(3.235.245.219) 您好!臺灣時間:2021/05/10 01:04
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果

詳目顯示:::

我願授權國圖
: 
twitterline
研究生:何泓毅
研究生(外文):Hung-Yi Ho
論文名稱:智慧型手腕扭力評估系統之研發與活用
論文名稱(外文):Intelligent Evaluation System of Wrist Twist Capability : Development and Application
指導教授:郭德盛郭德盛引用關係賴金鑫賴金鑫引用關係
指導教授(外文):Te-Son KuoJin-Shin Lai
口試委員:彭志維陳友倫陸哲駒
口試委員(外文):Chih-Wei PengYu-Luen ChenJer-Junn Luh
口試日期:2013-07-27
學位類別:碩士
校院名稱:國立臺灣大學
系所名稱:生醫電子與資訊學研究所
學門:工程學門
學類:生醫工程學類
論文種類:學術論文
論文出版年:2013
畢業學年度:101
語文別:中文
論文頁數:47
中文關鍵詞:扭力握力肌力評估跨平台可攜式老化
外文關鍵詞:Twist capabilitytorquegrasp powercross-platformportableaging
相關次數:
  • 被引用被引用:1
  • 點閱點閱:399
  • 評分評分:系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:0
旋扭是生活及工作上不可缺少之動作。但隨年齡增高、手腕肌力可能退化,影響日常生活旋扭之功能。目前所見之手腕肌力檢測評估尚無扭力(torque)之量化。本研究希望建立一套評估扭力之方法,以期能對手腕肌力之退化或網球肘之診斷有所貢獻。本研究以自製之平台、模具搭配FUTEK MODEL TDF400 扭力計架構出測試系統。並搭配自製之訊號放大電路,和藍牙開發模組結合,以iPad作為和使用者互動之介面,達成可令醫事人員攜帶測試儀器至受測者方便處進行測試之可攜性。本研究另以LabVIEW搭配資料擷取卡作為臨床實驗之平台,以六名健康志願受試者進行先期測試確認施測流程。再招募受試者施測,本實驗實際招募67名受試者,含手球羽球運動員及一般成人。結果發現隨年齡增加手腕肌力可能會受老化影響而有下降之趨勢,手球羽球訓練組之扭握力大多比一般成人組高,暗示訓練可能具有提升手腕肌力之效果。本研究開發之智慧型手腕扭力評估系統具備良好之可信度,且為一良好之可攜系統。經由先期實驗,本研究訂出測驗手腕肌力之標準流程,未來可依此標準流程進行大規模施測。

Twist is indispensable movement in our daily life. However, twist capability may decrease with aging and will affect motion of wrist significantly. The quantitative method of evaluating twist capability is still unavailable at bedside. In this study an Intelligent Evaluation system of Wrist Twist Capability will be developed to objective evaluation of twist capability and will be applied to evaluate the aging effect of twist capability. This system consists of self-made platform, self-made molds, and FUTEK MODEL TDF400 torque sensor. It integrates this system with cc2540DK (CC2540 Development Kit) and iPad to realize the purpose of portability and cross-platform application. The research also sets up an experiment platform with LabVIEW system and DAQ card. Six subjects voluntarily participate in this preliminary study to finalize the standard testing procedure. There are 67 subjects participate in clinical trial. According to their result, a tendency of the force of twist increasing with bigger mold was found. Besides the mean value of maximal twist force in athletes was greater than that in healthy adult, and a tendency of the maximal twist force decreases with aging was also found. This platform’s intra-reliability is found good and will be applied to more subjects including those suffer from lateral humeral epicondylitis (tennis elbow) in the future clinical trial.

口試委員會審定書 #
致謝 i
中文摘要 ii
ABSTRACT ii
目錄 iv
圖目錄 vii
表目錄 ix
第一章 介紹 1
1.1 研究背景 1
1.2 肱骨外側骨突炎(網球肘)介紹 1
1.3 文獻回顧 2
1.4 現行測量扭力的器材:等速肌力測試系統 Cybex 3
1.5 研究目標: 4
第二章 材料與方法 5
2.1 實驗系統 5
2.2 實驗設備 5
2.2.1 握力測量儀器(Grip Dynamometer G100) 6
2.2.2 扭力測量感應器(FUTEK Reaction Torque Sensor TDF400) 6
2.2.3 資料擷取卡: NI USB-6211 7
2.2.4 自製測量平台及測量模具 8
2.2.5 cc2540藍牙開發模組:cc2540DK 9
2.2.6 The new iPad 9
2.2.7 自製放大電路 9
2.3 「LabVIEW 臨床實驗平台」系統架構 10
2.3.1 硬體訊號接出 10
2.3.2 LabVIEW程式介面設計 10
2.3.3 LabVIEW程式訊號處理 11
2.4 「無線智慧型手腕扭力評估系統」系統架構 12
2.4.1 自製訊號放大器 12
2.4.2 放大電路 13
2.4.3 調整電壓偏移電路 13
2.4.4 低通濾波 14
2.4.5 韌體設計 14
2.4.6 軟體設計 14
2.5 系統可信度實驗 17
2.5.1 扭力校正 17
2.5.2 扭力板手校正實驗 17
2.5.3 握力電壓訊號轉換實際握力值實驗 17
2.5.4 先期實驗 18
2.5.5 信度實驗 19
2.5.6 臨床實驗設計 20
2.5.7 受測姿勢 20
2.6 分析方法 22
2.6.1 先期實驗分析方法 22
2.6.2 信度分析方法 24
2.6.3 臨床實驗統計方法 25
第三章 實驗結果 26
3.1 系統可信度實驗 26
3.1.1 扭力校正 26
3.1.2 握力電壓訊號轉換實際握力值實驗 26
3.2 自製電路訊號輸出結果 27
3.3 先期實驗 29
3.3.1 實驗A決定嘗試最大扭力時間結果 29
3.3.2 實驗 B vs. C休息時間之差異實驗結果 30
3.3.3 最後分析 決定循環次數 31
3.3.4 決定實驗流程 32
3.3.5 內信度實驗結果 32
3.4 臨床實驗結果 33
第四章 討論 37
第五章 結論與未來展望 41
參考文獻 42
附錄 IRB相關文件 44


[1]T. Rantanen, S. Volpato, M. D. Luigi Ferrucci, M. D. Eino Heikkinen, L. P. Fried, and J. M. Guralnik, "Handgrip strength and cause-specific and total mortality in older disabled women: exploring the mechanism," Journal of the American Geriatrics Society, vol. 51, pp. 636-641, 2003.
[2]P. T. Katzmarzyk and C. L. Craig, "Musculoskeletal fitness and risk of mortality," Medicine and Science in Sports and Exercise, vol. 34, pp. 740-744, 2002.
[3]T. Rantanen, J. M. Guralnik, D. Foley, K. Masaki, S. Leveille, J. D. Curb, et al., "Midlife hand grip strength as a predictor of old age disability," The Journal of the American Medical Association, vol. 281, pp. 558-560, February 10, 1999 1999.
[4]J. Humphreys, P. de la Maza, S. Hirsch, G. Barrera, V. Gattas, and D. Bunout, "Muscle strength as a predictor of loss of functional status in hospitalized patients," Nutrition, vol. 18, pp. 616-620, 2002.
[5]T. Rantanen, K. Avlund, H. Suominen, M. Schroll, K. Frandin, and E. Pertti, "Muscle strength as a predictor of onset of ADL dependence in people aged 75 years," Aging Clinical and Experimental Research, vol. 14, pp. 10-5, 2002.
[6]N. Massy-Westropp, M. Health, W. Rankin, M. Ahern, J. Krishnan, and T. C. Hearn, "Measuring grip strength in normal adults: references ranges and a comparison of electronic and hydraulic instruments," Journal of Hand Surgery (American Volume), vol. 29, pp. 514-519, 2004.
[7]V. Mathiowetz, N. Kashman, G. Volland, K. Weber, M. Dowe, and S. Rogers, "Grip and pinch strength: normative data for adults," Archives of Physical Medicine and Rehabilitation, vol. 66, pp. 69-74, 1985.
[8]C. Y. Su, J. H. Lin, T. H. Chien, K. F. Cheng, and Y. T. Sung, "Grip strength in different positions of elbow and shoulder," Archives of Physical Medicine and Rehabilitation, vol. 75, pp. 812-815, 1994.
[9]V. L. Young, P. Pin, B. A. Kraemer, R. B. Gould, L. Nemergut, and M. Pellowski, "Fluctuation in grip And pinch strength among normal subjects," The Journal of Hand Surgery, vol. 14 pp. 125-129, 1989.
[10]C. L. Shivers, G. A. Mirka, and Kaber, "Effect of grip span on lateral pinch grip strength," Human Factors, vol. 44, pp. 568-577, 2002.
[11]H. Gellman, "Tennis elbow (lateral epicondylitis)," Orthopedic Clinics of North America, vol. 23, pp. 75-82, 1992.
[12]K. D. Plancher, J. Halbrecht, and G. Lourie, "Medial and lateral epicondylitis in the athlete," Clinics in Sports Medicine, vol. 15, pp. 283-304, 1996.
[13]M. D. Putnam and M. Cohen, "Painful conditions around the elbow," Orthopedic Clinics of North America, vol. 30, pp. 109-18, 1999.
[14]J. Verhaar, G. Walenkamp, H. Van Mameren, A. Kester, and A. Van der Linden, "Local corticosteroid injection versus cyriax-type physiotherapy for tennis elbow," Journal of Bone and Joint Surgery (British Volume), vol. 78, pp. 128-32, 1996.
[15]M. C. Miller, M. Nair, and M. E. Baratz, "A device for assessment of hand and wrist coronal plane strength," Journal of Biomechanical Engineering, vol. 127, pp. 998-1000, 2005.
[16]J. O. Crawford, E. Wanibe, and L. Nayak, "The interaction between lid diameter, height and shape on wrist torque exertion in younger and older adults," Ergonomics, vol. 45, pp. 922-933, 2002.


QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
系統版面圖檔 系統版面圖檔