中風為當今嚴重的常見疾病之一，中風會導致患者身體功能受損，且經常影響到患者的上肢及手部功能，大部分的患者受損的功能無法完全恢復，而近期的研究顯示，感覺刺激的介入可以幫助感覺動作的整合，對於連結複雜的感覺回饋及精細的手部動作有很大的幫助，因此在動作復健的過程中加入感覺刺激相當有機會能提升動作復健的成效。相較於其他感覺刺激，震動刺激顯現出許多優勢，震動刺激可以活化大腦中的感覺皮質並且影響到運動皮質，進而幫助運動功能的恢復。
近幾年利用震動刺激介入中風復健的研究較多針對上之近端的肌肉，較少施予手部運動肌肉震動刺激。然而中風病患手部功能的復健效果對於生活中的自主照顧能力有很大的影響。因此本研究將針對手部運動肌肉進行震動刺激介入。
此外近幾年的研究已經有開發一些應用震動刺激介入中風病患的上肢復健的工具，但是這些儀器多在發展階段，且較昂貴和較龐大，中風病患必須前往醫療院所使用。另一方面購物網也有震動按摩的產品，雖然較輕巧且便宜，但是無研究證實其效果。
本研究的目的為發展一個較小和較便宜的新型震動刺激介入復健工具，讓中風病患進行手部復健動作時加入震動刺激，幫助病患提升動作復健的效果。本研究會針對屈指肌群以及拇指短肌和對掌肌群施予震動刺激，觀察1位中風受試者對於總共40分鐘的頻率70 Hz以及120 Hz震動刺激的主觀感覺以及震動刺激對於手部功能的影響。本研究將使用盒子積木測驗(Box and Blocks Test, BBT)、握力測驗以及動作活動日誌(Motor Activity Log, MAL)進行前後測評估。
研究結果顯示盒子積木測驗在接受震動刺激後有提升，本研究的貢獻為提供中風復健器材設計一個初步的設計參考，開發創新的震動介入工具，結合震動刺激與動作復健以提升復健效率，並初步的驗證震動刺激儀器的安全性。未來研究將使用隨機對照組的實驗設計更進一步地確認震動介入工具的療效。

Stroke is one of the most common diseases causing severe disability. Stroke can lead to impaired motor function and often affects the patient's upper limb and hand function. Most patients have impaired function cannot recover fully. However, recent studies have shown that sensory stimulation can enhance the integration of sensory and motor system. It can connect the complex sensory feedback and elaborate hand movements. Therefore, adding sensory stimulation during the rehabilitation process has a good chance of improving the effectiveness of the rehabilitation. Compared with other sensory stimuli, vibration stimulation shows many advantages. Vibration stimulation can activate the sensory cortex in the brain and affect the motor cortex, thereby helping to recover the motor function.
In recent years, the use of vibration stimulation involved in the rehabilitation of stroke more on the proximal muscle, less on the hand muscle. However, the recovery of hand function of stroke patients has a great impact on the ability of self-care in life. Therefore, this study will focus on the hand muscles vibration stimulation intervention.
In addition, in recent years, research has developed some tools to apply vibration stimulation to upper limbs of stroke patients in the process of rehabilitation. However, these instruments are still under development and are more expensive and larger. Stroke patients must go to medical institutions for use. On the other hand, the shopping network also has a vibrating massage product, which is lighter and cheaper but no research confirms its effect.
The purpose of this study was to develop a smaller and cheaper innovative vibration-stimulating tool to help stroke patients to improve the effect of rehabilitation. In this study, the flexor digitorum muscles, Flexor pollicis brevis and opponens pollicis muscles were stimulated. We observe the subjective perception of a stroke patient after a total of 40 minutes of 70 Hz and 120 Hz vibration stimuli. And we did an evaluation of hand function. This study evaluated pre and post-test using Box and Blocks Test (BBT), Grip Strength Test and Motor Activity Log (MAL).
The results of the study showed that the Box and Blocks Test improved after receiving vibration stimulation. The contribution of this study is to provide a preliminary design reference for the design of stroke rehabilitation equipment, to develop an innovative vibration intervention tool combined vibration stimulation and motion rehabilitation to enhance the rehabilitation efficiency, and to verify the safety of the vibration stimulation instrument initially. Future studies will use randomized controlled trial to further confirm the efficacy of vibration intervention tools.

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