TWI499405B - System for training and evaluating dynamic capability while standing with lower limbs - Google Patents

System for training and evaluating dynamic capability while standing with lower limbs Download PDF

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TWI499405B
TWI499405B TW098141586A TW98141586A TWI499405B TW I499405 B TWI499405 B TW I499405B TW 098141586 A TW098141586 A TW 098141586A TW 98141586 A TW98141586 A TW 98141586A TW I499405 B TWI499405 B TW I499405B
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gravity
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rehabilitation training
signal
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TW201119627A (en
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Shun Hwa Wei
Wen Hsu Sung
Hui Ya Chen
Po Jung Chen
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Univ Nat Yang Ming
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Description

下肢站立時動態平衡能力訓練與評估系統Dynamic balance ability training and evaluation system for lower limbs standing

本發明係關於一種下肢站立時動態平衡能力訓練與評估系統,尤指一種使用預期性訓練來篩檢老人是否有跌倒危險之下肢站立時動態平衡能力訓練與評估系統。The invention relates to a system for training and evaluating the dynamic balance ability of a lower limb when standing, in particular to a training and evaluation system for using the expected training to screen the elderly for the risk of falling and the dynamic balance ability of the lower limb standing.

高齢社會(Aged Society)中跌倒是威脅老年人健康品質的最大危險因子之一,研究及早篩檢出有潛在跌倒的高危險群老人及研發出預防老人跌倒的平衡復健設備,將有助於減低老人跌倒的發生率。Falling in the Aged Society is one of the biggest risk factors threatening the health quality of the elderly. Studying early screening of high-risk groups of people with potential falls and developing balanced rehabilitation equipment to prevent falls in the elderly will help Reduce the incidence of falls in the elderly.

臨床上常用平衡量表或功能性之測試來代表病患之平衡能力,常見的有伯格氏平衡量表(Berg Balance Scale)及起立行走計時測試(Timed “Up & Go” Test)等。伯格氏平衡量表(Berg Balance Scale)-伯格氏平衡量表最早由Berg等學者於1989年設計於臨床上用來評估社區老年人之功能性站立平衡,於1992年及1995年則陸續被使用於老年人及急性期中風病患,研究結果顯示此一平衡量表有極佳之測試者內(Within-Rater)及測試者間(Between-Rater)信度(ICC皆為0.98),且具極佳之內在一致性表現(Cronbach’s α=0.96);1996年Bogle等學者利用此一平衡量表之分數來預測老年人跌倒之機率,結果發現當得分於45分以下者相較於得分45分以上者有較高之跌倒機率,雖不能以此量表預測是否得分數愈低有愈高跌倒之機率,但在臨床上卻提供一分數之切點(Cut Off Score)來預測跌倒之可能性。起立行走計時測試(Timed “Up & Go” Test)-起立行走測試(“Get-up and Go” Test)最早於1986年Mathias等學者研究40位有平衡功能障礙之老年人,利用攝影之方式觀察其由一有把手之坐椅站起並行走於三公尺之步道後轉身走回再執行坐下之動作,此一測試結合由坐到站、步行、轉身及站到坐等日常功能活動,雖然研究結果顯示此為一快速且實用之平衡功能測試,但關於其評分標準卻太過於簡略為其缺點,只依照觀察者主觀地評分將動作執行情況分為1至5分五種等級,對於評分結果只有極端值1分及5分有較一致的共識,但針對中間分數2至4分之定義則較不客觀。Clinically, a balance scale or functional test is used to represent the patient's balance ability. Commonly, the Berg Balance Scale and the Timed “Up & Go” Test are used. The Berg Balance Scale-Berg Balance Scale was first designed by Berg et al in 1989 to evaluate the functional standing balance of the elderly in the community. In 1992 and 1995, it was successively introduced. Used in elderly and acute stroke patients, the results show that this balance scale has excellent In-Rater and Between-Rater reliability (ICC is 0.98). And with excellent internal consistency (Cronbach's α = 0.96); in 1996 Bogle and other scholars used the score of this balance scale to predict the probability of falling in the elderly, and found that when the score is below 45, compared to the score Those with a score of 45 or higher have a higher chance of falling. Although this scale cannot be used to predict whether the score is lower and the probability of falling is higher, but the clinical cutoff is provided to determine the possibility of a fall. Sex. Timed “Up & Go” Test – “Get-up and Go” Test The first time in 1986, Mathias and other scholars studied 40 elderly people with balance dysfunction, using photography to observe It is stood by a chair with a handle and walks on the trail of three meters, then turns back and performs the sitting action. This test combines daily function activities such as sitting, walking, turning and standing to sit, although research The results show that this is a fast and practical balanced function test, but its scoring standard is too short and its shortcomings, only according to the observer's subjective rating, the action execution is divided into five levels of 1 to 5 points, for the score results Only the extreme values of 1 point and 5 points have a more consistent consensus, but the definition of the intermediate score of 2 to 4 points is less objective.

雖然目前臨床檢測具有簡易、快速且有一定的信效度,但對老人跌倒的平衡能力評估仍有很大的限制,因為無論是Burg ScaleTest或是Time Up & Go Test皆不能針對外界干擾的反應時間、反應力及姿勢調控做出評量,而且老人跌倒中有很大比例是在干擾情況下跌倒(例如:絆倒、撞倒)。另外在儀器部份,雖然國內外己開發許多平衡的評估及訓練系統,用工程製造的觀點來看這些系統的機電整合部份做的都有一定品質及創意,但從醫學的療效觀點來看這些系統恐有不適用於老人的平衡評量與復健,分析其理由概述如下幾點。Although the current clinical tests are simple, fast, and have certain reliability and validity, there is still a large limit to the assessment of the balance of the fall of the elderly, because neither Burg ScaleTest nor Time Up & Go Test can respond to external disturbances. Time, responsiveness, and posture adjustments are measured, and a large percentage of falls in the elderly are falling in the interference situation (eg, tripping, knocking down). In addition, in the instrument part, although many balanced evaluation and training systems have been developed at home and abroad, from the point of view of engineering manufacturing, the electromechanical integration of these systems has certain quality and creativity, but from the point of view of medical efficacy These systems may not be suitable for the balance assessment and rehabilitation of the elderly, and the reasons for the analysis are summarized as follows.

(a)大多使用傳統的「反應性控制」理論為設計依據,未考慮老年人的感覺動作機能已經退化的重要因素。(a) Most of the traditional "reactive control" theory is used as the basis for design, and important factors that have deteriorated the sensory function of the elderly have not been considered.

(b)未能設計預期性反應的平衡評量與復健模組;而預期性反應訓練方式是近年來對老人平衡訓練的趨勢。(b) Failure to design a balanced assessment and rehabilitation module for expected response; and the expected response training approach is the trend of balanced training for the elderly in recent years.

(c)未能提供篩檢功能以篩檢出潛在性跌倒的高危險族群老人。(c) Failure to provide a screening function to screen out high-risk groups of elderly people with potential falls.

(d)未考慮老年人的平衡訓練宜用較低的運動強度,特別是針對合併有其他疾病的虛弱老人。(d) Balance exercise that does not consider the elderly should use lower exercise intensity, especially for frail elderly with other diseases.

(e)給予老年人的平衡訓練方式過於複雜;例如:複雜的互動圖示及過於強調影音的虛擬互動方式均不適用於老人。(e) The method of balancing training for the elderly is too complicated; for example, complex interactive icons and virtual interactions that place too much emphasis on audio and video are not applicable to the elderly.

故綜合以上內容顯示國內現今復健科技人才對預防老人跌倒的平衡復健上,仍有許多待努力改善的空間,特別是能針對老人預防跌倒的研究課題上,應予以重新調整做出合理的研發定位以及投入臨床療效的研究。Therefore, the above content shows that there is still much room for improvement in the prevention and rehabilitation of the fall of the elderly in the prevention of the fall of the elderly. In particular, the research topic that can prevent falls in the elderly should be re-adjusted to make a reasonable Research and development positioning and research into clinical efficacy.

有鑑於此,提供一種評估老人站立時動態平衡能力及提供預期性訓練之系統實為必要。In view of this, it is necessary to provide a system for assessing the dynamic balance ability of the elderly while standing and providing predictive training.

依據本發明之一特色,本發明提出一種下肢站立時動態平衡能力訓練與評估系統。上述系統包括一顯示單元、一測力板、以及一運算單元,而該系統運作係受測者接受顯示單元所顯示之復健訓練遊戲畫面來進行復健訓練,而進行復健訓練時,可從測力板偵測該受測者站立其測力板上運動時所產生之左右兩側足底承重以及兩足間之人體重心位置之訊號,爾後運算單元將該重心位置訊號轉換成重心座標並模擬成一虛擬搖桿,進而透過該虛擬搖桿來控制一復健訓練遊戲與受測者進行互動。According to a feature of the present invention, the present invention provides a training and evaluation system for dynamic balance ability of a lower limb when standing. The system includes a display unit, a force measuring board, and an arithmetic unit, and the system operates by the subject receiving the rehabilitation training game screen displayed by the display unit to perform rehabilitation training, and when performing rehabilitation training, The force measuring board detects the signal of the left and right soles and the position of the center of gravity between the two feet when the subject stands on the force plate, and the arithmetic unit converts the center of gravity signal into the center of gravity coordinates. And simulate a virtual joystick, and then use the virtual joystick to control a rehabilitation training game to interact with the subject.

本發明有益效果為,在互動過程中,可得到受測者在受到預期性干擾後產生之左右兩側足底受力的平衡反應行為參數,該參數可用以評估該受測者是否屬於一預設跌倒危險群資料庫之一跌倒危險群及分析該受測者站立時之動態平衡能力。The beneficial effect of the invention is that, in the interaction process, a balanced reaction behavior parameter of the left and right sides of the foot force generated by the subject after the expected interference is obtained, and the parameter can be used to evaluate whether the subject belongs to a pre-presence. Set one of the fall risk group databases to fall into the risk group and analyze the dynamic balance ability of the subject when standing.

本發明設計基本概念乃是偵測受測者在測試時左右兩側足底承重、兩足間之人體重心位置、重心移動速度、重心移動範圍等,更重要的是可將此些參數結合一復健訓練遊戲,來得到受側者受到預期性干擾後的左右兩側足底受力的平衡反應行為之參數,進而評估篩選受測者之跌倒傾向程度及分析其站立時動態平衡能力。The basic concept of the design of the present invention is to detect the bearing weight of the left and right sides of the test subject, the position of the center of gravity of the two feet, the moving speed of the center of gravity, the range of movement of the center of gravity, etc., and more importantly, the parameters can be combined. The rehabilitation training game is used to obtain the parameters of the balanced reaction behavior of the left and right sides of the affected side after the expected interference, and then evaluate the degree of fall tendency of the test subject and analyze the dynamic balance ability of the standing.

相較於先前技術,本發明可達到即時分析與同步訓練的效果,提供預期性的情境式的復健訓練,並且可替換訊號擷取與復健訓練的種類,以及具有價廉、操作簡易、易於攜帶及不佔空間等優點。Compared with the prior art, the present invention can achieve the effects of real-time analysis and synchronous training, provide expected context-based rehabilitation training, and can replace the types of signal acquisition and rehabilitation training, as well as being inexpensive and easy to operate. Easy to carry and not occupy space.

本發明的研發目的分為兩大類:第一類是預期性之視覺提示模式,基於預期性控制理論,使老人可以多增加視覺輸入,補強因年齡增長所造成的平衡能力下降;第二類是整合平衡評估分析與復健訓練這兩部份,可在做訓練的同時,達到評量監控的效果。為了能夠達到整合平衡評估分析與復健訓練這兩部份,當然可將其整合於一獨立電腦上,然為求兩者功能獨立與即時,兩台電腦會是較佳的方案。一台電腦作為平衡評估分析,另一台電腦則作為復健訓練之用,兩台電腦中間以網際網路為媒介來傳輸資料,在此本發明並不以此為限,為簡化說明與易於了解,以下實施例將以一***立電腦的運作方式作說明。The research and development purposes of the present invention are divided into two categories: the first category is the expected visual cue mode, based on the predictive control theory, so that the elderly can increase the visual input, and the balance ability caused by the aging is decreased; the second type is Integrating the balance assessment analysis and rehabilitation training can achieve the effect of assessment and monitoring while doing training. In order to achieve the integration of balance assessment analysis and rehabilitation training, of course, it can be integrated into a separate computer, but in order to achieve the function of the two independent and instant, two computers will be the better solution. One computer is used for balance assessment analysis, and the other computer is used for rehabilitation training. The two computers use the Internet as the medium to transmit data. The invention is not limited thereto, and is simplified and easy to explain. It is understood that the following embodiments will be described in terms of how a single computer operates.

請參閱第一圖,其係用以說明本案所提出一種下肢站立時動態平衡能力訓練與評估系統1運作之示意圖;此系統包括一顯示單元11,可為一螢幕顯示器,其係與該運算單元14相連接,用來提供視覺輸入使受測者與本系統互動產生站立時下肢的變動;一測力板12,其係具複數個力應變計(Strain Gauge)121,可偵測該受測者站立其上運動時所產生之左右兩側足底承重以及兩足間之人體重心位置之訊號;一訊號處理器13,其係與該測力板12相連接,係將測力板所產生之訊號作一放大及濾波處理;一DAQ介面模組141,其係與該訊號處理器13相連接,且係以介面卡形式安裝於運算單元14內,係將前述所偵測之類比型態訊號轉換為數位型態訊號;一運算單元14,裝置有LabVIEW軟體,作為資料擷取與數據分析之用;另裝置有一復健訓練遊戲,將所得之重心位置的數值轉換成虛擬搖桿,進而控制遊戲,並可取得在遊戲中在受到預期性干擾後的左右兩側足底受力的平衡反應行為此參數,該參數更包含了受測者對應該復健訓練遊戲之一重心位置、一重心移動速度、一重心移動軌跡、一左右兩側足底承重大小、一左右兩側足底受力的對稱指數、一重心移動範圍及相對於該重心移動範圍之一面積,如此可依據上述參數計算,並依一預設的跌倒危險群資料庫來評估受測者屬於該跌倒危險群資料庫中那一個跌倒危險群,以了解受測者的動態平衡能力;該運算單元14更可包含一網路傳輸模組142與儲存模組143,網路傳輸模組142可將該分析資料以TCP/IP協定,傳送至另一台電腦進行處理,而儲存模組143可將前述之分析資料進行儲存,儲存格式可為資料庫(如MSSQL、ORACLE等資料庫格式)或是單一檔案格式。Please refer to the first figure for explaining the operation of the dynamic balance ability training and evaluation system 1 for lower limb standing. The system includes a display unit 11, which can be a screen display and the arithmetic unit. 14-phase connection for providing visual input to allow the subject to interact with the system to produce changes in the lower limb during standing; a force plate 12 having a plurality of strain gauges (Strain Gauge) 121 for detecting the test The signal standing on the left and right sides of the foot and the position of the center of gravity between the two feet generated by the upper movement; a signal processor 13 connected to the force measuring plate 12, which is generated by the force measuring plate The signal is used for amplification and filtering; a DAQ interface module 141 is connected to the signal processor 13 and is installed in the computing unit 14 in the form of an interface card, which is the analog type detected. The signal is converted into a digital type signal; an arithmetic unit 14 is provided with LabVIEW software for data acquisition and data analysis; and a rehabilitation training game is provided, and the obtained value of the position of the center of gravity is converted into a virtual Rod, which in turn controls the game, and obtains a balanced response behavior of the soles of the left and right sides after the expected interference in the game. This parameter further includes one of the subjects' focus on the rehabilitation training game. Position, a center of gravity movement speed, a center of gravity movement trajectory, a left and right foot bearing weight, a symmetry index of the left and right foot forces, a center of gravity movement range and an area relative to the center of gravity movement, so Calculate according to the above parameters, and use a preset fall risk group database to evaluate the fall risk group of the subject belonging to the fall risk group database to understand the dynamic balance ability of the subject; the arithmetic unit 14 The network transmission module 142 and the storage module 143 can be included. The network transmission module 142 can transmit the analysis data to another computer for processing by using the TCP/IP protocol, and the storage module 143 can Analyze the data for storage. The storage format can be a database (such as MSSQL, ORACLE, etc.) or a single file format.

上述預設的跌倒危險群資料庫包含有具有不同跌倒危險程度的群組,譬如低度跌倒危險群、中度跌倒危險群及高度跌倒危險群,以對應有不同跌倒危險程度的老人,而上述群組的分組方式則是使用一統計結果來分組,即先針對一群受測者先行進行測試以取得分析資料,再觀察受測者實際狀況結合其分析資料,來劃分出幾種程度之跌倒危險程度群組,如有一老人經常跌倒,那該老人之分析資料就可視為經常跌倒的危險群組,以此分析資料為基礎畫出一範圍,就可劃分出該程度之跌倒危險程度群組;此種劃分也有助於後續復建訓練的安排,一旦所屬跌倒危險群經確定,對應的復健訓練遊戲亦因應啟動以配合受測者狀況提供適切相關的復健訓練。The above-mentioned default fall risk group database contains groups with different fall risk levels, such as low fall risk group, moderate fall risk group and high fall risk group, to correspond to elderly people with different fall risk levels. The grouping method of groups is to use a statistical result to group, that is, first test a group of subjects to obtain analysis data, and then observe the actual situation of the subject combined with the analysis data to classify several degrees of fall risk. Degree group, if an old man often falls, the analysis data of the old man can be regarded as a dangerous group that often falls. Based on the analysis data, a range can be drawn, and the fall risk degree group of the degree can be divided; This division also contributes to the arrangement of subsequent rehabilitation training. Once the fall risk group is determined, the corresponding rehabilitation training game is also activated to provide appropriate and relevant rehabilitation training in accordance with the condition of the subject.

本案所採用的復健訓練遊戲係基於預期性反應訓練方式考量,在復健訓練遊戲中提供預期性情境的刺激,使受測者可於一可控制情形下因應預期性的刺激進行復健訓練;例如,在遊戲中針對某一跌倒危險群設計有相對應閃躲困難度的障礙物,使受測者閃躲該等預設的障礙物,以達到預期的訓練效果。The rehabilitation training game adopted in this case is based on the expectation response training method, and provides the stimulus of the expected situation in the rehabilitation training game, so that the subject can perform the rehabilitation training in response to the expected stimulus in a controllable situation. For example, in the game, an obstacle corresponding to the difficulty of dozing is designed for a certain fall danger group, so that the subject can dodge the preset obstacles to achieve the desired training effect.

綜上所述,本發明提供了一種為老人平衡之視覺提示預期性訓練與即時同步評估系統。該系統特色為:(1)整合平衡評估與復健訓練這兩部份,不同於以往只能訓練或是只能評估的缺失,本系統可達到即時分析、同步訓練的效果;(2)平衡評估的部份:訊號接收不只侷限於傳統訊號感測器(例如:壓力感測器、溫度感測器、氣體感測器......),亦可以接收來自人體生理訊號感測器(例如:測力板、加速規、傾斜計、肌電圖感測器......)所發出的訊號變化,進而測量人體之重心位置、加速度、傾斜角度或是肌電變化,搭配本發明專屬的分析軟體,進行分析評估;(3)訓練的部份:情境式或是虛擬實境之復健訓練,使用者能夠在特定情境下與測試平台做互動,增加參與感並且提升訓練意願,可以選擇特定部位或是動作,來加以訓練,並且可更換訊號擷取與復健訓練的種類;(4)本案系統所涉硬體價位便宜,前置作業簡單,所需場地小,可解決目前評估平衡儀器昂貴及不易攜帶與校正之缺點。因此本發明具有實用性及創造性,能有效改善習知技藝之缺失,進而達成發展本發明之目的。In summary, the present invention provides a visual alert expectation training and instant synchronization assessment system for the elderly. The system features: (1) integration of balance assessment and rehabilitation training, which is different from the previous training or only evaluation, the system can achieve the effect of real-time analysis and synchronous training; (2) balance Part of the evaluation: signal reception is not limited to traditional signal sensors (eg pressure sensors, temperature sensors, gas sensors...), and can also receive human body physiological signal sensors. (for example: force plate, accelerometer, inclinometer, electromyography sensor...) signal changes, and then measure the position of the center of gravity, acceleration, tilt angle or myoelectric changes, with The analysis software of the invention is analyzed and evaluated; (3) the training part: contextual or virtual reality rehabilitation training, the user can interact with the test platform in a specific situation, increase the sense of participation and enhance the training. Willingness, you can choose a specific part or action to train, and can change the type of signal acquisition and rehabilitation training; (4) The hardware price involved in this case system is cheap, the front-end operation is simple, and the required space is small. Solve the current assessment Balancing instruments is expensive and difficult to carry and correct. Therefore, the present invention has practicality and creativity, and can effectively improve the lack of the prior art, thereby achieving the object of developing the present invention.

雖然本發明已以較佳實施例揭露如上,然其並非用以限定本發明,任何所屬技術領域中具有通常知識者,在不脫離本發明之精神和範圍內,當可作些許之更動與潤飾,因此本發明之保護範圍當視後附之申請專利範圍所界定者為準。Although the present invention has been disclosed in the above preferred embodiments, it is not intended to limit the invention, and any one of ordinary skill in the art can make some modifications and refinements without departing from the spirit and scope of the invention. Therefore, the scope of the invention is defined by the scope of the appended claims.

1...下肢站立時動態平衡能力訓練與評估系統1. . . Dynamic balance ability training and evaluation system for lower limbs standing

11...顯示單元11. . . Display unit

12...測力板12. . . Force plate

121...力應變計121. . . Force strain gauge

13...訊號處理器13. . . Signal processor

14...運算單元14. . . Arithmetic unit

141...DAQ介面模組141. . . DAQ interface module

142...網路傳輸模組142. . . Network transmission module

143...儲存模組143. . . Storage module

圖一係本發明系統架構之示意圖。Figure 1 is a schematic diagram of the system architecture of the present invention.

1...下肢站立時動態平衡能力訓練與評估系統1. . . Dynamic balance ability training and evaluation system for lower limbs standing

11...顯示單元11. . . Display unit

12...測力板12. . . Force plate

121...力應變計121. . . Force strain gauge

13...訊號處理器13. . . Signal processor

14...運算單元14. . . Arithmetic unit

141...DAQ介面模組141. . . DAQ interface module

142...網路傳輸模組142. . . Network transmission module

143...儲存模組143. . . Storage module

Claims (7)

一種下肢站立時動態平衡能力訓練與評估系統,其包括:一復健訓練端,其具有:一顯示單元,係顯示復健訓練遊戲畫面;一測力板,其係具複數個力應變計,偵測該受測者站立其上運動時所產生之左右兩側足底承重以及兩足間之人體重心位置之訊號;一肌電圖感測器,用以偵測一肌電變化訊號;一運算單元,其係將該重心位置之訊號轉換成重心座標,並將該重心座標模擬成一虛擬搖桿,進而透過該虛擬搖桿控制一復健訓練遊戲與受測者進行互動;以及一平衡評估分析端,與該復健訓練端係以網際網路為媒介連接,其具有:一預設跌倒危險群資料庫;其中,該受測者於該復健訓練端進行該復健訓練遊戲進行互動時,先以一預期性反應訓練方式進行,得到一受測者左右兩側足底受力的平衡反應行為參數,傳輸予該平衡評估分析端評估該受測者屬於該預設跌倒危險群資料庫之何種跌倒危險群等級及分析該受測者站立時之動態平衡能力,將所屬之跌倒危險群等級訊號回傳該復健訓練端,再提供對應跌倒危險群等級之該復健訓練遊戲等級給與該受測者;該平衡反應行為參數係為一重心位置、一重心移動速度、一重心移動軌跡、一左右兩側足底承重大小、一左右兩側足底受力的對稱指數、一重心移動範圍及相對於該重心移動範圍之一面積中之任一者與該肌電變化訊號之組合。 The utility model relates to a dynamic balance ability training and evaluation system for standing legs, which comprises: a rehabilitation training end, which has: a display unit, which displays a rehabilitation training game screen; a force measuring board, which is provided with a plurality of force strain gauges, Detecting the signal of the left and right soles of the subject and the position of the center of gravity between the two feet when the subject is standing up; an electromyography sensor is used to detect a myoelectric change signal; An arithmetic unit that converts the signal of the position of the center of gravity into a coordinate of the center of gravity, and simulates the coordinate of the center of gravity as a virtual joystick, thereby controlling a rehabilitation training game to interact with the subject through the virtual joystick; and a balance evaluation The analysis end is connected to the rehabilitation training terminal by using the Internet as a medium, and has: a preset fall danger group database; wherein the subject performs the rehabilitation training game interaction on the rehabilitation training end At the same time, an expected reaction training method is firstly performed to obtain an equilibrium reaction behavior parameter of the left and right sides of the subject, and transmitted to the balance assessment analysis end to evaluate that the subject belongs to the Set the fall risk group level of the fall risk group database and analyze the dynamic balance ability of the subject when standing, return the fall risk group level signal to the rehabilitation training end, and provide the corresponding fall risk group level. The rehabilitation training game level is given to the subject; the balance reaction behavior parameter is a center of gravity position, a center of gravity moving speed, a center of gravity moving track, a left and right foot bearing weight, and a left and right sole A combination of a force symmetry index, a center of gravity shift range, and an area of one of the center of gravity shifts and the myoelectric change signal. 如申請專利範圍第1項所述之系統,更包含一訊號處理器,係將測力板所產生之訊號作一放大、濾波之處理。 For example, the system described in claim 1 further includes a signal processor for amplifying and filtering the signal generated by the force measuring board. 如申請專利範圍第1項所述之系統,其中該測力板上更可包含一加速規,用以偵測人體加速度之訊號。 The system of claim 1, wherein the force plate further includes an acceleration gauge for detecting the acceleration of the human body. 如申請專利範圍第1項所述之系統,其中該測力板上更可包含一傾斜計,用以偵測人體傾斜角度之訊號。 The system of claim 1, wherein the force plate further comprises an inclinometer for detecting a tilt angle of the human body. 如申請專利範圍第1項所述之系統,其中該運算單元為一電腦。 The system of claim 1, wherein the computing unit is a computer. 如申請專利範圍第1項所述之系統,其中該運算單元還包含一DAQ介面模組,該介面模組耦接前述之訊號處理器且係以介面卡形式安裝於運算單元內,係將前述所偵測之類比型態訊號轉換成數位型態訊號。 The system of claim 1, wherein the computing unit further comprises a DAQ interface module, wherein the interface module is coupled to the signal processor and is installed in the computing unit in the form of an interface card. The detected analog signal is converted into a digital signal. 如申請專利範圍第1項所述之系統,其中該運算單元還包含一儲存模組,可將該平衡反應行為參數儲存,其儲存格式可為資料庫或檔案型態。The system of claim 1, wherein the computing unit further comprises a storage module, wherein the balanced reaction behavior parameter can be stored, and the storage format can be a database or an archive type.
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