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研究生: 潘柏瑋
Pan, Bo-Wei
論文名稱: 中風病患踝關節復健用機器人之研究
Development of a Robot for Ankle Rehabilitation in Stroke Patients
指導教授: 林宙晴
Lin, Chou-Ching K.
朱銘祥
Ju, Ming-Shaung
學位類別: 碩士
Master
系所名稱: 工學院 - 機械工程學系
Department of Mechanical Engineering
論文出版年: 2006
畢業學年度: 94
語文別: 中文
論文頁數: 81
中文關鍵詞: 動剛性被動拉伸自主運動
外文關鍵詞: dynamic stiffness, voluntary movement, passive stretch
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  • 目前中風病人所接受的復健治療,皆由醫師或物理治療師利用徒手或輔具對病人施予各種手法以誘發原有的自主控制能力,這些手法包括引導病人做出動作,或是在病人運動過程中施加阻扭力或是助扭力,最後再以定性量測或觀察做為療效評估。本研究目的是發展一台踝關節復健用機器人,由機器人來達成物理治療師的手法,並透過機器人上的感測器精確量測相關資料,由量化數據來做為療效的評估。

    機器人設計能在矢狀面上做一維運動,能應用於病患踝關節背屈與蹠屈運動。機器人透過模糊控制器來實現定位與扭力控制。在被動拉伸訓練,藉由精確定位引導病患在可動域內運動;在自主出力運動,機器人會在病患進行軌跡追蹤途中,給予阻扭力或助扭力。在運動過程中,機器人量得病人踝關節的移動位置與扭力,做離線資料分析,並用客觀量化的數據替代主觀的定性評估。

    本研究已完成機器人的硬軟體系統開發,並具備有多種運動模式。在5位常人受測者實驗中,利用機器人的各種運動模式配合關節被動剛性、軌跡追蹤誤差均方根及動剛性指標,來明瞭常人的踝關節機械性質與運動控制能力。總之,本研究驗證機器人在復健上的可行性,且可成功模擬物理治療師引導踝關節的背屈與蹠屈運動或是給予阻扭力與助扭力。

    The physical therapists use various facilitation patterns by hands or instruments at rehabilitation of the stroke patients. The patterns include guiding movement of patients’ ankle or applying resistance or assistance force when active movements are performed. By qualitative assessments and observations, they can assess progress of rehabilitation. The goal of this thesis is to develop a robot for ankle rehabilitation by performing various facilitation patterns. The sensors of robot can accurately measure biomechanical variables and provide objective assessments.

    The robot is designed for ankle motion on the sagittal plane. It is applied to dorsiflexion and plantarflexion movement in seated subjects. A fuzzy controller is implemented to realize position and torque controls. For passive stretch, the robot can guide the subject’s ankle throughout the range of motion to extreme dorsiflexion and plantarflexion. For voluntary movement, the robot can apply resistance or assistance torque when patients performed trajectory tracking. During movement, the encoder and the torque sensor record the position of ankle and the reactive torque between robot and patient’s ankle. Off-line analyses of these biomechanical data were used to assess progress of ankle rehabilitation quantitatively.

    The robot system has been built by integrating a mechanism, an actuator, a controller, system software and a man-machine interface. Two treatment movements, namely passive stretch and trajectory tracking were realized. Five normal subjects were recruited for assessing their ankle controllability by measuring the dynamic stiffness of their ankles. The experimental results show that the robot might be applicable for ankle rehabilitation of stroke patients. The robot can imitate a physical therapists to guide subject or apply adequate resistant or assistant torque on subjects when their ankles are performing trajectory tracking.

    中文摘要 i Abstract ii 誌 謝 iv 目 錄 v 圖目錄 vii 表目錄 ix 符號表 x 第一章 緒 論 1 1-1 前言 1 1-2 文獻回顧 4 1-3 研究動機與目的 7 1-4 本文架構 9 第二章 研究方法與實驗 10 2-1 機器人本體結構設計 10 2-2 機器人系統的建構 11 2-3 機器人系統的模型建立 16 2-4 模糊控制 20 2-4-1 模糊定位控制 25 2-4-2 模糊扭力控制 26 2-5 運動軌跡路徑規劃 27 2-6 實驗設計 30 2-6-1 運動軌跡 30 2-6-2 常人實驗 31 2-6-3 性能指標 32 2-6-4 人體實驗程序 34 第三章 結果 37 3-1 硬體設計 37 3-2 模糊定位控制 38 3-3 模糊扭力控制 42 3-3-1 定點PID與模糊PD+I扭力控制比較 42 3-3-2 直線軌跡和阻扭力控制 43 3-3-3 方形軌跡和阻扭力控制 45 3-3-4 方形軌跡和助扭力控制 46 3-4 人體實驗 47 3-4-1 被動拉伸 47 3-4-2 軌跡追蹤 53 3-4-3 運動控制 62 4 第四章 討論 66 4-1 機器人軟硬體設計 66 4-2 機器人控制 68 4-2-1 定位控制 68 4-2-2 扭力控制 69 4-3 常人實驗 71 4-3-1 被動拉伸 71 4-3-2 軌跡追蹤 73 4-3-3 運動控制 75 第五章 結論與建議 76 5-1 結論 76 5-2 建議 77 附錄A 78 參考文獻 79

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