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研究生: 許嘉洋
Chia-Yang Hsu
論文名稱: 攜帶式足壓暨踝關節角度量測設備開發與驗證
Development and validation of portable foot pressure and ankle angle measurement systems.
指導教授: 林上智
Shang-Chih Lin
口試委員: 林上智
Shang-Chih Lin
陳俊名
Chun-Ming Chen
許啟彬
Chi-Pin Hsu
學位類別: 碩士
Master
系所名稱: 應用科技學院 - 醫學工程研究所
Graduate Institute of Biomedical Engineering
論文出版年: 2023
畢業學年度: 111
語文別: 中文
論文頁數: 83
中文關鍵詞: 足壓量測設備足踝量測設備便攜性後足角度
外文關鍵詞: Foot presure measuring instrument, Ankle angle measuring instrument, Portability, Rearfoot angle
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本論文分為兩種不同的設備開發與實驗,目前市面上的足壓量測設備大多都是相當的笨重與昂貴,無法達到隨時隨地量測的方式,本實驗室開發的攜帶式量測設備,是以輕便且價格較為便宜的方式量測。而量測足踝內外翻角度的方式有分成X光照射、尺規量測以及拍照畫線量測法,在量測上相當花費人力以及成本。
針對市面上足壓機缺點,本實驗開發一款攜帶式足壓量測設備的開發與壽命驗證,但設備在初版設計出現了一些問題。本實驗針對設備鉸鍊鎖固不穩固的部分進行改良,對設備的內部與開發方式進行了進一步改良的設計,並對設備的踩踏板進行了使用上的改良;足壓量測設備的實驗室針對踩踏板的壽命進行評估,踩踏板採用一白色半透明矽膠薄膜配合一黑色矽膠薄膜經踩踏後產生的壓印進行足壓分析,而實驗目的是為了驗證矽膠薄膜經過5000次的使用是否會產生足壓影像處理上的問題。針對現有的足踝量測方法,本實驗設備開發的足踝量測設備是透過同時拍攝兩隻腳的足踝並進行足踝角度分析,是一種能改善並代替手機相機拍攝而開發的設備,其外型小方便攜帶的特點,能隨時隨地的量測足踝角度,充電鋰電池的設計讓足踝量測設備不需在量測時連接電源即可進行量測。實驗方式採用足踝量測設備與手機拍攝的比較,比較足踝量測設備與手機拍攝兩者之間沒有太大的差異。
整體而言,兩種設備皆是建立在方便攜帶的前提下進行設計,良好的便攜性,可以讓設備隨時攜帶,並且直接量測,能夠便利的量測足壓情形與足踝角度。對於足踝量測的準度目前針對過度內翻與外翻的患者,設備會發生量測誤差的問題,期望未來能改善設備的量測方式,以推廣足踝量測設備到健康檢查的項目中。


This paper is divided into two sections detailing the development and experimentation of two distinct devices. Currently, most available plantar pressure measurement devices are bulky and expensive, lacking the capability for real-time and portable measurements. The portable measurement device developed in our laboratory offers a lightweight and cost-effective solution for on-the-go measurements. The methods for measuring the angles of foot inversion and eversion include X-ray irradiation, ruler-based measurements, and photograph-based angle measurements. These methods are labor-intensive and costly.
Addressing the drawbacks of existing market-available foot pressure devices, our experiment focuses on the development and lifespan validation of a portable foot pressure measurement device. However, the initial design of the device encountered certain issues. We have refined the unstable hinge-locking mechanism, enhanced the internal structure and development process, and improved the usability of the device's pedal. The laboratory experiment for the foot pressure measurement device assesses the pedal's longevity. A white translucent silicone film, combined with a black silicone film, is utilized to analyze foot pressure imprints generated after pedal usage. The purpose of this experiment is to verify whether the silicone film will develop image processing issues after 5000 uses.
In contrast to existing ankle measurement methods, our ankle measurement device captures ankle angles by simultaneously imaging both feet and analyzing their angles. This device is designed to replace smartphone camera imaging, providing a compact and portable solution for angle measurements. Its lithium battery allows measurements to be conducted without being connected to a power source. The experiment involves a comparison between the ankle measurement device and smartphone imaging, showing minimal differences between the two methods.
In conclusion, both devices are designed with portability in mind, enabling convenient and direct measurements of foot pressure and ankle angles anytime, anywhere. However, for accurate ankle measurements, current limitations exist for patients with excessive inward or outward ankle deviations. It is our hope that future improvements in measurement methodology will facilitate the integration of ankle measurement devices into health assessment protocols.

摘要 III Abstract IV 致謝 VI 目錄 VII 圖目錄 IX 表目錄 XII 第一章 緒論 1 1.1研究背景與動機 1 1.2研究目的 1 1.3論文架構 2 第二章 文獻回顧 4 2.1 下肢解剖、病理及生物力學 4 2.1.1足部病理 6 2.1.2拇趾外翻 8 2.1.3脊椎側彎 9 2.1.4骨盆歪斜 10 2.1.5長短腳 11 2.1.6 O型腿與X型腿 12 2-2足壓判斷方式 12 2.3足壓量測設備回顧與原理 13 2.3.1足印式 14 2.3.2電學式 15 2.3.3光學感測 16 2.3.4攜帶式足壓量測 17 2.4足踝冠狀內外翻量測方法 17 第三章 研究材料與方法 20 3.1足壓量測設備 20 3.1.1足壓機組件 24 3.1.2足壓板組件 27 3.1.3硬體電路介紹 29 3.1.4三維列印製造 30 3.2足踝角度量測設備開發 30 3.3矽膠薄膜壽命實驗 34 3.3.1足壓模具 34 3.3.2測量方法與統計方式 35 3.4足踝角度量測實驗 36 第四章 結果 37 4.1拍照式足壓機 37 4.1.1 拍照式足壓機第一次改良結果 37 4.1.2 拍照式足壓機第二次改良結果 38 4.1.3 足壓板製作結果 43 4.2足踝角度量測設備開發結果 44 4.3矽膠薄膜壽命結果 46 4.4足踝角度量測實驗結果 50 第五章 討論 51 5.1拍照式足壓機討論 51 5.1.1拍照式足壓機第一次改良討論 52 5.1.2拍照式足壓機第二次改良討論 53 5.1.3 足壓板製作討論 55 5.2足踝角度量測設備討論 55 5.3矽膠薄膜壽命實驗討論 57 5.4足踝角度量測實驗討論 64 第六章 結論與未來展望 66 6.1結論 66 6.2未來展望 66 第七章 參考文獻 67

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