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研究生:黃珮珊
研究生(外文):Pei-Shan Huang
論文名稱:連續被動式運動手部與手腕復健機研發
論文名稱(外文):The research and development of a continuous passive motion machine for wrist and hand
指導教授:鄭誠功鄭誠功引用關係陳佳萬陳佳萬引用關係
指導教授(外文):Cheng-Kung ChengJia-Wan Chen
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:復健科技輔具研究所
學門:醫藥衛生學門
學類:復健醫學學類
論文種類:學術論文
論文出版年:2004
畢業學年度:92
語文別:中文
論文頁數:134
中文關鍵詞:連續被動運動柯里氏骨折復健手部與手腕
外文關鍵詞:Continuous passive motionColles’ fractureRehabilitationWrist and hand
相關次數:
  • 被引用被引用:13
  • 點閱點閱:1029
  • 評分評分:
  • 下載下載:176
  • 收藏至我的研究室書目清單書目收藏:4
背景:臨床上引發手部病症的原因相當多,例如骨折、肌腱斷裂、燒傷、關節炎等,患者往往須靠復健來預防關節沾黏、肌肉攣縮或水腫等情形發生。因此,本研究根據醫院的骨科醫師及物理治療師的建議,並參考市售手部復健機所包含的動作,手腕的橈/尺側偏移(radial/ulnar deviation)、伸展(extension)、過度伸展(hyperextension)以及手指的內收/外展 (adduction/abduction)、屈曲/伸展(flexion/extension) ,自行研發一台手部連續被動式運動(continuous passive motion)復健機。
方法:本研究共分為三階段,第一階段為相關資料蒐集,再由參考資料中,訂定出本復健機控制參數的規格,如復健動作、角度、力量等。第二階段為復健機設計與製作,首先依據既定的規格去設計機構,並進行數學式分析,使其能合乎功能要求,完成復健機製作後,並作功能測試與安全性測試以確定復健機的可用性。第三階段為臨床試用,選擇Colles’ fracture患者為實驗對象,使用本研究復健機復健,進行臨床有效性驗證。
結果:研究結果顯示,本復健機不但達到手指與手腕復健的功能需求,且復健角度範圍廣,手腕屈曲 經、手腕過度伸展 、手腕向橈側偏移 、手腕向尺側偏移 ,手指各關節活動度,屈曲 、手指外展 。經過6星期的復健訓練後,三位受測者之手腕關節活動度均有顯著進步,屈曲關節活動度平均進步 、過度伸展平均進步 、向橈側偏移平均進步 、向尺側偏移平均進步 ;在實驗過程當中無人受到傷害。 
結論:本論文所研究的復健機具備手腕與手部復健功能,復健時間、壓力與拉力、角度參數可依使用者需求做調整,經實驗證明確實具有臨床有效性。
Background and objective:There are many reasons that cause hand disease through clinical examinations, such as fracture, tendon rupture, burns, arthritis etc. Rehabilitation is often used to prevent from evolved hand disease. Therefore, the purpose of this study is to build a hand CPM (continuous passive motion) machine for rehabilitation. The machine is designed according to the suggestions of the orthopedists and physical therapists and the function refers to the rehabilitative motions which are radial deviation, ulnar deviation, extension, hyperextension of wrists and adduction, abduction, flexion, extension of fingers.
Methods:The research process is divided into three phases. The first phase is to conduct a literature review and to sum up the criteria such as motions, angles, and forces of the machine. The second phase goes on to design the mechanism and manufacture of the machine according to the criteria, and followed with the safety and functional tests of the machine. Finally, the third phase is to examine the Colles’ fracture patients who use the machine and investigate the patients through the process of rehabilitation in order to verify the validities by the clinical examinations.
Results:It shows that this study of rehabilitation machine is not only to reach the functional requests of wrist and fingers, but also to increase the patient’s ROM(Range of motion). After the six weeks of rehabilitation, the average value of progress of the three subjects’ wrist flexion was 、wrist hyperextension was 、wrist radial deviation was 、wrist radial deviation was .Besides, there was no one hurt in the clinical examinations.
Conclusion:The rehabilitation machine of this study includes both wrist and hand rehabilitation, and user can adjust the parameters which are time, pressure, pulling force and angle. The rehabilitation machine of this study has verified its efficacy under the clinical examinations.
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