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基于末端牽引式康復(fù)機(jī)器人的定量化上肢運(yùn)動(dòng)功能評(píng)估研究

Quantitative evaluation on upper limb motor function based on an end-effector rehabilitation robot

作者: 李娜  崔志琴  左國(guó)坤  施長(zhǎng)城  張樹濤  徐佳琳  劉鳴 
單位:中北大學(xué)(太原 030051)<p>中國(guó)科學(xué)院寧波材料技術(shù)與工程研究所,慈溪生物醫(yī)學(xué)工程研究所(浙江寧波 315399)</p><p>中國(guó)科學(xué)院寧波材料技術(shù)與工程研究所,先進(jìn)制造技術(shù)研究所(浙江寧波 315201)</p>
關(guān)鍵詞: 定量化康復(fù)評(píng)估;上肢運(yùn)動(dòng)功能;腦卒中;康復(fù)機(jī)器人;運(yùn)動(dòng)參數(shù) 
分類號(hào):R318.04
出版年·卷·期(頁(yè)碼):2018·37·6(581-588)
摘要:

目的 為在現(xiàn)有基于末端牽引式康復(fù)機(jī)器人訓(xùn)練系統(tǒng)基礎(chǔ)上建立定量化上肢運(yùn)動(dòng)功能評(píng)估系統(tǒng), 本文設(shè)計(jì)了基于畫圓和直線兩類運(yùn)動(dòng)任務(wù)的定量化上肢運(yùn)動(dòng)功能評(píng)估參數(shù)并通過不同運(yùn)動(dòng)方向的人機(jī)交互試驗(yàn)驗(yàn)證評(píng)估參數(shù)的有效性。方法 在已有康復(fù)機(jī)器人的軟硬件系統(tǒng)基礎(chǔ)上, 通過交互軟件設(shè)計(jì)了用戶控制搖桿末端進(jìn)行畫圓與畫直線兩類人機(jī)交互任務(wù)。8位志愿者參與了試驗(yàn)。通過對(duì)于電機(jī)運(yùn)動(dòng)參數(shù)采集與分析設(shè)計(jì)用于定量化評(píng)估上肢運(yùn)動(dòng)能力的評(píng)估參量, 進(jìn)一步使用統(tǒng)計(jì)學(xué)t檢驗(yàn)結(jié)合對(duì)畫圓的順、逆時(shí)針組和畫直線的外圍線組與傾斜線組之間進(jìn)行對(duì)比研究, 利用統(tǒng)計(jì)學(xué)方法驗(yàn)證所設(shè)計(jì)的評(píng)估參數(shù)的有效性。結(jié)果 針對(duì)8名志愿者的逆時(shí)針畫圓運(yùn)動(dòng)圓度偏移量分值 (91. 64±3. 45) 均明顯高于順時(shí)針運(yùn)動(dòng)圓度偏移量分值 (87. 84±3. 98) 。針對(duì)志愿者的點(diǎn)到點(diǎn)直線運(yùn)動(dòng)試驗(yàn)中軌跡長(zhǎng)度差與最大法向偏移量在外圍線組的數(shù)值明顯低于傾斜線組, 平均速度與平均加速度在外圍線組的數(shù)值明顯高于傾斜線組, 平均法向偏移量、末端精準(zhǔn)定位能力與完成時(shí)間在不同方向直線組之間沒有明顯的數(shù)值差異。結(jié)論 本文設(shè)計(jì)的圓度偏移量可有效表征健康成人在操作康復(fù)機(jī)器人進(jìn)行畫圓運(yùn)動(dòng)時(shí)的上肢運(yùn)動(dòng)功能, 軌跡長(zhǎng)度差、最大法向偏移量、平均速度與平均加速度可有效評(píng)估點(diǎn)到點(diǎn)畫直線運(yùn)動(dòng)時(shí)的上肢運(yùn)動(dòng)功能。對(duì)比已有相關(guān)研究發(fā)現(xiàn)人體上肢在相對(duì)身體不同位置時(shí)對(duì)于運(yùn)動(dòng)控制的能力會(huì)有區(qū)別, 可能與上肢功能位相關(guān)。

Objective In order to develop quantitative rehabilitation evaluation system for upper limb motor function based on the current end-effector-based rehabilitation robot training system, this study develops quantitative evaluation parameters for upper limb motor function based on the circle-drawing point-to-point movement tasks and validates the effectiveness of thoseevaluation parameters through the human-robot interactive experiments regarding the different movement directions. Methods Based on the existing hardware and software system of rehabilitation robot, this research utilizes interaction software to develop two types of human-robot interaction tasks including circle-drawing and point-to-point movements through the users' controlling on the end-effector. Eight volunteers participate in the experiments. Through the acquisition and analysis on motor's motion data, evaluation parameters are designed for quantitative evaluation on upper limb motor function. Statistical t-tests are applied to compare the differences between different circle-drawing groups ( clockwise and counterclockwise) and different point-to-point groups ( outer-lines group and declining-lines group) of evaluation parameters in order to validate their effectiveness.Results In the circle-drawing experiments on the eight volunteers, the result of roundness scores for counterclockwise group ( 91. 64±3. 45) is significantly higher than those of clockwise group ( 87. 84±3. 98) . In the point-to-point experiments on the seven volunteers, the results of difference in the total trajectory length and maximum value of normal deviation are significantly lower in the outer-lines group than in the declining-lines group. The results of average velocity and average acceleration are significantly higher in the outer-lines group than in the declining-lines group. The average value of normal deviation, precise positioning ability at end point and completion time are not significantly different between two different point-to-point movement groups with different directions. Conclusions The roundness score designed in this study could effectively evaluate the motor function of health adults ' upper limbs during the circle-drawing movements by controlling the rehabilitation robot. The difference in the total trajectory length, maximum value of normal deviation, average velocity and average acceleration could effectively evaluate the motor function during the point-to-point movements. By comparing with the previous study, the motor controlling function of human upper limbs could be different when the movements are in the different body-relative position. This might be affected by the upper limb's functional position.

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