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研究生:林明潔
研究生(外文):Ming-chieh Lin
論文名稱:應用決策樹於身心障礙者之電動輪椅評估
論文名稱(外文):Application of Decision-tree Technique in Assessing Power Wheelchair for People with Disabilities
指導教授:紀佳芬紀佳芬引用關係
指導教授(外文):Chia-Fen Chi
口試委員:紀佳芬
口試日期:2012-06-12
學位類別:碩士
校院名稱:國立臺灣科技大學
系所名稱:工業管理系
學門:商業及管理學門
學類:其他商業及管理學類
論文種類:學術論文
論文出版年:2012
畢業學年度:100
語文別:中文
論文頁數:76
中文關鍵詞:決策樹電動輪椅評估
外文關鍵詞:decision treepower wheelchairassessment
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依據內政部統計處100年12月底統計資料中得知全體身心障礙人口中,以「肢體障礙」占35.1%最多。有些行動功能受限的身心障礙者可藉由行動輔具協助移動並完成任務活動,但因電動輪椅的功能結構複雜,市面上可選擇的規格配備繁多,於選擇配置時,必需經由輔具專業治療師評估後以防止使用者操作不當發生意外,導致棄用輔具或是長期使用造成身體嚴重變形的情況。而國內物理治療師及職能治療師皆是進入輔具相關職場後才進行輔具專業訓練,經由經驗累積及嘗試錯誤法(Trial and Error) 才能建構隱性輔具評估決策思路。本研究欲將隱性知識轉換成顯性知識,建立可協助治療師評估電動輪椅時的決策參考原則,因決策樹規則清楚、容易表達及方便解讀,為資料探勘常用的分類技術之一。本研究將電動輪椅依結構分為底座傳動系統、人機介面系統、座椅變換姿勢、座椅高度變換及座椅種類五項,將決策樹葉子(Leaf)及節點(Node)分類編碼,進而依據評估原則發展出五棵決策樹。再將《教育部大專校院及高中職肢障學生》借用電動輪椅評估資料進行比對驗證,證明此五棵決策樹之路徑可行性。研究結果之五棵決策樹可協助治療師於評估身心障礙者適用電動輪椅時之決策判斷。
According to the statistical report in Dec. 2012 by Department of Statistics, Ministry of the Interior, Taiwan, majority are the people with physical disability with a percentage of thirty-five. Some mobility impaired disable people can move about and complete functional task via power wheelchair. There are vast variety of power wheelchairs in structure and function which available the market, thus users in great need of professional assessment to avoid improper use causing harmful accident and abandonment of mobility devices of body deformity. Physical and occupational therapists does not encounter assistive technology training until work force. They acquire tacit assistive technology assessment decision making through experience and trial and error. This study transform tacit to explicit knowledge and establish power wheelchair assessment decision making principles. Decision tree is one of common classification methods, it is simple, clear and easy to use. This study divide power wheelchair into five categories, (1)Power base (2)Human machine interface (3)Tilt and Recline system(4)Standing and Elevating system(5)Seating system, and using leaf and node to classify and code to develop five decision trees. Furthermore, test decision tree feasibility using power wheelchair data from physical impaired high school and university students (Ministry of Education). The five decision trees are established to assist therapists in finding the fittest power wheelchair for people with physical disability.
中文摘要 I
ABSTRACT II
目錄 III
圖目錄 IV
表目錄 V
第一章 緒論 1
1.1 研究背景與動機 1
1.2 研究目的 2
1.3 研究流程 3
1.4名詞解釋 4
第二章 文獻探討 5
2.1電動輪椅評估 9
2.2電動輪椅分類 15
第三章 研究方法 24
3.1 資料來源 24
3.2 研究工具 25
3.3建立決策樹屬性及分類 28
第四章 研究結果 44
4.1建立評估資料庫 44
4.2建立決策樹 46
第五章 討論與建議 63
5.1研究摘述 63
5.2研究結果討論 64
5.3研究限制與建議 67
參考文獻 69
中文文獻 69
英文文獻 70
網路參考來源 72
附錄 73
中文文獻
毛慧芬, 林佳琪, 黃小玲, 陳莞音, 紀彣宙, & 蔡伯如. (2006). 台北市輔具服務認知及滿意度調查. 職能治療學會雜誌, 24, 55-66.
吳英黛, 王淳厚, 成戎珠, 吳雪玉, 李淑貞, 俞佳鈴, . . . 顏秀珍. (2007). 輔具評估專業技術手冊: 金名圖書有限公司.
李淑貞, 曾信瑋, & 林信豪. (2010). 老人安心行-電動代步車的使用. 輔具之友, 26, 3-6.
翁慈宗. (2009). 資料探勘的發展與挑戰. 科學發展期刊(442), 34-37.
陳彥良, 吳家齊, & 胡蕙玲. (2009). 成本考量下的決策樹建構. 南亞學報(29), 115-127.
黃小玲, 羅鈞令, 張彧, 林佳琪, & 毛慧芬. (2003). 復健病患出院後使用輔具之狀況. 臺灣醫學, 7(5), 681-688.


英文文獻
Angelo, J. (1996). Assistive technology for rehabilitation therapists: F.A. Davis Company.
Axelson, P., Minkel, J., & Chesney, D. (1994). A guide to wheelchair selection: how to use the Ansi/Resna wheelchair standards to buy a wheelchair (1 ed.): Paralyzed Veterans of Amer.
Bass, M. J., & Phillips, L. G. (2007). Pressure Sores. Current Problems in Surgery, 44(2), 101-143.
Batavia, M. (1998). The wheelchair evaluation: a practical guide: Butterworth-Heinemann; 1st edition.
Cook, A. M., & Polgar, J. M. (2007). Assistive technologies: principles and practice: Mosby; 3rd edition.
Cooper, R. A. (1998). Wheelchair selection and configuration: Demos Medical; 1 edition
Davis, K., Kreutz, D., Maurer, C., & Sprigle, S. H. (2009). Seating and positioning Spinal Cord Injuries (illustrated edition ed., pp. 254-295): Elsevier - Health Sciences Division.
Dicianno, B. E., Arva, J., Lieberman, J. M., Schmeler, M. R., Souza, A., Phillips, K., . . . Betz, K. L. (2009). RESNA position on the application of tilt, recline, and elevating legrests for wheelchairs. Assistive Technology, 21(1), 13-22.
Dicianno, B. E., Cooper, R. A., & Coltellaro, J. (2010). Joystick control for powered mobility: current state of technology and future directions. Physical Medicine and Rehabilitation Clinics of North America, 21(1), 79-86.
Fehr, L., Langbein, W. E., & Skaar, S. B. (2000). Adequacy of power wheelchair control i terfaces for persons with severe disabilities : a clinical survey. Journal of Rehabilitation Research and Development, 37(3), 353-360.
Jan, Y. K., Jones, M. A., Rabadi, M. H., Foreman, R. D., & Thiessen, A. (2010). Effect of wheelchair tilt-In-space and recline angles on skin perfusion over the ischial tuberosity in people with spinal cord injury. Arch Phys Med Rehabil, 91(11), 1758-1764.
Karp, G. (1998). Choosing a wheelchair: a guide for optimal independence: O'Reilly Media; 1 edition.
Kennedy, P. R., & Adams, K. D. (2003). A decision tree for brain-computer interface devices. IEEE Trans Neural Syst Rehabil Eng., 11(2), 148-150.
Kreutz, D. (1997). Power tilt, recline or both.: Team Rehab Report.
Lenker, J. A., & Paquet, V. L. (2003). A review of conceptual models for assistive technology outcomes research and practice. Assistive Technology, 15(1), 1-15. doi: 10.1080/10400435.2003.10131885
Medicare coverage of power mobility devices (PMDs): power wheelchairs and power operated vehicles (POVs). (2009)
Phillips, B., & Zhao, H. (1993). Predictors of assistive technology abandonment. Assistive Technology, 5(1), 36-45.
Rentschler, A. J. (1995). Analysis of the ANSI/RESNA wheelchair standards: a comparison study of five different types of electric powered wheelchairs. M.S. Electronic Thesis or Dissertation University of Pittsburgh.
Samuels, M. A., & Feske, S. K. (2003). Office practice of neurology: Churchill Livingstone; 2 edition.
Stockton, L., Gebhardt, K. S., & Clark, M. (2009). Seating and pressure ulcers: Clinical practice guideline. Journal of Tissue Viability, 18(4), 98-108.
Thacker, J. G., Sprigle, S. H., & Morris, B. O. (1994). Understanding the technology when selecting wheelchairs: RESNA Press.


網路參考來源
台灣維順工業股份有限公司http://www.heartwayusa.com
康揚輔具公司http://www.karma.com.tw
Model Systems Knowledge Translation Centerhttp://www.msktc.org/
Permobilhttp://www.permobil.com
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