臺灣博碩士論文加值系統

背景目的：計時起走測試(Timed Up & Go Test, TUG)是在臨床上用於評估步態常用的一種方法，主要檢測方式為醫療人員肉眼觀測行走狀態並計時。為了方便臨床醫學透過這樣簡單的檢測獲得更多醫療評估上的數據，市面上也開發許多科技輔助檢測技術，但這類型的產品多為精密的醫療器材等級，造價昂貴或是功能單一。本研究針對應用於一般照護機構或家庭之失智症非藥物治療嚴肅遊戲互動科技產品－WhizToys活動感知地墊，結合TUG檢測後的準確性及延伸應用進行實驗測試，期望該技術在被一般大眾使用應用的情況下，亦能提供醫療照護上有意義的數據。
研究方法：15名受測者分別在正常、穿著老人體驗服及穿著老人體驗服並加重左腳重量的狀態下進行TUG，並使用影像紀錄，透過比較App顯示之數據及影片觀察之數據的誤差驗證其準確性。再延伸比較TUG檢測時間結果與追逐遊戲得分之相關性。
結果：在準確性實驗部分，最終結果數據顯示每項量測項目誤差百分比範圍為2.82%-5.04%。在TUG與追逐遊戲之相關性實驗結果中顯示兩者相關係數值為-0.49，為顯著線性負相關，顯示可以用TUG的結果作為使用者進行WhizToys遊戲難度處方的依據。

關鍵字：計時起走測試、活動感知地墊、互動遊戲、失智症非藥物治療、嚴肅遊戲

Purpose: “Timed up and go (TUG)” is a common method for gait assessment. The completion time is measured, and gait and balance are also observed. There are many technological products for TUG in the market, but are mostly medical devices which cost too much and not suitable for general applications. The purpose of this research is to conduct TUG using motion sensing carpet WhizToys. Combining with other rehabilitation games, WhizToys are designed to be used at home or care center. Experiments are designed to verify the accuracy of conducting TUG using WhizToys, and the relevance of performance of TUG and other games is also examined.
Method: 15 participants were recruited, and each participant did TUG 3 times in different modes using WhizToys. A camera was set up to record the process at the same time. Testing results were measured from the video to compare with those output from WhizToys. Correlation between the TUG completion time and the score of chasing game was also examined.
Results: The percentage error of each measurement item in accuracy experiment were between 2.82%-5.04%. The basic gait assessment using WhizToys was not statistically different from direct measurement. The correlation coefficient between the TUG completion time and the score of chasing game was -0.49. TUG performance can be used for prescribing the “difficulty level” of the users for WhizToys games.

Keywords: Timed up and go (TUG), motion sensing carpet, interactive game, Non-pharmacological Management, Serious Game

封面 I
書頁名 II
中文摘要 III
英文摘要 IV
誌謝 VI
目錄 VII
表目錄 IX
圖目錄 X
第一章 研究背景與目的 1
1.1 步態分析及計時起身行走測試 1
1.1.1 步態分析檢測項目基本測量標準 1
1.1.2 Timed Up & Go Test (TUG)測驗參考指標數據 2
1.2使用科技輔助進行步態分析之相關產品 3
1.3 應用智慧輔助科技將運動與認知促進結合之「嚴肅遊戲」 8
1.3.1失智症非藥物治療嚴肅遊戲互動科技產品–WhizToys活動感知地墊設計與開發 9
1.4 研究目的 12
第二章 應用活動感知地墊建立計時起走測試 13
2.1應用WhizToys進行TUG檢測流程的設計 13
2.2感測數據資料過濾與分析 15
2.2.1 活動感知地墊硬體與量測解析度 15
2.2.2輸出結果定義 17
2.2.3 資料過濾與分析方法 17
2.2.4 感測結果與實際行走數據的誤差 22
第三章 應用活動感知地墊建立計時起走測試準確性實驗 23
3.1實驗設計 23
實驗準備 24
實驗流程 26
影片觀察方式 27
3.2實驗數據及分析方法 30
3.3實驗結果 30
第四章 WhizToys計時起走測試檢測結果的延伸應用 32
4.1 實驗設計及目的 32
4.2 數據蒐集及分析方法 34
4.2.1數據蒐集流程 34
4.2.2 數據分析方法 34
4.3實驗結果 34
4.4討論 36
第五章 實際場域數據蒐集 38
5.1 實際場域數據蒐集－建立基本比較資料 38
5.2.2 數據蒐集規劃及預測分析結果 39
第六章 討論與未來規劃 45
6.1實驗結果討論 45
6.1.1 第三章實驗結果探討 45
6.1.2 第四章實驗結果探討 47
6.2 總結 47
參考文獻 48

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