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研究生: 陳家瑩
Chen, Chia-Ying
論文名稱: 居家式上肢復健系統之研發
A Home Care Rehabilitation System for Upper Extremity Therapy
指導教授: 周榮華
Chou, Jung-Hua
學位類別: 碩士
Master
系所名稱: 工學院 - 工程科學系
Department of Engineering Science
論文出版年: 2014
畢業學年度: 102
語文別: 中文
論文頁數: 64
中文關鍵詞: 復健機械手臂肌電訊號中位頻率希爾伯特-黃轉換
外文關鍵詞: Rehabilitation manipulator, Electromyography, Median frequency, Hilbert-Huang transform
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  • 腦中風經常造成日常生活功能障礙,須積極配合治療,才能有效改善運動功能。研究顯示,大量的患側上肢持續動作練習,可增強中風患者學習的效果。一般傳統復健治療,須對患者進行一對一的治療訓練,費力且缺乏量化及客觀評估。因此本研究目的為發展居家式上肢復健輔助訓練系統,提供中風患者於家中也能進行復健訓練,減少醫療成本與往返醫院的不便,並能不受時空限制而經常復健,增進醫療效果。
    本研究以機械手臂提供上肢中風患者居家復健之功能。機械手臂使用兩顆AI馬達來驅動連桿,提供水平的二維運動,以Visual Studio 2010撰寫人機操作介面,功能主要分成三個訓練模式:主動模式,被動模式及阻力模式。主動模式由機械手臂帶動患者上肢,作不同軌跡與速度之訓練,並記錄使用者的上肢末端位置與速度,及時提供視覺回饋資訊給使用者;被動模式由患者執行特定平面軌跡,並計算實際移動路徑與該軌跡之誤差,以均方根誤差作為患者復健效果的評估依據,以此功能來提升與評估自主控制能力;阻力模式則提供分級阻力,讓患者以嘗試推動該阻力,來鍛鍊並提升肌力。最後以肌電訊號,即時反應力的使用情形並將訊號以MATLAB處理計算出中位頻率,由該頻率變化情形來評估患者運動練習後之肌肉疲勞狀況,預防過度使用而造成的運動傷害。

    Neurological impairments resulted from strokes always lead to functional disabilities, but it is possible for the patients to recover through proper treatments and exercise. However, traditional treatment is labor-intensive and limited to subjective assessment. With technology advances, robot-aided training systems have been developed to provide movement therapy and quantitative assessment. Therefore, in order to reduce health-care costs and inconvenience of patients, and to provide a regular exercise free of space and time limitation, a home-care rehabilitation training system was designed and implemented.
    The system consists of a 2-dimensional manipulator. AI motors were used to drive the links and to record the position and velocity of the manipulator via their encoders. The system GUI was programmed in Visual Studio 2010, and including three functions: (1) Manipulator is used to provide different 2-D movements under different velocities; (2) Users are asked to track trajectory shown on the monitor to enhance their control ability; (3) Graded resistance is provided, by overcoming the resistance to improve muscle strength. In addition, Electromyography (EMG) was applied to measure fatigue as it is widely used for evaluating electrical activity produced by skeletal muscles. The signals were analyzed to detect muscle fatigue so as to avoid injuries through digital signal processing.

    中文摘要 I Extended Abstract II 誌謝 VI 目錄 VII 表目錄 X 圖目錄 XI 第一章 緒論 1 1.1 研究背景與動機 1 1.1.1 腦中風成因 2 1.1.2中風後之功能回復機轉 3 1.1.3 復健治療訓練 4 1.2 研究目的 5 1.3 文獻回顧 6 1.4 論文架構 10 第二章 復健系統硬體架構 11 2.1 復健系統設計 11 2.2 復健系統架構 12 2.3 機械手臂硬體介紹 15 2.3.1馬達與控制模組 15 2.4 感測器硬體介紹 17 2.4.1 壓力感測器 17 2.4.2 Logitech網路攝影機 18 2.4.3 單晶片PIC18F4520 18 2.4.4 肌電訊號感測模組 19 第三章 系統設計與實現 22 3.1 機械手臂輔助訓練系統功能 22 3.1.1 系統主動模式 22 3.1.2 系統被動模式 23 3.1.3 系統阻力模式 24 3.2 機器手臂運動學推導 25 3.2.1 馬達角度與機械手臂末端座標轉換公式之推導 26 3.3 馬達轉速校正 28 3.4 復健輔助系統評估方法 32 3.4.1 運動軌跡與目標軌跡之誤差評估 32 3.5 肌肉疲勞評估 33 3.5.1 肌電訊號介紹 34 3.5.2 肌電訊號資料擷取 35 3.5.3 Visual C++與Matlab混合編程 36 3.5.4 肌電訊號處理與分析 37 第四章 實驗結果與討論 44 4.1 機器手臂輔助訓練系統 44 4.2 人機操作介面 45 4.3 機器手臂輔助系統馬達轉速驗證數據分析 47 4.4 被動模式評估結果 52 4.5 肌電訊號處理與結果分析 53 4.5.1 疲勞評估實驗流程 54 4.5.2 肌電訊號頻域分析 55 4.5.3 肌電訊號時頻分析 59 第五章 結論與建議 60 5.1 結論 60 5.2 建議 61 參考文獻 62

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