林光華2006-08-312018-07-082006-08-312018-07-082002http://ntur.lib.ntu.edu.tw//handle/246246/29887本研究三年計畫，去年研發「轉位用輪椅」，具有可電動升降約20 公分，平移約15 公分之特色。今年本研究的目的是探討所研發的轉位輪椅對照顧者與使用者的功效方法：本實驗分為兩部份。第一部份，共有11 位正常人擔任轉位者，平均年齡24 . 3 ±1 . 05 歲，另有一位T12 胸髓完全損傷息者為被轉位者。記錄轉位者的心跳反應，計算其生理耗能指數（physiological cost index , PCI ）。第二部份，有五位胸髓( T4 -T10 ）完全損傷患者（平均年齡31 . 60 ±3 . 78 歲）為自行轉位者，坐在座椅可調升降的輪椅，以兩種方式轉位：（一）不等高轉位（目標椅高出5 公分）, （二）高位等高轉位。轉位輪椅與目標椅放置在測力板（AMTI ）上。動作分析（Vicon 250 ）拍攝轉位過程。第一部份結果顯示：「高位等高」轉位的生理耗能指數增加46±6 % , 比「不等高」轉位時約少10 ％的心跳反應，不過不具統計上意義”第二部份結果顯示：不等高轉位時，骨盆最大旋轉角度為18 . 1 ±3 , 87°，明顯大於高位等高轉位骨盆旋轉角度（15 . 48 ±3 . 20° ）。討論與結論：從本研究結果得知本研究研發之可升降與平移的轉位用輪椅，略可減少照顧者的心跳反應，進而減少照顧者心臟的負擔。同時，對兩下肢癱瘓者，在不等高的轉位，需骨盆較大、較早與較快速的轉位。如使用座椅可升高與平移之轉位用輪椅，雖無法完全克服這方面的困擾，但可稍減少其困難度。This is a three-year project beginning from fiscal year 1998. Last year, we finished the design and manufacture of a r transfer-oriented wheelchair j which the seat can be elevated for about 20 cm and lateral shift for about 15 cm. The purpose of present study was to investigate the effect of the transfer-oriented wheelchair on heart rate and pelvic motions in users and care-givers (therapists). Methods: The procedures included two parts. Part 1. There were 11 normal subjects with mean age 24.36*1.05 years performed the transfer. One T12 complete thoracic cord injured males was being transferred. The heart rate responses of therapist during transfer was recorded by a telemetry in order to calculate the physiological cost index. Part II. There were five thoracic injured patients (T4-T10) transferred from wheelchair to the other chair. The transfer was performed in two ways: uneven transfer with target chair 5 cm higher, and high level-even transfer with the wheelchair elevated to the high target chair. The wheelchair and the target chair were put on the force plates (AMTI). The transfer action was captured by the motion analysis system (250). The results of part one indicated the physiologic cost index of high level-even transfer increased 46*6% which was 10% less than that of uneven transfer, but the difference was not statistically significant. The results of part two indicated the pelvic maximal rotation was 18.12±3.87° was significantly greater than that during even transfer( 15.48±3.20°). The conclusions were that the new developed transfer-oriented wheelchair could reduce the increase of heart rate during uneven transfer. Furthermore, the pelvic rotation, the onset of rotation and the maximal velocity of rotation during uneven transfer could be larger and sooner than that during high level-even transfer. The transfer-oriented wheelchair could reduce the difficulty occurred during uneven transfer.application/pdf677242 bytesapplication/pdfzh-TW國立臺灣大學醫學院物理治療學系暨研究所轉位脊髓損傷動作分析TransferSpinal Cord InjuryMotion Analysisjournal articlehttp://ntur.lib.ntu.edu.tw/bitstream/246246/29887/1/902614B002003M47.pdf