博碩士論文 995202014 詳細資訊




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姓名 陳佑宗(Yu-tsung Chen)  查詢紙本館藏   畢業系所 資訊工程學系
論文名稱 以虛擬實境為基礎的上肢中風復健之分析與研究
(A Study on a Virtual Reality Rehabilitation System for Post-Stroke : from System Design to Motor Analysis)
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摘要(中) 中風是造成之腦部傷害主要疾病之一 ,其後遺症會因不同程度的持久性的神經損傷,進而衍生各式肢體運動的障礙,對於病患的日常活動將形成重大的挑戰,嚴重地影響患者的生活品質。隨著科技的發展以及普及化,醫療復健相關研究的學者紛紛嘗試整合各式新穎科技,進行新型復健訓練系統的開發。
本研究針對上肢復健,分別對前臂以及手腕的耐力、伸展以及靈活度進行訓練,結合遊戲技術、力量回饋技術以及立體影像技術,開發虛擬實境體感式訓練任務。在復健過程中擷取多維度的實驗結果,包括臨床測試評估、任務表現、運動軌跡歷時資料以及心理情緒資料。研究目的為驗證系統的功能性、驗證系統對於復健的有效性、開發新型評估方法並探討人機互動的相關議題。
經過對中風病人進行了初步的研究測試之後,實驗結果驗證了這套復健訓練系統各方面的功能性,而且能夠成功地擷取可靠且有價值的資訊,如透過運動軌跡歷時資料的運動分析以及歷次療程任務表現的統計分析,以做為未來驗證醫學療效以及發展新型臨床評估方法之用。不但如此,根據所量測之主觀感受之心理情緒資料顯示,本系統的確能夠促使病人繼續投入以本訓練系統為基礎的復健療程,樂在其中,並且對於訓練任務所可能產生的復健效果,也深具信心。
摘要(英) Stroke is one of the major diseases causing brain injury. Its sequela will, depending on persistent nervous injury, derive different types of limb and body exercise barriers, causing large challenge to the daily life and seriously affecting the quality of life of the patients. Along with the popularity of new technologies, scholars in the fields of medical care and rehabilitation are trying to integrate all kinds of technologies to develop effective rehabilitation training system.
In this study, for the rehabilitation of upper extremity, endurance, stretching and flexibility trainings were provided for the upper arm, the fore arm, and the wrist, respectively. Here game technology, force feedback technology and stereo image technology were integrated to develop virtual reality body perceptive training system. During the rehabilitation process, multi-dimensional experimental results were acquired, including, the clinical assessments, the task performance, the exercise track historical data and the psychological emotional data. The research objectives were to verify the functionality of the virtual reality system, to verify the effectiveness of the system on rehabilitation, to develop new assessment method and to explore issues related to human machine interaction.
After initial pilot test was done for a patient with stroke, the experimental result has verified the functionalities of this virtual reality rehabilitation training system in several aspects. First, it could successfully acquire reliable and valuable information. For example, the medical therapeutic effect could be verified in the future, and new clinical assessment method could be developed through the exercise analysis by using the exercise track historical data and the statistical analysis of the task performance during the past therapeutic sessions. Moreover, according to the measured psychological emotional data as perceived subjectively by the patient, this system could force the patient to continuously engage and enjoy the rehabilitation therapeutic sessions. Finally, the authors are very confident on the possible generated rehabilitation effect of these six training tasks.
關鍵字(中) ★ 虛擬實境
★ 復健
★ 中風
★ 運動分析
關鍵字(英) ★ Virtual Reality
★ Rehabilitation
★ Stroke
★ Motor Analysis
論文目次 中文摘要 i
英文摘要 ii
致謝 iv
目錄 v
圖目錄 viii
表目錄 xiii
第一章 緒論 1
1-1背景介紹 1
1-2中風復健運動的需求 2
1-3上肢相關復健運動及評估工具 3
1-3-1傳統上肢與系統相關訓練項目 3
1-3-2傳統復健模式 6
1-3-3評估工具簡介 7
1-4數位科技的進步 8
1-4-1 Microsoft Kinect 8
1-4-2壓力感測系統 13
1-4-3力回饋系統 14
1-4-4虛擬實境簡介與應用 15
1-4-5 3D立體設備 16
1-5研究目標 17
1-6研究大綱 19
第二章 文獻探討 21
2-1虛擬實境在上肢復健上的研究 21
2-2虛擬實境在手腕及前臂復健上的研究 23
第三章 研究方法:系統設計 25
3-1軟硬體組成設計 25
3-1-1體感系統軟硬體組成設計 25
3-1-2壓力感測系統軟硬體組成設計 26
3-1-3力回饋系統軟硬體組成設計 27
3-2遊戲設計 28
3-2-1肩肘運動-上臂對角線往復伸展 28
3-2-2肩肘運動-上臂延伸 30
3-2-3肩肘運動-手眼協調運動 32
3-2-4平衡運動 33
3-2-5前臂運動 34
3-2-6手腕運動 36
3-3任務難易度設計及演算法 38
3-3-1上臂延伸任務設計 38
3-3-2肩肘運動-手眼協調運動任務設計 38
3-3-3平衡運動任務設計 39
3-3-4肩肘運動-上臂對角線往復伸展 39
3-3-5手腕運動及前臂運動 41
第四章 研究方法:實驗設計 45
4-1收案對像與收案標準 45
4-1-1選擇標準細項 45
4-1-2排除標準細項 45
4-2實驗流程 46
4-3評估方法 48
4-4數據分析 48
4-5問卷調查 53
第五章 結果與討論 55
5-1動作任務遊戲指標分析 55
5-2-1肩肘運動-上臂對角線往復伸展 55
5-2-2肩肘運動-上臂延伸 62
5-2-3肩肘運動-手眼協調運動 68
5-2-4前臂運動 74
5-2-5手腕運動 79
5-2行為評估指標分析 86
5-2-1 Upper Extremity Performance Evaluation Test For The Elderly(TEMPA) 86
5-2-2 Wolf Motor Function Test(WMFT) 87
5-2-3 Motor Activity Log (MAL) 90
5-2-4 Confidence In Arm And Hand Movement (CAHM) 91
5-2-5 Stroke Impact Scale(SIS) 92
5-3系統科技接受度 92
5-4綜合討論 94
第六章 結論 95
參考文獻 96
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指導教授 葉士青(Shih-ching Yeh) 審核日期 2012-8-16
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