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复合物理治疗在脑中风肢体康复中的应用研究

Reasearch of Compound Physical Element Healing for the Brain Stroke

【作者】 宋振中

【导师】 金海龙;

【作者基本信息】 燕山大学 , 生物医学工程, 2009, 硕士

【摘要】 随着现代中枢神经康复机理研究的进展,国外研究人员利用机器人技术在辅助上肢运动功能康复方面开展了大量研究,这些大型的机器人系统在研发和推广上都有较大的难度。而我国在康复工程领域的研究基础比较薄弱,因此研究既能满足康复要求,又便于携带和操作的智能康复仪器有着重要的意义。本文从脑神经康复学、偏瘫治疗学、物理因子治疗学、运动训练对肌肉功能康复的作用等方面,分析复合物理治疗在肢体康复中的可行性和方法的实现。结合医学理论,在对上肢关节运动学进行分析的基础上,提出了一个整套的康复系统设计方案。综合利用了牵引治疗、红光的生物学效应、超声的生物学效应,以达到用复合因子对上肢运动功能进行康复的目的。本课题的研究重点是:对偏瘫上肢运动功能的康复的理论基础,即神经可塑性理论进行研究,并且在这个理论的指导下,结合目前临床上偏瘫的治疗方法和运动功能恢复的训练方法,最终设计出一套便携的智能康复系统。系统的硬件构造包括:交流气泵、充放气装置、电磁阀转向组件、微处理部分和压力传感器部分。本文选用的嵌入式μC/OS-Ⅱ操作系统为康复系统提供了软件开发平台,并且通过编写的系统任务,不但为嵌入式应用软件的开发提供了强大的接口函数,而且有效地提升了系统的可移植性与可扩展性。此外,本问还对主动意愿在中风康复中的应用进行了研究。分析了脑机接口的组成和关键技术,以及基于想象运动的脑机接口在康复治疗中的应用。

【Abstract】 With the development of the mechanism of modern neurological rehabilitation of the central nervous system, foreign researchers have done a lot of studies in the rehabilitation of the upper-limb functions by using robot technology. These large-scale robot systems are hard to develop in the field R & D and promotion. Our fundament, however, is relatively weak in the field of rehabilitation engineering research, so it is important to develop intelligent rehabilitation apparatus which will not only meet the rehabilitation requirements, but also be easy to carry and operate.Based on brain nervous rehabilitation, hemiplegic treatment, physical factor’s treatment, exercise training on muscle function rehabilitation, this article analyses the feasibility and methods of implementation of complex physical therapy in limb rehabilitation .This paper, using medical theories, proposed a designing method for the rehabilitation system based on the analysis of upper-limb joint kinematics. The system, applying traction therapy, biological effects of the red light and biological effects of ultrasound, could achieve the goal of upper-limb motor function rehabilitation through using compound factors.The key point of the paper is to study the basic theory of rehabilitation of motor function of hemiplegic upper limbs or in other words the theory of neural plasticity research, and under the guidance of which, combined with current clinical treatment of hemiplegia and training methods of recovery of motor function, ultimately design a portable intelligent rehabilitation system. The system’s hardware structures include the pump ,deflated rechargeable devices, solenoid valve steering components, microcontrollers and pressure sensor. This article uses embedded operating systemμC/OS-Ⅱto provide a software development platform for the rehabilitation system, and through the written system codes,μC/OS-Ⅱnot only provides powerful interface functions for the development of the embedded application software, but also effectively improve the portability and scalability of the rehabilitation system.In addition, the article also did some research about the application of active consciousness in stroke rehabilitation, analysis of brain-computer interface components and key technologies, as well as application of imagination-based brain-computer interface in rehabilitation.

  • 【网络出版投稿人】 燕山大学
  • 【网络出版年期】2010年 07期
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