手指關節輔助復健裝置之開發

Development on Finger-Joint Assisted Device for Rehabilitation

林廷諭(TING-YU LIN)

指導教授 ： 林志龍

義守大學/理工學院/機械與自動化工程學系/碩士(2020年)

摘要

中文摘要
手指復健可改善患者關節靈活度、防止肌肉因活動量不足而萎縮，且可大幅降度復健師的重複性工作，因每個患者手部尺寸都有差異，需要建立一套復健機構可符合患者之尺寸，達到最符合患者需求之裝置，改善患者手部肌肉及關節靈活度及應有的活動量，幫助復健師在例行工作上減輕負擔。
本研究研發手指關節復健裝置，整合手部液壓式五指型連動機構，其中機構設計以單一液壓缸連動兩組四連桿機構推動手部板件被動運動，進行伸展及彎曲的復健動作，手部板件以模組化形式去符合不同手型大小尺寸，以達到最符合患者尺寸之手指關節復健裝置，設定基礎尺寸後增加多個可變接點，再以3D列印機打印製作與組裝，操作上以伸展為主要復健運動之方向。
本論文完成手指關節復健裝置整合手部液壓式五指型運動機構，模組化之設計能給予大部分使用者最合適的尺寸，其中成功開發拇指第一中手關節(掌腕關節)的往復運動機構，對於手指關節復健裝置能做出更完善的復健機械。

關鍵字

手指復健 ； 3D列印 ； 往復運動機構

並列摘要

Abstract
Finger rehabilitation can improve the flexibility of the joints for stroke patients to prevent muscle atrophy due to insufficient activity. Also, it could greatly reduce the repetitive work of the rehabilitation practitioner. Because each patient has different hand sizes, it is necessary to adjust a rehabilitation device. It could be necessary that the best size fits the needs of the patient. Thus, this not only could improve the flexibility of the patient's hand muscles and joints, but also helps the rehabilitation practitioner to reduce the burden on routine work.
The development of the finger joint rehabilitation device will be integrated into the hydraulic mechanism used a single hydraulic cylinder to link two groups of four-bar linkages to drive the passive movement of the hand plate and perform stretching and bending rehabilitation. In order to achieve the device that fits the patient's size as best as possible, a hand panel is designed in modular form to fit different hand sizes. After designing the basic size, multiple variable contacts added into the device. Then, the elements of the device produced by 3-D printer and assemble as well. The stretching is the purpose direction of rehabilitation exercise.
In this study, the finger joint rehabilitation device has successfully integrated with the hydraulic mechanism. The modular design could offer most users the best suitable size. Additionally, the thumb linkage mechanism has successfully developed the first middle hand joint of the thumb (the palm wrist joint). Thus, the reciprocating motion mechanism can make a more complete rehabilitation machine for the finger joint rehabilitation device.

並列關鍵字

finger rehabilitation ； 3-D printer ； Reciprocating mechanism

參考文獻

參考文獻

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