博碩士論文 104826011 詳細資訊




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姓名 黃煜展(Yu-Chan Huang)  查詢紙本館藏   畢業系所 系統生物與生物資訊研究所
論文名稱 關節角度監測裝置應用在日常膝關節活動
(The Joint Angle Equipment Applied in Records of Daily Knee Joint Activity)
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摘要(中) 退化性關節炎對世人的衝擊不只是台灣,全世界亦然,所有的中老年人慢性膝痛都有可能是退化性關節炎。而退化性關節炎對於中老年人所帶來的影響有膝關節腫脹變形,更嚴重可能結構上會損毀,導致患者步態不良,長期的折磨會嚴重影響生活品質。而且隨著人口老化,問題逐漸被放大,社會也將為此付出了極大的醫療成本。根據中央健保局的資料顯示,治療退化性關節炎每年的醫療給付平均有十七億,其中還不包括自費購買的營養補充品,如葡萄糖胺製劑等。根據大林慈濟醫院膝關節中心主任呂紹睿醫師的研究,膝蓋內側皺襞相關的內側摩擦現象與退化性關節炎有相當密切的關係。內側摩擦現象對於內側皺襞與股骨內側髁之間的交互作用扮演關鍵的角色。當膝關節被彎曲超過五十度時,內側皺襞會承受足以破壞股骨內側髁的軟骨細胞的壓力。因此大角度且頻繁的彎曲膝關節,對於退化性關節炎是一種危險因子。有鑑於此,我們希望能夠發明一種裝置能夠 長時間監控使用者是否過度使用他的膝蓋。藉著利用在一般市售護膝上附加上兩個由實驗室所開發的加速度感測器,其中一個加速度感測器置於膝蓋上緣,另一個放在膝蓋下緣,我們預期量測使用者各種日常生活的活動模式,如走路(平地)、上下樓梯、站與坐、椅子起站繞物。實驗中,走路與上下樓梯測試時間三分鐘,坐與站測試時間約三十秒。由於走路(平地)與上下樓梯,膝關節彎曲角度明顯有不同,坐與站也是明顯不同的模式,因此我們預期可以區分出上述活動模式。我們的關節角度監測裝置非常的輕巧,總重不超過十克,耐用而且省電,能夠附加在一般的護膝上,因此具備採集資料的便利性。同時透過演算法計算可以得到膝蓋彎曲的角度,了解使用者膝蓋的使用狀況。
摘要(英) The osteoarthritis causes the elderly’s knee with swelling, deformation, structural damages and then leads to undesired impractical movements which dramatically affect the quality of life. In Taiwan as the population aging, the problems become more severe and then result in raising the social cost. According to the report from Bureau of National Health Insurance that the average annual medical treatment for osteoarthritis attains $ 1.7 billion. According to the researches from Dr. Shaw-Ruey Lyu with Dalin Tzu Chi Hospital, the severity of osteoarthritis is associated with the medial abrasion of arthrosis. Besides, the damaged pressures of all situations occur when knee angle excesses 50° of flexion. We hope to design an equipment that could monitor whether the user had overused his knee. Two accelerometers which are developed by K&Y Lab are attached on the knee brace. One accelerometer wear on the upper edge of the knee and the other on the lower edge of the knee. We want to monitor the different patterns of activity in daily life such as walking, walking up the stairs, walking down the stairs, standing and sitting, standing up from chair and walking for 8 feet. We expect that our monitor can distinguish different patterns of activity and quantify the usage of knee. Our devices can help the patients suffered from the osteoarthritis by monitoring the usage of knee.
關鍵字(中) ★ 加速度感測器
★ 膝關節角度
關鍵字(英) ★ accelerometer
★ knee angle
論文目次 目錄 頁次
中文摘要i
英文摘要ii
致謝iii
目錄v
圖目錄vii
一、緒論1
1-1退化性關節炎1
1-2內側摩擦現象2
1-3彎曲角度3
1-4關節角度監測裝置4
二、運動分析與應用6
2-1角速度6
2-2相對運動坐標系下觀察運動8
2-3在運動坐標系中的固定點10
2-4膝關節角度分析10
三、研究內容與方法15
3-1研究方法與設計15
3-2資料處理流程16
3-3角度可信度16
3-4數據分析18
四、結果與分析19
五、討論31
六、結論38
圖目錄
頁次
圖1:內側摩擦現象:退化性關節炎的重要病因3
圖2:彎曲膝蓋時不同種類的內側皺襞在不同的楊式係數下的接觸壓力4
圖3:關節角度感測器雲端系統資料處理流程4
圖4:關節角度裝置構造說明5
圖5:角速度定義6
圖6:在旋轉的運動座標之單位向量計算7
圖7:利用運動坐標系觀察到的資訊來表達固定坐標系觀察到的結果8
圖8:在固定座標系觀察人膝關節角度11
圖9:利用旋轉求出關節彎曲角度14
圖10:資料處理流程16
圖11:木製仿膝關節活動道具角度測試17
圖12:站姿實照17
圖13:坐姿實照18
圖14:站與坐比較(左腳)19
圖15:站與坐比較(右腳)20
圖16:走路與上樓梯比較(左腳、右腳)21
圖17:走路與下樓梯比較(左腳、右腳)22
圖18:走路模式的左右腳比較23
圖19:右腳的上下樓梯比較24
圖20:左腳的上下樓梯比較25
圖21:上樓梯的左右腳比較25
圖22:下樓梯的左右腳比較26
圖23:椅子起站繞物(右腳)27
圖24:椅子起站繞物(左腳)27
圖25:膝蓋受傷的老人椅子起站繞物28
圖26:健康人與膝蓋受傷老人椅子起站繞物比較(左腳)29
圖27:健康人與膝蓋受傷老人椅子起站繞物比較(右腳)30
圖28:第一代護膝33
圖29:第二代護膝34
圖30:第三代護膝34
圖31:第四代護膝35
圖32:雲端介面36
圖33:計算特定指標介面37
表目錄 頁次
表1:椅子繞物起站走試驗之綜合比較30
參考文獻 參考文獻
[1]新膝望-退化性關節炎,呂紹睿著,初版,台北市:經典雜誌,慈濟傳播人文志業基金會,2014.07。
[2]自己的膝蓋自己救-退化性關節炎的真相,呂紹睿著,初版,台北市:時報文化,慈濟傳播人文志業基金會。
[3]Knee health promotion option for knee osteoarthritis: a preliminary report of a concept of multidisciplinary management, 2015, in press, Healthy Aging Research.
[4]Role of medial abrasion phenomenon in the pathogenesis of knee osteoarthritis, 2015, in press, Medical Hypotheses.
[5]Medial Abrasion Syndrome: A Neglected Cause of Knee Pain in Middle and Old Age, Medicine Volume 94, Number 16, April 2015.
[6]D.S. Liu, Z.W. Zhuang, S.R. Lyu*. Relationship between medial plica and medial femoral condyle—a three-dimensional dynamic finite element model. Clinical Biomechanics. Volume 28, Issues 9–10, November–December 2013, Pages 1000–1005.
[7]Chih-Chang Yang, Cheng-Yu Lin, Hwai-Shi Wang, Shaw-Ruey Lyu*, Matrix Metalloproteases and Tissue Inhibitors of Metalloproteinases in Medial Plica and Pannus-like Tissue Contribute to Knee Osteoarthritis Progression. PLoS ONE 8(11): e79662. doi:10.1371/journal.pone.0079662.
[8]Shaw-Ruey Lyu, Chia-Chen Hsu and Chih-Wen Lin, Arthroscopic cartilageregeneration facilitating procedure for osteoarthritic knee. BMC Musculoskeletal
Disorders 2012, 13:226, http://www.biomedcentral.com/1471-2474/13/226.
[9]Wang, H. S., Kuo, P. Y., Yang, C. C., & Lyu, S. R. (2011). Matrix metalloprotease-3 expression in medial plica and pannus-like tissue in knees from patients with medial compartment osteoarthritis. Histopathology, 58(4), 593-600.
[10]Lyu SR , Chiang JK, and Tseng CE, Medial plica in patients with knee osteoarthritis: a histomorphological study, Knee surgery, sports traumatology, arthroscopy: official journal of the ESSKA 18(6):769-76, 2010 Jun
[11]Shaw-Ruey Lyu, Arthroscopic medial release for medial compartment osteoarthritis of the knee, J Bone Joint Surg Br, September, 2008, Vol 90-B, issue 9, Pages 1186-1192.
[12]Shaw-Ruey Lyu, Relationship of medial plica and medial femoral condyle during flexion. Clinical Biomechanics, 2007, Volume 22, Issue 9, Pages 1013-1016.
[13]Shaw-Ruey Lyu, Jeh-En Tzeng, Chia-Yuan Kuo, Ai-Ru Jian, De-Shin Liu, Mechanical
strength of mediopatellar plica - The influence of its fiber content. Clinical Biomechanics, Volume 21, Issue 8, October 2006, Pages 860-863.
[14]Lyu SR, Hsu CC, Medial plicae and degeneration of the medial femoral condyle. Arthroscopy. 2006 Jan;22(1):17-26.
[15]JOINT MOTION MONITORING BY ACCELEROMETERS SET AT BOTH NEAR SIDES AROUND THE JOINT Satoshi KURATA", Masaaki MAKZKAWA* Hideteru KOBAYASHI**, Ayumu TAKAHASH**, Rinzo TOKUE**"Faculty of Science and Engineering, Ritsumeikan University, Kusatsu, Siga, Japan**Dept. of Business Development & Applied Research Department, Sumitomo Precision Products Co., Ltd., Amagasaki, Hyougo, Japan
[16]Joint-Angle Measurement Using Accelerometers and Gyroscopes—A Survey
Peng Cheng, Student Member, IEEE, and Bengt Oelmann
[17]Accelerometer and rate gyroscope measurement of kinematics: an inexpensive alternative to optical motion analysis systems,Ruth E. Mayagoitiaa,*, Anand V. Neneb, Peter H. Veltinkc
[18]Activity Recognition from Accelerometer Data,Nishkam Ravi and Nikhil Dandekar and Preetham Mysore and Michael L. Littman,Department of Computer Science,Rutgers University,Piscataway, NJ 08854,{nravi,nikhild,preetham,mlittman}@cs.rutgers.edu
[19]An Accelerometer-Based Joint Angle Sensor for Heavy-Duty,Manipulators,F. Ghassemi, S. Tafazoli, P. D. Lawrence1 and K. Hashtrudi-Zaad
[20]Estimation of joint angles with capacitive accelerometers,Simona Iftime Nielsen1, Mirjana B. Popovic1,2,3, Dejan B. Popović1,3 Member IEEE
[21]A New Approach to Accurate Measurement of Uniaxial Joint Angles Based on a Combination of Accelerometers and Gyroscopes,Hooman Dejnabadi*, Brigitte M. Jolles, and Kamiar Aminian, Member, IEEE
指導教授 郭博昭 陳健章(Bo-Jau Kuo Chien-Chang Chen) 審核日期 2017-12-21
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