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研究生:李柏學
研究生(外文):Li,Bo-xue
論文名稱:針對三軸加速規量測法進行中風合併行動障礙使用四腳拐支撐之行動評估
論文名稱(外文):Mobility assessment of stroke with mobility impairments in the support of using a quadricane based on tri-axial accelerometry
指導教授:王文楓王文楓引用關係
指導教授(外文):Wang,Wen-Fong
口試委員:張傳育林昭維連偉志
口試委員(外文):Chang,Chuan-YuLin,Jou-WeiLien,Wei-Chih
口試日期:2016-01-06
學位類別:碩士
校院名稱:國立雲林科技大學
系所名稱:資訊工程系
學門:工程學門
學類:電資工程學類
論文種類:學術論文
論文出版年:2016
畢業學年度:104
語文別:中文
論文頁數:58
中文關鍵詞:三軸加速度步態分析中風四腳拐
外文關鍵詞:triaxial accelerometergait analysisstrokequadricane
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中風後所產生的動作障礙嚴重影響病人的日常生活,要使病人恢復生活之機能,下肢的恢復影響最甚。下肢的功能以站立、行走為主,在臨床上容易因患側肢肌力或肌張力異常,讓病人產生不良的步態,除影響身體機能外,對於跌倒的風險也增加。中風病人多以四腳拐或單拐等輔具協助步行,然而在學者們的研究中使用四腳拐協助步行對於步態的恢復擁有不同的結果與見解,且對於中風後使用四腳拐的步態分析研究也相對較少。
現代對於步態的蒐集技術主要有三類:視覺設備、地面傳感器與穿戴式感測器,其中以三軸加速之穿戴式感測器最具優勢,由於其擁有最低成本與最低耗能並具備融入日常生活中之潛力,所以選擇三軸加速度之穿戴式感測器作為本研究蒐集步態之方式,而本研究主要的目的為藉由三軸加速度模組裝置於中風病人身上,從中擷取患者在走路中之加速度訊號,並分析腦中風病人使用四腳拐與未用四腳拐的步態變化,以做為臨床治療決策上的參考之用。
參與者總共為14位中風後的病人,分為使用拐杖組與未用拐杖組進行實驗,實驗全程都有專業醫師與家屬陪同,並配戴三軸加速度模組於腰部、左右腳膝關節上方、左右腳腳踝、左右腳腳背以及四腳拐共8處,以他們日常生活的行走速度行走在15公尺的平坦走道上,由攝影機錄影作為視覺設備之訊號蒐集。
中風病人步態之加速度訊號以步態參數、步態相關性以及拐杖的加速度與平衡功能相關性做比較與分析,步態參數與步態之相關性對於使用拐杖與未用拐杖之病人間皆擁有顯著的差異,但對於拐杖使用度方面,我們認為只安裝一個加速度感測模組於拐杖上所提供的資訊較少,須以其他感測器作為輔助,才能成為有用的依據。
For the rehabilitation of stroke patients, the impact is greatest in the lower limb recovery. Abnormal gait affect bodily functions, but also increases the risk of falling. Most stroke patients to assist walking aids, however gait analysis using quadricane after a stroke also relatively less.
Three-axis acceleration wearable sensor most advantageous in the collection of technologies. Because it has the lowest cost and lowest energy consumption and can be integrated into daily life, so we chose it as the present research collected gait sensor. The main purpose of this study is put it in stroke patients, and retrieve acceleration signal of patient walking. Then analyzed stroke patients use cane and unused cane of the walk signal, as a reference clinical treatment.
Fourteen participants were patients after a stroke, divided into with cane and without cane. Triaxial accelerometer module worn on the waist, above the left knee and right knee, left ankle and right ankle, left instep and right instep, quadricane, a total of eight sites. Then they walk at their preferred speed on a 15 meter flat walkway. Experiments have accompanied by full professional doctors and family members, the camera as a video signal.
Analysis of information including gait parameters, gait consistency and use of crutch. For the two groups of acceleration signals, gait parameters and gait consistency are both have significant differences, but respect for the use of crutches, only install one sensor on crutches, the information provided is less, it may require additional sensors as an auxiliary in order to become useful information.
摘要 i
ABSTRACT ii
目錄 iii
表目錄 iv
圖目錄 v
1. 緒論(INTRODUCTION) 1
1.1. 研究背景 1
1.2. 相關文獻 2
1.3. 動機與目的 3
1.4. 論文架構 4
2. 研究材料(MATERIALS) 5
2.1. 步態描述 5
2.2. 實驗儀器 8
2.3. 實驗方法 11
2.4. 訊號處理流程 14
3. 演算法(ALGORITHM) 18
3.1. 訊號前處理 18
3.2. 訊號分割 21
3.3. 特徵擷取 29
3.4. 步態參數辨識與計算 32
4. 實驗與結果(EXPERIMENTS AND RESULTS) 34
4.1. 參與者 34
4.2. 步態參數分析 35
4.3. 步態週期的穩定性分析 36
4.4. 拐杖依賴度分析 38
5. 結論(CONCLUSION) 40
參考文獻 41
附錄 44


[1] Hsieh FI, Chiou HY, "Stroke: morbidity, risk factors, and care in taiwan.," J Stroke, pp. 16(2):59-64. doi: 10.5853/jos.2014.16.2.59., 2014 May.
[2] Osberg JS, McGinnis GE, DeJong G, Seward ML, Germaine J., "Long-term utilization and charges among post-rehabilitation stroke patients.," Am J Phys Med Rehabil., pp. 67(2):66-72., Apr 1988.
[3] Brosseau L, Potvin L, Philippe P, Boulanger YL., "Post-stroke inpatient rehabilitation. II. Predicting discharge disposition.," Am J Phys Med Rehabil., pp. 75(6):431-6, Nov-Dec 1996.
[4] M. JR., "Accelerometry--a technique for the measurement of human body movements.," J Biomech., pp. 6(6):729-36, Nov 1973.
[5] "Subject Recognition Based on Ground Reaction Force Measurements of Gait Signals," IEEE TRANSACTIONS ON SYSTEMS, MAN, AND CYBERNETICS, vol. 38, no. 6, 2008.
[6] Huifeng Zhang, Jinwu Qian, Linyong Shen, Ya'nan Zhang., "Research on healthy subject gait cycle phase at different walking speeds," Robotics and Biomimetics (ROBIO), pp. 11-14, Dec 2012.
[7] Fang Wang,Erik Stone,Marjorie Skubic,James M. Keller,Carmen Abbott, and Marilyn Rantz, "Toward a Passive Low-Cost In-Home Gait Assessment System for Older Adults," IEEE JOURNAL OF BIOMEDICAL AND HEALTH INFORMATICS, vol. 17, no. 2, MARCH 2013.
[8] Valentina Agostini, Gabriella Balestra,Marco Knaflitz, "Segmentation and classification of gait cycles," IEEE Transactions on Neural Systems and Rehabilitation Engineering, 2013.
[9] H.-K. Lee, J. You, S.-P. Cho, S.-J. Hwang, D.-R. Lee,Y.-H. Kim, K.-J. Lee, "Computational methods to detect step events for normal and pathological gait evaluation using accelerometer," ELECTRONICS LETTERS, vol. 46, no. 17, 19th August 2010.
[10] Ta-Shen Kuan, MD, Jui-Yi Tsou, MS, PT, Fong-Chin Su, PhD, "Hemiplegic Gait of Stroke Patients: The Effect of Using a Cane," Arch Phys Med Rehabil, pp. 777-784, 1999.
[11] Patrick O. Riley, D. Casey Kerrigan, "Kinetics of Stiff-Legged Gait: Induced Acceleration Analysis," IEEE TRANSACTIONS ON REHABILITATION ENGINEERING, vol. 7, no. 4, DECEMBER 1999.
[12] J.H. Buurke, H.J. Hermens, C.V. Erren-Wolters, A.V. Nene, "The effect of walking aids on muscle activation patterns during walking in stroke patients," Gait & Posture, pp. 164-170, 2004.
[13] Saverino A, Benevolo E, Ottonello M, Zsirai E, Sessarego P, "Falls in a rehabilitation setting: functional independence and fall risk," Eura Medicophys, pp. 179-184, Sep 2006.
[14] Robert Teasell, Marc McRae, Norine Foley, Asha Bhardwaj, "The incidence and consequences of falls in stroke patients during inpatient rehabilitation:Factors associated with high risk," Arch Phys Med Rehabil, vol. 83, March 2002.
[15] P. M.Davies, The comprehensive treatment of patients with hemiplegia.
[16] Naoaki Tsuda, Kota Tominaga, Yoshihiko Nomura and Norihiko Kato, "A study on Body Part Motion caused by Improper Crutch Walk," in IEEE International Conference on Systems, Man, and Cybernetics., 2013.
[17] J.H. Buurkea, H.J. Hermens, C.V. Erren-Wolters, A.V. Nene, "The effect of walking aids on muscle activation patterns during walking in stroke patients," Gait & Posture, p. 164–170, 2005.
[18] Kwan MM, Close JC, Wong AK, Lord SR., "Falls incidence, risk factors, and consequences in Chinese older people: a systematic review," J Am Geriatr Soc, pp. 536-543, Mar 2011.
[19] Allet L, Leemann B, Guyen E, Murphy L, Monnin D, Herrmann FR, Schnider A., "Effect of different walking aids on walking capacity of patients with poststroke hemiparesis," Arch Phys Med Rehabil, pp. 1408-1413, Aug 2009.
[20] Bastien Guillebastre, Patrice R. Rougier, Brice Sibille, Anne Chrispin, Olivier Detante, Dominic Alain Pérennou, "When might a cane be necessary for walking following a stroke?," Neurorehabil Neural Repair, p. 173, 2012.
[21] Clarkson, H. M., "Musculoskeletal Assessment: Joint Range of Motion and Manual Muscle Strength," in Lippincott Williams&Wilkins, Philadelphia, PA, 2000.
[22] Lan-Yuen Guo,Chich-Haung Yang,Henry Tsao,Ching-Yi Wang, Chung-Chao Liang, "Initial Effects of the Ankle Dorsiflexion Mobilization with Movement on Ankle Range of Motion and Limb Coordination in Young Healthy Subjects," Formosan Journal of Physical Therapy, pp. 173-181, 2006.
[23] Chen HT, Liu CK, Chen SI, Guo NW, Lin JH, Yeh SH, Chang JJ, Yu PW, "The development of the Hierarchy of the Care Required," in Ministry of Health and Welfare, Taipei, Taiwan, 2000.
[24] Blum L, Korner-Bitensky N., "Usefulness of the Berg Balance Scale in stroke rehabilitation: a systematic review.," Phys Ther, pp. 559-566, May 2008.
[25] Maeda N, Kato J, Shimada T., "Predicting the probability for fall incidence in stroke patients using the Berg Balance Scale.," J Int Med Res, pp. 697-704, May-Jun 2009.
[26] Berg KO, Wood-Dauphine ́e SL, WilliamsMaki B., "Measuring balance in the elderly: validation of an instrument.," Can J PublicHealth, p. 83, 1992.
[27] Sawner K and La Vigne J,, "Brunnstrom's Movement Therapy in Hemiplegia: A neurophysiological approach," in J.B.Lippincott Company, Philadelphia, 1992.
[28] Naghdi, S., Ansari, N. N., Azarnia, S., & Kazemnejad, A., "Interrater reliability of the Modified Modified Ashworth Scale (MMAS) for patients with wrist flexor muscle spasticity," Physiotherapy Theory and Practice, pp. 372-379, 2008.
[29] Mimi Jacobs, Tim Fox, "Using the “Timed Up and Go/TUG”Test to Predict Risk of Falls," Assisted Living Consult, March-April 2008.
[30] Bramell-Risberg, E., Jarnlo, G-B., Minthon, L., & Elmståhl, S., "Lower speeds in older women with dementia compared to controls," Dementia and Geriatric Cognitive Disorders, pp. 298-305, 20.
[31] Henrik Ekström, Synneve Dahlin-Ivanoff and Sölve Elmståhl, "Effects of Walking Speed and Results of Timed Get-Up-and-Go Tests on Quality of Life and Social Participation in Elderly Individuals With a History of Osteoporosis-Related Fractures".
[32] Claudia Nickel, Christoph Busch, "Classifying Accelerometer Data via Hidden Markov Models to Authenticate People by the Way They Walk," IEEE A&E SYSTEMS MAGAZINE, 2013.

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