abstract vii
Acknowledgements viii
Table of Contents ix
List of Figures xi
List of Tables xiii
Chapter 1 Introduction 1
1-1 Background and Motivation 1
1-1.1 Purpose 1
1-1.2 Hypothesis 2
1-1.3 Knee osteoarthritis 2
1-2 Literature Review 4
1-3 Framework of the Thesis 5
Chapter 2 Peripheral Measurement System 7
2-1 Wireless IMU Module 7
2-1.1 IMUs 7
2-1.2 Wireless Transmission Unit-Xbee 8
2-2 Wireless SEMG module 9
2-3 User interface 10
Chapter 3 Gait Evaluations and Clinical Trial Protocol 12
3-1 Gait evaluations 12
3-1.1 Knee kinematics in sagittal plane 14
3-1.2 Lumbar and hip kinematics in sagittal plane 15
3-2 Knee osteoarthritis and gait deviation 16
3-2.2 Motion analysis - Knee deviation 16
3-2.3 Motion analysis - Lumbar and hip deviation 17
3-2.4 Muscle activity 18
3-3 Experiment design and procedure 18
3-3 Ethics issue 21
Chapter 4 Data processing and Methodology 22
4-1 IMUs Data processing 22
4-1.1 Dropped Packets 22
4-1.2 Algorithms to Determine Attitude 24
4-1.3 Spectral Analysis 27
4-1.4 Verification 28
4-2 SEMG Data processing 29
Chapter 5 Results and Discussions 32
5-1 Gait Extraction of Measurement 32
5-2 Feature Extraction of IMU and SEMG Data 36
5-2.1 Feature Extraction of IMU 36
5-2.2 Feature extraction of EMG 38
5-2 Discussion 41
5-2.1 Kinematics of hip and lumbar 41
5-2.3 Muscle activities 43
5-2.4 Clinical thinking 44
Chapter 6 Conclusion and future work 45
References 46

參考文獻

[1] Michael JW, Schlüter-Brust KU, Eysel P. ‘The epidemiology, etiology, diagnosis, and treatment of osteoarthritis of the knee.’ Dtsch Arztebl Int, 2010. 107: 152-162
[2] Rezende MU, Campos GC, Pailo AF. ‘Current concepts in osteoarthritis.’ Acta Ortop Bras. 2013. 21(2):120-2.
[3] Sarzi-Puttini, P., et al., ‘Osteoarthritis: an overview of the disease and its treatment strategies.’ Semin Arthritis Rheum, 2005. 35(1): pp. 1-10.
[4] White, D.K., et al., ‘Do worsening knee radiographs mean greater chances of severe functional limitation?’ Arthritis Care Res (Hoboken), 2010. 62(10): p. 1433-9.
[5] Pisters, M.F., et al., ‘The course of limitations in activities over 5 years in patients with knee and hip osteoarthritis with moderate functional limitations: risk factors for future functional decline.’ Osteoarthritis Cartilage, 2012. 20(6): p. 503-10.
[6] Kellgren, J. and J. Lawrence, ‘Radiological assessment of osteo-arthrosis.’ Annals of the Rheumatic Diseases, 1957. 16(4): p. 9.
[7] Creaby, M.W., et al., ‘Dynamic knee loading is related to cartilage defects and tibial plateau bone area in medial knee osteoarthritis.’ Osteoarthritis Cartilage, 2010. 18(11): p. 1380-5.
[8] Bennell, K.L., et al., ‘Higher dynamic medial knee load predicts greater cartilage loss over 12 months in medial knee osteoarthritis.’ Ann Rheum Dis, 2011. 70(10): p. 1770-4.
[9] Birmingham, T.B., et al., ‘Test-retest reliability of the peak knee adduction moment during walking in patients with medial compartment knee osteoarthritis.’ Arthritis Rheum, 2007. 57(6): p. 1012-7.
[10] Gök, H., S. Ergin, and G. Yavuzer, ‘Kinetic and kinematic characteristics of gait in patients with medial knee arthrosis.’ Acta Orthop Scand, 2002. 73(6): p. 7.
[11] Kim, W.Y., et al., ‘A new biomechanical model for the functional assessment of knee osteoarthritis.’ The Knee, 2004. 11(3): p. 225-231.
[12] Miyazaki, T., et al., ‘Dynamic load at baseline can predict radiographic disease progression in medial compartment knee osteoarthritis.’ Ann Rheum Dis, 2002. 61(7): p. 7.
[13] Foroughi, N., R. Smith, and B. Vanwanseele, ‘The association of external knee adduction moment with biomechanical variables in osteoarthritis: a systematic review.’ Knee, 2009. 16(5): p. 303-9.
[14] Barker, K., Lamb, S.E., Toye, F., Jackson, S. and Barrington, S. ‘Association between radiographic joint space narrowing, function, pain and muscle power in severe osteoarthritis of the knee.’ Clinical Rehabilitation, 2004. 18(7), pp. 793–800.
[15] Nadrian, H., et al., ‘Validity and reliability of the Persian versions of WOMAC Osteoarthritis Index and Lequesne Algofunctional Index.’ Clin Rheumatol, 2012. 31(7): p. 1097-102.
[16] Lequesne, M., ‘Indices of Severity and Disease Activity for Osteoarthritis. Seminars in Arthritis and Rheumatism,’ 1991. 20(6 suppl 2): p. 7.
[17] Ornetti, P., Maillefert, J.-F., Laroche, D., Morisset, C., Dougados, M. and Gossec, L. ‘Gait analysis as a quantifiable outcome measure in hip or knee osteoarthritis: A systematic review.’ 2010. Joint Bone Spine, 77(5), pp. 421–425.
[18] Kijowski, R., Blankenbaker, D.G., Stanton, P.T., Fine, J.P. and De Smet, A.A. ‘Radiographic findings of osteoarthritis versus Arthroscopic findings of Articular cartilage degeneration in the Tibiofemoral joint 1.’ 2006. Radiology, 239(3), pp. 818–824.
[19] Rejeski, W.J., Ettinger, W.H., Schumaker, S., James, P., Burns, R. and Elam, J.T. ‘Assessing performance-related disability in patients with knee osteoarthritis.’ Osteoarthritis and Cartilage, 1995. 3(3), pp. 157–167.
[20] Alnahdi, A.H., Zeni, J.A. and Snyder-Mackler, L. ‘Muscle Impairments in patients with knee osteoarthritis.’ Sports Health: A Multidisciplinary Approach, 2012. 4(4), pp. 284–292.
[21] Segal, N.A., Glass, N.A., Torner, J., Yang, M., Felson, D.T., Sharma, L., Nevitt, M. and Lewis, C.E. ‘Quadriceps weakness predicts risk for knee joint space narrowing in women in the MOST cohort.’ Osteoarthritis and Cartilage, 2010. 18(6), pp. 769–775.
[22] Hafez, A.R., Al-Johani, A.H., Zakaria, A.R., Al-Ahaideb, A., Buragadda, S., Melam, G.R. and J. Kachanathu, S. ‘Treatment of knee osteoarthritis in relation to hamstring and quadriceps strength.’ Journal of Physical Therapy Science, 2013. 25(11), pp. 1401–1405.
[23] Segal, N.A., Torner, J.C., Felson, D.T., Niu, J., Sharma, L., Lewis, C.E. and Nevitt, M. ‘Knee Extensor strength does not protect against incident knee symptoms at 30 months in the Multicenter knee osteoarthritis (MOST) cohort,’ PM&R, 2009. 1(5), pp. 459–465..
[24] Stratford, P.W., Kennedy, D.M., Maly, M.R. and MacIntyre, N.J. ‘Quantifying self-report measures’ overestimation of mobility scores Postarthroplasty,’ Physical Therapy, 2010. 90(9), pp. 1288–1296.
[25] Turcot, K., Aissaoui, R., Boivin, K., Pelletier, M., Hagemeister, N. and de Guise, J.A. ‘New Accelerometric method to discriminate between asymptomatic subjects and patients with Medial knee osteoarthritis during 3-D gait,’ IEEE Transactions on Biomedical Engineering, 2008. 55(4), pp. 1415–1422.
[26] Liu, T., Inoue, Y. and Shibata, K. ‘Development of a wearable sensor system for quantitative gait analysis,’ Measurement, 2009. 42(7), pp. 978–988.
[27] Frigo, C. and Crenna, P. ‘Multichannel SEMG in clinical gait analysis: A review and state-of-the-art,’ Clinical Biomechanics, 2009.24(3), pp. 236–245.
[28] Wentink, E.C., Schut, V.G.H., Prinsen, E.C., Rietman, J.S. and Veltink, P.H. ‘Detection of the onset of gait initiation using kinematic sensors and EMG in transfemoral amputees,’ Gait & Posture, 2014. 39(1), pp. 391–396.
[29]’XBee/XBee‐PRO OEM RF Modules,’DIGI, 2007.
[30] Whittle, M.W. ‘An introduction to gait analysis. 4th edn.’ Edinburgh: Butterworth-Heinemann Medical, 2006.
[31] Demos, Gait analysis, (http://www.ncbi.nlm.nih.gov/books/NBK27235/), 2004
[32] Perry, J. and Schoneberger, B. ‘Gait analysis: Normal and pathological function.’ United States: SLACK, 1992.
[33] Baipayi, A. Physical examination: Gait, 2004.
Available at: http://epomedicine.com/clinical-medicine/physical-examination-gait/
[34] RN, S., C. EY, and G. AN, ‘Biomechanical Gait Analysis of the Diseased Knee Joint.’ Biomechanical Gait Analysis, 1977. (126): p. 10.
[35] Mundermann, A., et al., ‘Potential strategies to reduce medial compartment loading in patients with knee osteoarthritis of varying severity: reduced walking speed.’ Arthritis Rheum, 2004. 50(4): p. 1172-8.
[36] Mundermann, A., C.O. Dyrby, and T.P. Andriacchi, ‘Secondary gait changes in patients with medial compartment knee osteoarthritis: increased load at the ankle, knee, and hip during walking.’ Arthritis Rheum, 2005. 52(9): p. 2835-44.
[37] Mills, K., M.A. Hunt, and R. Ferber, ‘Biomechanical deviations during level walking associated with knee osteoarthritis: a systematic review and meta-analysis.’ Arthritis Care Res (Hoboken), 2013. 65(10): p. 1643-65.
[38] Baliunas, A.J., et al., ‘Increased knee joint loads during walking are present in subjects with knee osteoarthritis.’ Osteoarthritis and Cartilage, 2002. 10(7): p. 573-579.
[39] Astephen, J.L., Deluzio, K.J., Caldwell, G.E., Dunbar, M.J. and Hubley-Kozey, C.L. ‘Gait and neuromuscular pattern changes are associated with differences in knee osteoarthritis severity levels.’ Journal of Biomechanics, 2008. 41(4), pp. 868–876.
[41] Landry, S.C., et al., ‘Knee biomechanics of moderate OA patients measured during gait at a self-selected and fast walking speed.’ J Biomech, 2007. 40(8): p. 1754-61.
[42] Kirtley, C. ‘Clinical gait analysis: Theory and practice.’ Edinburgh: Elsevier Health Sciences, 2005.
[43] Bae, K. Haninger, X. Wai, D.and Garcia, and M. Tomizuka, ‘A network-based monitoring system for rehabilitation,’ in IEEE/ASME International Conference on Advanced Intelligent Mechatronics (AIM), 2012, pp. 232-237
[44] De Luca, C.J. ‘surface electromyography: detection and recording.’ 2002. Available at: http://www.delsys.com/Attachments_pdf/WP_SEMGintro.pdf
[45] Clancy, E.A., Morin, E.L. and Merletti, R. ‘Sampling, noise-reduction and amplitude estimation issues in surface electromyography.’ Journal of Electromyography and Kinesiology, 2002, 12(1), pp. 1–16.
[46] Phinyomark, A., Phukpattaranont, P. and Limsakul, C. ‘Feature reduction and selection for EMG signal classification.’ Expert Systems with Applications, 2012, 39(8), pp. 7420–7431.
[47] Huang J.J. ‘Study of Wireless Inertial Sensing System and Limb Motion Trajectory Reconstruction,’ National Central University, 2015, master thesis.
[48] Burden, A. and Bartlett, R. ‘Normalisation of EMG amplitude: An evaluation and comparison of old and new methods.’ Medical Engineering & Physics, 1999, 21(4), pp. 247–257.
[49] Kierkegaard, S., et al., ‘Pelvic movement strategies and leg extension power in patients with end-stage medial compartment knee osteoarthritis: a cross-sectional study.’ Arch Orthop Trauma Surg, 2015, 135(9): p. 1217-26.
[50] Wang, W.J., et al., ‘Sagittal alignment of the spine-pelvis-lower extremity axis in patients with severe knee osteoarthritis: A radiographic study.’ Bone Joint Res, 2016. 5(5): p. 198-205.
[51] Sharma, L., et al., ‘Quadriceps Strength and Osteoarthritis Progression in Malaligned and Lax Knees.’ Annals of Internal Medicine, 2003, 138(8): p. 8.
[52] Segal, N.A., et al., ‘Quadriceps weakness predicts risk for knee joint space narrowing in women in the MOST cohort.’ Osteoarthritis Cartilage, 2010, 18(6): p. 769-75.
[53] Amin, S., et al., ‘Quadriceps strength and the risk of cartilage loss and symptom progression in knee osteoarthritis.’ Arthritis Rheum, 2009, 60(1): p. 189-98.
[54] Lim, B.W., et al., ‘Does knee malalignment mediate the effects of quadriceps strengthening on knee adduction moment, pain, and function in medial knee osteoarthritis? A randomized controlled trial.’ Arthritis Rheum, 2008, 59(7): p. 943-51.
[55] Bennell, K.L., et al., ‘Hip strengthening reduces symptoms but not knee load in people with medial knee osteoarthritis and varus malalignment: a randomised controlled trial.’ Osteoarthritis Cartilage, 2010, 18(5): p. 621-8.
[56] Turcot, K., et al., ‘Multi-joint postural behavior in patients with knee osteoarthritis.’ Knee, 2015. 22(6): p. 517-21

指導教授

潘敏俊(Min-Chun Pan)

審核日期

2016-8-19

推文