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研究生: 廖紹宇
Liao, Shao-Yu
論文名稱: 使用MFC與OpenGL建構含懸吊系統之小腿義肢承筒設計軟體
Using MFC and OpenGL to Develop a Design System of Transtibial Socket Including Suspension
指導教授: 許來興
Hsu, Lai-Hsing
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: 2013
畢業學年度: 101
語文別: 中文
論文頁數: 121
中文關鍵詞: 髕骨承重式小腿義承筒快速成型機MFCOpenGL介面壓力
外文關鍵詞: Transtibial Socket, Rapid prototyping (RP), MFC, OpenGL, Interface pressure
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  • 傳統手工製作髕骨韌帶承重式小腿義肢承筒,需要複雜的石膏模型編修過程,其製作品質取決於義肢師的手藝。模型編修形狀、位置、編修量皆不易量化,修模的外型與位置仰賴著義肢師的經驗,一名專業的義肢師需要學理知識和大量的實作經驗。
    本研究開發一套設計小腿義肢承筒專用的界面系統,透過圖示化的介面與簡單的操作流程,讓非專業的義肢師也能設計出品質穩定,且符合使用者需求的義肢承筒。本介面系統使用Microsoft Visual Studio 2010 之MFC應用程式以及OpenGL函式庫做為開發工具,運用物件導向程式設計的概念進行介面系統設計。以圖示化的設計系統介面讓使用者快速直覺的設計承筒模型。此承筒模型儲存為STL檔,接著以快速成型機(Rapid Prototyping,RP)製作成RP承筒模型後,交由義肢師製作PP承筒並裝配成義肢。製作過程保留了原始殘肢的資料與承筒模型的資料,以提供使用者改善承筒的依據與追蹤殘肢的變化。
    小腿義肢承筒之懸吊系統的功用為將承筒固定在殘肢上,對於使用者穿戴行走時的安全性有很大的影響。本研究研發了一個設計懸吊外型的方法,藉以取代手工製作懸吊系統之過程。
    經由案例實作與行走時殘肢壓力量測,證明本研究之軟體所設計出的小腿義肢承筒是可行的,案例病患穿戴後即可行走。在小腿殘肢耐壓區與非耐壓區之壓力表現均合乎預期,而懸吊系統在行走時亦有發揮其固定的功能。

    Traditional manual method of patella tendon bearing (PTB) sockets need complex shape modifications of a plaster mold during the fabrication process. The product quality of sockets depends on the skills and experience of a prosthetist. This conventional plaster-based process manufactures excellent fitting sockets. The manual skills process also produces bad fitting sockets from case to case, resulting in user dissatisfaction from a poor quality prosthesis. To overcome manual method drawbacks, this research develops a novel interface system for the transtibial sockets design.
    The socket design system developed in this study was based on the application programming interfaces of Microsoft Visual Studio 2010 MFC application program and OpenGL. With the concept of object-oriented programming, the user can design a socket model simply by following step by step dialogs using the digitized data of a duplicated stump mold . The output STL data file of a socket model was then transferred to a rapid prototyping (RP) machine to produce a socket mold. And finally a transtibial socket was fabricated by a prosthetist.
    The suspension of a transtibial socket is to firmly hold the socket on the stump, and the shape of suspension will greatly influence the safety and comfort of the user. This research developed a method to create the shape of suspension. In addition, the proposed interface system is capable of saving the designed socket model, the digitized stump model, and all the data of socket design steps, so that the socket shape can be easily revised if needed.
    The experimental result of a volunteer participant with traumatic amputation demonstrated that the contact pressures on pressure tolerant and sensitive areas were at reasonable and acceptable level. The socket suspension functioned well. And, the amputee walked freely when wearing the prosthetic socket made by using the design interface system developed in this study. The applicability of the proposed transtibial socket design system can be validated if more amputees participate the experiments.

    摘要 i Abstract ii 誌謝 iii 圖目錄 vii 表目錄 xii 符號說明 xiv 第一章 緒論 2 1.1前言 2 1.2研究動機與目的 3 1.3研究架構 5 第二章 相關文獻與技術 6 2.1小腿義肢 6 2.2傳統手工PTB小腿義肢承筒製程 10 2.3壓力取模技術介紹 14 2.4 CAD/RP小腿義肢承筒製程 17 2.5微軟基礎類別庫(MFC) 18 2.6 OpenGL函式庫 19 2.7物件導向程式設計 20 第三章 小腿義肢承筒模型系統設計方法 21 3.1建構MFC視窗框架 21 3.2單文件樣板類別與訊息映射 23 3.3建立工具列 26 3.4建立OpenGL繪圖區 28 3.5視角平移與旋轉 33 3.6建立坐標軸 35 3.7畫面選點 37 3.8背景顏色設計 38 第四章 小腿義肢承筒模型設計軟體功能理論 39 4.1匯入受壓殘肢模型資料 41 4.2定位殘肢模型 42 4.3分層濾點與等角化 45 4.4點資料向外偏移 49 4.5懸吊系統建立 50 4.6建立底座 56 4.7點資料部分編修功能 57 4.8切除與填補前後側資料 64 4.9點資料平滑化 69 4.10薄殼化 73 4.11 STL檔案編碼與匯出 74 4.12其他輔助功能 75 4.13介面系統功能比較 78 第五章 案例研究 80 5.1 取得受壓殘肢模型 81 5.2 軟體設計承筒模型 86 5.3 RP承筒輸出 102 5.4 承筒製作與義肢裝配 103 5.5 承筒試穿與壓力測試 106 第六章 結論 112 6.1研究成果與討論 112 6.2未來展望 113 參考文獻 115 附錄A 案例承筒製作資訊 118 附錄B BFB-3000快速成型機機台資訊 120 附錄C Tekscan 9801感測片資訊 121

    [1] 內政部統計處, “一零一年第七週內政統計通報(101年中列冊身心障礙者人數統計),” http://www.moi.gov.tw/, January 03, 2013.
    [2] H. W. Kay and J. D. Newman, “Relative incidences of new amputations.,”Orthot Prosther Vol.29,No.2, pp. 3-16, 1975.
    [3] “2009 4th ed Brussels,Belgium, International Diabetes Federation Available, “ www.diabetesatlas.org, January 03, 2013.
    [4] C. H. Chang, W. Y. Shau, Y. D. Jiang,H. Y. Li, T. J. Chang, W. H. Sheu, C. F. Kwok, L. T. Ho, L. M. Chuang.,”Type 2 diabetes prevalence and incidence among adults in Taiwan during 1999-2004: a national health insurance data setstudy.,” Diabet Med 2010 Jun;27(6), pp. 636-643, Jun 2010.
    [5] C. H. Tseng, T. Y. Tai, C. J. Chen, B. J. Lin, “Ten-year clinical analysis of diabetic,” Journal of Formosa Medical Association, 93(5), pp. 388-392, 1994.
    [6] 王素玫,陳惠美,”糖尿病患下肢截肢相關因素之探討,” 長庚護理,18卷3期, pp. 333-340, 2007.
    [7] 謝旭豪, 電腦輔助設計在全接觸式小腿義肢承筒之應用, 台南市: 國立成功大學機械工程學系, 2011.
    [8] 程大維, 小腿義肢承筒設計之介面系統, 台南市: 國立成功大學機械工程學系, 2012.
    [9] J. H. Bowker, Atlas of limb Prosthetics: Surgival, Prosthetic, and Rehabilitation Princuples 2nd ed.(J.W.Michael, Ed.), Rosemont, IL: Mosby Year Book(St. Louis), 1992.
    [10] C.W. Radcliffe, J. Foort, The patellar-tendon-bearing below-knee prosthesis, University of California (Berkeley and San Francisco), Biomechanics Laboratory., 1961.
    [11] G. Fajal, J. M. Paquin, G.G. Kuhn, Atlas d`Appareillage Prothetique et Orthopidique, Nancy : Faculté de Médecine de Nancy., 1966.
    [12] T. B. Staats, J. Lundt, “The UCLA total surface bearing suction below-knee prosthesis.,” Clinical Prosthetics and Orthotics, 11, pp. 118-130, 1987.
    [13] 莊惟喬, 全接觸式快速原型膝下義肢承筒網格化設計系統, 台南市: 國立成功大學機械工程學系, 2010.
    [14] 加倉井周一, 義肢製作, 東京: 東京都補裝具研究所, 1978.
    [15] S. Ali, N. A. Abu Osman, M. M. Naqshbandi,A. Eshraghi,M. Kamyab, H. Gholizadeh., “Qualitative Study of Prosthetic Suspension Systems on Transtibial Amputees’ Satisfaction and Perceived Problems With Their Prosthetic Devices.,” Archives of Physical Medicine and Rehabilitation.Volume 93, Issue 1., p. 1919–1923, November 2012.
    [16] G. Murdoch, “Fitting of the below-knee amputation stump: The Dundee socket for the below-knee amputation.,” Prosthetics International 3(4/5), pp. 15-21, 1968.
    [17] P. Convery, “A. W. P. B. Socket/Stump interface dynamic pressure distributions recorded during the prosthetic stance phase of gait of a trans-tibial amputee wearing a hydrocast socket.,” Prosthetics and Orthotics International, 23, pp. 107-112, 1999.
    [18] “Össur Icecast Anatomy,” http://www.ossur.co.uk.2013.
    [19] 詹濬瑜, 三維量測應用於快速成型小腿義肢承筒模型之驗證, 台南市: 國立成功大學機械工程學系, 2012.
    [20] Y. Wu, H. Casanova, W. K. Smith, M. Edwards, D. S. Childress, “CIR sand casting system for trans-tibial socket,” International Society for Prosthetics and Orthotics, 2003.
    [21] “CIR - Center For International Rehabilitation - Home Page.htm,” http://www.cirnetwork.org/, 2013.
    [22] Y. Wu,H. R. Casanova, K. D. Reisinger, W. K. Smith, D.S. Childress., “CIR casting system for making transtibial sockets,” Prosthetics and Orthotics International, Vol. 33, No. 1, pp. 1-9., 2009.
    [23] 紀傑騰, 真空成行殘肢模型於膝下義肢承筒之設計與製作, 台南市: 國立成功大學機械工程學系, 2010.
    [24] 位元文化, 精通MFC視窗程式設計, 台北市: 文魁資訊, 2008.
    [25] S.W. Richard, S. Jr.Michael, 大新資訊編譯, OpenGL超級手冊第二版, 台北市: 大新資訊, 2000.
    [26] D. Shreiner, OpenGL Programming Guide,Seventh Edition., ADDISON-WESLEY PUBLISHING, 2009.
    [27] S. Prata, C Primer Plus 5/e, SAMS, 2007.
    [28] M. S. Zahedi, W. D. Spence, S. E. Solomonidis, J. P. Paul, “Alignment of lower-limb prostheses.,” Journal of Rehabilitation Research and Development, 23(2), pp. 2-19, 1986.
    [29] D.A. Boone, T. Kobayashi, T.G. Chou, A.K. Arabian, K.L Coleman, M.S. Orendurff, M. Zhang, “Influence of malalignment on socket reaction moments during gait in amputees.,” Gait & Posture, Volume 37, Issue 4., p. 620–626, April 2013.
    [30] W.C. Lee,M. Zhang, X. Jia , J.T Cheung., “Finite element modeling of the contact interface between trans-tibial residual limb and prosthetic socket,” Medical Engineering & Physics. Volume 26, Issue 8,, pp. 655-622, October 2004.
    [31] 張世薪, CAD軟體之API應用於小腿義肢承筒設計模組, 台南市: 國立成功大學機械工程學系, 2012.
    [32] “Geomagic 3D Haptic Design, Imaging and Metrology software,” http://www.geomagic.com/en/, 2013.
    [33] Y. Hirokazu, O. Yutaka, G. B Alexander, “Mesh Smoothing via Mean and Median Filtering Applied to Face Normals,” Geometric Modeling and Processing, 2002. Proceedings., pp. 124-134, 2002.
    [34] “netfabb Products & Services,” http://www.netfabb.com/, 2013.
    [35] “DAVID 3D Scanner,” http://www.david-laserscanner.com/, 2013.
    [36] “Bits from Bytes,” http://www.bitsfrombytes.com/, 2013.
    [37] “Tekscan,” http://www.tekscan.com/, 2013.

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