三軸加速規應用於患者功能性活動坐到站評估之探討

The Investigation of Accelerometry with Application in Sit-To-Stand Motion Analysis of Patients

黃鈺萍(Yu-Ping Huang)；傅麗蘭(Li-Lan Fu)

加速規 ； 坐到站 ； 信度 ； 效度 ； 參數值 ； Accelerometry ； Sit-to-stand ； Validity ； Reliability ； Parameter

醫學與健康期刊

4卷1期（2015 / 03 / 01）

1 - 12

繁體中文

近年來研究文獻開始利用加速規應用於坐到站之動作分析，主要原因為加速規體積小、低單價、可長時間記錄數據且方便於臨床醫療及居家環境中的使用，也是許多文獻建議可以在臨床上使用量化患者的動作表現的優良工具之，加速規評估坐到站的活動之參數值和光學式動作分析系統及力板的數值有一致性，確立良好的建構效度，而加速規所測得的參數值對於運動介入後肌力、平衡及功能性活動能力的改變比般的臨床測試有較高的敏感度，參數值也呈現良好的再測信度，而加速規結合功能性坐立測試的研究中，藉由加速規的參數值可以獲得完成時間外，還能提供更多軀幹和肢體的動作表現及動作分期的資訊，並發展為自動偵測患者動作品質的評估工具，進而鑑別不同族群的坐到站表現，提供預測跌倒的量化資料，對於加速規在評估坐到站活動的建議佩戴位置以靠近身體重心部位如腰椎、胸骨或股骨大轉子，和大腿外側中間位置主要用來測量矢狀面的移動速率，常用參數值為加速度均方根和角速度。

Recent studies have frequently investigated the application of accelerometry in sit-tostand task (STS), because of its advantages with include its being inexpensive, ecological and simple to use clinically. Many studies have confirmed accelerometryto be a valid and reliable tool for the examination of STS movement comparing it with force platforms and opto-electronic devices. Moreover, accelerometryhas been used todiscriminategroups with different STS performance and to detect improvement in strength, balance in elderly after receiving exercise intervention, as well as prediction of fall risk. Combining clinical functional test and accelerometry provides an easy and accurate way to obtain more data of quantify movement timing, postural control, and motion analysis compared with performing clinical functional test alone. The placement of accelerometric sensors during STS task close to body center of mass (e.g. lumber, sternum and hip) and sensitive to sagittal direction (e.g. medial point of lateral thigh) have been widely applied, and the parameters derived from are root means square (RMS) of acceleration and angular velocity in the related studies.

1. NATIONAL INSTRUMENTS：加速規原理。http://www.ni.com/white-paper/12/zht/。引用07/11/2014
2. Bernardi, M,Rosponi, A,Castellano, V(2004).Determinants of sit-to-stand capability in the motor impaired elderly.J Electromyogr Kinesiol,14,401-10.
3. Brière, A,Lauzière, S,Gravel, D,Nadeau, S(2010).Perception of weight-bearing distribution during sit-to-stand tasks in hemiparetic and healthy individuals.Stroke,41,1704-8.
4. Brière, A,Nadeau, S,Lauzière, S,Gravel, D(2012).Weight-bearing and effort distributions at the lower limbs during the five-repetition sit-to-stand test in hemiparetic and healthy individuals.ISRN Rehabilitation,2012,7.
5. Culhane, K,O'Connor, M,Lyons, D,Lyons, G(2005).Accelerometers in rehabilitation medicine for older adults.Age Agein,34,556-60.
6. Doheny, EP,Walsh, C,Foran, T(2013).Falls classification using tri-axial accelerometers during the five-times-sitto-stand test.Gait Posture,38,1021-5.
7. Giansanti, D,Maccioni, G,Benvenuti, F,Macellari, V(2007).Inertial measurement units furnish accurate trunk trajectory reconstruction of the sit-to-stand manoeuvre in healthy subjects.Med Biol Eng Comput,45,969-76.
8. Godfrey, A,Conway, R,Meagher, D,ÓLaighin, G(2008).Direct measurement of human movement by accelerometry.Med Eng Phys,30,1364-86.
9. Janssen, WG,Bussmann, HB,Stam, HJ(2002).Determinants of the sit-to-stand movement: a review.Phys Ther,82,866-79.
10. Janssen, WG,Bussmann, JB,Horemans, HL,Stam, HJ(2008).Validity of accelerometry in assessing the duration of the sit-to-stand movement.Med Biol Eng Comput,46,879-87.
11. Janssen, WG,Bussmann, JB,Horemans, HL,Stam, HJ(2005).Analysis and decomposition of accelerometric signals of trunk and thigh obtained during the sit-to-stand movement.Med Biol Eng Comput,43,265-72.
12. Millor, N,Lecumberri, P,Gomez, M,Martinez-Ramirez, A,Izquierdo, M(2013).An evaluation of the 30-s chair stand test in older adults: frailty detection based on kinematic parameters from a single inertial unit.J Neuroeng Rehabi,10,86.
13. Møller, AB,Bibby, BM,Skjerbæk, AG(2012).Validity and variability of the 5-repetition sit-to-stand test in patients with multiple sclerosis.Disabil Rehabil,34,2251-8.
14. Mong, Y,Teo, TW,Ng, SS(2010).5-repetition sit-to-stand test in subjects with chronic stroke: reliability and validity.Arch Phys Med Rehabil,91,407-13.
15. Naoki, Itoh, HK,Kazumi, H,Kazuaki, H(2012).Relationship between movement asymmetry and sit-to-stand/stand-tosit duration in patients with hemiplegia.Jpn J Compr Rehabil Sci,3,66-71.
16. Pantelopoulos, A,ourbakis, NG(2010).A survey on wearable sensor-based systems for health monitoring and prognosis.Systems, Man, and Cybernetics, Part C: Applications and Reviews, IEEE Transactions on,40,1-12.
17. Patel, S,Park, H,Bonato, P,Chan, L,Rodgers, M(2012).A review of wearable sensors and systems with application in rehabilitation.J Neuroeng Rehabil,9,21.
18. Regterschot, GR,Folkersma, M,Zhang, W,Baldus, H,Stevens, M,Zijlstra, W(2014).Sensitivity of sensor-based sitto-stand peak power to the effects of training leg strength, leg power and balance in older adults.Gait Posture,39,303-7.
19. Regterschot, GR,Zhang, W,Baldus, H,Stevens, M,Zijlstra, W(2014).Test-retest reliability of sensor-based sit-to-stand measures in young and older adults.Gait Posture,40,220-4.
20. Roy, G,Nadeau, S,Gravel, D,Piotte, F,Malouin, F,McFadyen, BJ(2007).Side difference in the hip and knee joint moments during sit-to-stand and stand-to-sit tasks in individuals with hemiparesis.Clin Biomech,22,795-804.
21. van Lummel, R,Ainsworth, E,Hausdorff, J,Lindemann, U,Beek, P,van Dieën, J(2012).Validation of seat-off and seat-on in repeated sit-to-stand movements using a single-body-fixed sensor.Physiol Meas,33,1855.
22. Yoshioka, S,Nagano, A,Hay, DC,Fukashiro, S(2014).Peak hip and knee joint moments during a sit-to-stand movement are invariant to the change of seat height within the range of low to normal seat height.Biomed Eng Online,13,27.
23. Zijlstra, A,Mancini, M,Lindemann, U,Chiari, L,Zijlstra, W(2012).Sit-stand and stand-sit transitions in older adults and patients with Parkinson's disease: event detection based on motion sensors versus force plates.J Neuroeng Rehabil,9,75.
24. Zijlstra, W,Bisseling, RW,Schlumbohm, S,Baldus, H(2010).A body-fixed-sensor-based analysis of power during sitto-stand movements.Gait Postur,31,272-8.

1. 傅麗蘭、崔秀里、王佩凡(2016)。不同配戴位置之三軸加速規於桌球正手運動時的能量消耗預估。交大體育學刊，12，12-22。