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http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/56584完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 林克忠(Keh-Chung Lin) | |
| dc.contributor.author | Yi-Ting Lin | en |
| dc.contributor.author | 林怡廷 | zh_TW |
| dc.date.accessioned | 2021-06-16T05:36:11Z | - |
| dc.date.available | 2015-10-09 | |
| dc.date.copyright | 2014-10-09 | |
| dc.date.issued | 2014 | |
| dc.date.submitted | 2014-08-13 | |
| dc.identifier.citation | 第七章、 參考文獻
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Unilateral versus bilateral robot-assisted rehabilitation on arm-trunk control and functions post stroke: a randomized controlled trial. J Neuroeng Rehabil, 10(1), 35. doi: 10.1186/1743-0003-10-35 Wu, C. Y., Yang, C. L., Chuang, L. L., Lin, K. C., Chen, H. C., Chen, M. D., & Huang, W. C. (2012). Effect of therapist-based versus robot-assisted bilateral arm training on motor control, functional performance, and quality of life after chronic stroke: a clinical trial. Phys Ther, 92(8), 1006-1016. doi: 10.2522/ptj.20110282 Yang, C. L., Lin, K. C., Chen, H. C., Wu, C. Y., & Chen, C. L. (2012). Pilot comparative study of unilateral and bilateral robot-assisted training on upper-extremity performance in patients with stroke. Am J Occup Ther, 66(2), 198-206. doi: 10.5014/ajot.2012.003103 | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/56584 | - |
| dc.description.abstract | 背景與目的：中風為國人第二大死因，常伴隨動作控制障礙等問題。過去研究顯示，高密集訓練可促進中風病人動作功能恢復。機器輔助治療優點為高密度、高強度、任務專一性與使用方式彈性，但針對特定關節訓練，但對日常生活功能的提升尚無一致性結論。因此，若結合其它復健手法，如：任務導向訓練、損傷導向訓練，則能提供更全面的醫療復健。本研究目的為探討機器輔助療法合併任務導向訓練、機器輔助療法合併損傷導向訓練、常規復建訓練於慢性中風病人之成效比較。
方法：受試者隨機分配到機器輔助治療合併任務導向訓練組、機器輔助治療合併損傷治療訓練組、常規復健組，接受為期4週，每週5天，每天90~95分鐘的療程。 結果：目前結果顯示IMTT在上肢損傷與動作功能、降低肌肉張力、患側手於日常生活使用量、生活品質等方面最具優勢；CI組在近端肌力、日常生活獨立性等方面較有優勢。建議未來研究擴大研究樣本，拉長合併療法時間，進一步探討合併療法於中風復健之成效。 | zh_TW |
| dc.description.abstract | Background and purpose: Stroke is the second leading cause of death in Taiwan, usually accompanied by postured control disorder. According to past studies high intensity of training encourages stroke patient’s function recovery. Robot-assisted therapy provides high intensity, task specificity, and higher flexibility of manipulation, but specifically for joint training, and inconsistence with improvement of ADL. Hence, when combine with other approach, such as task-oriented training, impairment-oriented training, provides complete rehabilitation program. This study’s goal is to discuss the effect of robot-assisted therapy and task-oriented training combination, robot-assisted therapy and impairment-oriented training combination, regular rehabilitation training of chronic stroke patients.
Methods: patients randomly distributed to IMTT group, IMTI group, and CI group, received an intervention for 4 weeks, 5 days a week, 90~95minutes per day. Results: results shows that IMTT has higher advantages in upper extremity impairment and motor function, decrease of muscle tone, impaired limb usage in daily life, and quality of life; in the other hand, CI has the higher advantage independence in daily life. Suggestion of future study is to enlarge the number of sample, higher duration of intervention, further discuss of the stroke rehabilitation outcome. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-16T05:36:11Z (GMT). No. of bitstreams: 1 ntu-103-R01429003-1.pdf: 799137 bytes, checksum: efd4efc23440163882ad688e66d2bf48 (MD5) Previous issue date: 2014 | en |
| dc.description.tableofcontents | 目次
第一章、 前言 1. 中風 ----------------------------------------------------------------------------------p 1 2. 機器輔助治療 2.1機器輔助治療簡介與分類-----------------------------------------------------p 1 2.2機器輔助治療之特性-----------------------------------------------------------p 2 2.3機器輔助治療之文獻回顧-----------------------------------------------------p 2 2.4 Interactive Motion Technologies 3.0 (InMotion 3.0) 介紹----------------p 3 3. 神經機制探討療效 3.1 單側訓練--------------------------------------------------------------------------p 4 3.2 動作學習理論--------------------------------------------------------------------p 4 4. 任務導向訓練 (Task-Oriented Training, TOT) ---------------------------------p 5 5. 損傷導向訓練 (Impairment-Oriented Training, IOT) -------------------------p 6 5.1 The Arm BASIS training (ABT) ----------------------------------------------p 6 5.2 The Arm Ability training (AAT) ----------------------------------------------p 6 6. 機器輔助治療合併任務導向訓練與損傷導向訓練文獻回顧----------------p 8 第二章、 研究目的與假設-------------------------------------------------------------------p 9 第三章、 研究方法、進行步驟 1. 受試者--------------------------------------------------------------------------------p 10 1.1收案條件-------------------------------------------------------------------------p 10 1.2排除條件-------------------------------------------------------------------------p 10 2. 實驗設計-----------------------------------------------------------------------------p 11 3. 介入方法-----------------------------------------------------------------------------p 11 3.1 機器輔助治療合併任務導向訓練組 (IMTT) ----------------------------p 11 3.2 機器輔助治療合併損傷治療訓練組 (IMTI) -----------------------------p 12 3.3 常規復健組 (C-----------------------------------------------------------------p 13 4. 成效評估-----------------------------------------------------------------------------p 13 4.1 人口學基本資料---------------------------------------------------------------p 13 4.2臨床評估-------------------------------------------------------------------------p 13 4.2.1身體功能與構造層級 (Body function and structure/ impairment) --------------------------------p 13 4.2.2活動層級 (Activities/ Limitation) ------------------------------------p 15 4.2.3參與層級 (Participation/ Restriction) --------------------------------p 15 4.2.4 不良反應 (Adverse effect)--------------------------------------------p 16 5. 資料分析----------------------------------------------------------------------------- p 16 第四章、 結果 1. 受試者------------------------------------------------------------------------------- p 17 2. 臨床評估 2.1 身體構造與功能層級結果--------------------------------------------------- p 17 2.2 活動層級結果------------------------------------------------------------------ p 18 2.3 參與層級結果------------------------------------------------------------------ p 18 2.4 不良反應結果-------------------------------------------------------------------p 18 第五章、 討論 1. 身體構造與功能層級成效 1.1 FMA----------------------------------------------------------------------------- p 19 1.2 MRC----------------------------------------------------------------------------- p 19 1.3 MAS----------------------------------------------------------------------------- p 20 1.4 腕動計--------------------------------------------------------------------------- p 20 2. 活動層級成效 2.1 FIM------------------------------------------------------------------------------- p 20 2.2 WMFT--------------------------------------------------------------------------- p 21 3. 參與層級成效----------------------------------------------------------------------- p 21 4. 不良反應-----------------------------------------------------------------------------p 21 5. 研究限制與未來建議--------------------------------------------------------------p 21 第六章、 結論--------------------------------------------------------------------------------------- p 23 第七章、 參考文獻--------------------------------------------------------------------------------- p 24 第八章、 附錄----------------------------------------------------------------------------------------p30 | |
| dc.language.iso | zh-TW | |
| dc.title | 機械輔助任務導向或損傷導向之慢性中風復健 | zh_TW |
| dc.title | Robot-Assisted Therapy Combined With Task-Oriented or Impairment-Oriented Training in Chronic Stroke | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 102-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 吳菁宜(Ching-Yi Wu),湯佩芳(Pei-Fang Tang) | |
| dc.subject.keyword | 中風,機器輔助治療,任務導向訓練,損傷導向訓練, | zh_TW |
| dc.subject.keyword | stroke,robot-assisted therapy,task-oriented training,impairment-oriented training, | en |
| dc.relation.page | 42 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2014-08-13 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 職能治療研究所 | zh_TW |
| 顯示於系所單位： | 職能治療學系 | |
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