本研究主要目標為建立一套動作分析系統以增進CPR之教育訓練。結合靜態掃描與動態追蹤的雙立體視覺模式之追蹤器(D1400)，利用可辨識之標誌點進行CPR施作者的動作追蹤，擷取其三維運動資訊進行CPR動作分析。

本文內容包含CPR相關研究之回顧、立體視覺系統之光學設計、模組硬體架構、立體標誌框配置原則、影像即時處理、CPR實驗標準步驟流程、CPR動作分割以及CPR資料輸出說明，最後將結果與Anne做比對，以建立系統的可信度。藉由本研究所建立之CPR動作分析系統，可以獲得每次按壓及整體之按壓速度、按壓深度等CPR品質評量數值，也可得到受測者施行CPR時的姿勢與各個關節軸間的角度變化，最後藉由各項CPR品質參數隨著時間的趨勢圖，找出可改進的地方並建議受測者如何調整姿勢以達到更好的施術效果。

The purpose of this paper is to develop a motion tracking and analysis system for improvement of learning Cardiopulmonary Resuscitation (CPR). A duel mode optical tracking system that combines scanning and tracking capabilities capture body shape information of the CPR learner and track his CPR motions by coded markers. In addition, the system can also analyze the CPR motion data to help learners to correct the CPR performance.

The content of this thesis includes the review of studies about CPR, the design of constructing an optical tracking system (D1400), the marker placement guide, the CPR experiment SOP, CPR motion cycle, and the explaination of experiment outcomes, then compare with the results of Anne to elstblish credibility. The system can provide CPR learners the chest compression depth, compression rate, the joint angles of not only whole motion sequence but also each compression segment. The system can be used to help CPR learners to improve the CPR performance.

[1]"American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care," Circulation, pp. 112:IV-19–IV-34, 2005.
[2]J. Herlitz, A. Bång, B. Alsén, and S. Aune, "Characteristics and outcome among patients suffering from in hospital cardiac arrest in relation to the interval between collapse and start of CPR," Resuscitation, vol. 53, pp. 21-27, 2002.
[3]L. A. Cobb, C. E. Fahrenbruch, T. R. Walsh, M. K. Copass, M. Olsufka, M. Breskin, and A. P. Hallstrom, "Influence of cardiopulmonary resuscitation prior to defibrillation in patients with out-of-hospital ventricular fibrillation," JAMA: the journal of the American Medical Association, vol. 281, pp. 1182-1188, 1999.
[4]R. O. Cummins, M. S. Eisenberg, A. P. Hallstrom, and P. E. Litwin, "Survival of out-of-hospital cardiac arrest with early initiation of cardiopulmonary resuscitation," The American journal of emergency medicine, vol. 3, pp. 114-119, 1985.
[5]B. L. Bigham, K. Koprowicz, T. P. Aufderheide, D. P. Davis, S. Donn, J. Powell, B. Suffoletto, S. Nafziger, J. Stouffer, and A. Idris, "Delayed prehospital implementation of the 2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiac care," Prehospital Emergency Care, vol. 14, pp. 355-360, 2010.
[6]R. A. Berg, R. Hemphill, B. S. Abella, T. P. Aufderheide, D. M. Cave, M. F. Hazinski, E. B. Lerner, T. D. Rea, M. R. Sayre, and R. A. Swor, "Part 5: Adult Basic Life Support," Circulation, vol. 122, pp. S685-S705, 2010.
[7]A. H. Travers, T. D. Rea, B. J. Bobrow, D. P. Edelson, R. A. Berg, M. R. Sayre, M. D. Berg, L. Chameides, R. E. O'Connor, and R. A. Swor, "Part 4: CPR Overview," Circulation, vol. 122, pp. S676-S684, 2010.
[8]C. F. Babbs and K. B. Kern, "Optimum compression to ventilation ratios in CPR under realistic, practical conditions: a physiological and mathematical analysis," Resuscitation, vol. 54, pp. 147-157, 2002.
[9]K. B. Kern, R. W. Hilwig, R. A. Berg, A. B. Sanders, and G. A. Ewy, "Importance of continuous chest compressions during cardiopulmonary resuscitation," Circulation, vol. 105, pp. 645-649, 2002.
[10] M. E. H. Ong, F. S. P. Ng, P. Anushia, L. P. Tham, B. S. H. Leong, V. Y. K. Ong, L. Tiah, S. H. Lim, and V. Anantharaman, "Comparison of chest compression only and standard cardiopulmonary resuscitation for out-of-hospital cardiac arrest in Singapore," Resuscitation, vol. 78, pp. 119-126, 2008.
[11] K. Bohm, M. Rosenqvist, J. Herlitz, J. Hollenberg, and L. Svensson, "Survival is similar after standard treatment and chest compression only in out-of-hospital bystander cardiopulmonary resuscitation," Circulation, vol. 116, pp. 2908-2912, 2007.
[12] A. Hallstrom, L. Cobb, E. Johnson, and M. Copass, "Cardiopulmonary resuscitation by chest compression alone or with mouth-to-mouth ventilation," New England Journal of Medicine, vol. 342, pp. 1546-1553, 2000.
[13] E. J. Gallagher, G. Lombardi, and P. Gennis, "Effectiveness of bystander cardiopulmonary resuscitation and survival following out-of-hospital cardiac arrest," JAMA: the journal of the American Medical Association, vol. 274, pp. 1922-1925, 1995.
[14] B. S. Abella, J. P. Alvarado, H. Myklebust, D. P. Edelson, A. Barry, N. O’Hearn, T. L. V. Hoek, and L. B. Becker, "Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest," JAMA: the journal of the American Medical Association, vol. 293, pp. 305-310, 2005.
[15] L. Wik, J. Kramer-Johansen, H. Myklebust, H. Sørebø, L. Svensson, B. Fellows, and P. A. Steen, "Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest," JAMA: the journal of the American Medical Association, vol. 293, pp. 299-304, 2005.
[16] R. M. Sutton, D. Niles, J. Nysaether, B. S. Abella, K. B. Arbogast, A. Nishisaki, M. R. Maltese, A. Donoghue, R. Bishnoi, and M. A. Helfaer, "Quantitative analysis of CPR quality during in-hospital resuscitation of older children and adolescents," Pediatrics, vol. 124, pp. 494-499, 2009.
[17] P. Jesal, P. Jerald, and P. W. Clive, "A randomized cross-over study of the quality of cardiopulmonary resuscitation among females performing 30: 2 and hands-only cardiopulmonary resuscitation," BMC Nursing, vol. 8, 2009.
[18] S. Odegaard, E. Saether, P. A. Steen, and L. Wik, "Quality of lay person CPR performance with compression: ventilation ratios 15: 2, 30: 2 or continuous chest compressions without ventilations on manikins," Resuscitation, vol. 71, pp. 335-340, 2006.
[19] J. Kramer-Johansen, D. P. Edelson, H. Losert, K. Köhler, and B. S. Abella, "Uniform reporting of measured quality of cardiopulmonary resuscitation (CPR)," Resuscitation, vol. 74, pp. 406-417, 2007.
[20] J. W. Heidenreich, R. A. Berg, T. A. Higdon, G. A. Ewy, K. B. Kern, and A. B. Sanders, "Rescuer Fatigue: Standard versus Continuous Chest‐Compression Cardiopulmonary Resuscitation," Academic emergency medicine, vol. 13, pp. 1020-1026, 2006.
[21] A. Ashton, A. McCluskey, C. Gwinnutt, and A. Keenan, "Effect of rescuer fatigue on performance of continuous external chest compressions over 3 min," Resuscitation, vol. 55, pp. 151-155, 2002.
[22] F. J. Ochoa, E. Ramalle-Gomara, V. Lisa, and I. Saralegui, "The effect of rescuer fatigue on the quality of chest compressions," Resuscitation, vol. 37, pp. 149-152, 1998.
[23] B. S. Abella, D. P. Edelson, S. Kim, E. Retzer, H. Myklebust, A. M. Barry, N. O'Hearn, T. L. V. Hoek, and L. B. Becker, "CPR quality improvement during in-hospital cardiac arrest using a real-time audiovisual feedback system," Resuscitation, vol. 73, pp. 54-61, 2007.
[24] J. Kramer-Johansen, H. Myklebust, L. Wik, B. Fellows, L. Svensson, H. Sørebø, and P. A. Steen, "Quality of out-of-hospital cardiopulmonary resuscitation with real time automated feedback: a prospective interventional study," Resuscitation, vol. 71, pp. 283-292, 2006.
[25] C. J. Dine, R. E. Gersh, M. Leary, B. J. Riegel, L. M. Bellini, and B. S. Abella, "Improving cardiopulmonary resuscitation quality and resuscitation training by combining audiovisual feedback and debriefing*," Critical care medicine, vol. 36, p. 2817, 2008.
[26] C. L. Cason, C. Trowbridge, S. M. Baxley, and M. D. Ricard, "A counterbalanced cross-over study of the effects of visual, auditory and no feedback on performance measures in a simulated cardiopulmonary resuscitation," BMC Nursing, vol. 10, p. 15, 2011.
[27] A. J. Handley and S. A. J. Handley, "Improving CPR performance using an audible feedback system suitable for incorporation into an automated external defibrillator," Resuscitation, vol. 57, pp. 57-62, 2003.
[28] C.-H. Chi, J.-Y. Tsou, and F.-C. Su, "Effects of rescuer position on the kinematics of cardiopulmonary resuscitation (CPR) and the force of delivered compressions," Resuscitation, vol. 76, pp. 69-75, 2008.
[29] C. M. S. Gavin D. Perkins, Colette Augre, Michael Allan, Helen Rogers, Barney Stephenson, David R. Thickett, "Effects of a backboard, bed height, and operator position on compression depth during simulated resuscitation," Intensive Care Medicine, pp. 1632-1635, 2006.
[30] R. B. Gavin D. Perkins, Simon Giles, Fang Gao, Michael J. Tweed, "Do different mattresses affect the quality of cardiopulmonary resuscitation?," Intensive Care Medicine, pp. 2330-2335, 2004.
[31] G. D. B. Perkins, William Bridgestock, Hannah Davies, Sarah Oliver, Zoe Bradburn, Sandra Green, Clare Davies, Robin P. Cooke, Matthew W., "Quality of CPR during advanced resuscitation training," Resuscitation, vol. 77, pp. 69-74, 2008.
[32] C. Babbs, W. Voorhees, K. Fitzgerald, H. Holmes, and L. Geddes, "Relationship of blood pressure and flow during CPR to chest compression amplitude: evidence for an effective compression threshold," Annals Of Emergency Medicine, vol. 12, pp. 527-532, 1983.
[33] Z. Zhang, "A flexible new technique for camera calibration," Pattern Analysis and Machine Intelligence, IEEE Transactions on, vol. 22, pp. 1330-1334, 2000.
[34] E. Süli and D. F. Mayers, An introduction to numerical analysis: Cambridge Univ Pr, 2003.
[35] R. N. Bracewell, "The fourier transform & its applications 3rd Ed," 2000.
[36] A. V. Oppenheim, R. W. Schafer, and J. R. Buck, Discrete-time signal processing vol. 2: Prentice hall Upper Saddle Riveren. JNJ, 1989.
[37] J. W. Cooley and J. W. Tukey, "An algorithm for the machine calculation of complex Fourier series," Math. Comput, vol. 19, pp. 297-301, 1965.
[38] A. S. Sedra and K. C. Smith, Microelectronic circuits vol. 1: Oxford University Press, USA, 1998.
[39] M. Sonka, V. Hlavac, and R. Boyle, Image processing, analysis, and machine vision vol. 2: PWS publishing Pacific Grove, CA, 1999.