應用於中風後肩關節復健之慣性量測系統開發與新量化評估方法

傳統中風後復健評估方式中，臨床上多使用例如傅格－梅爾身體性能量表、沃夫動作功能測試、坦帕手功能量表等李克特量表，傳統評估量表雖已行之有年且評估結果為各界所接受，但其缺點在於評估結果因治療師而異，且李克特量表為量尺分數依級距給分，若個案狀況恰好位於兩個分數之間，會造成給分困難或無法正確描述個案復健成效的情況。　　研究中建立一套中風後復健評估使用之慣性感測系統，並基於傳統量表的復健評估準則，提出三種復健成效評估的量化指標，發展客觀的量化評估系統，最後利用中風病患的個案討論本復健成效量化評估方法與傳統復健評估量表之相關性以及優缺點。由量化結果得知本方法可正確反應患者復健前後的差異，驗證利用慣性訊號在復健成效評估上的可行性。

關鍵字

量化評估；慣性感測；復健評估；評估量表

並列摘要

In clinical settings, traditional stroke rehabilitation evaluation methods typically employ FMA, WMFT, TEMPA, and other Likert-type assessment scales. Although traditional assessment scales have a long history and evaluation results accepted widely in various fields, they have the worst disadvantage of variations in results based on different occupational therapists. Likert scales give scale scores based on numerical ranges. If an individual case exists between two scores, scoring becomes problematic and the description of the case’s rehabilitation result may be inaccurate. 　This study constructs an inertia measurement system for stroke rehabilitation evaluation and proposes 3 rehabilitation effect evaluation quantitative indicators based on rehabilitation assessment criteria of traditional scales. An objective quantitative evaluation system is subsequently developed, and, finally, a stroke patient case is employed to discuss the correlation between the proposed rehabilitation result quantitative evaluation method and traditional rehabilitation evaluation scales, as well as their advantages and disadvantages. Quantitative results indicate the proposed method accurately reflects patients’ changes between pre- and post-rehabilitation, confirming the feasibility of applying inertial signals to rehabilitation effect evaluation.

並列關鍵字

rehabilitation evaluation ； inertial measurement system ； assessment scale ； quantitative evaluation

參考文獻

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延伸閱讀

陳帟宏、林咨佑、郭毓雯、侯冠宇、王淳厚（2022）。【論文摘要】肩關節夾擠症候群患者使用運動治療有無輔以關節鬆動術之療效比較：系統性回顧及統合分析。物理治療，47(2)，155-155。https://doi.org/10.6215/FJPT.202206.P45
呂基亨、魏照恩、段裘慶（2017）。基於肌電圖及慣性感測器複合演算評估中風復健動作。載於東海大學（主編），TANET2017 臺灣網際網路研討會（頁1796-1800）。東海大學。https://doi.org/10.6728/TANET.201710.0318
陳百鍊、蔡明妙、張愷玲、沈傳凱、廖婉均（2020）。【論文摘要】肌內效貼紮介入對中風病患具有肩關節半脫位者於疼痛及動作功能之療效：前驅研究。物理治療，45(4)，319-320。https://doi.org/10.6215/FJPT.202012.P09
Lin, S. Y. (2013). Learning-based Inter-joint Coordination Training Algorithm for Stroke Patients through Upper Limb Exoskeleton Rehabilitation Rebot [master's thesis, National Taiwan University]. Airiti Library. https://doi.org/10.6342/NTU.2013.00826
Macháčková, K., Vyskotová, J., Opavský, J., & Sochorová, H. (2011). The Assessment of the Extent of the Recovery of Hand Sensorimotor Functions in the Group of Rehabilitated Patients after Stroke in the Post-Acute Stage. Acta Universitatis Palackianae Olomucensis.Gymnica, 41(2), 33-43. https://www.airitilibrary.com/Article/Detail?DocID=12121185-201103-201107070070-201107070070-33-43

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應用於中風後肩關節復健之慣性量測系統開發與新量化評估方法

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