| 研究生: |
龔品誠 Kung, Bing-Cheng |
|---|---|
| 論文名稱: |
具量測腕部控制之上肢復健機器人 Upper Limb Rehabilitation Robot Augmented with Wrist Controllability Measurement System |
| 指導教授: |
朱銘祥
Ju, Ming.-S. 林宙情 Lin, C.-C. K. |
| 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: | 2004 |
| 畢業學年度: | 92 |
| 語文別: | 中文 |
| 論文頁數: | 71 |
| 中文關鍵詞: | 機器人 、復健 |
| 外文關鍵詞: | rehabilitation, robot |
| 相關次數: | 點閱:99 下載:4 |
| 分享至: |
| 查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
過去幾年,本研究室發展一部肩肘復健用機器人並且持續進行臨床測試,此復健用機器人可導引病人上肢肘關節做屈曲、伸直的動作及肩關節做平行內縮、平行外展的動作,且可依所量測病人動作狀況給予助力與阻力以幫助病人完成復健動作,同時我們也發展出關節動剛性指標做為評估治療成果的依據,並配合此指標與軌跡均方根誤差研發出一套復健治療流程,並驗證復健機器人的可行性。
由於肩肘復健用機器人整體尺寸與重量過大,因此在本研究中,吾人重建一台新的復健機器人,設計出尺寸較小且將整體結構整合於工作桌上,並使用視窗介面作為操作系統。目前在定位控制方面已能夠進行圓形軌跡和直線軌跡追蹤控制,位置誤差均在允許範圍之內,在力量控制方面機器人施於受測者力量的趨勢與所要求的值接近。
另一方面,由文獻知中風病人肘關節運動時常會伴隨著不自主的旋前或旋後動作,本研究在第一代復健用機器人上擴充前臂旋轉扭矩測量子系統,在病人追蹤圓形軌跡的運動中,由臨床經驗得知中風患者活動的協同性和功能障礙有密切關係,透過機器人上的扭力計量得前臂旋轉扭矩及病人與機器人接觸點的位置與力量資料,以離線資料分析的方式,分析前臂旋前或旋後的扭矩。結果顯示中風病患在進行圓形軌跡的運動時,前臂會有明顯的不正常旋前或旋後動作出現,而正常人則較不明顯。
In our previous study, a shoulder-elbow rehabilitation robot was developed for neuro-rehabilitation of the upper extremity. The robot was designed to perform a two-dimensional motion in a planar workspace. A fuzzy logic controller was employed to realize the position and force control such that the robot could apply either resistant or assistant force on the subject’s wrist when the upper limb was performing a circular movement. A treatment protocol and the quantitative assessment technique were also developed.
The goals of this current study are two-fold. The first is to rebuild a new rehabilitation robot. The existing rehabilitation robot for upper limbs is oversized and overweight for clinical applications. A smaller rehabilitation robot is assembled onto a worktable and the control system is transformed from DOS to Windows environment. The new robot can perform well control to track a predefined circular or straight trajectory. The position errors of tracking were within the allowable error limit.
The second goal, is to verify found that the synergy patterns of stroke patients is highly correlated with their impaired motor function. One of the synergy patterns is that the strokes will pronate or supinate their forearms involuntarily when they move their elbow joints. A new torque measurement system is designed and installed on the old shoulder-elbow rehabilitation robot. The pronation/supination torque and the trajectory of tracking movement are recorded during the treatment procedure, and the pronation and supination torque of forearm are analyzed offline. The experimental results revealed that the synergy patterns of stroke subject could be detected and quantified while the subjects were performing the tracking movement on the transverse plane. As a contrast, the normal subjects performed less synergy patterns.
1. 胡名霞, 中風病患之物理治療-現代觀念及效益, 中華物療誌, 第23卷, 第3期, pp. 202-209, 1998.
2. J. D. Schaechter, E. Kraft, T. S. Hilliard, R. M. Dijkhuizen, “Motor Recovery and Cortical Reorganization after Constraint-Induced Movement Therapy in Stroke Patients: A Preliminary Study”, Neurorehabilitation and Neural Repair, vol. 16, pp.1-13, 2002.
3. G. F. Wittenberg, R. Chen, K. Ishii, K. O. Bushara, “Constraint-Induced Therapy in Stroke: Magnetic-Stimulation Motor Maps and Cerebral Activation”, Neurorehabilitation and Neural Repair, vol. 17, pp.48-57, 2003.
4. F. B. Horak, Assumptions Underlying Motor Control for Neuro-logic rehabilitation, In M. J. Lister ed., Contemporary Management of Motor Control Problems, Bookcrafters, Virginia, pp. 11-28, 1991.
5. http://pesty.yichi.org/gallery/AsimoDay
6. http://world.honda.com/ASIMO/
7. P. S. Lum, C. G. Burgar, P. C. Shor, et al., “Robot-assisted Movement Training Compared with Conventional Therapy Techniques for the Rehabilitation of Upper-limb Motor Function After Stroke”, Arch Phys Med Rehabil, vol. 83, pp.952-959, 2002.
8. H. I. Krebs, B. T. Volpe, M. L. Aisen, W. Hening, S. Adamovich, H. Poizner, K. Subrahmanyan, N. Hogan, ”Robotic Applications in Neuromotor Rehabilitation”, Robotica, vol. 21, no. 1, pp. 3, 2003.
9. S. E. Fasoli, H. I. Krebs, J. Stein, W. R. Frontera, N. Hogan, “Effects of Robotic Therapy on Motor Impairment and Recovery in Chronic Stroke”, Arch Phys Med Rehabil, vol. 84, pp.477-482, 2003.
10. S. Coote, E. K. Stokes, “Robot mediated therapy: Attitudes of patients and therapists towards the first prototype of the GENTLE/s system”, Technology and Disability, 15, 27-34, 2003.
11. L. W. O’Sullivan, T. J. Gallwey, ”Upper-limb Surface Electro-myography at Maximum Supination and Pronation Torques: the Effect of Elbow and Forearm Angle”, Journal of Electromyography and Kinesiology, vol. 12, no. 4, pp. 275-285, August 2002.
12. N. Yang, M. Zhang, C. Huang, D. Jin, “Synergic analysis of upper limb target-reaching movements”, Journal of Biomechanics, 35, 739-746, 2002.
13. S. Hesse, G. Schulte-Tigges, M. Konrad, A. Bardeleben, C. Werner, “Robot-Assisted Arm Trainer for the Passive and Active Practice of Bilateral Forearm and Wrist Movements in Hemiparetic Subjects”, Arch Phys Med Rehabil, vol. 84, June, 2003.
14. 陳秋旺、朱銘祥、謝孟達、張慧怡、陳家進"肘關節復健用機械人之研究"中華民國八十八年醫學工程科技研討會論文集,pp.150-151。
15. 林棟煌, 朱銘祥, 黃英修, 程琡敏, “模糊理論應用於肘關節復健用機器人”, 中華民國八十九年生醫科技論文研討會, Dec. 15-16, 2000, 台北。
16. K. A. Sawner and J. M. LaVigne, Brunnstrom’s Movement Therapy in Hemiplegia : a Neurophysiological Approach, J. B. Lippincott, USA, 1992.
17. S.-Y. Wu, M.-S. Ju, C.-C. K. Lin, I.-S. Hwang, and S.-M. Chen, “Treatment trial of using robot for neuro- rehabilitation of upper extremities”, Proc. 2002 Conference on BME Technology, Kaohsiung, December 14-15, 2002. (壁報論文競賽優等)
18. H. Asada and J.-J. E. Slotine, Robot Analysis and Control, A Wiley Interscience Publication, Canada, 1986.
19. 董憲奇, 朱銘祥, 林宙晴, 黃英修, 程琡敏 “肘關節神經復健用機器人之改進與臨床評估” 中華民國生物醫學工程科技研討會, pp. 45, 2001 (壁報論文競賽佳作)。
20. A. Naito, M. Yajima, M. Chishima, Y.-J. Sun, “A motion of forearm supination with maintenance of elbow flexion produced by electrical stimulation to two elbow flexors in humans”, Journal of Electromyography and Kinesiology, vol. 12, pp. 259-265, 2002.
21. F. H. Netter, “Interactive atlas of human anatomy”, Ciba Medical Education & Publications, 1995.