Skip navigation

DSpace

機構典藏 DSpace 系統致力於保存各式數位資料(如:文字、圖片、PDF)並使其易於取用。

點此認識 DSpace
DSpace logo
English
中文
  • 瀏覽論文
    • 校院系所
    • 出版年
    • 作者
    • 標題
    • 關鍵字
    • 指導教授
  • 搜尋 TDR
  • 授權 Q&A
    • 我的頁面
    • 接受 E-mail 通知
    • 編輯個人資料
  1. NTU Theses and Dissertations Repository
  2. 工學院
  3. 機械工程學系
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/67876
完整後設資料紀錄
DC 欄位值語言
dc.contributor.advisor王富正(Fu-Cheng Wang)
dc.contributor.authorYu-You Linen
dc.contributor.author林育佑zh_TW
dc.date.accessioned2021-06-17T01:55:28Z-
dc.date.available2022-07-27
dc.date.copyright2017-07-27
dc.date.issued2017
dc.date.submitted2017-07-21
dc.identifier.citation[1] 中華民國行政院衛生署,衛生福利部統計處,民國102年主要死因分析. Available: http://www.mohw.gov.tw/cht/DOS/DisplayStatisticFile.aspx?d=46316
[2] Hall, Margaret Jean; Levant, Shaleah; DeFrances, Carol J. 'Hospitalization for stroke in US hospitals, 1989–2009.' Diabetes 18.23 (2012): 23.
[3] Go, Alan S.; Roger, Veronique L; Berry, Jarett D. et al. 'Heart disease and stroke statistics-2014 update.' Circulation 129.3 (2014).
[4] Bobath, Karel; Bobath, Berta. 'The neuro-developmental treatment.' Management of the motor disorders of children with cerebral palsy. Clinics in Developmental Medicine 90 (1984): 6-18.
[5] Vij, J. S.; Multani, N. K. 'Efficacy of neuro-developmental therapy based gait training in correction of gait pattern of post stroke hemiparetic patients.' Journal of Exercise Science and Physiotherapy 8.1 (2012): 30.
[6] Mikołajewska, Emilia. 'The value of the NDT-Bobath method in post-stroke gait training.' Advances in Clinical and Experimental Medicine 22.2 (2013): 261-272
[7] Lennon, Sheila; Ashburn, Ann; Baxter, David. 'Gait outcome following outpatient physiotherapy based on the Bobath concept in people post stroke.' Disability and rehabilitation 28.13-14 (2006): 873-881.
[8] Pohl, Marcus; Mehrholz, Jan; Ritschel, Claudia; Ruckriem, Stefan. 'Speed-dependent treadmill training in ambulatory hemiparetic stroke patients.' Stroke 33.2 (2002): 553-558.
[9] Visintin, Martha; Barbeau, Hugues; Korner-Bitensky, Nicol; E. Mayo Nancy. 'A new approach to retrain gait in stroke patients through body weight support and treadmill stimulation.' Stroke 29.6 (1998): 1122-1128.
[10] Hesse, S.; Bertelt C.; Jahnke, M. T.; Schaffrin, A.; Baake, P.; Malezic, M.; Mauritz, K. H. 'Treadmill training with partial body weight support compared with physiotherapy in nonambulatory hemiparetic patients.' Stroke 26.6 (1995): 976-981.
[11] Lakshya Neuro. (2013, Aug, 17) Body Weight Supported Treadmill training for hemiplegic patient (BWSTT). [YouTube video]. Available: https://www.youtube.com/watch?v=7nKjeYpcl5U
[12] Díaz, Iñaki; Gil, Jorge Juan; Sánchez, Emilio. 'Lower-limb robotic rehabilitation: literature review and challenges.' Journal of Robotics 2011 (2011).
[13] Colombo, Gery; Joerg, Matthias; Schreier, Reinhard; Dietz, Volker. 'Treadmill training of paraplegic patients using a robotic orthosis.' Journal of rehabilitation research and development 37.6 (2000): 693.
[14] Schmidt, Henning; Werner, Cordula; Bernhardt, Rolf; Hesse, Stefan; Kruger, Jorg. 'Gait rehabilitation machines based on programmable footplates.' Journal of neuroengineering and rehabilitation 4.1 (2007): 2.
[15] Patton, James; Brown, David A.; Peshkin, Michael; Santos-Munne, Julio J.; Makhlin, Alex; Lewis, Ela; Colgate, Edward; Schwandt, Doug. 'KineAssist: design and development of a robotic overground gait and balance therapy device.' Topics in stroke rehabilitation 15.2 (2008): 131-139.
[16] Schmitt, C.; and Métrailler, P. 'The Motion Maker™: a rehabilitation system combining an orthosis with closed-loop electrical muscle stimulation.' 8th Vienna International Workshop on Functional Electrical Stimulation. No. LSRO2-CONF-2006-011. 2004.
[17] Belforte, Guido; Gastaldi, Laura; Sorli, Massimo. 'Pneumatic active gait orthosis.' Mechatronics 11.3 (2001): 301-323.
[18] Phoenix Technologies Inc., VZ4000 tracker, available: http://www.ptiphoenix.com/?prod-trackers-post=vz4000
[19] Motion Analysis Corp., EVa RT 4.0 User's Manual, Motion Analysis Corporation, Santa Rosa (2003).
[20] Chen, George; Patten, Carolynn; Kothari, Dhara H.; Zajac, Felix E. 'Gait differences between individuals with post-stroke hemiparesis and non-disabled controls at matched speeds.' Gait & posture 22.1 (2005): 51-56.
[21] Hanmark Drive Technology Co., MPK-569-2.8A, available: http://hanmark.en.taiwantrade.com/
[22] National Instruments, NI myRIO-1900, available: http://sine.ni.com/nips/cds/view/p/lang/zht/nid/211694
[23] Transducer Techniques, DPM-3, available: https://www.transducertechniques.com/load-cell-displays.aspx
[24] Kalantari, Masoud; Dargahi, Javad; Kovecses, Jozsef; Ghanbari, Mahmood; Nouri, Shahrzad. 'A new approach for modeling piezoresistive force sensors based on semiconductive polymer composites.' IEEE/ASME Transactions on Mechatronics 17.3 (2012): 572-581.
[25] Chanson, CS-6618, available: http://shopping.chanson.com.tw/SalePage/Index/1461655
[26] Arduino, Mega 2560, available: https://www.arduino.cc/en/Main/arduinoBoardMega2560
[27] Physical Examination: Gait. (2014, May, 26). EpoMedicine. [Online]. Available: http://epomedicine.com/clinical-medicine/physical-examination-gait/
[28] Brigham, E. Oran. The fast Fourier transform and its applications. No. 517.443. Prentice Hall, 1988.
[29] Gibson, T.; Jeffery, R. S.; Bakheit, A. M. O. 'Comparison of three definitions of the mid-stance and mid-swing events of the gait cycle in children.' Disability and rehabilitation 28.10 (2006): 625-628.
[30] Khan, Mohd Ehmer; Khan, Farmeena. 'A comparative study of white box, black box and grey box testing techniques.' International Journal of Advanced Computer Science and Applications (IJACSA) 2012; Vol. 3 Iss. 6, Pgs. 12–15.
[31] Sano, Akira; Sun, Lianming; Ohmori, Hiromitsu. 'Direct closed-loop identification approach to unstable systems.' Control Conference (ECC), 1999 European. IEEE, 1999.
[32] Van Overschee, Peter; De Moor Bart. 'N4SID: Subspace algorithms for the identification of combined deterministic-stochastic systems.' Automatica 30.1 (1994): 75-93.
[33] Doyle, John; Francis, Bruce; Tannenbaum, Allen. 'Tannenbaum. Feedback control theory.' Macmillan 1990.
[34] Zhou, Kemin; Doyle, John Comstock. 'Essentials of robust control.' Prentice Hall International 1998.
[35] Glover, Keith; McFarlane, Duncan. 'Robust stabilization of normalized coprime factor plant descriptions with H∞-bounded uncertainty.' IEEE transactions on Automatic Control 1989; Vol. 34 Iss. 8, Pgs. 821–830.
[36] McFarlane, Duncan; Glover, Keith. 'A loop-shaping design procedure using H∞ synthesis.' IEEE transactions on Automatic Control 1992; Vol. 37 Iss. 6, Pgs. 759–769.
[37] Wang, Fu-Cheng; Chen, Lien-Sheng; Tsai, Yan-Chen; Hsieh, Chin-Hui; Yen, Jia-Yush. 'Robust loop-shaping control for a nano-positioning stage.' Journal of Vibration and Control 20.6 (2014): 885-900.
[38] 台大人體試驗委員會(Institutional Review Board; IRB), available: https://www.ntuh.gov.tw/NCTRC/training/training.aspx
[39] Mungas, Dan. Iii-office mental status testing: A practical guide. Geriatrics 1991; 46(7).
[40] 布氏動作階段(Brunnstrom stage), available: https://www.saebo.com/the-stages-of-stroke-recovery/
[41] Holden MK, Gill KM, Magliozzi MR. Gait assessment for neurologically impaired patients. Standards for outcome assessment. Physical therapy 1986; 66(10):1530-39.
[42] Chen, George; Patten, Carolynn; Kothari, Dhara H.; Zajac, Felix E. 'Gait differences between individuals with post-stroke hemiparesis and non-disabled controls at matched speeds.' Gait & posture 22.1 (2005): 51-56.
[43] Dodd, Karen J.; Morris, Meg E. 'Lateral pelvic displacement during gait: abnormalities after stroke and changes during the first month of rehabilitation.' Archives of physical medicine and rehabilitation 84.8 (2003): 1200-1205.
[44] Dodd, Karen J.; Morris, Meg E.; et al. 'Lateral pelvic displacement during walking: retest reliability of a new method of measurement.' Gait & posture 7.3 (1998): 243-250.
[45] Regnaux, J. P.; Pradon, D.; Roche, N.; Robertson, J.; Bussel, B.; Dobkin, B. 'Effects of loading the unaffected limb for one session of locomotor training on laboratory measures of gait in stroke.' Clinical biomechanics 23.6 (2008): 762-768.
dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/67876-
dc.description.abstract本論文針對中風患者的復健,開發一套自動化神經發展治療(Neuro Developmental Treatment; NDT) 步態訓練機。中風後的照護與醫療復健是一筆龐大的負擔,NDT步態訓練整合各種支撐、誘發、引導、與抑制等手法,對於腦中風病患是相當有效的復健方式,然而對於治療師而言,實施這種治療方式相當耗時費力;對於病患而言,則因訓練本身的複雜度及練習時間受限,因此臨床上實際NDT訓練的質與量皆相當不夠,故本論文開發一套自動化NDT步態訓練機,降低治療師的負擔並同時增加中風患者的訓練時間,以提升NDT訓練的效果。
我們首先取得治療師與病人進行訓練時的各種行為量化資訊,將臨床know-how轉譯建立治療師專家系統,而後建立一套自動化系統,設計適當的控制法則遵循此專家系統,學習並且重複治療師的動作。為了能提供良好系統響應,吾人以實驗方式進行系統鑑別,建立數學模型,並針對此模型設計PID控制器與強韌控制器,以準確地複製治療師的動作。
最後,我們徵召中風患者,進行NDT步態訓練,並定義效果指標,驗證所發展的自動化NDT步態訓練機對於中風的復健的效果。
zh_TW
dc.description.abstractThis thesis develops an automated device that can assist Neuro-Developmental Treatment (NDT) training. The rehabilitation expenditure for stroke patients is a heavy load to the society and individuals. NDT training is a way to let patients have the feeling on walking with minimal intervention, and it is shown to be an effective rehabilitation method for stroke patients. During the NDT training, the therapists need to stabilize the patients’ trunk and pelvis, to stimulate the weight shift and pelvic rotation, and to assist the limb control during the stance and swing phases to increase their walking ability. Therefore, NDT training is very labor-intensive for therapists. Consequently, patients normally receive insufficient NDT gait training and delay rehabilitation processes because of the lack of therapist’s assistance. Hence, this thesis develops a machine-aided NDT gait trainer to relief the therapists’ working loads and to improve the rehabilitation effects of stroke patients.
First, we measure the position and force data from clinical NDT gait training, and develop an expert system. Second, we develop motor mechanisms to repeat the therapists’ action based on the expert system. In order to improve the system responses, we derive the transfer functions of the motor system by experiments, and we design PID controller and robust controllers.
Finally, we invite testing subjects for NDT gait training. We define performance indexes to discuss the rehabilitation results by the designed NDT trainer. The results indicate that the proposed device is deemed effective in improving NDT training.
en
dc.description.provenanceMade available in DSpace on 2021-06-17T01:55:28Z (GMT). No. of bitstreams: 1
ntu-106-R04522815-1.pdf: 16520701 bytes, checksum: 2ceac6658368ec7e859aefdfcb180784 (MD5)
Previous issue date: 2017
en
dc.description.tableofcontents致謝 I
中文摘要 III
Abstract V
表目錄 IX
圖目錄 XI
符號 XV
縮寫 XVIII
第一章 序論 1
1.1 前言 1
1.2 研究動機與方法 2
1.3 文獻回顧 4
1.4 論文架構 8
第二章 自動化NDT繩機構設計 11
2.1 自動化NDT系統架構 11
2.2 動態補捉系統 13
2.2.1 動態捕捉鏡頭(Tracker) 15
2.2.2 LED光點(Marker) 16
2.2.3 座標校正與驗證 18
2.3 馬達拉繩機構 21
2.3.1 步進馬達與驅動器 21
2.3.2 拉繩與輪盤 25
2.3.3 腰帶設計 28
2.3.4 微處理器 29
2.3.5 力量感測器 30
2.3.6 壓力感測器 31
2.3.7 跑步機 38
2.3.8 懸吊系統 39
2.4 安全系統設計 40
第三章 治療師專家系統 43
3.1實驗設定與人體動態捕捉 43
3.2 治療師施力分析 44
3.3 專家系統轉譯與控制流程 49
3.4 壓力感測器的時機判斷 51
3.5 治療師與馬達拉繩系統施力比較 54
第四章 拉繩機構系統鑑別與控制器設計 57
4.1 系統鑑別方法介紹 57
4.2 馬達拉繩機構之系統鑑別 58
4.3 PID控制器設計 64
4.3.1 P控制器設計 66
4.3.2 PI控制器設計 67
4.3.3 PD控制器設計 70
4.3.4 PID控制器設計 73
4.3.5 前置相位領先補償與PD控制器 74
4.3.6 實際治療拉力測試 77
4.4 強韌控制器設計 79
4.4.1 強韌控制設計理論 79
4.4.2 強韌控制器設計 93
4.4.3 實際治療拉力測試與比較 102
第五章 NDT臨床測試 107
5.1 臨床測試 107
5.1.1 受測者收案條件 107
5.1.2 臨床測試流程 109
5.1.3 受測者基本資料 113
5.2 治療效果指標 114
5.3 治療結果分析 120
第六章 結論與未來展望 145
6.1 結論 145
6.2 未來展望 146
Reference 147
附錄A、不同介入方式對骨盆轉動的影響 152
附錄B、IRB同意書 155
附錄C、受測者知情同意書 156
口試委員之問題與回答 162
dc.language.isozh-TW
dc.subject運動分析zh_TW
dc.subject動態捕捉系統zh_TW
dc.subject馬達控制zh_TW
dc.subject專家系統zh_TW
dc.subject步態訓練機zh_TW
dc.subject神經發展治療zh_TW
dc.subject強韌控制zh_TW
dc.subjectmotion capture systemen
dc.subjectgait traineren
dc.subjectexpert systemen
dc.subjectmotion analysisen
dc.subjectrobust controlen
dc.subjectmotor controlen
dc.subjectNeuro-Developmental Treatmenten
dc.title自動化神經發展治療步態訓練機之研發zh_TW
dc.titleThe Development of the Automatic Robotic Gait Rehabilitation Devices of Neuro-Developmental Treatmenten
dc.typeThesis
dc.date.schoolyear105-2
dc.description.degree碩士
dc.contributor.oralexamcommittee顏家鈺(Jia-Yush Yen),蔡明祺(Mi-Ching Tsai),林沛群(Pei-Chun Lin),劉名揚(Ming-Yang Liu),蔡宜政(I-Cheng Tsai)
dc.subject.keyword神經發展治療,步態訓練機,專家系統,運動分析,強韌控制,馬達控制,動態捕捉系統,zh_TW
dc.subject.keywordNeuro-Developmental Treatment,gait trainer,expert system,motion analysis,robust control,motor control,motion capture system,en
dc.relation.page167
dc.identifier.doi10.6342/NTU201700669
dc.rights.note有償授權
dc.date.accepted2017-07-24
dc.contributor.author-college工學院zh_TW
dc.contributor.author-dept機械工程學研究所zh_TW
顯示於系所單位:機械工程學系

文件中的檔案:
檔案 大小格式 
ntu-106-1.pdf
  未授權公開取用
16.13 MBAdobe PDF
顯示文件簡單紀錄


系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。

社群連結
聯絡資訊
10617臺北市大安區羅斯福路四段1號
No.1 Sec.4, Roosevelt Rd., Taipei, Taiwan, R.O.C. 106
Tel: (02)33662353
Email: ntuetds@ntu.edu.tw
意見箱
相關連結
館藏目錄
國內圖書館整合查詢 MetaCat
臺大學術典藏 NTU Scholars
臺大圖書館數位典藏館
本站聲明
© NTU Library All Rights Reserved