以虛擬實境為基礎的前庭暈眩復健系統和復健成效分析與研究

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洪彥伯(Yen-po Hung) 查詢紙本館藏

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資訊工程學系

論文名稱

以虛擬實境為基礎的前庭暈眩復健系統和復健成效分析與研究
(A VR-based Vestibular Rehabilitation System and Rehabilitation Exercise Performance Analysis)

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摘要(中)

週邊前庭神經病變所引起的眩暈會造成重心失衡，進而影響日常生活的品質，雖然可以藉由外科手術或前庭神經抑制藥物減緩眩暈症狀，但是此類藥物多有副作用，所幸前庭功能復健運動已被認為可以有效改善眩暈症狀。但是，復健過程由於過於單調，缺乏具有挑戰性且可調適(adaptive)的訓練內容，同時缺乏以運動分析為基礎的評估方法，以至於降低了復健運動的復健成效。本研究運用虛擬實境技術，包括立體影像技術、互動技術以及動畫遊戲技術，根據臨床所使用之Cawthorne-Cooksey前庭復健訓練運動，開發新型互動式復健訓練系統，同時也運用感測器技術以及運動分析技術，開發了平衡度評估系統。本研究進行了臨床試驗(32 subjects, 6 training sessions)，於實驗過程中，完整的量測並記錄病人的任務表現資料、重心偏移分佈之歷時資料以及主觀感受之問卷資料。實驗結果經由任務表現評估以及平衡度分析，顯示本系統對於協助病人進行眩暈復健訓練具有顯著性療效，此外根據分析各項任務表現，初步檢驗復健項目對病人的克服難易度，臨床問卷的回饋也顯示病人具有更高的意願與動機使用此一新穎的系統進行復健。

摘要(英)

Dizziness caused by the peripheral vestibular nerve disease may lead to imbalance of the center of gravity, affecting quality of daily life. Fortunately, vestibular function rehabilitation exercise is thought to be able to effectively reduce the symptom of dizziness. However, since rehabilitation process may be bored for patients, lacking of task challenges, adaptive training contents, and assessment method based on exercise analysis, the effectiveness of rehabilitation exercise is thus reduced. In this research, virtual reality technology was applied, involving stereo image technology, interactive technology, and animation game technology. A new interactive rehabilitation training system was developed based on the Cawthorne-Cooksey vestibular rehabilitation exercise which is commonly used in the clinical. The sensor technology and exercise analysis technology was used to develop evaluation system for testing the level of balance. Thirty-two subjects were asked to perform 6 training sessions for the clinical test. During the experimental process, the task performance data, the historical data of the deviation distribution of center of gravity, and the subjective feeling questionnaire survey data of the patient was completely measured and recorded. Through the task performance evaluation and the analysis of level of balance, the experimental result has proved the medical effect of this system in assisting the patients to perform dizziness rehabilitation training. According to performance of each task, the difficult level was verified and applied based on the individual capability. The clinical observation also shows that the patients have higher willingness and motivation to use such new system to perform rehabilitation.

關鍵字(中)

★ Kinect
★ 前庭暈眩
★ Cawthorne-Cooksey平衡
★ 虛擬實境

關鍵字(英)

★ Cawtho
★ Virtual reality
★ Vestibular vertigo
★ Kinect

論文目次

目錄
中文摘要 i
ABSTRACT ii
致謝 iii
目錄 iv
圖目錄 vii
表目錄 ix
第一章緒論 1
1-1 背景介紹 1
1-2 暈眩復健運動的需求 2
1-3 Cawthorne-Cooksey復健運動 2
1-4 數位科技的進步 3
1-4-1 Microsoft Kinect 4
1-4-2 光學追蹤系統 12
1-4-3 WiiFit平衡板(Wii Balance Board) 20
1-4-4 3D立體眼鏡 21
1-5 研究目標 23
1-6 研究大綱 23
第二章文獻探討 25
2-1 暈眩復健方法的改進 25
2-2 傳統復健模式 26
2-3 虛擬實境的應用 27
第三章研究方法：系統設計 29
3-1 頭動任務 31
3-2 眼動任務 34
3-3肢體伸展任務 36
3-4肢體協調任務 39
3-5 平衡評估系統 41
第四章研究方法：實驗設計 43
4-1收案對像與收案標準 43
4-2 實驗流程與施行細則 44
4-3 平衡度評估方法 47
4-3-1 平衡度分析 47
4-4 科技接受度問卷 49
第五章結果與討論 50
5-1 訓練系統指標分析與項目評估 51
5-1-1 眼動任務分析 53
5-1-2 頭動任務分析 54
5-1-3 肢體伸展任務分析 56
5-1-4 肢體協調任務分析 58
5-2 平衡評估系統指標分析 59
5-2-1 SKG位移軌跡包絡線(envelop)面積 60
5-2-2 最大X軸位移量 60
5-2-3 最大Y軸位移量 61
5-2-4 X軸平均速率 61
5-2-5 Y軸平均速率 61
5-3 訓練系統和平衡評估系統指標關聯度分析 61
5-4 問卷分析 63
第六章結論 68
6-1 個人化復健療程 68
6-2 系統改善 69
6-3 未來工作 69
第七章參考文獻 71
第八章附錄 76
附錄一眼動任務問卷 76
附錄二頭動任務問卷 80
附錄三投籃球問卷 84
附錄四拋接球問卷 89
附錄五病患發病資訊表 94

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指導教授

葉士青(Shih-ching Yeh)

審核日期

2012-8-20

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