中山醫學大學機構典藏 CSMUIR:Item 310902500/2954
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    jsp.display-item.identifier=請使用永久網址來引用或連結此文件: https://ir.csmu.edu.tw:8080/ir/handle/310902500/2954


    题名: 整合肌電訊號、壓力暨位置感測以評估骨盆底功能障礙及其療效(I)
    Integration of EMG-Pressure-Position Measurement for Dynamic Neuromuscular Assessment and Treatment of Pelvic Floor Dysfunction (I)
    作者: 陳怡靜;陳家進;陳進典
    Chen, Yi-Ching
    贡献者: 中山醫學院物理治療學系
    关键词: 骨盆底功能障礙;骨盆底肌;評估;表面肌電圖電極;藍芽無線
    Pelvic floor dysfunction;Pelvic floor muscle;Evaluation;Electromyogram;Blue tooth
    日期: 2008
    上传时间: 2010-11-29T04:49:18Z (UTC)
    摘要: 骨盆底肌肉群不只是腹腔下的一個支撐
    而已，它更是排尿、排便以及生殖道出口把
    關的一個重要的器官。當骨盆底肌肉功能異
    常時將導致骨盆底功能障礙或失調。目前並
    無學者探討骨盆底肌肉肌力控制的主要機制
    及肌肉功能的控制改善機轉。
    本計劃以現有進度為基礎: 完成 (1) 整
    合EMG 電極與位移感測量，成為第二代骨
    盆底功能測量探頭；(2)利用具備體積小、低
    功率傳輸的藍芽模組來達到短距離的無線傳
    輸，完成可攜式的穿載裝置，以利進行正常
    人、尿失禁婦女及排尿障礙婦女的骨盆底肌
    肌力控制機制之動態評估及其治療效果的評
    估。
    此一結合多種生理訊號測量(肌電訊號與
    位移)於一的多通道骨盆底功能測量儀器，可
    同時量測左右骨盆底肌肉的肌電訊號；加上
    內建三軸加速度計於測量探頭中，可同步紀
    錄骨盆底肌在活動過程中造成陰道與附近結
    構相對於恥骨移動影響，提供不同的肌力表
    現(力量強相對於力量弱或左右不對稱的力量)
    對陰道在空間中位移影響的分析，有助於了
    解骨盆底肌肌力控制機轉與禁尿機轉中實際
    作用。
    此新型無線陰道探頭的設計有助於骨盆
    底肌肉的相關研究，特別是在功能與結構變
    化上的深度了解。
    In support of internal organs in
    abdominal cavity, pelvic floor muscles are more
    than important to serve as a door of urination,
    defecation and reproduction. Many of serious
    problems can be caused by dysfunction of
    pelvic floor muscles. Up to the present, little
    effort has been driven to physiological
    mechanisms of strengthening and force
    regulation for the pelvic floor muscle.
    A second generation of multi-functional
    device for PFM assessment was developed,
    equipped concurrently with EMG and position
    sensors. With the surface electromyography and
    3D accelerometer sensing technology, we
    developed a novel wireless data acquisition
    system with convenience and portability to
    record the spatial movements of the vagina in
    relation to pubic bone and concurrent activities
    of the bilateral PFM.
    Our festinating designs included novel
    Bluetooth-based wireless data acquisition
    system, can simultaneously record bilateral
    electromyography activity during PFM
    contraction. Recording the changes of the
    position of vagina related to pubic bone through
    the inertial sensor (accelerometer) gave us extra
    information about the role of PFM contraction
    in control of pelvic floor and relative organs and
    the continence mechanism.
    With this novel measurement device and
    techniques should broaden our understanding of
    how the PFM work specially in dynamic
    controlled conditions and the treatment effect.
    URI: https://ir.csmu.edu.tw:8080/handle/310902500/2954
    显示于类别:[物理治療學系暨碩士班] 研究計劃

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