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
參考文獻 [ 1 ] Arce, F. I., N. Katz, et al. (2004). "The scaling of postural adjustments during bimanual load-lifting in traumatic brain-injured adults." Human Movement Science 22(6): 749-768.
[ 2 ] Dault, M. C. and C. Dugas (2002). "Evaluation of a specific balance and coordination programme for individuals with a traumatic brain injury." Brain Injury 16(3): 231-244.
[ 3 ] Kuhtz-Buschbeck JP, Stolze H, Golge M, Ritz A (2004). "Analyses of gait, reaching, and grasping in children after traumatic brain injury. " Arch Phys Med Rehabil 84:424-430.
[ 4 ] Krakauer, J. W., P. Mazzoni, et al. (2006). "Generalization of Motor Learning Depends on the History of Prior Action." PLoS Biol 4(10): e316.
[ 5 ] Tanaka H, Krakauer JW, Qian N (2006). "An Optimization Principle for Determining Movement Duration." Journal of Neurophysiology. June; 95(6): 3875-86.
[ 6 ] Raghavan P, Krakauer JW, Gordon AM (2006). "Impaired Anticipatory Control of Fingertip Forces in Patients with a Pure Motor or Sensorimotor Lacunar Syndrome." Brain. June; 129(Pt 6): 1415-25.
[ 7 ] Winstein, C. J., A. S. Merians, et al. (1999). "Motor learning after unilateral brain damage." Neuropsychologia 37(8): 975-987.
[ 8 ] Merians, A.S., Jack, D., Boian, R., et al. (2002). "Virtual reality—augmented rehabilitation for patients fol- lowing stroke." Physical Therapy 82:898–915.
[ 9 ] Wolf, S. L., D. E. Lecraw, et al. (1989). "Forced use of hemiplegic upper extremities to reverse the effect of learned nonuse among chronic stroke and head-injured patients." Experimental Neurology 104(2): 125-132.
[ 10 ] Cheng PT, Wang CM, Chung CY, Chen CL. (2004). "Effects of visual feedback rhythmic weight-shift training on hemiplegic stroke patients." Clin Rehabil; 18: 747 _/753.
[ 11 ] Berg, A., Lonnqvist, J., Palomaki, H., &Kaste, M. (2009). "Assessment of depression after stroke: a comparison of different screening instruments." Stroke, 40(2), 523
[ 12 ] House, A., M. Dennis, et al. (1990). "The relationship between intellectual impairment and mood disorder in the first year after stroke." Psychological Medicine 20(04): 805-814.
[ 13 ] Sarkamo, T., Tervaniemi, M., Laitinen, S., Forsblom, A., Soinila, S., Mikkonen, M., et al. (2008). "Music listening enhances cognitive recovery and mood after middle cerebral artery stroke." Brain, 131(3), 866.
[ 14 ] Mayo, N. E., S. Wood-Dauphinee, et al. (2002). "Activity, participation, and quality of life 6 months poststroke." Archives of Physical Medicine and Rehabilitation 83(8): 1035-1042.
[ 15 ] Jonsson AC, Lindgren I, Hallstrom B, Norrving B, Lindgren A. (2005). "Determinants of quality of life in stroke survivors and their informal caregivers. Stroke." 36:803-808.
[ 16 ] Fredericks C, Saladin L. (1996). "Pathophysiology of the Motor Systems FA Davis: Philadelphia".
[ 17 ] Ashford S, Slade M, Malaparade F, Turner-Stokes L, (2008). "Evaluation of functional outcome measures for the hemiparetic upper limb – A systematic review." Journal of Rehabilitation Medicine, 40 (10), 787-795.
[ 18 ] Lin, J.-H., Hsu, M.-J., et al. (2009). "Psychometric comparisons of 4 measures for assessing upper-extremity function in people with stroke." Phys Ther 89: 840-850.
[ 19 ] Farrell, T. R., and Weir, R. F. ff., Heckathorne, C. W., (2005). "The Effect Of Controller Delay On Box And Block Test Performance." Proceedings of the Myoelectric Controls Conference (MEC2005), Fredericton, New Brunswick, Canada, August 15th – 19th, University of New Brunswick, New Brunswick, Canada.
[ 20 ] Moriello C, Byrne K, Cieza A, Nash C, Stolee P, Mayo N. (2008). "Mapping the Stroke Impact Scale (SIS-16) to the International Classification of Functioning, Disability and Health." Journal of Rehabilitation Medicine. 40(2): 102-106.
[ 21 ] Desrosiers J, Hebert R, Dutil E, Bravo G. (1993). "Development and reliability of an upper extremity function test for the elderly: the TEMPA." Can J Occup Ther; 60:9-16.
[ 22 ] Pandora Pound, Charles Wolfe and Anthony Rudd. (2002). "The Concept of Patient Motivation: A Qualitative Analysis of Stroke Professionals’’ Attitudes Niall Maclean". Stroke; 33;444-448.
[ 23 ] Niall Maclean, Pandora Pound, Charles Wolfe, Anthony Rudd. (2000). "Qualitative analysis of stroke patients’ motivation for rehabilitation". BMJ VOLUME 321.
[ 24 ] Roberto Colombo, Fabrizio Pisano, Alessandra Mazzone, Carmen Delconte, Silvestro Micera, M Chiara Carrozza, Paolo Dario and Giuseppe Minuco. (2007). "Design strategies to improve patient motivation during robot-aided rehabilitation." Journal of NeuroEngineering and Rehabilitation, 4:3.
[ 25 ] Stefano Paolucci, Gabriella Antonucci, Maria Grazia Grasso, Daniela Morelli. (2001). "Post-Stroke Depression, Antidepressant Treatment and Rehabilitation Results." Cerebrovascular Diseases; 12, 3.
[ 26 ] Ivan E. Sutherland. (1965). "The Ultimate Display: Information Processing Techniques Office." ARPA, OSD, Proceedings of IFIP Congress, pp. 506-508.
[ 27 ] Krueger, Myron W. (1991). "Artificial Reality." New York, NY: Addison-Wesley.
[ 28 ] Howard Rheingold. (1991). "Virtual Reality" New York, NY: Touchstone.
[ 29 ] Shapiro, M. A. and D. G. McDonald (1992). "I’’m Not a Real Doctor, but I Play One in Virtual Reality: Implications of Virtual Reality for Judgments about Reality." Journal of Communication 42(4): 94-114.
[ 30 ] Lahiri, U., Z. Warren, et al. (2011). "Design of a Gaze-Sensitive Virtual Social Interactive System for Children With Autism." Neural Systems and Rehabilitation Engineering, IEEE Transactions on 19(4): 443-452.
[ 31 ] Albert A. Rizzo, PhD, Todd Bowerly, PhD, J. Galen Buckwalter, PhD, Dean Klimchuk, BA,Roman Mitura, MSc, PEng, and Thomas D. Parsons, PhD. (2006). "A Virtual Reality Scenario for All Seasons: The Virtual Classroom."
[ 32 ] Rizzo AA, Bowerly T, Buckwalter JG, et al. (2002). "Virtual environments for the assessment of attention and memory processes: the virtual classroom and office." In: Sharkey P, Lanyi CS, Standen P, eds. Proceedings of the 4th International Conference on Disability, Virtual Reality and Associated Technologies. Reading, UK: University of Reading; 2002:3-12.
[ 33 ] Albert A. Rizzo, PhD, Todd Bowerly, PhD, J. Galen Buckwalter, PhD, Dean Klimchuk, BA,Roman Mitura, MSc, PEng, and Thomas D. Parsons, PhD. (2006). "A Virtual Reality Scenario for All Seasons: The Virtual Classroom."
[ 34 ] Jung, Y., S.-C. Yeh, et al. (2006). "Tailoring virtual reality technology for stroke rehabilitation: a human factors design." CHI ’’06 extended abstracts on Human factors in computing systems. Montral, Qubec, Canada, ACM: 929-934.
[ 35 ] Edmans J, Gladman J. (2009). "Clinical evaluation of a non-immersive virtual environment in stroke rehabilitation." Clinical Rehabilitation, 23:106-116.
[ 36 ] Boyd, L. A. and C. J. Winstein (2006). "Explicit Information Interferes with Implicit Motor Learning of Both Continuous and Discrete Movement Tasks After Stroke." Journal of Neurologic Physical Therapy 30(2): 46-57 10.
[ 37 ] Boyd, L. A., B. M. Quaney, et al. (2007). "Learning Implicitly: Effects of Task and Severity After Stroke." Neurorehabilitation and Neural Repair. 21:444-454.
[ 38 ] Levin MF, Knaut LA, Magdalon EC, Subramanian S. (2009). "Virtual reality environments to enhance upper limb functional recovery in patients with hemiparesis." Stud Health Technol Inform 2009, 145:94-108.
[ 39 ] Keshner EA. (2004). "Virtual reality and physical rehabilitation: a new toy or a new research and rehabilitation tool?" J Neuroeng Rehabil, 3:8-11.
[ 40 ] Weiss, P., D. Rand, et al. (2004). "Video capture virtual reality as a flexible and effective rehabilitation tool." Journal of NeuroEngineering and Rehabilitation 1(1): 12.
[ 41 ] Christiansen, C., B. Abreu, et al. (1998). "Task performance in virtual environments used for cognitive rehabilitation after traumatic brain injury." Archives of Physical Medicine and Rehabilitation 79(8): 888-892.
[ 42 ] Schultheis, M. T. and R. R. Mourant (2001). "Virtual Reality and Driving: The Road to Better Assessment for Cognitively Impaired Populations." Presence: Teleoper. Virtual Environ. 10(4): 431-439.
[ 43 ] Grealy, M. A., D. A. Johnson, et al. (1999). "Improving cognitive function after brain injury: The use of exercise and virtual reality." Archives of Physical Medicine and Rehabilitation 80(6): 661-667.
[ 44 ] Matheis, R. J., M. T. Schultheis, et al. (2007). "Is Learning and Memory Different in a Virtual Environment?" The Clinical Neuropsychologist 21(1): 146-161.
[ 45 ] Bryanton, C., J. Bosse, et al. (2006). "Feasibility, Motivation, and Selective Motor Control: Virtual Reality Compared to Conventional Home Exercise in Children with Cerebral Palsy." CYBERPSYCHOLOGY & BEHAVIOR 9(2).
[ 46 ] Yavuzer G, Senel A, Atay MB, Stam HJ. (2008). "’’Playstation eyetoy games’’ improve upper extremity-related motor functioning in subacute stroke: a randomized controlled clinical trial." Eur J Phys Rehabil Med, 44:237-244.
[ 47 ] Klimmt, C., & Hartmann, T. (2008). "Mediated interpersonal communication in multiplayer video games. Implications for entertainment and relationship management." In Konijn, E. A., Utz, S., Tanis, M., & Barnes, S. B. (Eds.), Mediated Interpersonal Communication. New York: Routledge.
[ 48 ] Ustinova, K., W. Leonard, et al. (2011). "Development of a 3D immersive videogame to improve arm-postural coordination in patients with TBI." Journal of NeuroEngineering and Rehabilitation 8(1): 61.
[ 49 ] Lehrer, N., Y. Chen, et al. (2011). "Exploring the bases for a mixed reality stroke rehabilitation system, Part II: Design of Interactive Feedback for upper limb rehabilitation." Journal of NeuroEngineering and Rehabilitation 8(1): 54.
[ 50 ] Connelly, L., J. Yicheng, et al. (2010). "A Pneumatic Glove and Immersive Virtual Reality Environment for Hand Rehabilitative Training After Stroke." Neural Systems and Rehabilitation Engineering, IEEE Transactions on 18(5): 551-559.
指導教授 葉士青(Shih-ching Yeh) 審核日期 2012-8-16
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