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基于末端牵引式康复机器人的定量化上肢运动功能评估研究

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

作者: 李娜  崔志琴  左国坤  施长城  张树涛  徐佳琳  刘鸣 
单位:中北大学(太原 030051)<p>中国科学院宁波材料技术与工程研究所,慈溪生物医学工程研究所(浙江宁波 315399)</p><p>中国科学院宁波材料技术与工程研究所,先进制造技术研究所(浙江宁波 315201)</p>
关键词: 定量化康复评估;上肢运动功能;脑卒中;康复机器人;运动参数 
分类号:R318.04
出版年·卷·期(页码):2018·37·6(581-588)
摘要:

目的 为在现有基于末端牵引式康复机器人训练系统基础上建立定量化上肢运动功能评估系统, 本文设计了基于画圆和直线两类运动任务的定量化上肢运动功能评估参数并通过不同运动方向的人机交互试验验证评估参数的有效性。方法 在已有康复机器人的软硬件系统基础上, 通过交互软件设计了用户控制摇杆末端进行画圆与画直线两类人机交互任务。8位志愿者参与了试验。通过对于电机运动参数采集与分析设计用于定量化评估上肢运动能力的评估参量, 进一步使用统计学t检验结合对画圆的顺、逆时针组和画直线的外围线组与倾斜线组之间进行对比研究, 利用统计学方法验证所设计的评估参数的有效性。结果 针对8名志愿者的逆时针画圆运动圆度偏移量分值 (91. 64±3. 45) 均明显高于顺时针运动圆度偏移量分值 (87. 84±3. 98) 。针对志愿者的点到点直线运动试验中轨迹长度差与最大法向偏移量在外围线组的数值明显低于倾斜线组, 平均速度与平均加速度在外围线组的数值明显高于倾斜线组, 平均法向偏移量、末端精准定位能力与完成时间在不同方向直线组之间没有明显的数值差异。结论 本文设计的圆度偏移量可有效表征健康成人在操作康复机器人进行画圆运动时的上肢运动功能, 轨迹长度差、最大法向偏移量、平均速度与平均加速度可有效评估点到点画直线运动时的上肢运动功能。对比已有相关研究发现人体上肢在相对身体不同位置时对于运动控制的能力会有区别, 可能与上肢功能位相关。

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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