臺灣博碩士論文加值系統

上肢功能對於執行日常生活動作至關重要。因此評估上肢能力、訓練上肢功能、乃至於對於上肢損傷或障礙者的復健，對於個人生活自主性與提高生活品質都有非常重要的意義。
在此研究中，研發的手持式內建傳感器裝置（SEHD）搭配相應之動作，可用於評估上肢能力。研究結果表明，透過SEHD 可提供與傳統評估工具（如Purdue Pegboard Test與Jamar 握力計等） 相似且可靠的結果。此外，進一步研發的可調配重之手持內建傳感器裝置（WSEHD）除了可提供無線傳輸功能，較為簡易的設置也提高了長者的接受度。使用WSEHD 搭配簡單手腕與前臂的動作，所收集的資料可將健康年輕使用者與健康長者區分開來。再進一步研發出可調配重手持內建荷重元與傳感器裝置（WLEHD），與WSEHD 相似的功能是可調整配重。而結果顯示，執行動作表現與力的施加在不同的配重下，有著顯著的差異。
基於這些發現，使用者可以透過手持無線裝置搭配指定動作來進行初步的上肢功能評估，而可調整配重的手持裝置則可應用於使用者上肢訓練與復健上。而這些資料都可數位保存且透過運算進而達到遠端操作，精準復健的目的。

Upper extremity (UE) function is critical for performing activities of daily living, and therefore, assessing UE functional ability, training UE functions, and rehabilitating UE impairments are crucial for promoting individuals' independence and quality of life.
In this study, we developed novel sensor-embedded holding devices (SEHD) to assess UE ability through designed movements. Results indicated that SEHD provided valuable data similar to traditional evaluation tools such as the Purdue Pegboard Test and Jamar dynamometer. In addition, we developed a weight-adjusted sensor-embedded holding device (WSEHD) that offered wireless transmission and an easier setup, increasing acceptance among the elderly. The data collected from WSEHD, using simple wrist and forearm movements, distinguished healthy young adults from healthy elderly individuals.
Furthermore, we developed a weight-adjusted loadcell-embedded holding device (WLEHD) and WSEHD that allowed for weight adjustment by adding or removing weights. The results demonstrated that movement performance and force application varied significantly with different weights.
Based on these findings, primary evaluations of UE function could be performed by having users hold wireless devices and follow designed movements. The adjustable weight devices could be used for training and rehabilitation purposes. The digitized data could be applied in further analysis of the improvement of the users and to achieve remote monitoring, at-home training, and precision therapy.

摘要 i
Abstract ii
Acknowledgment iii
TABLE OF CONTENTS v
LIST OF TABLES ix
LIST OF FIGURES xv
LIST OF SYMBOLS AND ABBREVIATIONS xxi
CHAPTER 1 Introduction and Research Purposes 1
1.1 Introduction 1
1.2 Literature Review 3
1.2.1 Hand and upper extremity abilities and Functions 3
1.2.2 Hand and upper extremity degenerations and Disorders 4
1.2.3 Evaluation of Hand and upper extremities 5
1.2.4 Rehabilitation of the Hand and upper extremities 7
1.3 Purposes and Hypotheses 8
1.3.1 Purposes: 8
1.3.2 Hypotheses: 9
CHAPTER 2 Development and Experiment of Sensor-Embedded Holding Device 10
2.1 Design of Sensor-Embedded Holding Device 10
2.2 Reliability and Validity of the SEHD 12
2.3 Comparison of the SEHD to TETs 13
2.3.1 Methods 19
2.3.2 Results 24
2.3.3 Discussion 27
2.3.4 Conclusion 29
CHAPTER 3 Weight-adjusted Sensor-Embedded Holding Device 30
3.1 Design of WSEHD 30
3.2 The Experiment of Functional Wrist Assessments using WSEHD 31
3.2.1 Methods 31
3.2.2 Results 32
3.2.3 Discussion 33
3.2.4 Conclusion 35
CHAPTER 4 Weight-adjusted Loadcell-embedded Holding Device 36
4.1 Design of WLEHD 36
4.2 Weight-adjusted activities of daily living testing using WSEHD and WLEHD 37
4.2.1 Methods 37
4.2.2 Results 41
4.2.3 Discussion 46
4.2.4 Conclusion 47
CHAPTER 5 General Discussion 49
5.1 The Evolution of SEHDs and their Functions 49
5.1.1 The current outcome and possible applications 49
5.1.2 The novelty of SEHDs and the comparisons amount other current technologies 50
5.1.3 Other related projects in the research applying SEHDs 53
5.2 Limitations of the Research 55
CHAPTER 6 Conclusion, Future Studies, and Potential Applications 57
6.1 Conclusion 57
6.2 Future Studies and Applications 58
Tables 59
Figures 83
References 115

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