摘要(英) |
Due to the changes of living style and the progress of the medical science, human beings’ average life is more and more prolonged. It brings out that elder patients are getting much more year by year. Many kinds of disease, which easily occurs to elders, are also getting raising. The most obvious example is the Osteoarthritis. According to the statistics, there are almost 33% elders around the age of 65 suffer from the Osteoarthritis. There are two clinical therapies for this disease, one is Knee Brace, and the other is Total Knee Replacement. However, Osteolysis and Aseptic Loosening would happen due to the incursive surgery such as Total Knee Replacement. Knee Brace will not cause any complications, and it can improve abnormal force endured at Patients’ knees.
There are three main problems for the Knee Brace. First, Knee Brace is cumbersome. Second, Wearing Knee Brace is uncomfortable. Third, Knee Brace have to self-adjustability of valgus moment. In this study, the unilateral post Knee Brace, dynamic correction angle mechanism to reduce uncomfortable during swing phase and sit posture,adjustment correction angle mechanism to adjust valgus moment to solve the problems.
According to dynamic simulation, finite-element simlation, prototype, exprimental test demonstrated the design has feasibly in this study.
|
參考文獻 |
[1] Felson DT, Lawrence RC, Dieppe PA, et. al. “Osteoarthritis: new insights. Part 2: treatment approach.” Annals of Internal Medicine. 133(9): 726-37, 2000.
[2] Sherman AM. “Social relations and depressive symptoms in older adults with knee osteoarthritis.” Social Science and Medicine. 56: 247-57, 2003.
[3] John W. Hole, Jr., Karen A. Koos., Human Anatomy,胡明一、孫穆乾、陳懿慧等譯,藝軒圖書,民國八十四年。
[4] Martini, Bartholomew, Essentials of Anatomy & Physiology,林自勇、鄧志娟、陳瑩玲等譯,解剖生理學,全威圖書,民國九十二年。
[5] 呂厚山,人工關節外科學,科學出版社,北京,1998。
[6] 羅亞惟,「溫泉浴療介入退化性膝關節炎患者有關之研究」,國立臺北護理學院,碩士論文,2006
[7] David, M. & Eisenberg, M.D. “Courses Involving Complementaryand Alternative Medicine at US Medical Schools.” The Journal of American Medical Association, 280, 784-787,1998.
[8] Zhang, Y., Xu, Nevitt, L., M. C., Aliabadi., P., Yu.,& Qin., W. M.“Comparison of the Prevalence of Knee Osteoarthritis Between the Elderly Chinese Population in Beijing and whites in the United States: the Osteoarthritis Study.” Annals of Rheumatic Disease,44(9),206-207,
2001.
[9] Felson, D. T., Lawrence, R. C., Hochberg, M. C., McAlindon, T., Dieppe, P. A. et al. “Osteoarthritis: New Insights: Part 2:Treatment Approaches.” Annals of Internal Medicine,133(9),726-737,2000.
[10] Messier, S. P., Loeser, R. F., Mitchell, M. N., Valle, G., Morgan T.P., Rejeski, W. J. “Exercise and weight loss in Obese Old Adultswith Knee Osteoarthrit is: a Preliminary study.” The Journal of American Geriatric, 48, 1062-1072, 2000.
[11] Hulet C, Sabatier JP, Souquet D, Locker B, Marcelli C and Cielpeau C. “Distribution of bone mineral density at the proximal tibia in knee osteoarthritis.” Calcif Tissue Int, 71(4):315-22,2000.
[12] Williams, A. “Therapeutic landscapes in holistic medicine.” Social Science and Medicine, 46(9), 1193-1203,1998.
[13] Brandt KD. “A critique of the 2000 update of the American College of Rheumatology recommendations for management of hip and knee osteoarthritis. ” Arthritis &Rheumatism. 44(10): 2451-6, 2001.
[14] Dieppe PA. “Toward a better understanding of osteoarthritis of the knee joint. ” The Knee.7: 135-7, 2000.
[15] Felson DT, Lawrence RC, Dieppe PA, et. al. “Osteoarthritis: new insights. Part 2:treatment approach.” Annals of Internal Medicine. 133(9): 726-37, 2000.
[16] Matsuno H, Kadowaki KM, Tsuji H. “Generation II knee bracing for severe medial compartment osteoarthritis of the knee.” Archives of Physical Medicine and Rehabilitation. 78(7): 745-9, 1997.
[17] Pollo FE. “Bracing and heel wedging for unicompartmental osteoarthritis of the knee.” American Journal of Knee Surgery. 11(1): 47-50, 1998.
[18] Self BP, Greenwald RM, Pflaster DS. “A biomechanical analysis of a medial unloading brace for osteoarthritis in the knee.” Arthritis Care and Research. 13(4): 191-7, 2000.
[19] Comparison of the Kinematic Results Between Two Gait Analysis Systems.
[20] Normal 3D kinematics and kinetics from MAC system by AndreasKranzl,Vienna.http://www.univie.ac.at/cga/data/kinematics.jpg
[21] Takigami H, Koshino T, Saito T. “An evaluation of the velocity of the lateral thrust in osteoarthritic knees with a varus deformity.” The Knee. 7: 11-5, 2000.
[22] Yoshio K. “Three-dimensional knee motion analysis for the pathogenesis knee osteoarthrosis.” Bio-Medical Materials and Engineering. 8: 197-205, 1998.
[23] Kaufman KR, Hughes C, Morrey BF, et. al. “Gait characteristics of patients with knee osteoarthritis.” Journal of Biomechanics. 34(7): 907-15, 2001.
[24] McGibbon CA, Krebs DE. “Compensatory gait mechanics in patients with unilateral knee arthritis.” Journal of Rheumatology. 29(11): 2410-9, 2002.
[25] Kirkley A, Webster-Bogaert S, Litchfield R, et. al. “The effect of bracing on varus gonarthrosis.” Journal of Bone and Joint Surgery. 81A(4): 539-48, 1999.
[26] Lindenfeld TN, Hewett TE, Andriacchi TP. “Joint loading with valgus bracing in patients with varus gonarthrosis.” Clinical Orthopaedics and Related Research. (344): 290-7,1997.
[27] Self BP, Greenwald RM, Pflaster DS. “A biomechanical analysis of a medial unloading brace for osteoarthritis in the knee.” Arthritis Care and Research. 13(4): 191-7, 2000.
[28] Pollo FE, Otis JC, Backus SI, Warren RF , Thomas RF, Wickiewicz TL. “Reduction of Medial Compartment Loads with Valgus Bracing of the Osteoarthritic Knee.” Am J sport Med.2002 May-Jun;30(3):414-21
[29] 劉松柏譯,"材料強度破壞學(Strength and fracture of materials)",成璟技術叢書,何明橋發行,台北縣,民國八十九年三月。
[30] Roy R. Craig, JR., MECHANICS OF MATERIALS.林盈收,林冠丞譯,第一版,材料力學(下冊),吳秀蓁發行,台北市,民國八十八年四月。
|