過去復健時需前往診所,以在復健師指導之下做復健動作,病患可能時間無法配合或外出不便,且頻繁的來往診所會增加經濟負擔;此外只在診所做復健是不夠的,病患還需遵照復健師的復健計畫,自行在家中做復健運動,但許多病患回到家後不遵照復健計畫執行。上述原因都會導致復健成效不如預期。為了解決這些問題,產生了居家復健的概念。 現今台灣的地方政府皆有提供居家復健的服務與健保輔助,根據資料顯示申請居家復健的人數逐漸增加,未來復健師需求將會不堪負荷。且復健師也開始設計讓病患可以在家復健的動作,以增加復健的成效與減少病患的回診次數。這些因素會造成許多病患需要在沒有復健師的陪伴下自行居家復健,因此病患復健動作是否正確將是一大問題。 本研究利用Kinect提供的骨架資訊結合動態時間扭曲(DTW)演算法與模糊理論來檢查病患做的復健動作是否正確,讓病患可行在家做復健動作,以避免病患做錯復健動作不自知而造成復健效果不佳與二次傷害。
The aging population has significantly increased in many countries. Reducing the number of skilled workers required in favor of technological substitutes becomes an inevitable trend. Using assistive technology in and transferring hospital-based to home-based medical services are likely to persist or even accelerate. In the case of rehabilitation, a traditional therapy process generally requires direct supervision of a skilled caregiver (a physical or occupational physician). A more economically viable home-based treatment program without the presence of a health care worker is required. The inconvenience in traveling to the clinic for regular therapy services is another added issue. Most formal rehabilitation facility is furnished in a hospital or center setting, which may not always be conveniently accessible for patients, especially those in geographically isolated areas. Home-based rehabilitation has potential to offer greater accessibility and increase uptake. In addition, rehabilitation participated in a formal setting is sometimes insufficient for the patient’s recovery. A constant rehabilitation activity at home is required to expedite the recovery. One of the main issues is to provide technological support for making home-based rehabilitation offering similar outcomes to hospital-based rehabilitation with an occupational physician presented. This research aims to develop a Kinect-based system for ensuring home-based rehabilitation (KEHR) using Dynamic Time Warping algorithm and fuzzy logic. The ultimate goal is to offer assistance for patients to conduct home-based rehabilitation without the presence of a physician and to avoid adverse rehabilitation activity.