TW201125554A - Falling risk estimation and promoting balance stable system and method thereof - Google Patents

Abstract

A falling down risk estimation and promoting balance stable system and the method thereof are disclosed. It uses the pressure measurement instrument to collect a certain number of statistical data of people in different ages. In addition, some mathematical analysis methods such as MSE (Multi-scale Entropy) are applied. Balance and stable system of these people is evaluated by EMD (Empirical Mode Decomposition). By wearing vibration shoes of the present invention, their balance and stable systems can be improved by the physiology stimulation treatment. An inner soles, a plurality of vibrating motor modules and the control module are included. Size of inner soles can be adjusted by these kinds of shoes. The inner soles are inserted into shoes. The vibration motor module is connected to the control module. The balance and stable system of patients' body can be improved by the physiology stimulation treatment for foot. The vibration shoe provided with inner soles can generate physiology stimulation by utilizing the vibration motor module and generate positive treatment effect for patients lacking balance so that the purpose of reducing falling down risk can be achieved.

Description

201125554 六、發明說明： 【發明所屬之技術領域】 本發明是關於使用於跌倒之風險評估與促進平衡穩定以及非侵入式的 生理訊號量測的儀器。 【先前技術】 跌倒是老年人口中主要的公共衛生關注議題⑴。成人人口中增長的族 群，如65歲或65歲以上，醫療照護的支出逐漸增加。在1998年，在家中 • 發生的意外傷害佔了美國社會至少2170億美金支出[2]。其中，跌倒的醫療 支出為905億美金，約為家中意外傷害支出的42%。根據台灣内政部統計 處s周查，65歲及以上人口數於1990年為127萬而2006年增為226萬[3]。 而依據中華民國（台灣）行政院衛生署統計’由於意外傷害導致2383老年 人死亡[4]，而跌倒是意外伤害造成的重要原因之一。因此，防止老年人跌 倒是我們所關注的一件重要議題。 老年人會因平衡的生理改變而增加跌倒的風險[5]。導致老年人跌倒有 φ 許多特性[6]，將之列舉如下： 靜態特性 動態特性 歷史 評估生命徵象之急性變化 痴呆 清醒程度 帕金森氏症 神經系統 硬腦祺下血腫 步態或平衡不穩 頭部外傷/外傷導致腦傷害 皮膚完整性 201125554 髖部骨折 皮膚撕裂 骨質疏鬆症 血腫 步態或平衡障礙 淤血 視力障礙 肌肉骨骼系統 聽覺喪失 扭傷 姿態性低血壓 拉傷 譫妄症 骨折 服用藥物 血管擴張劑 抗精神***病藥物 降低血壓藥物 管制藥品止痛劑 利尿劑 痴呆導致行為 失智症導致之迷失行為 焦慮不安 視幻覺 運動或步態失能 靜態特性包括病史、服藥以及痴呆導致之行為等是無法改變與避免。 任何有一或多項靜態特性的年長者應小心防範。動態特性可能每天都不同 而引發意外跌倒。為降低這些特性對老年人所導致傷害，健康照護系統應 201125554 發展一套可評估並治療身體平衡感知功能。 進一步的研究描述如下：魏’跌倒是—種f見於老年人的意外，且 導傷口匕$發生於行走時，且常與神經肌肉或感知系統的慢性退 化、踝關節肌肉無力、以及疲勞導致這些肌肉低•有關[7]。在美國，跌 倒疋主要導致行動不便與死亡的主因。幾個因素會導致行動時鮮倒、滑倒、 或跌倒’域面狀況、職過程以及路面的伟程卵]。批獅跌倒的 療程發展疋傾的。最近’生物力學分析被顧於料骨科與神經方面輕 度損傷的療W展[9]。其主制職知回_造齡勢婦和藉由擾動姿 勢而引起補償性踏步的控师_ιη以及利用皮膚連接部分與肌肉的機械性 刺«受器提供必須的本體感知訊號輸入剛原理來達到療程。機械式刺 激足部的外力受器可驗祕本體感受性回饋，並可用以評估巴金森氏步 _產生。足部的壓力會活化腳底的機械性刺激感受器此機械性刺激感 受器於站叫㈣綱。油職如峨舰_平衡時作為 切感受性_調控方法的效果。這個效果被歸因於促進的本體感受性回 饋。這個超過間限刺激的效果是複雜且取決於刺激的頻率、強弱與位即9、 ^。足部末端_之振麵激有相近之效果但造成身體往反方向偏斜。同 日、活化足部前端與末端區域對於身體偏斜無影響，但卻會造成壓力中心的 動搖。這蜂果暗移勢反應可騎位置與顧·有專—性。 種相關的專射職_上述原理降 關的專利申請案列舉如下： 老年人所導致傷害’相 4統包含數個壓電的感測元件’這些感測元件被架置於數種支持的 201125554 硬塑膠或其他物理性質類似的材質^這些感献件可進_步藉由備用的 平板結構支持。某些個的平板可涵蓋整讎子，有侧涵蓋部份鞋底。 由物理性整合料所域的可分離之架置可插人變 (t刪咖⑺，可以 以模組型式製造而應胁製料_感絲絲底感應墊。該專利亦公開 一種充電式的訊號整合電路。 L美國翻jj青5,836,899號’脑_之振動訊號系絲 該訊號系統包含-個由電池運作之電源供絲，該電源供應器架置於 鞋舌内的如巾。職祕絲賴至設於鞋賴形紅觀基座上的振 動益。邊電源供應器與振動⑽藉由隱藏於鞋子上緣巾的電線連結。鞋舌 中電源供絲驗置_ 了⑽的正常平衡並对個者㈣立、坐姿、 行走或跑步時都能由振動訊號維持平衡。 號，鞋類之平，增冶严肀 該專利提供之鞋難雖具有舰腳絲面的錢壓力❹⑽裝置。 情穿著此雜類者，增進其腳絲面的皮膚壓力感知於身體重心移動 至聊的邊緣時，可使這些人的中樞神經系統較易察覺與反應；上述狀況若 放任不f，容料致失去平衡或跌倒。該專㈣公[種具有延伸的或一 系列突出的鞋底’該延伸的或—系列突出形成—相當靠近鞋底邊緣的狹窄 降起’且此鞋錢賴作雜上突出，逆著足絲面，至少綠部份腳的 邊緣。201125554 VI. Description of the Invention: [Technical Field of the Invention] The present invention relates to an apparatus for risk assessment of falls and for promoting balanced stability and non-invasive physiological signal measurement. [Prior Art] Fall is the main public health concern in the elderly (1). The growing population of the adult population, such as 65 years of age or older, has gradually increased spending on medical care. In 1998, accidental injuries at home accounted for at least $217 billion in US social spending [2]. Among them, the medical expenses for falls were 90.5 billion US dollars, which is about 42% of the accidental injury expenses at home. According to the weekly statistics of the Ministry of Internal Affairs of Taiwan, the number of people aged 65 and over was 1.27 million in 1990 and 2.26 million in 2006 [3]. According to the statistics of the Health Department of the Executive Yuan of the Republic of China (Taiwan), 2383 elderly people died due to accidental injuries [4], and falling is one of the important causes of accidental injuries. Therefore, preventing falls in the elderly is an important issue that we are concerned about. Older people will increase the risk of falls due to balanced physiological changes [5]. Leading to the fall of the elderly has many characteristics of φ [6], which are listed as follows: Static characteristics Dynamic characteristics Historical assessment of acute signs of vital signs Dementia Awareness degree Parkinson's disease Nervous system Subchondral hematoma Gait or balance unstable head Trauma/trauma causes brain damage Skin integrity 201125554 Hip fracture Skin tear Osteoporosis Hematoma Gait or balance disorder Congestion Visual impairment Musculoskeletal system Hearing loss Sprain Posture hypotension Stubble fractures Take drug vasodilator Antipsychotic Schizophrenia drugs lower blood pressure Drug control drugs Analgesics Diuretic dementia leads to behavioral dementia caused by lost behavior Anxiety Disillusionment Illusion movement or gait disability Static characteristics including medical history, medication and behavior caused by dementia cannot be changed and avoided. Anyone with one or more static characteristics should be careful. Dynamic characteristics can vary from day to day and cause unexpected falls. To reduce the harm these injuries cause to the elderly, the health care system should develop a set of evaluable and therapeutic body balance perception functions in 201125554. Further research is described as follows: Wei 'fall is a kind of accident seen in the elderly, and the wound 匕 $ occurs when walking, and often with chronic deterioration of the neuromuscular or sensory system, ankle muscle weakness, and fatigue Low muscles • related [7]. In the United States, falls are the main cause of inconvenience and death. Several factors can cause the action to fall, slip, or fall into the 'domain condition, the job process, and the stalwart eggs on the road.' The treatment of the fall of the lion has been declining. Recently, 'biomechanical analysis has been taken care of in the treatment of orthopedics and neurological mild injuries [9]. The master system knows the _ age-building woman and the controller who caused the compensatory step by disturbing the posture _ιη and the mechanical thorns that use the skin connection part and the muscles to provide the necessary body-sensing signal input principle. Reach the course of treatment. The mechanical external force receptor for the foot can detect the proprioceptive feedback and can be used to evaluate the Bajinsen step _ generation. The pressure on the foot activates the mechanical stimulator on the sole of the foot. This mechanical irritant is called the station (4). The role of the oil service such as the stern ship _ balance as the susceptibility _ regulation method. This effect is attributed to the propagating proprioceptive feedback. This effect of exceeding the interval stimulus is complex and depends on the frequency, intensity and position of the stimulus, ie, ^. The vibrating surface of the end of the foot has a similar effect but causes the body to deflect in the opposite direction. On the same day, the activation of the front and end of the foot has no effect on the body deflection, but it will cause the pressure center to shake. This bee fruit dark shift potential reaction can be riding position and Gu·speciality. A related patent application for the above-mentioned principle is listed as follows: The injury caused by the elderly 'phase 4 contains several piezoelectric sensing elements' These sensing elements are placed in several supported 201125554 Hard plastic or other materials of similar physical properties ^ These features can be supported by an alternate flat structure. Some flat panels cover the entire raft and some have some sides. The detachable mounting of the physical integrated material can be inserted into the human body (t-cut coffee (7), which can be manufactured in a modular form and threatened with the material _ silk wire bottom sensing pad. The patent also discloses a rechargeable type. Signal integration circuit. L United States turned jj Qing 5,836,899 'brain_vibration signal cable's signal system contains a battery-powered power supply wire, the power supply rack is placed in the tongue like a towel. It relies on the vibration benefit of the shoe on the base of the red-shaped base. The power supply and the vibration (10) are connected by the wires hidden in the upper edge of the shoe. The power supply in the tongue is verified by the normal balance of (10). The vibration signal can be maintained in balance for the person (4) standing, sitting, walking or running. No., the level of the shoes is flat, and the smelting of the shoe is strict. The shoe provided by the patent has the money pressure of the ship's foot (10) device. Wearing this kind of miscellaneous class, the skin pressure of the facial surface of the foot is increased, and the center of gravity of the body is moved to the edge of the conversation, so that the central nervous system of these people can be more easily detected and reacted; if the above situation is not allowed, the contents are lost. Balance or fall. The special (four) public Stretched or a series of protruding soles 'the extended or - series protruding - forming a narrow drop near the edge of the sole' and this shoe money is prominently protruding, against the foot surface, at least the edge of the green part of the foot .

轉利是-種可攜式、可自學的用於下肢損傷復健之適重的支撐監測 系統。該系統包含-有彈性的鞋内塾。該鞋内墊含錢於量測地面反作用 201125554 力的壓減力量感知n ’這些感Μ絲於足下或病患下肢其他部位的主 要支樓點。這些感知H依序藉由-個類比數位轉鮮與—個巾央處理器連 結，此連結可驅動-個刺激而傳遞封閉迴路感知刺激（電的、機械式的， 以及/或聽覺的）作為回饋，而促使病患增加適當的肢端之標的重量而測 量該重量之找力道。該專利亦提供生理復健時’支撐重量的正確即時監 控’以及透過該賴迴路感知刺激，持續提供病患改善復健的回饋。 1美國專利申諳6,507.757The transfer is a portable, self-learning support monitoring system for the rehabilitation of lower limb injuries. The system contains a flexible insole. The inner cushion of the shoe contains money to measure the ground reaction. 201125554 The force of the force of the force is perceived by n'. These feelings are in the main branch of the foot or other parts of the lower limbs of the patient. These perceptual Hs are sequentially linked by an analogy of digital transpositions to a central processor that can drive a stimulus and transmit a closed loop perceptual stimulus (electrical, mechanical, and/or audible). The feedback is used to induce the patient to increase the weight of the appropriate extremity and measure the weight. The patent also provides the correct correct monitoring of the 'support weight' during physiological rehabilitation and the continuous feedback provided by the patient to improve rehabilitation. 1 US patent application 6,507.757

二刺激身體夕_靑 該刺激器是用以做腿與身體其他部分，如垂足病患的腿。該刺激器 由-腳踏Μ控制’而該腳踏開關由使用者控制。該腳蘭關需與環境狀 況反向侧，《可_重概㈣致雜是__變1發明提供— 具適應特性的功能式激可貼附於腿上。該發明包含可貼附於腿上可施 以電刺激的第-與第二電極，-個腳踏開關量測腳舉起或腳踏下，—個針 對該腳踏_反映而產生舰脈_秘，以及形迴路零件的方法， 該迴路會針對該腳踏«χ具阻力·改變而反應，此反應是藉由調校該 迴路的相·觸值喊^本㈣亦提供—個雙f道刺織，使其可以 控制由不同的肌肉群產生訊號。例如，社具可藉由界定—個第一與第二 管道間訊號路徑，以使該第-與該第二管道中之—提供的刺激脈衝，可由 連結至所謂第—與該第二管道的另—個的開關卫具狀態所控制。進一步的 實施例中，铺界定—個第_與第二管道間載龍，⑽該第一與該第 二管道其中之—刺激脈衝提供可由所謂第—與該第二管道的另—個的活化 狀態所控制。另-個進-步的實施例中，第—管道被安排於—定時間後導 致刺激脈崎停’ 4二管道無料_時器被停用 以致無間斷提供刺激 201125554 。該雙管道刺激器可用 脈衝予連結於該管道之先決定的肢端位置開關工具 以治療兩側垂足病患。 糊細之嫩伽_絲包含_雙物取絲，以及伴 :之勿理冶療裝置。具傳導性的金屬線沿著鞋身的内緣直接包埋於 母只鞋枚絲面有鋼、洞。—魏赠的邊緣被佈置於鞋朗圍，、巧 鞋背有舒祕可提供電傳導之喊繞軸立》迦如與按摩突出^ 生理治療娜跡靖銳_貞轉#，@㈣與中物 電波沿著職產生，這_對於_具有物理治_健效果。 方法盘 莖方法之鞋内執卷紐 該方法提供-可增強感知刺激的鞋_墊。該方法包含挑選的足部位 置’並刺激觀部位置神經1提供於該足步行時刺激該軸墊於前述足 部位置提升的方法。 -利 7’3Q1’546 功能之鞋内熱方法 *該專利是關於製備具治療功能之鞋㈣方法，包含—具有掃描器以用 於掃描病人足部底面之平台、—個可傳遞掃描影像至電腦的的資料處理連 結二套可將傳遞㈣料轉換成可行指令啸床的軟體、崎銳床可 根據削述可仃指令製造—只具治療功能之翻墊，根據病患的身體狀況， 藉由將神_丨（neu_gieal帅_〇置胁掃㈣上·病紋下，該神 丄導引為乡且有各種標準化尺寸的神經導引中的零件，並於該神經導引下 方作L己以利辨識，而該掃描影像包含該可供辨識之標記以及該神經導引 201125554 的方位。 習知技術所提供之平衡穩定系統，具有下列之缺點： L某些備用的平板可涵蓋整個鞋子，有些則涵蓋部份鞋底。無法配合 病患的鞋子進行調整。 2·刺激器是用以刺激腿與身體其他部分，如垂足病患的腿。該刺激器 由一腳卿削，而該腳踏_由使用者控制，使用上非常複雜。 3.利用掃描器掃描病人足部底面之平台、—個可傳遞掃描影像至電腦 的的資料處料結一套可將傳遞贿料轉換射行指令以控制銳 床的軟體、義絲可根據前述可行指令製造—只具治療功能之鞋 内塾’製造方法困難而且費時費力。 由此可見，上述習用枝仍有諸多不足，實非_良善之設計，而亟待 加以改良。 本案發明人鑑於謂制方式所魅的各顿點，乃亟思加以改良創 新’並經多年和„旨潛心研織，終於㈣研發完縣件跌概險評估 與促進平衡穩定系統及其方法。 【發明内容】 本發明之目的即在於提供-種為了降低老年者因上述特性而受傷，健 康照«統建議發展-套可崎估並治療身體平衡的核。因此，本發明 聚焦於量測壓力中心（C吻0fPre霞e，c〇p) f料藉由非侵入式生理 訊號裝置評倾瓶險，並以做足部的物理治療方式改善身體的平衡與 穩定系統。本發明之振練可產生生理做収向轉患有平碱知置乏 的病人，以達成降低跌倒風險的目標。 201125554 本發明之另-目的在於提供—做用壓力制脑收集-定數量不同 年齡的人之統計資料。此外，我們應用—錄學分析方法，如多尺度倘 (馳i-scale Entropy，MSE)，藉由經驗模態分解法（㈣耐麗6 D_n_i〇n，EMD)㈣這些人的平衡與敎祕。這些人勤穿著本發 明之振動鞋’而受到射的生理舰治療續善其平鋪穩定系統。 可達成上述目的之-種其令包含一讎内墊、複數振動馬達模組和控 制核組。㈣墊大何視鞋子種類不同而機。雜_將插人鞋子中， 該振動馬賴組與控制模組連結^針對足部的生理治療刺激改善病患的身 體平衡與穩m該設置錄_之振練可顧娜馬賴組產生生 理刺激並對平賴乏的錢產生正向療效，而達麟低蘭顺的目標。 【實施方式】 τ 跌倒風險評估與增強平衡穩定系統可區分為兩部分：治療與評估系統。 1·治療*** 參見圖 A、二、三與三A，該跌倒風險評估與增強平衡穩定系 統包含-鞋内蝴，其插人鞋子⑶巾，鞋峨丨)内設計具有隨機共振（犯） 功此’能針對不同絲崎適度機共振鮮，進而促進老年人的行動穩 定度。-複數振動馬達模組⑵裝置於鞋内墊⑴巾，其藤產生隨機共振 (SR)以及-控制模組⑶，該控制模組⑶可進一步包含裝置於鞋子⑶上 的一個振動阻抗器(4)。 首先’在設計該鞋内墊⑴時，需輸入對人觸覺感知有影響的雜訊。藉 由-個特觸非零級魏’—個人可察制的__個:爛值的觸覺刺激的能 力可明顯地促進。根據相關的科學研究[39]，研究人員發現「隨機共振，是 201125554 -種現象’該現象中雜訊會促進—個非線性系統對—微弱訊號的反應，該 現象被證明於各種生理系統中有重要功能」。而「這些結果暗示一個以雜訊 為基礎可麟改善人_覺壯的猶。該技術可哺人—個遙控機器人 或虛擬環境的觸覺表面的設計」。由臨床觀點，—種細於個體的以隨機共 振為基礎的技術可已提高同時_制值，例如老年人、周邊神經病變患 者或中風病人另外，於自然(Nature)的一短篇文章中网也提到「我們的 實驗非常明確_出微弱誠可藉由—種施於—單—感知神經之適當的外 界雜λ而帛近，—個涵蓋人於外界雜訊存在時賴糊之圖像的感知 心理生理實驗與模魏如此提出如此的建議。」為提高晴的感覺闊值， 次感知之機械性雜訊將藉由振動鞋内塾⑴而施用於足底。該振動鞋⑶是可 以讓病患转之任恤款，.跑錄、拖_咖彡叙職的正式 的、休閒的或整形外科的鞋款。 我們將帶偏心輪的馬達裝置至_練_⑴中。該帶偏心輪的馬達 可以如圖三與圖三Α所示安裝於鞋内墊⑴中。如圖二、圖三姻三Α所示， 此種帶偏心輪的馬達⑺與控制模組⑶連結以控制帶偏心輪的馬達⑵振動 程度。如圖四卿’受試者在_時段中穿著振動模式啟動之含振動鞋 内塾⑴的鞋子⑶。控制模晴可安農一個可變的阻抗_以調整振動的 強度，以使受試者可舒適的進行療程。 2.評估系統 參見圖五’在系統開倾，該受試者登錄他們本資料。首先，受 财龄賴震練騎實驗，触會由實驗人魏時轉職以及瞭解 貫驗㈣疋否對文測者造成不舒服感。受測者穿戴震動鞋(但未開啟震動裝 201125554 置’以-般的鞋子視之）。受測者坐在椅子上，聽到實驗人員的指令後則起 身往前直線行走3公尺，而後轉身再直線走回座位，並且坐下，則為完成 起身和行動測試(Up and g〇 test)。 完成起身和行動測試(up and go test)後，請受測者休息〗分鐘再進行 C〇P量測⑹。首先請受測者將震練脫下，並靜止站立於非侵人式生理訊 號量測儀n上’聽到實驗人員的指令後·行靜止社65秒的實驗，再次 聽到實驗人員的指令後則完成C0P量測，請受測者再次穿上震動鞋。過程 中’醫護人員與實驗人員均會小心保護受測者，避免平衡不佳而跌倒。 完成COP制且餅震練後，由實驗人該練底魏裝置。目前 共有6段震動程度可供提整(〇，1〇2〇,3〇,4〇,5〇)，〇表示震動程度最大，见表 示震動程度最小。由實驗人貞隨機機震動大小程度，並_受測者是否 會感到不舒服或是刺痛感，直到受測者認為可以接受的震動程度為止，並 紀錄該受測者制的電阻值。機雜震域，龍護人員關受測者步 灯』1〇77鐘’過財若有任何不適均可隨辆整震動程度。步行約鐘 後，請實驗人員關閉鞋底震動裝置(7)。 兀成步行後’ 5月叉測者休息J分鐘。接著受測者穿戴震動鞋(但未開啟 震動裝置’以一般的鞋子視之）進行起身和行動測試(up and go test)。 疋成起身和仃動測試(up and g〇㈣後，請受測者休息^分鐘，再進行 COP里測⑻。我們由非侵人式生理訊號量測儀餘雜力中資料並將該 資;、·] (9)。如圖五所示，我們使用咖⑨電腦軟體撰寫一個多尺 气乂刀析壓力巾^資料與比較生理刺激前後身體之壓力中心的差 〃 /生理做喊善$試者平衡的生_知並驗進老年人的跌倒傾向 12 201125554 預測，而能使其獲得較多的醫療照護並改善其身體平衡與穩定(9)。 本發明使用的非入式生理訊號量測儀器收集一定數量不同年齡的人 之統計資料。此外，非侵入式生理訊號量測儀器設定有一些數學分析方法， 如多尺度熵（Multi-scale Emmpy，MSE)，藉由經驗模態分解法（Empirical M〇deDec〇mP〇Siti〇n，EMD)評估這些人的平衡與穩定系統。這些人藉由穿 著本發明之振動鞋’而受到其中的生理刺激治療而改善其平衡與穩定系統。 量測壓力中心的第-步方法為藉由經驗模態分解法(empirical咖如 # deC〇m_i〇n，EMD)將資料作基線的修正。經過經驗模態分解處理後，我 們使用多尺度滴(multi-scale entropy，MES)評估壓力中心。 里驗模熊分解法 為了 進行經驗模態分解法(empirical m〇de dee()mpQsiti()n，EMD)了 解經驗模‘ϋ分解是反覆的織處理演算法，可以藉由反覆移帅刷ng)過程 而分解訊號之内在組成。 經驗模態分解法是由以下的假設發展而得_任何時間序資料含有不同 的簡單_振動模式。财法·礎是在難上依振_式_尺度特點 確〜内。卩振純式，而分解該資料。如圖六所示，這步驟是藉由,，位移” ng)貝料產生内在組成（内建模態函數）而達成。由經驗模態分解 法所件之内建模態函數是-組通用的内在模式這些函數並且滿足以下狀 況：對於局部科縣說這些减是對_，而且财姻數目的跨零點 及極值。 此刀解方法可續單地利用分別由區域極大値與極小俊所定 義的包絡 201125554 線。一旦極値被確認後，所有局部最大值遂由當作上包絡線的立方樣條線 所連結。針對局部極小値重複此步驟而產生τ包絡線。該上、下上包狄線 應該包含所有介於其間的資料。他們的平均值以m丨表示，這些資料與m〗 的差異是第-部分稱為hi。圖六說明位移步驟：（a)原始資料；⑻原始 資料以細實線絲，纽代表上、下_，平均值以粗實線表示；⑷ «料與％的«。因為有負的局部最大值與正的最小值的载波，這還不 算是一種本質模態函數。 ,X⑴ H (1) 若滿足町觀，騎產生之顺ml縣料是__建模態函 ^-^^^οη,ΙΜΡ8):(Ι) hl^to;(II) ^之Γ包絡線是對稱的；（ΠΙ)其跨零點及極值的數目是-樣或僅差1。 儀她==Γ考量生理狀況下，基於周期性（亦即每個週期 態函數。、“bw職複_树峨蝴内建模 接下來的位移步驟中，㈣視為資料重複上述的處理。 W" ~ ^11' (2) 右仏數hu不滿足標準，則進行位移步驟匕欠直到可接受的程度。 UA-I)- Ί/t n\k (3) 右所传的時間序是一階内建模態函數加 隨後將原始資粗分+ 將之“明為Cl=hlk 抖減去該一階内建模態函數，其差r,闡示如下 14 (4)201125554 C1 X(t) , 、； 因為《 r,，域含有較長_部分师料它可被視為是新資料而 以《位移步驟處理。這個步驟可重複於所有接下來的5，其結果如下·· ri ~ c2 = r2? r 齡移處理可因刊任—事先職的標準而停止：若是2份⑷或 G】於重钱果的事先騎値，亦或是當差（〇軸單調函數而益 法再萃取_模_，即便是零触（data__mean)的資料.，，、 其最後的麵可能不是〇，若有趨勢的資料，其殘差結果應妓該趨勢。圖 七顯示經驗鋪分解法處_典舰果，與這由典爾斷資餘過經驗 模態分解域理的絲齡。由計算綠式⑷與⑴，_得到方程式 ⑹0Second stimulating body eve _ 靑 This stimulator is used to make the legs and other parts of the body, such as the legs of patients with foot. The stimulator is controlled by a foot pedal and the foot switch is controlled by the user. The foot of the foot is required to be opposite to the environmental condition, and the _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ The invention comprises a first and a second electrode which can be attached to the leg to be electrically stimulated, a foot switch measuring foot lifted or a foot down, and a ship is generated for the pedal _ reflection _ The secret, as well as the method of forming the circuit part, the circuit will respond to the resistance of the pedal «the resistance of the cooker. This reaction is provided by adjusting the phase of the circuit and calling it (4). Weaving allows it to control the generation of signals by different muscle groups. For example, the social device can define a first and second inter-channel signal path such that the stimulation pulses provided in the first and second conduits can be coupled to the so-called first and second conduits. Another switch control status is controlled. In a further embodiment, the paving defines between the first and second conduits, and (10) the first and the second conduits wherein the stimulation pulse provides activation by the so-called first and the second conduit State controlled. In another embodiment of the step-by-step, the first pipe is arranged for a certain period of time to cause the stimulation of the pulse to stop. 4 The second pipe is left unfilled and the device is deactivated so as to provide stimulation without interruption 201125554 . The dual-tube stimulator can be pulsed to the previously determined extremity position switching tool of the catheter to treat patients with bilateral foot-foot. The succulent gamma-silk contains _ double-stranded silk, and the accompanying: The conductive metal wire is directly embedded in the inner edge of the shoe body and has steel and holes in the surface of the shoe sole. - Wei gifted edge is arranged in the shoe Langwei, and the skillful back of the shoe has the secret to provide the electric conduction shouting around the axis." Jiaru and massage highlights ^ Physiotherapy Naji Jingrui _ 贞 turn #, @(四) and The electric wave is generated along the job, which has a physical effect. Method of Stem Method for Shoe Insole This method provides a shoe _ pad that enhances perceptual stimulation. The method includes selecting a foot position and stimulating the positional positional nerve 1 to provide a method of stimulating the shaft pad to augment the aforementioned foot position when the foot is walking. - 7'3Q1'546 functional in-shoe heat method* This patent relates to a method for preparing a therapeutically functional shoe (four), comprising a platform having a scanner for scanning the underside of a patient's foot, a transferable scan image to The computer's data processing link is two sets of software that can convert the transfer (four) material into a feasible instruction whistle, and the sacrificial bed can be manufactured according to the instructions of the cutting instructions - only the therapeutic function of the flip pad, according to the patient's physical condition, borrow By placing the god _ 丨 (neu_gieal handsome 〇 胁 胁 ( 四 四 四 四 四 四 四 四 四 四 四 四 四 四 四 四 四 四 neu neu neu neu neu neu neu neu neu neu neu neu neu neu neu neu neu neu neu neu neu neu For identification, the scanned image includes the identifiable mark and the orientation of the neural guide 201125554. The balanced stabilization system provided by the prior art has the following disadvantages: L some spare plates can cover the entire shoe, Some cover some of the soles. They cannot be adjusted to match the patient's shoes. 2. The stimulator is used to stimulate the legs and other parts of the body, such as the legs of the patients. The stimulator is cut by a foot and the foot tread _ controlled by the user, very complicated to use. 3. Scan the platform of the bottom surface of the patient's foot with a scanner, a data transferable image that can transmit scanned images to the computer, and a set of instructions for transferring bribes to the bribe. The soft body and the silk thread for controlling the sharp bed can be manufactured according to the above-mentioned feasible instructions - the shoe inner 塾 which has only the therapeutic function is difficult and time-consuming and laborious. It can be seen that the above-mentioned conventional branches still have many deficiencies, and it is not a good design. In order to improve it, the inventors of this case, in view of the various points of the singularity of the system, are thinking and improving and innovating, and after years of research and development, finally (4) research and development of the county fell risk assessment and promote balance and stability BACKGROUND OF THE INVENTION 1. It is an object of the present invention to provide a core for reducing the risk of an elderly person suffering from the above-mentioned characteristics, and to develop a health balance. Focus on the measurement of the pressure center (C kiss 0fPre Xia e, c〇p) f material through the non-invasive physiological signal device to assess bottled danger, and to improve the body by physical therapy of the foot The balance and stability system of the present invention can produce a physiologically-receiving patient with a need to reduce the risk of falling. 201125554 Another object of the present invention is to provide a stress-making system. Brain collection - statistics on the number of people of different ages. In addition, we apply - recording analysis methods, such as multi-scale if (i-scale Entropy, MSE), by empirical mode decomposition method ((4) Nelly 6 D_n_i 〇n, EMD) (4) The balance and mystery of these people. These people are wearing the vibration shoes of the present invention and are being treated by a physiological ship to continue their tiling stability system. The above-mentioned purpose can be achieved.雠Inner cushion, complex vibration motor module and control core group. (4) The size of the cushion is different depending on the type of shoes. Miscellaneous _ will be inserted into the shoes, the vibration Ma Lai group and the control module are connected ^ Physiotherapy for the foot Stimulation to improve the patient's body balance and stability. The setting of the _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ [Embodiment] The τ fall risk assessment and the enhanced balance stabilization system can be divided into two parts: the treatment and evaluation system. 1. Treatment system Referring to Figures A, 2, 3 and 3A, the fall risk assessment and enhanced balance stabilization system includes - in-shoe butterfly, which inserts shoes (3) towel, shoe last) with stochastic resonance (sin) This can be used to resonate with different silkworms and promote the stability of the elderly. - a plurality of vibration motor modules (2) are mounted on the insole (1) towel, the rattan generates a random resonance (SR) and a control module (3), and the control module (3) may further comprise a vibration resistor (4) mounted on the shoe (3) ). First of all, when designing the insole (1), it is necessary to input noise that has an influence on human perception. By means of a special touch non-zero-level Wei--personal __: the ability of rotten tactile stimuli can be significantly promoted. According to related scientific research [39], the researchers found that "single resonance is 201125554 - a phenomenon in which the noise will promote a nonlinear system response to weak signals, which is proved in various physiological systems. Have important functions." And "these results suggest that a noise-based syllabus can improve people's strength. This technology can feed people - the design of a remote-controlled robot or the tactile surface of a virtual environment." From a clinical point of view, a technique based on stochastic resonance that is finer than the individual can be improved at the same time, such as the elderly, peripheral neuropathy patients or stroke patients. In addition, in a short article in Nature, Mentioned that "our experiment is very clear _ faint and honest can be applied to - single - the appropriate external λ of the sensory nerve is close, - covering the image of the person in the presence of outside noise The Perceptual Psychophysiological Experiment and the Model Wei made such a suggestion. In order to improve the feeling of the sensation of the sensation, the sub-perceived mechanical noise will be applied to the sole of the foot by vibrating the inner sputum (1). The vibrating shoe (3) is a formal, casual or orthopedic shoe that can be used by patients to change their shirts. We will install the motor with the eccentric to the _ training _ (1). The motor with the eccentric can be mounted in the insole (1) as shown in Figures 3 and 3. As shown in Fig. 2 and Fig. 3, the motor (7) with the eccentric is connected to the control module (3) to control the vibration degree of the motor (2) with the eccentric. As shown in Figure 4, the subject wears a vibrating shoe with a vibrating shoe inner (1) (3) in the _ period. The control mode can be used to adjust the intensity of the vibration so that the subject can comfortably perform the treatment. 2. Evaluation System Referring to Figure 5, 'The subject is logged in, and the subject logs in to their data. First of all, by the financial age Lai Zhen practice riding, the meeting will be transferred from the experimental person Wei Shi and understand the continuity test (4) whether it is uncomfortable to the test. The subject wears a vibrating shoe (but does not open the vibrating suit 201125554) to look at the shoes. The subject sat in the chair and, after hearing the instructions of the experimenter, got up and walked straight for 3 meters, then turned and walked back to the seat, and sat down to complete the up and g test. . After completing the up and go test, the subject is asked to rest for a minute and then the C〇P measurement (6). First, the subject is asked to take off the earthquake and stand still on the non-invasive physiological signal measuring instrument n. After hearing the instructions of the experimenter, the experiment is performed for 65 seconds. After hearing the instructions of the experimenter again, Complete the C0P measurement, and ask the person to wear the vibration shoes again. In the process, both the medical staff and the experimenter will carefully protect the subject and avoid falling and falling. After the COP system is completed and the cake is shaken, the experimenter should train the Wei equipment. At present, there are a total of 6 vibration levels for lifting (〇, 1〇2〇, 3〇, 4〇, 5〇), 〇 indicates the highest degree of vibration, see the vibration level is the smallest. The degree of random vibration of the experimenter by the experimenter, and whether the subject feels uncomfortable or tingling until the subject considers the acceptable degree of vibration, and records the resistance value of the subject. In the machine miscellaneous earthquake field, the dragon guards turn off the tester's step light "1〇77". If there is any discomfort, the degree of vibration can be adjusted with the vehicle. After walking for about an hour, ask the experimenter to turn off the sole vibration device (7). After the walk, the Mayer took a break of J minutes. The subject then wears a vibrating shoe (but does not open the vibrating device to perform the up and go test) in the usual shoes. After getting up and squatting test (up and g〇 (4), please take a rest for 2 minutes, then perform COP test (8). We will use the non-invasive physiological signal measuring instrument and the resources ;,]] (9). As shown in Figure 5, we use the coffee 9 computer software to write a multi-foot air knife to analyze the pressure towel ^ data and compare the difference between the body pressure center before and after physiological stimulation / physiological do shouting good $ The tester balances the _ knowledge and test the elderly's tendency to fall 12 201125554, which can make it more medical care and improve its body balance and stability. (9) The amount of non-invasive physiological signals used in the present invention. The instrument collects statistics on a certain number of people of different ages. In addition, non-invasive physiological signal measuring instruments are set up with mathematical analysis methods, such as Multi-scale Emmpy (MSE), by empirical mode decomposition. (Empirical M〇deDec〇mP〇Siti〇n, EMD) evaluates the balance and stability system of these people. These people are improved by their physiological stimulation treatment by wearing the vibration shoes of the present invention to improve their balance and stability system. Pressure center The first-step method is to correct the data by the empirical mode decomposition method (empirical coffee such as # deC〇m_i〇n, EMD). After the empirical mode decomposition, we use multi-scale drops (multi-scale) Entropy, MES) Evaluate the pressure center. In the empirical mode decomposition method (empirical m〇de dee() mpQsiti()n, EMD), the empirical model 'ϋ decomposition is a repeated weaving algorithm. The inner component of the signal can be decomposed by the process of repeatedly moving the brush ng). The empirical mode decomposition method is derived from the following assumptions. Any time sequence data contains different simple_vibration modes. The financial law is based on the difficulty of the _ _ _ scale characteristics Authentic ~ inside.卩振纯式, and break down the data. As shown in Fig. 6, this step is achieved by shifting the "ng" of the shell material to produce the intrinsic composition (internal model state function). The model state function in the empirical mode decomposition method is - group general The intrinsic mode of these functions also satisfies the following situation: For local divisions, these reductions are for _, and the number of marriages across zeros and extremes. This knife solution can be used continuously by the region and the mini-junction Defined envelope 201125554. Once the pole is confirmed, all local maxima are concatenated by the cube spline as the upper envelope. Repeat this step for the local minima to produce the τ envelope. The upper and lower The packet line should contain all the data in between. Their average value is expressed in m丨, and the difference between the data and m is the first part called hi. Figure 6 illustrates the displacement steps: (a) original data; (8) original The data is in fine wire, the new is the upper and lower _, and the average is represented by the thick solid line; (4) «Material and %«. Because there is a negative local maximum and a positive minimum carrier, this is not a kind. Essential modal function. ,X (1) H (1) If you meet the town view, the rider produces the shun ml county material is __ modeling state letter ^-^^^οη, ΙΜΡ8): (Ι) hl^to; (II) ^ Γ envelope is Symmetrical; (ΠΙ) its number of zeros and extremes is -like or only difference 1. The instrument she == Γ considers the physiological state, based on periodicity (that is, each periodic state function., "bw job complex _ tree In the next displacement step of modeling in the butterfly, (4) the data is repeated as described above. W" ~ ^11' (2) If the right number hu does not satisfy the standard, the displacement step is owed until it is acceptable. UA-I)- Ί/tn\k (3) The time sequence transmitted by the right is the first-order inner model state function plus the original sufficiency score + "make it clear as Cl=hlk and subtract the first order. The modeling state function, the difference r, is illustrated as follows 14 (4) 201125554 C1 X(t) , ,; Because "r, the field contains a longer _ part of the material, it can be regarded as new data with "displacement" Step processing. This step can be repeated for all the next 5, and the results are as follows: · ri ~ c2 = r2? r Age shift processing can be stopped due to the pre-job standard: if 2 copies (4) or G] Qianguo’s prior riding, or when (〇 axis monotonic function and benefit method re-extraction _ _ _, even the zero touch (data__mean) data.,,, its final face may not be 〇, if there is trend data, the residual result should 妓 this trend. Figure 7 shows the experience of the shop decomposition method _ dian ship, and this is the silk age of the empirical mode decomposition domain by Dylan. From the calculation of green (4) and (1), _ get the equation (6)

N Χ^=Σ€η ⑹ η=1 M (Entropy-) 在生物科學魅物工程中，經常是用生物訊號的熵估算。熵是一種重 要的量測，它不僅使職資紐論，也用於廣泛的醉領域涵蓋生物鮮 處聊[23]、[24]。—眺軸（—一㈣鳴統収 杈早-階的熵値統計更為複雜。—組資料_熵値統計是—種量測直所内 時間序的亂糊，且它·無__訊賴大，複雜度錄時門序 下的結構以及資助容«—個時間序_增加，通常但並⑽是，相 15 201125554 對應於其下系統複雜度的增加。 當-個不健全的系統與更多正常行為出現連結時，相較於自由跑步的 動態正常系統顯示出較低的熵値[25]。當與顯示相關特性㈤型幻的健 康的動態比較，傳統的演算法會因這類雜訊或病理性訊號而產出一侧値 的增加’即纖__更多崎終適她態。該不-致性 可能與目前普遍使⑽熵値量測是以單尺度分析為基礎且不考慮健康的 生理控制系統之複雜、短暫的波動。 該單-不連續隨機變數X的熵値Η (χ)是量測其不確定感的平均。 熵値是以以下等式計算： H(X) = -'£p(x.)l〇gp{x) πΘ (7) 其中X代表一隨機變數，該變數右 X受数有組値τ以及機率質量函數p(Xi)。 代表隨機處理的結果的一個時間序，， ]斤也就疋一組n個任意變數的索引順 序iXi} = |Xi，....，Xnl，此組變數依序有一組値Ti，Tn，其細定義如 下： 仏='§:'卜，...，〜)1〇响，.·.，')⑻ 其中，p(Xi，...,Xn)是這η個變數Χι，，Χη的聯合機率。 數字上’僅能計算有限階的n之縫…旦n隨著所給予的時間序增 大’鶴·η被低估且衰變趨近〇。因此，該實際（“μ爾证，）有_ 間序的K〇1m〇g〇r〇V-Sinai (KS)舰通常無法被合理地精確估算。 為了分析這種典型的短、有雜訊的時間序，pi_ [邮丨介此近似網值 (ap—mate⑽兩，ApEn)家麵她，财歸泛應撕生理學與醫 201125554 學。最近 Γ2 峰正的演算法被提出-樣本熵值（Sampleentmpy，SampEn) 個^演縣㈣點杨妹少取決於時間細長度。然硫演算法於某 理時間序妓—倾冑·。峨康者所取得 =間序^被認為是較不複雜之動態间。取得這類結果的—個可能原因可 2确量峡以單—尺度秘礎。ks雜與其侧之举^舰參數兩 (a functions one step different)N Χ^=Σ€η (6) η=1 M (Entropy-) In the bioscience fascination project, the entropy estimation of biological signals is often used. Entropy is an important measure. It not only makes the job news, but also covers a wide range of drunken fields, including bio-speaking [23], [24]. - The axis of the 眺 axis (—一(四) 鸣 杈 杈 杈 杈 - - 杈 杈 杈 杈 杈 。 。 。 。 。 。 — — — — — — — — — — — — — — — — — — — — — — — — — — — The structure of the large, complex time-recording sequence and the funding capacity «- a time sequence_ increase, usually but (10) is, phase 15 201125554 corresponds to an increase in the complexity of the system below. When - an unsound system and more When multiple normal behaviors occur, the dynamic normal system shows a lower entropy than the free running [25]. When compared with the dynamics of display-related characteristics (5), the traditional algorithm will be due to such miscellaneous Signal or pathological signal and the increase in side 产出 即 即 即 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Consider the complex, transient fluctuations of a healthy physiological control system. The entropy 値Η(χ) of the single-discontinuous random variable X is the average of the uncertainty measured. The entropy 値 is calculated by the following equation: H(X ) = -'£p(x.)l〇gp{x) πΘ (7) where X represents a random variable and the variable X is subject to a number Zhi τ and the probability mass function p (Xi). A time sequence representing the result of the random processing,, ie, the index order of a set of n arbitrary variables iXi} = |Xi,....,Xnl, this set of variables has a set of 値Ti, Tn, The fine definition is as follows: 仏='§:'b,...,~)1〇,.·.,')(8) where p(Xi,...,Xn) is the η variable Χι,, The combined probability of Χη. On the digital 'only finite order n slits can be calculated... once n increases with the given time order' crane η is underestimated and decays toward 〇. Therefore, the actual ("μ尔证," K〇1m〇g〇r〇V-Sinai (KS) ship with _ order is usually not reasonably accurately estimated. To analyze this typical short, noisy The time sequence, pi_ [mail 丨 this approximate network value (ap-mate (10) two, ApEn) home her, the financial confession should tear the physiology and medical 201125554. Recently Γ 2 peak positive algorithm was proposed - sample entropy value (Sampleentmpy, SampEn) ^演县(四)点杨妹少 depends on the length of time. However, the sulfur algorithm is based on a certain time sequence - 胄 胄 ·. The dynamics. The possible reasons for obtaining such results can be 2 to determine the gorge to a single-scale secret. ks miscellaneous and its side of the two parameters (a functions one step different)

氏我）’__該時_過去歷史這兩個熵值會反應下—個新點的 不確定性。 克㉙產X她!Mrscale Entmpy 1U cF、 用以測量生理時間序複雜度的以熵值為基礎之演算法已被廣泛應用。 對於區讀康者與病患，魏演算法6被綱是有效的軸有些結果可 能產生誤導的結論。例如’應⑽這類演算法計算心賴_動的心室反 的時間序崎賴值，是比同樣演算法計算之健康者靜脈竇節律時間序 的痛值為㈤細’健料、统比病理系統產生更多較複雜的輸出。傳統演 算法是單尺度的’因此無法用以說明生理系統的多時間尺度。I) ___ At that time _ past history these two entropy values will reflect the uncertainty of a new point.克29产X她!Mrscale Entmpy 1U cF, an entropy-based algorithm for measuring physiological time sequence complexity has been widely used. For the district readers and patients, the algorithm is a valid axis. Some results may lead to misleading conclusions. For example, '(10) such algorithms calculate the time-ordered lag value of the ventricular reversal, which is the pain value of the sinus rhythm of the healthy person calculated by the same algorithm. (5) Fine 'healthy material, unified pathology The system produces more complex outputs. Traditional algorithms are single-scaled and therefore cannot be used to account for multiple time scales of physiological systems.

Zhang [28, 29]提出一個納入生理系統多時間尺度的通用方法。其量測 基於視熵值而定的尺度觀’對於相_訊的辄不相干_訊產生較高 的値。然而，因為是以 Shannon 的熵值（Shannon，sdefiniti〇n〇fentr〇py)定 義為基礎，Zhang的方法需要大量且幾乎無雜訊的資料，才能以具有足夠統 计準確度地比對-訊號至明確的符號序列。因此，當仙於持續變化且有 限長度之典型生理訊號，它有著明顯的限制。 17 201125554 人之明確時間序（^dimensional discrete time series)是{Xi，".., 康X下等式’该時間序構築一個取決於尺度因子t之連續的粗粒化 時間序丨: y{p=i/Tyjr r ,. A l<j<N/T ⑼ 於尺度時’該時間序丨丨即是原始時間序。每個粗粒化時間序長度 等於原始時間序長度除以尺度@子丨。計算每個粗粒化㈣序熵値量測Zhang [28, 29] proposed a general method for incorporating multiple time scales of physiological systems. The measurement of the scale based on the apparent entropy value produces a higher ambiguity for the phase. However, because it is based on the definition of Shannon's entropy (Shannon, sdefiniti〇n〇fentr〇py), Zhang's method requires a large amount of data with almost no noise, so that it can be compared with enough statistical accuracy. To a clear sequence of symbols. Therefore, it has obvious limitations when it comes to typical physiological signals that vary continuously and have a limited length. 17 201125554 The person's explicit time series (^dimensional discrete time series) is {Xi,".., Kang X lower equation'. This time sequence constructs a continuous coarse graining time sequence depending on the scale factor t: y {p=i/Tyjr r ,. A l<j<N/T (9) At the time of scale, the time sequence is the original time sequence. Each coarse graining time sequence length is equal to the original time sequence length divided by the scale @子丨. Calculate each coarse granulation (four) order entropy 値 measurement

(SamPEn)描繪為—尺度因子t[3G]的函數。這就衫尺度熵（MSE) 分析的步驟[31]。 如圖八所不，在本研究中受試者的壓力中心訊號資料由CATSYS2000 所、’、己錄：^圖九所不，我們首紐麵驗鄕分解法（emd)對壓力中心 訊號貝料作基線修正與分解。其次，仙使料尺賴（mse)分析經驗 模Ί/7解& (EMD)處理後的資料。圖十顯示-受試者乡尺度網（MSE) 値且其尺度因子為從1到7。(SamPEn) is depicted as a function of the scale factor t[3G]. This is the step of the scale-entropy (MSE) analysis [31]. As shown in Figure VIII, in this study, the subject's pressure center signal data is from CATSYS2000, ', has recorded: ^ Figure 9 is not, our first face test decomposition method (emd) on the pressure center signal beaker Make baseline corrections and decompositions. Secondly, the immortal remedy (mse) analysis experience Ί / 7 solution & (EMD) processed data. Figure 10 shows the subject-scale network (MSE) and its scale factor is from 1 to 7.

結果 跌倒風險評估與增強平衡穩定系統及其方法的評估與治療結果結果如 下。 請參閱圖十一與十二分別顯示受試者於完成多尺度熵（MSE)分析後 與紀錄所有受試者的資料。如圖十一，於每個尺度因子，老年人群組的多 尺度熵（MSE)値是最低的。這顯示老年人的複雜度是較低的，且他們在 水平方位上的平衡感較差。然而，兒童群組的多尺度熵（MSE)値是最高 的。此群組的複雜度最高且他們在水平方位上的平衡感佳。圖十一是5組 18 201125554 不同年齡壓力中心多尺度熵（MSE)的分析結果，分析水平（X軸）方位 資料。將受試者（分析對象）分為兒童（小於20歲）、青年（20-40歲）、 壯年（40-50歲）、中年（50-60歲）以及老年（超過60歲）。圖十二中，為 分析垂直值(Y軸）方位資料’於每個尺度因子老年人群組的多尺度熵（MSE) 値是最低的。這顯示老年人的複雜度是較低的，且他們在垂直方位上的平 衡感較差。然而’兒童群組的多尺度烟（MSE)値是最高的。此群組的複 雜度最高且他們在垂直方位上的平衡感佳。 • 取多尺度熵値（MSE)之X軸與Y軸的平均面積以及計算下表每一組 之標準差（Standard Deviation)，顯示年輕群組不管在X軸或γ軸其尺度熵Results The results of the assessment and treatment of the fall risk assessment and the enhanced balance stabilization system and its methods are as follows. Please refer to Figures 11 and 12 for the data of all subjects after the completion of multi-scale entropy (MSE) analysis. As shown in Figure 11, the multi-scale entropy (MSE) 老年人 of the elderly group is the lowest for each scale factor. This shows that the complexity of the elderly is lower and their balance in the horizontal orientation is poor. However, the multi-scale entropy (MSE) 儿童 of the children's group is the highest. This group is the most complex and they have a good balance in horizontal orientation. Figure 11 is the analysis results of multi-scale entropy (MSE) of five groups of 18 201125554 pressure centers of different ages, and the analysis level (X-axis) orientation data. Subjects (analytes) were divided into children (less than 20 years old), youth (20-40 years old), strong (40-50 years old), middle age (50-60 years old), and old (over 60 years old). In Figure 12, the multi-scale entropy (MSE) 値 for the analysis of the vertical value (Y-axis) azimuth data' is the lowest for each scale factor elderly group. This shows that the complexity of the elderly is lower and their balance in the vertical orientation is poor. However, the multi-scale smoke (MSE) ’ of the children's group is the highest. This group has the highest complexity and their balance in vertical orientation. • Take the average area of the X-axis and Y-axis of the multi-scale entropy 値 (MSE) and calculate the standard deviation (Standard Deviation) for each group in the table below, showing the scale entropy of the young group regardless of the X-axis or γ-axis.

値（MSE)的平均面積較高。此外，老年群組其尺度熵値（MSE)的平均 面積較低。The average area of 値 (MSE) is higher. In addition, the age group entropy 値 (MSE) has a lower average area.

使用多尺度熵値（MSE)分析結果顯示老年組有最低值而青年組得到 較高値。這完全解釋此分析結果與—般的概念符合…般認騎輕族群的 平衡感較老年鱗輕，_年人隨年齡增加㈣誠献低。我們觀察 201125554 到該多尺度熵値（MSE)也有此趨勢。因此，我們推斷出該多尺度熵値（MSE) 分析方法可透過壓力中心訊號而有效評估人體平衡感知能力。 (1) 治療系統 在一次收集8位老年受試者的尺度熵値（MSE)資料並分析其壓力中 心訊號中，我們在多尺度熵値（MSE)面積作索引，並觀察該面積於穿著 振動鞋前後的改變。在跌倒的主要因素下，多數跌倒行為是向前倒或向後 倒（垂直軸）’向左側或右側跌倒的相當少見。在我們分析的跌倒，我們聚 焦於垂直軸（Y軸），而以水平軸（X軸）作為補充。在以多尺度熵方法量 測壓力中心訊號中的一位受試者結果，其X軸、γ軸資料如圖十三A、十 三B所示。前述提之多尺度熵値（MSE)面積計算可以了解其複雜程度。 該8位老年受試者以多尺度熵方法量測壓力中心訊號結果可見於X轴 的、内外向的（mediolateral, ML)以及 Y 軸前後的（anteroposteri〇r，AP)， 與舒適的阻抗設定顯示於下表。 受試者 阻抗 3外向的方位 前後的方位 (歐姆） 刖 後 結果 前 後 結果 1 15 6.1313 6.7029 較佳 5.6556 8.629 較佳 2 35 6.6144 6.5622 無改變 6.1877 8.2157 較佳 3 0 5.9893 7.2642 較佳 7.0117 9.492 較佳 4 10 5.4228 5.693 無改變 5.5208 8.2426 較佳 5 0 6.0539 6.1015 無改變 4.4705 7.5678 較佳 201125554The results of multi-scale entropy 値 (MSE) analysis showed that the elderly group had the lowest value and the young group had higher 値. This fully explains that the results of this analysis are consistent with the concept of “the general concept of recognizing the balance of the light tribes compared with the old scales. _ The number of people increases with age (4). We observe 201125554 to this multi-scale entropy 値 (MSE) also have this trend. Therefore, we conclude that the multiscale entropy enthalpy (MSE) analysis method can effectively assess the balance perception ability of the human body through the pressure center signal. (1) The treatment system collects the scale entropy 値 (MSE) data of 8 elderly subjects at a time and analyzes the pressure center signal. We index the multi-scale entropy 値 (MSE) area and observe the area in the wear vibration. Changes before and after the shoes. Under the main factor of falling, most falls are quite backward when they fall forward or backward (vertical axis) to the left or right. In the fall we analyzed, we focused on the vertical axis (Y-axis) and the horizontal axis (X-axis). The results of one subject in the pressure center signal were measured by the multi-scale entropy method. The X-axis and γ-axis data are shown in Figures 13A and 13B. The multi-scale entropy 値 (MSE) area calculation mentioned above can understand its complexity. The eight elderly subjects measured the pressure center signal using the multi-scale entropy method. The results were found on the X-axis, the mediolateral (ML), and the Y-axis before and after (anteroposteri〇r, AP), and the comfortable impedance setting. Shown in the table below. Subject's impedance 3 is the orientation of the outward direction (ohms). Results before and after the results 1 15 6.1313 6.7029 Preferred 5.6556 8.629 Preferred 2 35 6.6144 6.5622 No change 6.1877 8.2157 Better 3 0 5.9893 7.2642 Better 7.0117 9.492 Preferred 4 10 5.4228 5.693 No change 5.5208 8.2426 Better 5 0 6.0539 6.1015 No change 4.4705 7.5678 Better 201125554

若計异圖十三A、十三B中圖下方面積，第—塊面積是刺激前的多尺 度熵面積’第二塊面積是刺激後的多尺度熵面積。觀察多尺度熵面積改變 而討論複雜度改變顯示於下表。 複雜度索引 内外向的方位 前後的方位 測試前 6.107 ±0.380 5.926 ±0.753 測試後 6.134 ± 1.117 8.234 ± 0.665 配對樣本t檢定 0.953 < 0.001 (Paired-t test) —----—1 • 由上表’若第二塊面積值是大於第一塊面積值，這代表第二級（sec〇nd degree)複雜度高於第—級的複雜度，並且平衡感知暫時變得較好。在測試 過8位老年受試者中，有三位受試者的複雜程度變得較好，有兩位變得較 差，有二位於X軸（水平的、内外向的）無明顯差異。在γ軸（垂直的 前後方位的），8位老年受試者全變得健，沒錢試者變得較差或無改變。 該實驗結果詳列如下表：If the area under the figure in Figures 13A and T13 is different, the area of the first block is the multi-scale entropy area before stimulation. The second area is the multi-scale entropy area after stimulation. Observing multi-scale entropy area changes and discussing complexity changes are shown in the table below. Complexity index inside and outside orientation before and after orientation test 6.107 ±0.380 5.926 ±0.753 After test 6.134 ± 1.117 8.234 ± 0.665 Paired sample t test 0.953 < 0.001 (Paired-t test) —----—1 • From Table 'If the second block area value is greater than the first block area value, this represents that the second level (sec〇nd degree) complexity is higher than the first level of complexity, and the balance perception temporarily becomes better. Of the 8 elderly subjects tested, three subjects became more complex, with two getting worse and two being on the X-axis (horizontal, internal and external). On the γ axis (vertical anteroposterior orientation), 8 elderly subjects became all healthy, and the testers became poor or unchanged without money. The results of the experiment are detailed in the following table:

受試者較佳 較差 無顯著差異Subjects are better, poor, no significant difference

21 20112555421 201125554

振動鞋的振動程度會影響複雜程度 囚此 〇 雜系、4可以了解受試者的平衡感知狀況。藉由收集更; 瓣的壓力中心訊號，我們可得到每-群組平均值，作為此評估系❹The degree of vibration of the vibrating shoe will affect the complexity. Prisoner 〇 Miscellaneous, 4 can understand the subject's balance perception. By collecting more; the pressure center signal of the valve, we can get the average value per group as the evaluation system.

索引（m㈣。藉著比較受試者之壓力中心訊號與各群組之壓种心訊则 引’我們也可了解受試者身财衡是料任何問題。 我們於振動鞋裝置不_阻抗器，且可㈣其刺激強度以於每位受試 者可接受_度下進行實驗，較試者於實驗過财_舒適。受試者可 於安全與輕»㈣驗況下進捕力巾㈣療的實驗。 隨機振動是減進雜縣統職觀號反躺财阳3]， 已被確認在不同的生理狀況下是重要功能[34_38]。於生理系統中加入適當 的雜机疋㈣的。我們認為振動是—麵訊，並我們藉由不同的阻抗器控Index (m (4). By comparing the subject's stress center signal with the group's crushing heartbeat, we can also understand that the subject's body weight is expected to be any problem. We do not _impedance in the vibration shoe device (4) The intensity of the stimulus is to be tested at a rate acceptable to each subject, and the tester is more comfortable in the experiment. The subject can enter the force towel under the safety and light (4) test conditions. The experiment of treatment. Random vibration is the reduction of the county's unified position and observation. It has been confirmed that it is an important function under different physiological conditions [34_38]. Add appropriate appropriate machine to the physiological system (4) We think that vibration is - face information, and we control by different impedances

制振動強弱，並決定振絲的電力為雜訊（N)。根據雜訊不同程度分為5 群如下表所示：The vibration is strong and the power of the wire is determined to be noise (N). According to the degree of noise, it is divided into 5 groups as shown in the following table:

N= V/R2 X Y N1 =0 4.532988 4.637892 無刺激 N2 = 0.225 4.979452 5.482755 R = 40Q N3 = 0.45 4.963912 5.44987 R = 20Q 22 201125554N= V/R2 X Y N1 =0 4.532988 4.637892 No stimulation N2 = 0.225 4.979452 5.482755 R = 40Q N3 = 0.45 4.963912 5.44987 R = 20Q 22 201125554

p = 4.5 4.758888 5.70111 R = 2〇 Ν5 2.982862 4.062021 無鞋内墊p = 4.5 4.758888 5.70111 R = 2〇 Ν5 2.982862 4.062021 No inner cushion

我們取得—位受試者的5個雜訊之多尺度熵面積值，圖示於圖十四、 圖十五。 ' 於乂轴（水平）’叫働）、犯（2(^)與似（20)之多尺度熵面 積值無顯著差異，但均較N1與N5為佳。於Y軸（垂直）’ N4 (2Ω)之多 •尺度熵面積值最大，N2 (働）與犯⑽）無顯著差異，但均較^ N5為佳。N1是刺激前雜訊，N5是無鞋内塾的雜訊。若受試者穿著無鞋内 墊的振動鞋行走’他們感到非常不舒適甚至再也不願穿振動鞋了。 這結果顯示適當雜_激對於身體平衡純是有益的，但過度的振 動刺激導致身體平《統的衰退。這娜論與先前提出的結果當受 試者穿著振峰且贿實驗，首先應輯阻抗^難振動強弱^ 受試者不會感到不舒適，因而該振動鞋可以有效治療平衡系統之生理感知。 籲軸«本發明已猶此動力料統馳讀_，然必須了解的是 凡未脫離本發明技藝精制為之雜實施或變更，械包含於本案之專利 範圍中。 【圖式簡單說明】 有關本發明的詳細技術，請參酌以下圖示。 圖一為鞋内墊和振動鞋示意圖； 圖一A為鞋内墊放置於振動鞋内的示意圖； 圖二為本發明之鞋内墊内馬達模組連接示意圖； 23 201125554 圖三為鞋内墊内馬達模組示意圖； 圖二A為鞋内墊内馬達模組放大圖； 圖四為治療中鞋内墊内馬達模組震動圖； 圖五為評估流程的圖示； 圖六為圖示說明分析過程圖：（a)原始資料；（b)原始資料以細實線 表示’虛線代表上、下包絡線，平均值以粗實線表示；⑷該_仰的 差異。因為有負的局部最大值與正的最小值喊波，這還不算是—種内建 模態函數； 圖七為典型的時間序資料分析所產生的經驗模態分解法（emd)組成 圖； 圖八為壓力中心資料（X轴，γ轴）圖； 圖九為使用經驗模態分解法（獅）對壓力中心訊號作基線的修正圖； 圖十為多尺度舰圖：紅線代表多尺度熵値於χ軸（水平）；綠線代表 多尺度滴値於Y轴（垂直）； 圖十-為五組㈣年齡的人其壓力^㈣尺度熵分觸，分析該水 平的資料（X軸）哪析縣分為兒童（小於2G歲）、青年⑽〇幻、 壯年（40-50歲）、中年（5_歲）以及老年（超過6〇歲）； 圖十二為五邮畔齡的人其勤纽賴分糊，分析該垂 直的貧料（Y軸）。將分析對象分為兒童（小於2G歲）、青年（獅歲）、 壯年（40-50歲）、令年（5_歲）以及老年（超過⑻歲）； 圖十三八為分析對象令的一位於穿著本發明之振動鞋水平(X軸)的多 尺度熵紅線錄㈣本伽之振練前，雜代表穿著本發明之振 24 201125554 動鞋後）; 圖十三3為分析對象中的-位於穿著本發明之振動鞋垂直㈣)的多 又’ L_圖（、.工線代表穿著本發明之振動鞋前綠線代表穿著本發明之振 動鞋後）； 圖十四為分析對象中的一位其多尺度熵於χ軸的曲線面麵；以及 圖十五為分析對象中的—位其多尺度熵於Y軸的曲線面麵。 【主要元件符號說明】 φ 1鞋内墊 2振動馬達模組 3 控制模組 4振動阻抗器 5 鞋子 6-9評估流程的圖示We obtained the multi-scale entropy area values of the five noises of the subjects, as shown in Figure XIV and Figure 15. There is no significant difference in the multi-scale entropy area values of '乂乂(horizontal)' 働) and 犯(2(^) and like (20), but both are better than N1 and N5. On the Y-axis (vertical) 'N4 (2 Ω) as much as • The scale entropy area value is the largest, N2 (働) and crime (10) are not significantly different, but both are better than ^N5. N1 is the noise before stimulation, and N5 is the noise without shoes. If the subject walks in a vibrating shoe without a shoe inner pad, they feel very uncomfortable and no longer want to wear a vibrating shoe. This result shows that proper miscellaneous stimulation is purely beneficial to the body balance, but excessive vibrational stimulation leads to a flattened recession. This narrative and the previously proposed results when the subject wears a peak and bribe experiment, the first should be the impedance ^ difficult vibration strength ^ subject does not feel uncomfortable, so the vibration shoes can effectively treat the physiological perception of the balance system. The present invention has been described in the context of the present invention. It is to be understood that the invention is not limited to the practice or modification of the invention. BRIEF DESCRIPTION OF THE DRAWINGS For the detailed technique of the present invention, the following drawings are considered. 1 is a schematic view of a shoe inner pad and a vibration shoe; FIG. 1A is a schematic view showing a shoe inner pad placed in a vibration shoe; FIG. 2 is a schematic view showing a motor module connection in the shoe inner pad of the present invention; 23 201125554 FIG. Figure 2A is an enlarged view of the motor module inside the shoe inner pad; Figure 4 is a vibration diagram of the motor module inside the shoe inner pad; Figure 5 is an illustration of the evaluation process; Figure 6 is an illustration Analysis process diagram: (a) original data; (b) original data is indicated by thin solid lines 'the dotted line represents the upper and lower envelopes, and the average value is represented by a thick solid line; (4) the difference of the _ elevation. Because there is a negative local maximum and a positive minimum shouting wave, this is not considered to be an intra-modeled state function; Figure 7 is an empirical mode decomposition (emd) composition diagram generated by typical time-series data analysis; Figure 8 is a pressure center data (X-axis, γ-axis); Figure 9 is a modified map of the pressure center signal using the empirical mode decomposition method (Lion); Figure 10 is a multi-scale ship chart: the red line represents multi-scale entropy値 χ axis (horizontal); green line represents multi-scale 値 on the Y-axis (vertical); Figure 10 - for five groups (four) of age people whose pressure ^ (four) scale entropy touch, analyze the level of data (X-axis) Which county is divided into children (less than 2G years old), youth (10) illusion, strong years (40-50 years old), middle age (5 years old) and old age (more than 6 years old); Figure 12 is the age of Wuyou The person is diligent, and analyzes the vertical poor material (Y-axis). The analysis objects are divided into children (less than 2G years old), youth (lion years old), strong years (40-50 years old), old years (5 years old) and old age (more than (8) years old); A multi-scale entropy red line record (4) before wearing the vibration shoe level (X-axis) of the present invention, the dummy representative wears the vibration of the present invention 24 201125554 after the moving shoe; FIG. - a plurality of L_ drawings (in the vertical line of the vibrating shoe wearing the present invention), the green line in front of the vibrating shoe wearing the present invention represents the wearing of the vibrating shoe of the present invention; One of its multi-scale entropy curves on the x-axis; and Figure 15 shows the multi-scale entropy on the Y-axis in the analysis object. [Main component symbol description] φ 1 shoe inner pad 2 vibration motor module 3 control module 4 vibration resistance device 5 shoes 6-9 illustration of evaluation process

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Claims (1)

201125554 七、申請專利範圍： 1. -跌倒風險評估與增辭衡穩定祕，其中包含： -鞋内塾，其大小可視鞋子麵不同而調整； 裝置於鞋_巾的—複數翻馬達模組， 共振， 可針對不同病患產生適度隨機 -裝置於鞋子上的控制模組，其與振動馬達模組連結。 2· 所述之跌倒風險評估與增強平衡穩定系統，更包 •背之跌倒風險評估與增強平衡穩定系統，其中 6亥振動馬達杈組是一種帶偏心輪的馬達。 4. 如申請專利範圍第i項所述之跌倒風險評估與增強平衡穩定系統其中 忒振動馬達模組與控制模組間連結是裝置於鞋内塾的背面。” 5. 如申請專利範圍第i項所述之跌瓶_績增鮮衡穩定线，其中 該振動馬達模組與控制模組間連結是裝置於鞋内塾内。 6. -個跌舰險評倾增鮮衡敎方法，其包含町步驟： ⑻病患穿著振練’站立於—非侵人性量啦理訊號裝置上以力 中心資料； 〃 (b) 振動鞋提供生理刺激，且刺激病患的足部神經，且病患在一個無障礙 的地方正常來回走動； (c) 在生理槪後，絲再度站立於非侵人性量測生觀號裝置上； ⑹由非侵人性量耻理訊號裝置取得壓力中心資料，il將將龍輸入電 腦’且比較生理刺激前後的壓力中心的不同。 7.如申請專利範圍第〖項所述之跌倒風險評估與增強平衡穩定方法其中 該非侵人性量測生理訊號裝置利用經驗模態分解法(⑽㈣㈤m〇de decomposition，EMD)將資料作基線的修正，經過經驗模態分解處理後， 我們使用多尺度熵(multi-scaleentropy, MES)評估壓力中心。201125554 VII. Scope of application for patents: 1. - The risk assessment of falling falls and the stability of the vocabulary, including: - the inner shackles of the shoes, the size of which can be adjusted according to the different shoes; the device is installed in the shoe _ towel - the plural motor module Resonance, which can produce a moderately random-controlled control module for different patients, which is coupled to the vibration motor module. 2. The fall risk assessment and enhanced balance stabilization system described above, including the back fall risk assessment and enhanced balance stabilization system, wherein the 6-Hai vibration motor 杈 group is a motor with an eccentric wheel. 4. The fall risk assessment and enhanced balance stabilization system as described in item i of the patent application wherein the connection between the vibration motor module and the control module is on the back of the shoe inner raft. 5. If the application for the scope of patent application is reduced, the connection between the vibration motor module and the control module is installed in the inner sill of the shoe. Review the method of adding fresh and balanced, including the steps of the town: (8) The patient wears a rehearsal 'standing on the non-invasive amount of the signal device to force the center information; 〃 (b) the vibration shoes provide physiological stimulation and stimulate the disease Suffering from the nerves of the foot, and the patient walks back and forth normally in a barrier-free place; (c) After the physiological paralysis, the silk re-stands on the non-invasive measurement device; (6) by non-invasiveness The signal device obtains the pressure center data, il will input the dragon into the computer' and compare the pressure center before and after the physiological stimulation. 7. The fall risk assessment and the enhanced balance stabilization method as described in the patent application scope item, wherein the non-invasiveness amount The physiological signal device uses the empirical mode decomposition method ((10)(4)(5) m〇de decomposition, EMD) to correct the data as a baseline. After empirical mode decomposition, we use multi-scale entropy (MES) evaluation. Power center.