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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 呂東武(Tung-Wu Lu) | |
| dc.contributor.author | Yen-Hung Liu | en |
| dc.contributor.author | 劉彥宏 | zh_TW |
| dc.date.accessioned | 2022-11-25T05:36:24Z | - |
| dc.date.available | 2026-10-13 | |
| dc.date.copyright | 2021-10-21 | |
| dc.date.issued | 2021 | |
| dc.date.submitted | 2021-10-14 | |
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/82126 | - |
| dc.description.abstract | 帕金森症為老年族群最常見之退化性神經系統疾病之一，由於基底核內部之多巴胺神經元退化，導致多巴胺分泌不足而出現動作異常，並造成人體於靜態站立、走路、跨越障礙物等日常功能性活動中平衡控制的改變，導致增加其跌倒受傷的風險。此外，客製化足墊也經常被使用來改善平衡控制之非侵入性處方。因此探討輕度帕金森氏症患者在執行上述功能活動時，其受損的神經迴路如何影響執行動作時的動作控制，以及穿著客製化足墊後之平衡策略的改變，是非常值得探討的。本研究運用三維動作分析系統量測分析帕金森症患者與正常受試者在日常生活中常見的走路以及跨越障礙物之運動學資料，及利用測力板量測地面反作用力並計算力動學資料以及站立時之壓力中心擺盪面積。同時進行新式單影像陣列影像重建技術(SIBPAIR)精確度分析，並利用其製作客製化足墊。結果顯示輕度帕金森氏症患者的患側下肢推進身體後，健側下肢會透過增加髖關節效率以維持其當時的姿勢平衡，且健側下肢作為前跨越腳時，可調整其力矩比例，以避免患側下肢面對觸地後負重反應之負擔。帕金森氏症病患在跨越障礙物時，其較差的左-右方向平衡控制，可能會增加病患跌倒的風險。對比患側腳或健側腳作為前跨腳的不同差異後，建議帕金森氏症病患可選擇患側腳作為前跨越腳，比較相對安全。而SIBPAIR技術的應用精確性，結果顯示不論是推算曲面輪廓數據，或是足底曲面的三維影像重建，都具有精確性。帕金森氏症患者穿著有客製化足弓結構之足墊後，可促進其站立時的平衡控制，建議帕金森氏症患者在接受肌力或平衡訓練的同時，可穿著具有客製化足弓結構之足墊，提升姿勢平衡控制，以減低跌倒受傷之風險。 | zh_TW |
| dc.description.provenance | Made available in DSpace on 2022-11-25T05:36:24Z (GMT). No. of bitstreams: 1 U0001-1310202112392000.pdf: 5073431 bytes, checksum: 896bd903402d46f76404ca960e1b5caf (MD5) Previous issue date: 2021 | en |
| dc.description.tableofcontents | 目 錄 誌 謝 ii 中文摘要 iii Abstract iv 目 錄 v 圖目錄 viii 表目錄 xi 第一章 導論 1 1.1 帕金森氏症 1 1.2 帕金森氏症流行率與病理特徵 1 1.3 帕金森氏症臨床症狀 5 1.4 帕金森氏症患者步行時下肢支撐性力矩之變化 7 1.5 帕金森氏症患者跨越障礙物時之姿勢控制策略 8 1.6 新式足底三維形狀量測技術之精確度 8 1.7 客製化足墊對帕金森氏症患者站立平衡之立即影響 9 1.8 研究目的 10 第二章 材料與方法 11 2.1受試者 11 2.1.1輕度帕金森氏症患者 11 2.1.1 正常受試者 12 2.2動作分析系統與流程 13 2.3動作分析系統之座標系統 16 2.3.1座標系統 16 2.3.2人體量測學參數 18 2.3.3逆向動力學分析 19 2.4資料分析 23 2.4.1 壓力中心擺盪面積 23 2.4.2身體質量中心 25 2.4.3跨越障礙物 26 2.4.4 足部評估與快速客製化足墊設備 29 2.5 統計分析 35 第三章 帕金森氏症患者步行時下肢之肢體內 36 與肢體間之支撐性力矩之變化 36 3.1前言 36 3.2材料與方法 39 3.2.1受試者 39 3.2.2步態分析 40 3.2.3資料分析 42 3.2.4 統計分析 45 3.3 結果 46 3.3.1 步態時間-距離參數 46 3.3.2 尖峰值之運動學與動力學 47 3.3.3 尖峰值之總支撐力矩(Ms) 51 3.3.4 尖峰值時整體支撐力矩之個別關節貢獻力矩(CMs) 53 3.3.5 前跨越腳與後跨越腳在雙腳支撐期之曲線面積與全身總支撐力矩(WMs)比值 56 3.4 討論 57 第四章 帕金森氏症患者跨越障礙物時之身體質量重心以及下肢遠端控制點之控制策略 59 4.1前言 59 4.2材料與方法 62 4.2.1受試者 62 4.2.2步態分析 63 4.2.3資料分析 66 4.2.4 統計分析 71 4.3結果 72 4.3.1 時間-距離參數 72 4.3.2 前傾角IA 74 4.3.3 前傾角速率RCIA 77 4.4 討論 80 第五章 新式足底三維形狀量測及精度評估 83 5.1前言 83 5.2材料與方法 85 5.2.1設備 85 5.2.2實驗模具 87 5.2.3實驗流程 87 5.3結果 91 5.4討論 96 第六章 客製化足墊對帕金森氏症患者站立時 101 平衡控制之立即影響 101 6.1前言 101 6.2材料與方法 104 6.2.1受試者 104 6.2.2實驗流程 105 6.2.3 資料分析 112 6.2.4 統計分析 113 6.3結果 113 6.3.1 開眼(EO) 113 6.3.2 閉眼(EC) 116 6.4 討論 119 第七章 結論與建議 122 7.1結論 122 7.1.1帕金森氏症患者步行時下肢之肢體內與肢體間之支撐性力矩之變化 122 7.1.2 帕金森氏症患者跨越障礙物時之身體質量重心以及下肢遠端控制點之控制策略 122 7.1.3 新式足底三維形狀量測及精度評估 122 7.1.4 客製化足墊對帕金森氏症患者站立時平衡控制之立即影響 123 7.2 建議與未來研究 123 7.2.1臨床建議 123 7.2.2 未來研究 124 參考文獻 125 | |
| dc.language.iso | zh-TW | |
| dc.subject | 壓力中心擺盪面積 | zh_TW |
| dc.subject | 客製化足墊 | zh_TW |
| dc.subject | 支撐力矩 | zh_TW |
| dc.subject | 帕金森症 | zh_TW |
| dc.subject | 跨越障礙物 | zh_TW |
| dc.subject | supporting moment | en |
| dc.subject | Parkinson’s disease | en |
| dc.subject | COP sway area | en |
| dc.subject | customized insole | en |
| dc.subject | obstacle crossing | en |
| dc.title | 帕金森氏症患者動作平衡控制與下肢支撐以及客製化足墊之應用 | zh_TW |
| dc.title | Balance Control and Lower Limb Support During Activities and Applications of Customized Insoles in Parkinson’s Disease | en |
| dc.date.schoolyear | 109-2 | |
| dc.description.degree | 博士 | |
| dc.contributor.oralexamcommittee | 相子元(Hsin-Tsai Liu),陳祥和(Chih-Yang Tseng),陳文斌,許維君 | |
| dc.subject.keyword | 帕金森症,壓力中心擺盪面積,客製化足墊,跨越障礙物,支撐力矩, | zh_TW |
| dc.subject.keyword | Parkinson’s disease,COP sway area,customized insole,obstacle crossing,supporting moment, | en |
| dc.relation.page | 131 | |
| dc.identifier.doi | 10.6342/NTU202103688 | |
| dc.rights.note | 同意授權(限校園內公開) | |
| dc.date.accepted | 2021-10-15 | |
| dc.contributor.author-college | 工學院 | zh_TW |
| dc.contributor.author-dept | 醫學工程學研究所 | zh_TW |
| dc.date.embargo-lift | 2026-10-13 | - |
| 顯示於系所單位： | 醫學工程學研究所 | |
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