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研究生:林慧柏
研究生(外文):Hui-Po Lin
論文名稱:老年人平衡能力之可攜式量測系統開發與評估
論文名稱(外文):Development and Evaluation of a Portable System for Balance Assessment in the Elderly
指導教授:呂東武呂東武引用關係
口試委員:陳文斌林聰穎王廷明
口試日期:2015-07-28
學位類別:碩士
校院名稱:國立臺灣大學
系所名稱:醫學工程學研究所
學門:工程學門
學類:綜合工程學類
論文種類:學術論文
論文出版年:2015
畢業學年度:103
語文別:中文
論文頁數:77
中文關鍵詞:體感攝影機測力板平衡能力攝影機校正
外文關鍵詞:Kinectforce platebalance abilitycamera calibration
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隨著醫療科技已開發國家皆漸漸進入高齡化社會,跌倒是造成台灣地區高齡者因事故死亡的第二大原因。跌倒對老人身體功能有顯著而直接的影響,且影響老人日常生活活動能力與增加害怕跌倒之心理。因此,日常生活中平衡狀態的監測或是量測,對於老年人或是追求健康生活的一般人,是件必需且亟需之事項。
近年來,體感偵測器逐漸成為居家型、延續式復健產品的使用手段,由於其互動性質較高且活動較不受到拘束,使得患者更願意接受使用體感偵測器進行復健的手段,可不間斷地在家進行相關運動。
Kinect為近年來最為蓬勃發展且相對成熟的無標記點動作捕捉系統,過去已有應用虛擬實境與體感遊戲在輔助訓練平衡之研究,但尚未有研究將Kinect結合市售測力板進行開發應用。
本研究透過蔡氏攝影機校正方法結合市售測力板所測得之足底壓力中心,提供COM 與COP之相對位置資料開發一可攜式平衡量測系統,結合紅外線立體攝影機進行系統精度驗證並透過開發之系統以評估受測者平衡能力,來探討不同年紀對於平衡能力之影響。
結果顯示透過雙因子混合效應模型以及雙因子亂數效應模型評估組內重複性與組間重複性,ICC數值皆可達到0.7以上,可靠度皆高。
透過本研究開發之平衡能力檢測系統,老年人不需辛苦奔波至醫院接受專業醫療人員診斷,在家中即可檢測,減少時間與醫療成本。
本研究之成果可做為未來各年齡族群居家平衡能力檢測之依據,後續接受醫療診所之更詳細檢測其評估結果可做為診斷依據。


Daily life movements such as standing, walking need balance ability to achieve. Good balance control is closely related to the body stability and its development. According to medical research, people showing dizziness after taking drugs may have their balance ability substantially affected, and are more likely to fall, especially true to the elderly.
This study proposes the combination of Kinect (Markerless Motion Capture System, MMCS) with force plate to develop and evaluate a portable system for balance assessment in the elderly (ICC > 0.7).
Based on the indicators of balance ability, this platform sets out various training activities (CTSIB) to investigate the balance ability between young people and the elderly.
In this study, various applications of the Kinect in the fields of elderly care have been examined. The Kinect already shows notable potential in making therapy medically beneficial to a large population of elderly; however, some significant technological limitations still present are: a fixed location sensor with a range of capture of only roughly four meters; a difficulty in fine movement capture; shoulder joint biomechanical accuracy.
The directions for future work are vast and have promise to enhance elderly care.


目錄
致謝 II
中文摘要 III
ABSTRACT IV
圖表目錄 2
第1章 緒論 4
1.1 研究動機 4
1.2 平衡分類 6
1.3 平衡能力檢測方式與評估 7
1.4 文獻回顧 11
1.5 研究目的 18
第2章 材料與方法 19
2.1 平衡評估系統開發 20
2.1.1 測力板 20
2.1.2 Microsoft Kinect 21
2.1.3 NI-DAQ Interface 29
2.1.4 攝影機校正 33
2.2 系統驗證 36
2.2.1 KINECT拍攝角度對於其精準度之影響 36
2.2.2 反光標記對於KINECT計算關節中心之影響 36
2.2.3 可攜式平衡量測系統之可靠度驗證 37
2.3 平衡能力評估測試 38
2.3.1 受試者 38
2.3.2 實驗流程 39
第3章 結果與討論 43
3.1 系統圖形使用者介面設計 43
3.2 系統驗證結果 54
3.2.1 KINECT攝影機校正結果 54
3.2.2 KINECT拍攝角度之影響 55
3.2.3 紅外線反光球對於KINECT量測精準度之影響 56
3.3 平衡能力測試結果 59
第4章 結論 60
附件 61
附件 1 伯格氏平衡量表(Berg Balance Test) 61
附件 2 Tinetti平衡以及步態評估表 68
附件 3 紅外線反光標記黏貼處定義敘述 71
參考文獻 72


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