臺灣博碩士論文加值系統

人類手部運動佔日常生活中運動的一半以上，而手部受傷之病患日常生活機能因此受到很大的影響。且在進行復健工作中著重在關節活動度與整體掌部機能，較少針對特定動作或肌肉來進行評估。評估方式也偏用機械式器具，缺乏較立即與科學化的設備提供病患在每次復健的同時，了解患部復原的程度。本研究主要在透過自製簡易型肌電量測儀，收集上肢及掌部術後復原及未曾損傷之樣本，令其儘量施力，藉由分析肌電訊號中之振幅與頻率信息，定義出肌肉力量與肌肉疲勞程度，並比較慣用手與非慣用手兩者在肌力與肌肉疲勞的差異範圍及原因，進而幫助物理治療師在復健動作的設計上提供參考。透過圖形的即時呈現與歷史軌跡的描繪，使病患及臨床工作者了解病患復原的情形，提供後續治療的判斷。最後希望透過總結與討論事項，能提供病患一個輕便即時的評估系統，協助病患復健工作的進行及增加復健信心。甚至透過居家網路系統來傳遞資訊，免除病患往來醫院的時間與金錢的浪費，改善生活品質。

The hand movement accounts for a major part of human daily activity, and once injured, it wound cause a significant impact on normal life function. During the course of rehabilitation, most clinicians focus on the overall recovery of joint activity and hand function. In contrast, the therapy is infrequently evaluated by a specific component of hand function or a certain muscle movement. Most of the evaluation of recovery is performed by hospital-based mechanical facilities, and there are only few scientific ways used to provide prompt evaluation at each rehabilitation course. This study is conducted with a simple self-constructing myo-electricity measure meter. It recorded the muscle strength of the upper arm and hand on the un-injured side of the patient. A laptop-based software analyzed the degree of muscle power and fatigue during exercise, and compared the difference and variation between both sides of upper extremities. The analysis results may provide the therapist ideas to design an individualized rehabilitation program. Meanwhile, a graphical presentation of the measurement results will help patients recognize the progress immediately after each physical therapy. We hope this study not only to provide patients of hand injury a convenient real-time evaluation, but also can improve the outcome of rehabilitation. It is expectable that through the home-based network, patients can do the rehabilitation efficiently and conveniently at home in near future.

誌謝........ iv
Abstract.. vi
目錄…… vii
圖目錄… x
第一章 緒論 - 1 -
1.1 前言 - 1 -
1.2 研究目的與動機 - 2 -
1.3 研究範圍界定 - 3 -
1.4 論文架構 - 4 -
第二章 研究背景與基本原理 - 5 -
2.1 手部結構 - 5 -
2.2 手部的生物力學 - 7 -
2.3 手部功能重建與評估 - 9 -
2.4 肌電訊號的產生與評估 - 13 -
2.5 肌電圖原理 - 17 -
2.5.1 電極型式 - 17 -
2.5.2 肌電圖組成 - 20 -
第三章 肌電訊號量測系統硬體架構與設計 - 26 -
3.1 系統架構 - 26 -
3.2 電源供應系統 - 30 -
3.3 肌電訊號量測方式 - 31 -
3.4 前置放大器 - 32 -
3.5 高通濾波器 - 36 -
3.6 低通濾波器 - 39 -
3.7 陷波濾波器（Notch filter） - 42 -
3.8 非反向運算放大器 - 46 -
3.9 類比/數位轉換電路 - 47 -
第四章 軟體設計與實驗規劃分析及結果討論 - 49 -
4.1 軟體設計依據 - 49 -
4.2 軟體流程 - 52 -
4.3 可靠度測試 - 56 -
4.4 實驗步驟 - 58 -
4.5 肌電訊號收集 - 59 -
4.6 資料整合與結果分析 - 62 -
第五章 總結與未來展望 - 68 -
5.1 總結 - 68 -
5.2 未來展望 - 69 -
參考文獻 - 72 -
附錄ㄧ… - 76 -

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