TWI601526B - Lower limb rehabilitation device control method and the implementation of the method of lower limb rehabilitation device - Google Patents
Lower limb rehabilitation device control method and the implementation of the method of lower limb rehabilitation device Download PDFInfo
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本發明與復設備控制有關,特別是指一種下肢復健裝置之控制方法及實施該控制方法之下肢復健裝置。 The invention relates to the control of a complex device, in particular to a method for controlling a lower limb rehabilitation device and a lower limb rehabilitation device for implementing the same.
對於有下肢運動障礙的病患來說,重拾下肢運動功能有兩大關鍵因素:(1)任務導向:要增強下肢執行日常動作的運動功能就必須練習執行日常的動作,(2)主動訓練:使用者必須於訓練過程中自己出力,才能促進神經連結恢復。現今下肢訓練的方式大致上有兩種,其中一種方式是藉由復健師協助患者的下肢運動,但是復健師在目前有人力不足的問題,以致於無法兼顧到每位病患的需求;另外一種方式是讓病患使用機械式復健機進行復健,但是傳統機械式復健機偏向動作較單調的往復運動,對於肌力恢復有幫助,但是可能無法引導神經肌肉依照日常生活中所需執行的動作任務重塑神經連結,而影響動作控制功能的恢復。 For patients with lower extremity dyskinesia, there are two key factors in regaining the lower extremity motor function: (1) Task orientation: To enhance the motor function of the lower extremity to perform daily actions, it is necessary to practice daily actions, (2) active training. : Users must contribute their own strength during the training process to promote the recovery of nerve connections. There are two ways to train lower limbs today. One of them is to assist the lower limb movements of the patients by the rehabilitation teacher. However, the rehabilitation workers have insufficient manpower problems so that they cannot meet the needs of each patient. The way is to let the patient use a mechanical rehabilitation machine for rehabilitation, but the traditional mechanical rehabilitation machine has a more monotonous reciprocating motion, which is helpful for muscle strength recovery, but may not guide the nerve muscles to perform according to daily needs. The action task reshapes the neural connections and affects the recovery of the motion control functions.
為了解決上述問題,CN101791255所揭露之助行外骨骼機器人是用懸掛支架與多個關節所構成的外骨骼來幫助病患站立,接著由多數個不同的傳感器感測下肢與外骨骼之間的作用力道及作用角度,再由中央處理模組將這些傳感器的感測訊號經過轉換之後傳送至運動控制模組,使運動控制模組控制外骨骼帶動下肢擺動,藉以達到復健效果。然而在此習用專利案中,由於需要同時使用多數個傳感器,所以除 了會導致成本的增加之外,在訊號控制方面及演算法的建構上亦會複雜許多,整體而言,此習用專利案的實用性並不理想。 In order to solve the above problem, the assisted exoskeleton robot disclosed in CN101791255 uses an exoskeleton composed of a suspension bracket and a plurality of joints to help the patient stand, and then the function between the lower limb and the exoskeleton is sensed by a plurality of different sensors. After the force and the action angle, the central processing module converts the sensing signals of the sensors to the motion control module, so that the motion control module controls the exoskeleton to drive the lower limbs to swing, thereby achieving the rehabilitation effect. However, in this conventional patent case, since it is necessary to use a plurality of sensors at the same time, In addition to the increase in cost, the construction of signal control and algorithm will be much more complicated. Overall, the practicality of this patent application is not ideal.
本發明之主要目的在於提供一種下肢復健裝置之控制方法,其能根據使用者在執行特定動作時所產生的肌電訊號而控制一機械外骨骼產生相對應的動作,以達成符合臨床主動訓練方法的設備控制。 The main object of the present invention is to provide a control method for a lower limb rehabilitation device, which can control a mechanical exoskeleton to generate a corresponding action according to a myoelectric signal generated by a user when performing a specific action, so as to achieve clinical active training. Method of device control.
為了達成上述目的,本發明之下肢復健裝置之控制方法包含有四個步驟。第一個步驟先決定使用者所欲執行之一特定動作,並將該動作分解為複數動作階段,設定個該動作階段之一觸發條件;第二個步驟使用多數肌電訊號感測器感測使用者之特定肌肉部位的肌電訊號;第三個步驟判斷感測結果是否符合該動作階段之觸發條件;第四個步驟是當符合該動作階段之觸發條件時,動作產生單元會發送一控制訊號至一控制單元,使該控制單元控制該機械外骨骼執行該動作階段的動作。 In order to achieve the above object, the method of controlling the lower limb rehabilitation device of the present invention comprises four steps. The first step first determines a specific action that the user wants to perform, and decomposes the action into a complex action phase, setting one of the trigger phases of the action phase; the second step uses the majority of the electromyography sensor to sense The electromyography signal of the specific muscle part of the user; the third step determines whether the sensing result meets the triggering condition of the action phase; the fourth step is that when the triggering condition of the action phase is met, the action generating unit sends a control The signal is sent to a control unit, so that the control unit controls the mechanical exoskeleton to perform the action of the action phase.
更佳地,在第三個步驟中,使用一訊號接收單元接收該多數肌電訊號感測器所感測的肌電訊號,接著再使用一訊號處理單元處理該訊號接收單元所接收之肌電訊號,最後將所得到的結果顯示於一人機介面。 More preferably, in the third step, the signal receiving unit receives the myoelectric signal sensed by the majority of the myoelectric signal sensor, and then uses a signal processing unit to process the myoelectric signal received by the signal receiving unit. Finally, the results obtained are displayed in a human-machine interface.
更佳地,在第四個步驟中,當不符合先前所設定之觸發條件時,動作產生單元不會發送控制訊號至控制單元。 More preferably, in the fourth step, the action generating unit does not send the control signal to the control unit when the previously set trigger condition is not met.
更佳地,在本發明之下肢復健裝置之控制方法中,該動作產生單元可以另外依照所設定的訓練參數來發送相對應之控制訊號至該控制單元,使該控制單元控制該機械外骨骼執行特定被動訓練的動作。 More preferably, in the control method of the lower limb rehabilitation device of the present invention, the action generating unit may additionally send a corresponding control signal to the control unit according to the set training parameter, so that the control unit controls the mechanical exoskeleton Perform specific passive training actions.
此外,本發明之次一目的在於提供一種下肢復健裝置,該下肢復健裝置主要藉由一動作控制模組擷取使用者的肌電訊號,再控制該機械外骨骼產生臨床復健所執行的動作。 In addition, a second object of the present invention is to provide a lower limb rehabilitation device, which is mainly implemented by an action control module that captures a user's myoelectric signal and then controls the mechanical exoskeleton to generate clinical rehabilitation. Actions.
10‧‧‧下肢復健裝置 10‧‧‧ Lower limb rehabilitation device
20‧‧‧基座 20‧‧‧ Pedestal
30‧‧‧支撐架 30‧‧‧Support frame
40‧‧‧傳動器 40‧‧‧Acoustic
41‧‧‧同定座 41‧‧‧With the same seat
42‧‧‧第一移動座 42‧‧‧First mobile seat
43‧‧‧第二移動座 43‧‧‧Second mobile seat
44‧‧‧橫向導槽 44‧‧‧Transverse guides
45‧‧‧縱向導槽 45‧‧‧Longitudinal guide
50‧‧‧機械外骨骼 50‧‧‧Mechanical exoskeleton
60‧‧‧動作控制模組 60‧‧‧Action Control Module
70‧‧‧肌電訊號感測器 70‧‧‧EMG signal sensor
80‧‧‧控制器 80‧‧‧ controller
82‧‧‧訊號接收單元 82‧‧‧Signal receiving unit
84‧‧‧訊號處理單元 84‧‧‧Signal Processing Unit
86‧‧‧動作產生單元 86‧‧‧Action generating unit
88‧‧‧控制單元 88‧‧‧Control unit
90‧‧‧人機介面 90‧‧‧Human Machine Interface
第1圖為本發明之下肢復健裝置的立體圖。 Fig. 1 is a perspective view of a lower limb rehabilitation device of the present invention.
第2圖為本發明所提供之動作控制模組的方塊圖。 Figure 2 is a block diagram of the motion control module provided by the present invention.
第3圖為本發明之主動訓練之控制流程圖。 Figure 3 is a flow chart showing the control of the active training of the present invention.
第4圖為本發明之另一主動訓練之控制流程圖。 Figure 4 is a control flow chart of another active training of the present invention.
第5圖為本發明之被動訓練控制流程圖。 Figure 5 is a flow chart of the passive training control of the present invention.
請先參閱第1圖,圖中所示之下肢復健裝置10包含有一基座20、一支撐架30、一傳動器40,以及一機械外骨骼50,其中:支撐架30固定於基座20之後端,用以對使用者的身體提供支撐效果;傳動器40具有二相對之固定座41、二相對之第一移動座42,以及二相對之第二移動座43,固定座41固定於基座20且具有二相互平行之橫向導槽44,第一移動座42組接於固定座41之橫向導槽44,使得第一移動座42能相對基座20前後移動,而且,第一移動座42具有二相互平行之縱向導槽45,第二移動座43組接於第一移動座42之縱向導槽45內,使得第二移動座43能隨 著第一移動座42相對基座20前後移動之外,還能夠相對基座20上下移動;機械外骨骼50樞設於支撐架30與傳動器40之第二移動座43,使得機械外骨骼50能藉由傳動器40之驅動而帶動使用者的下肢作動。此外,下肢復健裝置10更包含有一動作控制模組60與一人機介面90,動作控制模組60具有多數肌電訊號感測器70及一控制器80,控制器80設於基座20之前端且具有一訊號接收單元82、一訊號處理單元84、一動作產生單元86,以及一控制單元88,如第2圖所示,其中的訊號接收單元82電性連接每一個肌電訊號感測器70,訊號處理單元84電性連接訊號接收單元82,動作產生單元86電性連接訊號處理單元84,控制單元88電性連接動作產生單元86與傳動器40;人機介面90設置於基座20之前端且電性連接於動作控制模組60之控制器80,用以作為使用者與動作控制模組60之間的互動媒介。 Please refer to FIG. 1 . The lower limb rehabilitation device 10 includes a base 20 , a support frame 30 , an actuator 40 , and a mechanical exoskeleton 50 . The support frame 30 is fixed to the base 20 . a rear end for providing a supporting effect to the user's body; the actuator 40 has two opposite fixing seats 41, two opposite first moving seats 42, and two opposite second moving seats 43, the fixing base 41 being fixed to the base The seat 20 has two parallel guiding grooves 44, and the first moving base 42 is assembled to the lateral guiding groove 44 of the fixing base 41, so that the first moving seat 42 can move back and forth relative to the base 20, and the first moving seat 42 has two parallel longitudinal guiding grooves 45, and the second moving seat 43 is assembled in the longitudinal guiding groove 45 of the first moving seat 42, so that the second moving seat 43 can follow The first moving base 42 can move up and down relative to the base 20 in addition to the base 20; the mechanical exoskeleton 50 is pivotally mounted on the support frame 30 and the second moving seat 43 of the actuator 40, so that the mechanical exoskeleton 50 The lower limbs of the user can be actuated by the drive of the actuator 40. In addition, the lower limb rehabilitation device 10 further includes a motion control module 60 and a human machine interface 90. The motion control module 60 has a plurality of myoelectric signal sensors 70 and a controller 80. The controller 80 is disposed on the base 20. The front end has a signal receiving unit 82, a signal processing unit 84, an action generating unit 86, and a control unit 88. As shown in FIG. 2, the signal receiving unit 82 is electrically connected to each of the myoelectric signal sensing. The signal processing unit 84 is electrically connected to the signal receiving unit 82. The action generating unit 86 is electrically connected to the signal processing unit 84. The control unit 88 is electrically connected to the action generating unit 86 and the actuator 40. The human machine interface 90 is disposed on the base. The controller 80 is electrically connected to the controller 80 of the motion control module 60 for use as an interactive medium between the user and the motion control module 60.
請再配合參閱第1及3圖,下肢復健裝置10的控制方法主要包含有下列步驟: Please refer to Figures 1 and 3 again. The control method of the lower limb rehabilitation device 10 mainly includes the following steps:
步驟a):決定使用者所欲執行之特定動作任務(如步行或登階),並將該動作任務分解為數個任務階段,而後將肌電訊號感測器70貼設於使用者在執行特定動作任務時會使用到的特定肌肉部位,例如選擇執行步行訓練時,可以依照步行動作的循環將肌電訊號感測器70分別貼設於膝關節的伸展肌與收縮肌、踝關節的伸展肌與收縮肌、膝關節的伸展肌與收縮肌,以及髖關節的伸展肌與收縮肌,假如選擇執行登階訓練時,可以依照登階動作的循環將肌電訊號感測器70分別貼設於慣用 腳的收縮肌及非慣用腳的收縮肌。在全部貼設完畢之後,再讓使用者根據所欲執行之特定動作任務進行多次測試訓練,在測試訓練的過程中,肌電訊號感測器70會感測使用者的肌電訊號,接著控制器80之訊號接收單元82會接收肌電訊號感測器70所感測的肌電訊號,再來訊號處理單元84會處理訊號接收單元82所接收之肌電訊號,並將測試結果顯示於人機介面90。 Step a): determining a specific action task (such as walking or stepping) that the user wants to perform, and decomposing the action task into several task phases, and then affixing the myoelectric signal sensor 70 to the user to perform specific Specific muscle parts that are used during the movement task. For example, when performing walking training, the electromyography sensor 70 can be attached to the extension muscles of the knee joint and the extension muscles of the contraction muscle and the ankle joint according to the cycle of the walking motion. With the contraction muscle, the extension and contraction muscles of the knee joint, and the extension and contraction muscles of the hip joint, if the exercise training is selected, the myoelectric signal sensor 70 can be respectively attached to the cycle of the step movement. Idiomatic The contractile muscles of the feet and the contracting muscles of the non-dominant feet. After all the stickers are completed, the user is allowed to perform multiple test trainings according to the specific action task to be performed. During the test training, the myoelectric signal sensor 70 senses the user's myoelectric signal, and then The signal receiving unit 82 of the controller 80 receives the myoelectric signal sensed by the myoelectric signal sensor 70, and the signal processing unit 84 processes the myoelectric signal received by the signal receiving unit 82, and displays the test result on the person. Machine interface 90.
步驟b):開始執行使用者所選擇的特定動作任務,在執行過程中,動作產生單元86會依序產生動作階段,同時肌電訊號感測器70會感測使用者的肌電訊號,接著控制器80之訊號接收單元82會接收肌電訊號感測器70所感測的肌電訊號。 Step b): starting to execute a specific action task selected by the user. During the execution process, the action generating unit 86 sequentially generates an action phase, and the myoelectric signal sensor 70 senses the user's myoelectric signal, and then The signal receiving unit 82 of the controller 80 receives the myoelectric signal sensed by the myoelectric signal sensor 70.
步驟c):訊號處理單元84會接收動作產生單元送出的動作階段資訊,並處理訊號接收單元82所接收之肌電訊號,且同時判斷結果是否符合步驟a)所設定的該動作階段的觸發條件,當符合步驟a)所設定該動作階段的觸發條件時,控制器80之訊號處理單元84會觸發控制器80之動作產生單元86,動作產生單元86會發送一控制訊號至控制器80之控制單元88,使控制單元88控制傳動器40開始作動,此時的機械外骨骼50會藉由傳動器40的驅動而產生使用者所選擇的特定動作於該動作階段的動作,直到完成整個訓練為止。另一方面,如果控制器80之訊號處理單元84所判斷的結果不符合步驟b)所設定的觸發條件時就不會觸發控制器80之動作產生單元86,傳動器40也就不會驅動機械外骨骼50。 Step c): The signal processing unit 84 receives the action phase information sent by the action generating unit, and processes the myoelectric signal received by the signal receiving unit 82, and simultaneously determines whether the result meets the trigger condition of the action phase set in step a). When the trigger condition of the action phase set in step a) is met, the signal processing unit 84 of the controller 80 triggers the action generating unit 86 of the controller 80, and the action generating unit 86 sends a control signal to the control of the controller 80. The unit 88 causes the control unit 88 to control the actuator 40 to start. At this time, the mechanical exoskeleton 50 generates the specific action selected by the user in the action phase by the driving of the actuator 40 until the entire training is completed. . On the other hand, if the result judged by the signal processing unit 84 of the controller 80 does not meet the trigger condition set in the step b), the action generating unit 86 of the controller 80 is not triggered, and the actuator 40 does not drive the machine. Exoskeleton 50.
在此需要補充說明的是,在前述第一實施例中,本發明之下肢復健裝置之控制方法是以任務導向為主,也就是由使用者先決定要 進行登階、步行或其他訓練任務之後,才開始執行後續操作。然而,在第二實施例中是以強化特定肌群為主,如第4圖所示,與第一實施例不同的地方在於開始執行操作之前,先由使用者決定想要強化的特定肌肉部位(如膝關節的周圍肌群或髖關節的周圍肌群)及所需執行之特定動作,接著再將肌電訊號感測器70貼設於這些肌肉肌位之後,再開始執行後續如第一實施利所述的主動訓練。另一方面,在第三實施例中,如第5圖所示,復健師也可以針對使用者的能力及需求在人機介面90先設定好訓練參數(如步行時間、步伐長度或步行速度等),在設定完成之後,控制器80之動作產生單元86便會依照所設定的訓練參數產生相對應的控制訊號至控制器80之控制單元88,使控制器80之控制單元88控制傳動器40驅動機械外骨骼50,讓機械外骨骼50自主產生下肢訓練的動作,而達成符合臨床被動訓練方法的設備控制。 It should be additionally noted that, in the foregoing first embodiment, the control method of the lower limb rehabilitation device of the present invention is mainly task-oriented, that is, the user first decides Subsequent operations are performed after a step, walk, or other training task. However, in the second embodiment, the specific muscle group is mainly emphasized. As shown in Fig. 4, the difference from the first embodiment is that the user decides the specific muscle part to be strengthened before starting the operation. (such as the surrounding muscles of the knee joint or the surrounding muscles of the hip joint) and the specific actions required to be performed, and then the EMG sensor 70 is attached to these muscles, and then the follow-up is performed as the first Implement the active training described in Li. On the other hand, in the third embodiment, as shown in FIG. 5, the rehabilitation engineer can also set the training parameters (such as walking time, step length or walking speed, etc.) in the human-machine interface 90 according to the user's ability and needs. After the setting is completed, the action generating unit 86 of the controller 80 generates a corresponding control signal to the control unit 88 of the controller 80 according to the set training parameters, so that the control unit 88 of the controller 80 controls the actuator 40. The mechanical exoskeleton 50 is driven to cause the mechanical exoskeleton 50 to spontaneously generate the lower limb training action, thereby achieving device control in accordance with the clinical passive training method.
綜上所陳,本發明之下肢復健裝置之控制方法可以依照使用者所選擇的任務不同或想要強化的肌群不同而執行相對應的動作控制方法,並在過程中擷取使用者的肌電訊號作為判斷依據,進而達成符合臨床主動或被動復健方法的設備控制。 In summary, the control method of the lower limb rehabilitation device of the present invention can perform a corresponding motion control method according to different muscles selected by the user or different muscle groups to be strengthened, and capture the user's The myoelectric signal is used as a basis for judgment, and then device control conforming to the clinical active or passive rehabilitation method is achieved.
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CN101926722A (en) * | 2003-08-21 | 2010-12-29 | 国立大学法人筑波大学 | Wearable action-assist device, and method and program for controlling wearable action-assist device |
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CN101926722A (en) * | 2003-08-21 | 2010-12-29 | 国立大学法人筑波大学 | Wearable action-assist device, and method and program for controlling wearable action-assist device |
CN101874758A (en) * | 2010-05-07 | 2010-11-03 | 中国科学院深圳先进技术研究院 | Supplementary motion system and control method thereof |
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