使用復健輔具對尿失禁患者進行凱格爾運動進行療程追蹤

Using Assistive Device to Patients for Tracking Kegel Exercise in the Incontinence Treatment

徐偉智(Wei-Jr Shiu)

指導教授 ： 陳瑞發

淡江大學/工學院/資訊工程學系碩士班/碩士(2014年)

https://doi.org/10.6846/TKU.2014.00220

摘要

尿失禁的復健治療方式分為侵入式與非侵入式的治療方式，侵入式的治療方式須將儀器侵入人體之中探測骨盆底肌肉的收縮程度，此方式是直接性的針對骨盆底肌肉的收縮程度進行分析與探討，而此復健方式需要侵入人體造成許多人無法接受；而非侵入式的治療方式主要以凱格爾運動為主，藉由提肛向上的力量收縮陰道、尿道口及肛門的肌肉來訓練骨盆底肌肉群，相較來說非侵入式的復健治療方式較大多數人接受，但無加裝任何感測器來感測患者數據。
在與醫師的合作下，已開發的無線感測復健輔具進行對病患的復健教學。進一步的希望病患將復健儀器帶回進行長期復健追蹤，因此在病患將儀器帶回家的過程中，經過病患建議與回饋後將解決下列問題，1.儀器較重與材質上堅硬導致在掉落時造成二次傷害。2.需要透過行動裝置才能觀看到復健的狀況，造成年長者的患者操作上的不便性。3.凱格爾復健的成效無法立即性的顯現出來，造成在復健過程中因此中斷。因此本論文將解決針對上述三個主要的問題進行改善，提升患者的接受度，並且預測分析患者的復健狀況，給予患者在復健期間的復健目標，並進行療程追蹤及分析。

關鍵字

尿失禁 ； 凱格爾運動 ； 時間序列分析 ； 無線感測技術

並列摘要

In the incontinence treatment of rehabilitation isdivided to invasive therapy and non-invasive therapy. In the invasive therapytreatment, body will be invaded by instrument and detected the contraction. The method is analysis and discussion pelvic floor muscles contraction. The rehabilitation is needed to invade the human body caused most of people would not accept. In the non-invasive therapy treatment, the rehabilitation is based on Kegel exercise. By force of contraction of the levatorani up the vagina, urethra and anus muscle groups to train the pelvic floor muscles. The non-invasive therapy treatment is acceptable than invasive therapy treatment, but it isn’t embeded any sensors.
In collaboration withthe doctor, we had been developedwireless sensor network assistive device and taught patients. We want to track with patients for a long time, and we need to solve the problem as follows. First, because the assistive device is so heavy and hard, patients will hurt themselves by dropping. Second, she can view her achievement if she have mobile device. The older patients are difficult to use. Last, the Kegelexercise don’t show the effect immediately. Because of reasons, rehabilitationwill be interrupted. This thesissolves three problems of the assistive device, reducing the complexity of the operation and adding prediction patient exercisestatus to the achievement in the rehabilitation.

並列關鍵字

Incontinence Treatment ； Kegel Exercise ； Time Series Analysis ； Wireless Sensor Technology

參考文獻

Huang, Ching-Hsiang, “Design and implementation of noninvasive electronic rehabilitation device for pelvic floor muscle training,”Tamkang University Tamsui, 2013

Amanda K. Berry, “Methylphenidate for Giggle Incontinence,” The Journal of Urology, Vol. 182, Issue 4, pp. 2028–2032, October 2009

RoselienHerderschee, “Feedback or biofeedback to augment pelvic floor muscle training for urinary incontinence in women,” The Cochrane Library, 2011

Natalia Price, “Pelvic floor exercise for urinary incontinence: A systematic literature review,”Maturitas, Vol. 67, Issue 4, pp. 309–315, Dec 2010

Kari,“Pelvic floor muscle training in treatment of female stress urinary incontinence, pelvic organ prolapse and sexual dysfunction,” World Journal of Urology, Vol. 30, Issue 4, pp. 437-443, Aug 2012