可攜式智慧型手腕肌力評估系統之臨床試驗

Abstract

隨年齡增加手腕肌力可能會因老化而衰退，進而影響日常生活適應之能力。因此本研究團隊先前計畫已提出一套評估手腕肌力的標準流程與方法，此系統係以自製平台、模具搭配FUTEK Model TDF400扭力計與Jamar握力計所架構出的可攜式手腕肌力評估系統。本團隊去年已完成女性手腕肌力之評估，本年之研究則完成男性手腕肌力之量測，除探討年齡與性別對手腕肌力的影響之外，也分析施力方向與模具大小對手腕肌力之關係。同時評估網球肘護帶對於健康受試者與網球肘病患之利弊。並利用表面肌電圖(sEMG)進一步探討手腕肌力之肌群間的關係，期望能對手腕肌力的退化或網球肘的治療有所貢獻。另為達成居家量測並收取龐大的受試者手腕肌力數據，本研究結合藍芽傳輸與雲端科技，研發一套可攜式智慧型手腕肌力評估系統，收取資料之結果上傳雲端，以便醫護人員能透過即時資料傳遞和歷史資料進行比較分析，幫助醫師評估扭握力衰退的準確性與方便性。由於過往的手腕肌力訓練是採用抓握彈力球或軟式網球，本研究研發一套可攜式握力球訓練系統，此系統以壓力感測器與LabVIEW程式結合作為量測平台，利用數值數位化的訓練機制，以利使用者訓練其手腕之肌肉群，盼進一步減少老年人在生活上遭受到的受傷風險或不便，造福社會大眾。

The muscle strength of involved wrist muscles may be gradually reduced as aging, and impair their operating skills and even life quality of the elderly. This study has proposed an evaluation system of wrist muscle strength to grip or twist. This system consists of a torque meter (FUTEK TDF400) and three plugs/sockets for simulation of common grip or twist in daily living. This study has completed to evaluate the wrist muscle strength of men and women. In addition to the effects of age and gender, this study analyzes the influence of applied force and its plug/socket diameter on the wrist muscle strength. Simultaneously, this study measured the effect of proper forearm supporter to alleviate pain and improve the wrist and grip strength in the subjects with tennis elbow. And quantitative surface EMG was used to analyze the relationship between different forearm muscles involved. In order to achieve the user-friendly effect, this system intergraded with Cloud service and Bluetooth technology, and developed a portable and intelligent evaluation system of wrist muscle strength. It can help medical personnel to assess and analysis of real-time data. The traditional training of wrist muscle is using grip or grasp a soft tennis ball. In this study a portable grip ball training system is developed. It consists of a pressure sensor and LabVIEW program. It’s expected to reduce the risk of injury of the elderly in their daily lives.