201019906 六、發明說明·: 【發明所屬之技術領域】 本發明係有關一種足踝控制動作能力評估與復健之系統及其方法，尤 指一種可評估踝關節本體感評估與復健之系統及其方法。 【先前技術】 足踝受損為國内外最常見的運動傷害之一，一旦踝關節發生損傷，除 了可能造成足踩周邊的本體感覺受損，亦會使踝關節附近的肌肉受傷，導 致動作控制發生不穩定的現象。而中風、老化或其他疾病也可能造成踩關 節附近之肌肉不易控制或本體感覺受損。 β 本體感覺（proprioception)是經由周邊的本體感覺受器 (mechanoreceptor )接受外界的刺激，經過中槐神經系統一連串回鑌控 制過程，使我們能察覺關節的動作感覺及位置感覺，而這些本艘感覺受器 是由感覺神經特化而成的機械受器，這些周邊機械受器存在於關節囊、勤 帶、肌腱、肌肉、肌腱以及皮膚中，人艘接受外界的改變，經過一高度複 雜的回饋控制過程’來促進各肢段間動作的產生以及協調各肌肉的收縮來 維持關節的穩定性。 一般的復健設備多屬固定復健形式且無法達到多樣性的呈現，容易使 患者感到厭倦無趣，降低復健治療介入的時間與成效；同時也因為枯燥乏 0 味且大量重複性的復健訓練項目，使整體治療訓練不夠多樣化，容易使患 者降低參與的動機；以及有些先進的設備皆需要專門人員在旁監看而且只 提供給臨床人員使用，所以臨床上之使用便利性不足且造成醫療人力的消 耗。 此外’許多的復健設備多為單一訓練的工具而缺乏客觀量化踝關節本 體覺的功能’故在患者進行訓練時無法對患者作為有效且正確量化之正向 或負向的訊息回饋；況且目前的復健訓練項目較缺乏患者與設備之間的互 動與一定量化的訓練模式’故患者在參與平時訓練時常會有疑問其訓練項 目是否適宜；視覺回饋對於動作控制與姿勢的維持是有顯著的正相關，可 以藉由視覺化的訊息回饋加強動作控制的精準度與動作品質，甚至對於未 來日常生活功能的精確性與效率性也有增強的效果》 201019906 目前臨床上施於踝關節本體感的復健療程較缺乏提供視覺上的回餚 輔助去加強因足踝扭傷所降低的本體感覺整合能力，所以藉由適時的視覺 回馈結合復健刻練對於因受傷而本體感覺缺損患者的訊息整合也許是一 強而有力的「訊息整合增強器」，並進一步加入一評估裝置，客觀量化踩 關節本短覺的功能。 【發明内容】 本發明之一目的在提供一種踝關節本體感覺之評估系統。 本發明之又一目的在提供一種多轴的踩關節本體感覺之評估系統。 φ 本發明之另一目的在提供一種踩關節本體感覺評估之復健系統。 本發明之再一目的在提供一種結合遊戲的踝關節本體感覺之復健系統。 本發明之又一目的在提供一種結合電腦遊戲的踝關節本體感覺之復健系 統。 本發明之另-目的在提供一種具有一評估裝置的踝關節本艘感覺之復健 系統。 本發明之又一目的在提供一種踝關節本體感覺之復健方法。 本發明之另一目的在提供一種踩關節本體感覺之評估方法。 本發明之再一目的在提供一種結合遊戲的踩關節本體感覺之評估方法。 一種踝關節本體感覺之評估系統，其包括： ❷—旋轉平台’其射放置受試者之腳掌，可針對不同轴向做轉動，並可 控制與偵測本身之仅置及/或角度； 一固定部件，其係裝設於該旋轉平台上，用以固定聊掌； 一下肢固定部件，其用以固定受試者之下肢； 一評估裝置，其係可記錄該旋轉平台所回饋之資訊； 其特徵在：受試者接狄估裝置之細，·其腳掌主動控制旋轉 平口之位置及/或角度’藉以評估受試者騍關節之本縣覺^ 上述該旋轉平台，可為任冑習知之旋轉平台，其可為雙轴（矢狀切 面.跛屈-背屈，及冠狀切面：内翻_外翻）的旋轉平台。 上述該旋轉平台，其中該每一旋轉抽向，皆具有一口感應器，用以感 201019906 應及記錄旋轉平台轉動的角度’可在復健前後及/或復健過程中不斷的 紀錄旋轉平台的旋轉角度’以紀錄足踩功能恢復程度的依據，並建立客 觀的量化指標，因而可增益臨床復健評估。 上述該固定部件，可為任意習知之固定部件，用以將腳掌固定於旋 轉平台上’該固定部件與旋轉平台的結合方式可為黏合、扣合、卡合或 螺合等。 上述該固定部件，可進一步包括一靠架，用以穩定受測下肢足跟部 分’目的為避免在進行足踩本艘感覺訓練或測試時產生滑動偏移，間接 影馨量測角度與訓練成效》 m 上述該評估裝置，可進一步包括一紀錄部件，用以記錄評估後的資 料。 上述該評估裝置’可進一步包括一運算部件，用以設定、濾波、單 位換算、擷取、處理及運算所接收到的數據及//或即時監控所經過處理 的數據。 上述該評估裝置，可以無線或有線方式與該旋轉平台連接》 上述該下肢固定部件，其用以讓受試者放置下肢，以利於受試者之 腳踩與旋轉平台之間的轉動。其中該下肢固定部件主要是固定於受測肢 體之膝關節及大腿，目的為直接舆間接限制膝關節、髖關節的動作，同 時亦促使親關節、膝關節、踩關節同在矢狀面上執行測驗與訓練，目的 Φ 為避免在進行遊戲化復健訓練或足踝本體感覺的測董過程中造成姿勢 偏移或代償動作的出現，影響足踩本體感覺的復健與評量。 上述該踩關節本體感覺復健系統，可進一步包括一手握式觸發器， 用以於腳踝到達定位後，按下手握式觸發器，以紀錄數據。 上述該評估裝置，量測出三項參數作為足踩本體感覺評估指標，其 分別為 Joint Position Sense error (JPSE)值、Coefficient of Variance (CV)值與 Root Mean Square (RMS)誤差值，其中的 JPSE 值為足踝於四個施測角度所表現出的雙軸誤差值（absolute error)， 而CV值是指觀察受試者在各別施測角度執行踩關節本體感覺之主動關 節復位測試時所表現的本體感覺能力，數值越高代表該測試角度所表現 201019906 <s. 出的本體感覺之反覆性(repeatable)能力變異度越大；至於RMS誤差值 亦是指觀察受試者在整體執行踝關節本體感覺之主動關節復位測試時 所表現的本體感覺能力，數值越高代表本逋感覺所表現出的精確度 (accuracy)相對於目標角度的誤差範圍越大。 上述該評估裝置，以敘述型統計表示受試者的基本資料（如年齡、 身高、體重）與各個受試者執行主動關節復位測試的表現能力，其中主 動關節復位測試的表現參數包含復位角度的平均值（Mean)及標準差 (SD)之後並求出JPSE值、CV值，以及根據各個施測標記點所量測出 的標準誤並加以換算成RMS，其參數目的是為了解足踝本體感覺之能力 Ο 差異。 上述該評估裝置，將評估角度劃分為4個位置加以評估，其施測位 置分別為： 施測位置一、為踩關節右傾10°合併前傾10° 施測位置二、為踝關節左傾10。合併前傾10。 施測位置三、為踝關節左傾10°合併後傾10。 施測位置四、為踝關節右傾10。合併後傾10。 並將上述4個施測位置以4個象限的座標方式加以呈現（如圓4)。 施測角度 施測角度1 施測角度2 施測角度3 施測角度4 前傾 10。 10。 後傾 10° 10° 右傾 10° 10。 左傾 10° 10°201019906 VI. Description of the Invention: [Technical Field of the Invention] The present invention relates to a system and method for assessing and rehabilitating ankle control action capability, and more particularly to a system for evaluating ankle joint sense assessment and rehabilitation Its method. [Prior Art] Foot and ankle injury is one of the most common sports injuries at home and abroad. Once the ankle joint is damaged, in addition to the possibility of damage to the body around the foot, the muscles near the ankle joint may be injured, resulting in motion control. An unstable phenomenon has occurred. Strokes, aging, or other illnesses can also cause muscles near the pedal to be difficult to control or damage to the body. β proprioception is the external stimulus through the peripheral mechanoreceptor. Through the series of sacral control processes of the sacral nervous system, we can detect the movement feeling and positional sensation of the joint. The receptor is a mechanical receptor specialized from sensory nerves. These peripheral mechanical receptors are present in the joint capsule, the diligence belt, the tendon, the muscles, the tendons and the skin. The human vessel undergoes external changes and undergoes a highly complex feedback. The control process 'promotes the generation of motion between the limbs and coordinates the contraction of each muscle to maintain the stability of the joint. The general rehabilitation equipment is mostly in the form of fixed rehabilitation and cannot achieve the diversity of presentation, which makes the patient feel bored and boring, reduces the time and effectiveness of rehabilitation treatment intervention, and also suffers from the lack of odor and a lot of repetitive rehabilitation. The training program makes the overall treatment training not diversified, and it is easy for patients to reduce the motivation for participation; and some advanced equipments need special personnel to monitor and only provide for clinical use, so the clinical convenience is not enough and cause Medical manpower consumption. In addition, 'many rehabilitation equipment is mostly a single training tool and lacks the objective to quantify the function of the ankle joint sense', so the patient cannot be rewarded as an effective and correctly quantified positive or negative message when the patient is training; The rehabilitation training program is less than the interaction between patients and equipment and a certain quantitative training mode. Therefore, patients often have doubts about whether the training program is suitable when participating in the usual training; visual feedback is significant for the maintenance of motion control and posture. Positive correlation, can enhance the accuracy and action quality of motion control through visual feedback, and even enhance the accuracy and efficiency of future daily life functions. 201019906 The current clinical application of the ankle joint sense The health treatment process is less effective than providing visual food supplements to enhance the ability to integrate the proprioception caused by the ankle sprain. Therefore, the integration of the message for the patient with a defect in the body due to injury may be due to timely visual feedback combined with rehabilitation. A powerful "information integration enhancer" and further join Evaluation device, an objective of the present ankle short sense quantization function. SUMMARY OF THE INVENTION One object of the present invention is to provide an evaluation system for ankle joint proprioception. It is still another object of the present invention to provide a multi-axis evaluation system for the joint feeling of the joint. φ Another object of the present invention is to provide a rehabilitation system for stepping joint proprioception. Still another object of the present invention is to provide a rehabilitation system that combines the ankle joint sensation of a game. It is still another object of the present invention to provide a rehabilitation system that combines the ankle joint sensation of a computer game. Another object of the present invention is to provide a rehabilitation system for an ankle joint with an evaluation device. It is still another object of the present invention to provide a method of healing an ankle joint sensation. Another object of the present invention is to provide a method for evaluating the feel of an ankle joint. Still another object of the present invention is to provide an evaluation method for the sensation of an ankle joint joint in combination with a game. An ankle joint sensation evaluation system, comprising: a ❷-rotating platform' which is placed on a sole of a subject, can be rotated for different axial directions, and can control and detect only the angle and/or angle of the detection itself; a fixing component mounted on the rotating platform for fixing a chat palm; a lower limb fixing component for fixing a lower limb of the subject; and an evaluation device for recording information fed back by the rotating platform; The feature is: the subject is connected to the dimension of the device, and the sole of the foot actively controls the position and/or angle of the rotary flat mouth to evaluate the subject's ankle joint. The above-mentioned rotating platform can be used as a reference Known as a rotating platform, it can be a rotating platform with biaxial (sagittal section, plantar flexion - dorsiflexion, and coronal section: varus_valgus). The rotating platform, wherein each of the rotating directions has a sensor for sensing the angle of rotation of the rotating platform in 201019906, which can continuously record the rotating platform before and after rehabilitation and/or during rehabilitation. The rotation angle is used to record the basis of the degree of restorative function and establish objective quantitative indicators, thus enhancing the clinical rehabilitation assessment. The fixing member may be any conventional fixing member for fixing the sole of the foot to the rotating platform. The fixing member and the rotating platform may be bonded, fastened, snapped or screwed. The fixing component may further comprise a bracket for stabilizing the heel portion of the lower limb to be tested, in order to avoid slippage when performing the foot training or testing, and indirectly affecting the angle and the training effect. m The above evaluation device may further include a recording component for recording the evaluated data. The evaluation device described above may further comprise an arithmetic component for setting, filtering, unit converting, capturing, processing and computing the received data and/or monitoring the processed data in real time. The evaluation device may be connected to the rotating platform in a wireless or wired manner. The lower limb fixing member is configured to allow a subject to place a lower limb to facilitate rotation between the subject's foot and the rotating platform. The lower limb fixed component is mainly fixed to the knee joint and the thigh of the tested limb, and the purpose is to directly limit the movement of the knee joint and the hip joint, and also promote the joint, the knee joint and the stepping joint to perform in the sagittal plane. Test and training, the purpose of Φ is to avoid the occurrence of posture shift or compensatory action in the process of gamification rehabilitation training or foot test sensation, which affects the rehabilitation and assessment of foot sensation. The stepping joint body sensing rehabilitation system may further include a hand-held trigger for pressing the hand-held trigger to record data after the ankle reaches the positioning. The evaluation device described above measures three parameters as the foot-feeling sensory evaluation index, which are a Joint Position Sense error (JPSE) value, a Coefficient of Variance (CV) value, and a Root Mean Square (RMS) error value, respectively. The JPSE value is an absolute error that is sufficient for the four test angles, and the CV value refers to the active joint reduction test when the subject is subjected to the joint feel of the joint at each test angle. The higher the value of the proprioceptive ability, the higher the value represents the greater the variability of the receptive ability of the proprioceptive performance of the 201019906 <s.; the RMS error value also refers to the observation of the subject in the whole The proprioceptive ability exhibited by the active joint reduction test of the ankle joint proprioception is performed. The higher the value, the greater the error range of the accuracy exhibited by the Benedict sensation relative to the target angle. The evaluation device described above expresses basic performance data (such as age, height, and weight) of the subject and the performance ability of each subject to perform an active joint reduction test in a narrative type, wherein the performance parameter of the active joint reduction test includes a reset angle After the mean value (Mean) and the standard deviation (SD), the JPSE value, the CV value, and the standard error measured according to each measured mark point are calculated and converted into RMS. The purpose of the parameter is to understand the foot and the body. The ability to feel Ο difference. In the above evaluation device, the evaluation angle is divided into four positions for evaluation, and the application positions are as follows: the measurement position is one, the right joint is 10°, the forward tilt is 10°, the measurement position is second, and the left joint is 10 for the ankle joint. The merger is tilted forward 10. The position of the test is three, and the ankle joint is tilted by 10° to the left and combined to be tilted by 10. The position of the test is four, and the ankle is tilted to the right by 10. Pour 10 after the merger. And the above four test positions are presented in a coordinate manner of four quadrants (such as circle 4). Measuring angle Measuring angle 1 Measuring angle 2 Measuring angle 3 Measuring angle 4 Forward tilting 10. 10. Rear tilt 10° 10° Right tilt 10° 10. Left tilt 10° 10°
上述該施測位置，其角度範圍可為正常踝關節活動可及之角度（其 中該施測位置範圍分別為：施測位置一為踝關節右傾〇。〜20。合併前傾 (Γ〜50°，施測位置二為踝關節左傾〇。〜10°合併前傾0。〜50。，施測位 置三為踝關節左傾〇。〜10。合併後傾0。〜20。，施測位置四為騍關節右 傾0°〜20°合併後傾〇°〜20。），此為採測試患者右腳時之角度，所以該 201019906 旋轉平台之右傾為足踝内翻、左傾為足踩外翻，因此，若於測試患者左 腳時，則左傾將修正為〇。〜20。、右傾將修正為〇。〜10。。 上述該評估裝置，其施測方式為結合矢狀切面與冠狀切面的動作角 度作為複合式的足踝本體感覺量測，以了解舆分析受試者，其步驟如下: 1.首先測試開始時要求受試者眼腈觀看電腦螢幕並將足踝務至起始 角度停留10秒’之後將足踩移動至指定施測角度停留1〇秒，讓受 試者感覺該受測角度並以大腦紀錄該受測位置。 • 2.之後要求受試者將眼睛閉上並回到起始角度，接著要求受試者在1〇 秒内重複將足踩重複回到先前指定受測角度位置2~3次。 參 3.每當受試者在閉眼狀態下感覺回到指定受測角度時，則按下手中之 手握式觸發器作為確認，根據受試者所確認之角度位置作為後續資 料分析。 4. 本次本體感覺測量將於四個象限内，分別測量5回合，每回合測量 時間30秒（含10秒起始角度停留、10秒之測前感覺與1〇秒之重 複性主動復位測試）’且每回合受測相距2〇至3〇秒休息避免受試者 疲勞。 5. 因此依序在4個施測角度所量得之角度數據分別為5筆資料， 後續資料分析將隨機（或去除誤差較大的數筆資料）抽出1〇筆作為 正式比對資料以得知本體感覺缺損程度。 〇 一種踩關節本艘感覺之復健系統，其包括： 一旋轉平台，其係可放置受試者之腳掌，可針對不同轴向做轉動， 並偵測本身之位置及/或角度； 一固定部件，其係裝設於該旋轉平台上，用以固定腳掌； 一下肢固定部件，其用以固定受試者之下肢；及 一視覺化引導模組，其係可藉由視覺畫面帶動受試者腳掌轉動； 丨 其特徵在：該旋轉平台可將資訊回餚給該巩覺化引導模組，由該視覺 化引導模組引導受試者修正腳掌之位置及/或角度，受試者在一適當時 間重複接受視覺化引導腳掌轉動，進行踝關節之復健。 上述該旋轉平台、固定部件及下肢固定部件如前所述❶ 201019906 •上述該視覺化引導模組’可為視覺化遊戲·，藉復健訓練中的視覺化 遊戲提高患者參與復健的動機與大量多變化的復健訓練，以即時遊戲 化主動式復健訓練為發展的踝關節本體感復健之人機介面系統，提供 多樣遊戲化的復健訓練作為踝扭傷患者的訓竦項目，以即時視覺回饋 與大量功能性隨機的足踩動作控制去加強因足踩扭傷所導致的本體感 覺缺損；同時也可藉由本系統研發之雙軸式足踝本體感覺評估系統， 以完全符合踝關節之雙轴運動與正常之活動範圍中，進行踝關節主動 式本體感覺復位測試’可量測足踩在雙轴空間上本艟感覺能力，建立 結合遊戲化視覺回饋之復健訓竦與雙軸式足踝本體感覺評估的人機介 Φ 面系統。用以在進行復健訓練的過程中，提供具隨機性的動作控制與 反應，並提高患者參與的動機、注意力，同時也增強踩關節動作控制 及協調整合的能力。 上述該踩關節本體感覺復健系統，可進一步包括一手握式觸發器， 用以於視覺化遊戲訓練時，可增加訓練時的動機與注意力。 一種踩關節本體感覺之復健方法，其包括下列步称： (1) 將一受試者之至少一下肢固定在一下肢固定部件 (2) 利用一旋轉平台上之一固定部件，將該受試者已受到固定之下肢 的腳掌固定至一旋轉平台上； (3) 受試者接受一視覺化引導模組上畫面之指示，導引受試者腳掌主 # 動控制旋轉平台之位置及/或角度； (4) 該旋轉平台持續回饋該受試者腳掌之位置及/或角度給該視覺化引 導模組’並在視覺化引導模組之畫面上顯示受試者腳掌之位置及/ 或角度； (5) 該受試者藉由比對視覺化引導模組的畫面上所顯示之導引位置及/ 或角度與受試者腳掌之位置及/或角度，引導該受試者自動修正踩 關節之位置及/或角度； (6) 受試者持續進行（3) ~(5)步驟一適當時間〃 上述該視覺化引導模組，可為視覺化遊戲，藉復健訓練中的視覺化 遊戲提高患者參與復健的動機與大量多變化的復健訓練。 201019906 «> 【實施方式】 圖1為本發明踝關節本體感覺復健系統與受試者操作時的一個較佳具 體例示意圓。其中標號100為旋轉平台，110為調整架，12〇為靠架，200 為固定部件’ 300為下肢固定部件，310及320為調整叙，400為手握式觸 發器’ 500為評估裝置，600為螢幕》其中該調整架110，用以調整旋轉平 台100的傾斜角度，以符合不同受試者。其中該固定部件2〇〇，包括一靠 •架丨20 ’用以穩定受測下肢足跟部分’目的為避免在進行足踩本體感覺訓 ，練或測試時產生滑動偏移，間接引起量測角度的誤差。該評估裝置5〇〇， 包括一紀錄部件，用以記錄評估後的資料。該評估裝置5〇〇，包括一運算 ©部件 ’用以設定、濾波、單位換算、梅取、處理及運算所接收到的數據及 /或即時監控所經過處理的數據。該下肢固定部件3〇〇，其用以讓受試者 放置下肢’以利於受試者之腳踝舆旋轉平台之間的轉動目的為避免在進行 遊戲化復健訓練或足踩本體感覺的測量過程中造成姿勢偏移或代償動作 的出現，影響足踝本體感覺的復健與評量。其中該下肢固定部件3〇〇的調 整鈕310及320用以調整下之固定部件300的高度及角度。該踝關節本體 感覺復健系統’包括一視覺化遊戲，用以在進行復健訓練的過程中，提供 具隨機性的動作控制與反應，並提高患者參與的動機、注意力，同時也增 強踩關節動作控制及協調整合的能力。該手握式觸發器400，用以於聊踩 到達定位後，按下手握式觸發器，以紀錄數據，或於結合視覺化遊戲訓練 〇 時，可增加訓練時的動機與注意力。 圖2為本發明騍關節本艘感覺復健系統之遊戲化視覺復健訓練的一個 較佳具體例示意圖。藉由結合遊戲趣味與虛擬實境的訓練對於患者的動作 功能恢復達到顯著的進步，其中重要的成分因素為藉由視覺化遊戲的訓練 介入會讓復健訓練的過程變得趣味化，提高並引發患者的動機去參與、執 行長時間且大量重複性的復健訓練任務，因而藉由各種遊戲化復健訓練的 不同介入，更可顯著的突顯出與一般傳統復健訓練或單調的儀器設備訓練 具有一定的優勢。因此，結合視覺化遊戲復健訓練將可讓患者因遊戲中所 具有的趣味性與即時視覺回饋使得執行復健訓練的時間增加，大量的功能 性動作訓練，進而促使動作功能的回復與品質的提升，同時藉由這種大量 201019906 以達到t柩神經的動作控制學習 的功能性動作訓練對於動作控制與學習， 與神經的適應性。 干意®二==$ 統之評估裝置的角度標記象限 =意圓。該評估裝置，將評估角韻分為4個位置加以評估，其施測位置 域為：施測位置-為踝_右傾1Q。合併前傾1(r，施測位置 節左傾10。合併前傾10°，施測位置三為踩關節左傾1〇。合併後傾1〇。，施 測位置四為踩關節右傾1G-合併後傾1()。，並將上述4個施測位置以4個 象限的座標方式加以呈現》 圖4為本發明踩關節本體感覺之評估流程圖。 【圖式簡單說明】 圓1為本發明騍關節本體感覺復健系統與受試者操作時的一個較佳具體 例示意圓。 、 圖2為本發明踩關節本體感覺復健系統之遊戲化視覺復健訓練的一個較 佳具體例示意圖。 囷3為本發明踝關節本體感覺復健系統之評估裝置的角度標記象限示意 園。 1 囷4為本發明踝關節本體感覺之評估流程圈。 【主要元件符號說明】 101 旋轉平台 111 調整架 121 靠架 201 固定部件 301 下肢固定部件 310 調整鈕 320 調整紐 400 手握式觸發器 500 評估裝置 201019906 600 螢幕The angle of the above-mentioned measuring position may be an angle accessible to the normal ankle joint activity (wherein the measuring position range is: the measuring position is the right ankle of the ankle joint. ~20. The combined forward tilting (Γ~50°, Shi The second position is the left ankle of the ankle joint. The ~10° combined with the forward tilting 0. ~50. The position of the third position is the left ankle of the ankle joint. ~10. The combined tilting is 0. ~20. Right tilt 0 ° ~ 20 ° combined with tilting ° ° ~ 20.), this is the angle of the test when the patient's right foot, so the right tilt of the 201019906 rotating platform is the foot varus, the left tilt is the foot valgus, therefore, if When testing the left foot of the patient, the left tilt will be corrected to 〇.~20. The right tilt will be corrected to 〇.~10. The above evaluation device is based on the combination of the sagittal section and the coronal section. The foot and ankle sensation measurement of the ankle to understand the sputum analysis of the subject, the steps are as follows: 1. First, the test begins with the subject eye nitrile viewing the computer screen and the athlete's foot to the starting angle for 10 seconds' Move the foot to the specified test angle to stay 1 Seconds, let the subject feel the measured angle and record the measured position with the brain. 2. After the subject is asked to close the eye and return to the starting angle, then ask the subject to repeat in 1 second. Repeat the footstep back to the previously specified angle of the measured position 2~3 times. Ref. 3. When the subject feels back to the specified angle of measurement in the closed eye state, press the hand-held trigger in the hand as confirmation. According to the angle position confirmed by the subject as the follow-up data analysis 4. This proprioceptive measurement will measure 5 rounds in each of the four quadrants, and the measurement time per round is 30 seconds (including 10 seconds starting angle stay, 10 The measurement of the second is measured with a repetitive active reset test of 1 sec.) and the distance between the measurements is 2 〇 to 3 〇 seconds to avoid the subject's fatigue. 5. Therefore, the measurement is measured at 4 test angles. The angle data is 5 pieces of data, and the subsequent data analysis will randomly (or remove a large number of errors) to extract 1 pen as a formal comparison data to know the degree of proprioception. a rehabilitation system comprising: a rotating platform that can be placed on the sole of the subject, can be rotated for different axial directions, and detects its position and/or angle; a fixed component is mounted on the rotating platform for fixing the sole of the foot a lower limb fixation member for fixing a lower limb of the subject; and a visual guidance module capable of rotating the subject's foot by a visual image; the feature is: the rotary platform can return information The organizing guide module is configured to guide the subject to correct the position and/or angle of the sole of the foot, and the subject repeatedly receives the visualized guide foot rotation at an appropriate time to perform rehabilitation of the ankle joint. The above-mentioned rotating platform, fixing member and lower limb fixing member are as described above. 201019906 • The visual guiding module described above can be a visualized game, and the visualized game in rehabilitation training improves the motivation of patients to participate in rehabilitation. A large number of varied rehabilitation trainings, with instant gamification active rehabilitation training for the development of the ankle joint sense of rehabilitation human-machine interface system, providing a variety of gamification rehabilitation training For the training project of sprained patients, the real-time visual feedback and a large number of functional random foot movement control to strengthen the proprioception defect caused by the foot sprain; meanwhile, the biaxial type foot body developed by the system The sensory evaluation system, in full compliance with the biaxial motion of the ankle joint and the normal range of motion, performs an active proprioceptive reduction test of the ankle joint' measurable foot-feeling ability in the biaxial space, establishing a combined gamification vision The feedback training and the human-machine Φ surface system for the two-axis foot-feeling sensory evaluation. It is used to provide random motion control and response during the rehabilitation training, and to improve the motivation and attention of patients, and also to enhance the ability of joint movement control and coordination. The above-described stepping joint body sensation rehabilitation system may further include a hand-held trigger for increasing the motivation and attention during training when visualizing the game training. A method for restoring the joint sensation of the joint, comprising the following steps: (1) fixing at least one lower limb of a subject to the lower limb fixing member (2) using one of the rotating platforms to fix the component, The tester has been fixed to a rotating platform by the sole of the fixed lower limb; (3) The subject receives an instruction on the visual guidance module to guide the subject's sole to control the position of the rotary platform and/or Or the angle; (4) the rotating platform continuously feeds back the position and/or angle of the subject's foot to the visual guidance module' and displays the position of the subject's sole on the screen of the visual guidance module and/or (5) The subject guides the subject to automatically correct the tread by comparing the position and/or angle of the guiding position and/or angle displayed on the screen of the visual guidance module with the position and/or angle of the subject's foot. Position and/or angle of the joint; (6) The subject continues to perform (3) ~ (5) steps for a suitable time 〃 The visual guidance module can be used for visualizing the game, visualizing in rehabilitation training The game improves the motivation and mass of patients participating in rehabilitation Rehabilitation training change. 201019906 «Embodiment> Fig. 1 is a schematic illustration of a preferred embodiment of the ankle joint proprioception rehabilitation system and the subject of the present invention. 100 is a rotating platform, 110 is an adjustment frame, 12 is a frame, 200 is a fixed part '300 is a lower limb fixing part, 310 and 320 are adjustments, 400 is a hand-held trigger '500 is an evaluation device, 600 For the screen, the mount 110 is used to adjust the tilt angle of the rotating platform 100 to conform to different subjects. The fixing member 2〇〇 includes a support frame 20′ for stabilizing the heel portion of the lower limb to be tested, so as to avoid sliding deviation when performing foot-feeling body training, training or testing, and indirectly causing measurement Angle error. The evaluation device 5 includes a recording component for recording the evaluated data. The evaluation device 5 includes an operation © component ' for setting, filtering, unit conversion, fetching, processing, and computing the received data and/or monitoring the processed data in real time. The lower limb fixing member 3〇〇 is configured to allow the subject to place the lower limbs to facilitate rotation between the rotation platforms of the subject's ankles to avoid the measurement process of gamification rehabilitation training or foot feel. The occurrence of posture shift or compensatory action affects the rehabilitation and assessment of the sense of the foot. The adjustment buttons 310 and 320 of the lower limb fixing member 3 are used to adjust the height and angle of the lower fixing member 300. The ankle joint sensory rehabilitation system includes a visual game to provide random motion control and response during rehabilitation training, and to improve patient motivation and attention, while also enhancing stepping Joint movement control and ability to coordinate and integrate. The hand-held trigger 400 is used to press the hand-held trigger to record data after the arrival of the positioning, or to combine the visualized game training to increase the motivation and attention during training. Fig. 2 is a schematic view showing a preferred embodiment of the gamification visual rehabilitation training of the ankle joint sensory rehabilitation system of the present invention. Through the combination of game fun and virtual reality training, significant progress has been made in the recovery of the patient's motor function. The important component factor is that the training intervention of the visual game will make the rehabilitation training process more interesting and improve. Initiating patients' motivation to participate in and performing long-term and large-scale repetitive rehabilitation training tasks, and thus, through various interventions of various gamification rehabilitation trainings, it is possible to significantly highlight the traditional rehabilitation training or monotonous instruments. Training has certain advantages. Therefore, combined with visualized game rehabilitation training, the patient can increase the time for performing rehabilitation training due to the fun and instant visual feedback in the game, and a large number of functional motion training, which in turn promotes the recovery and quality of the action function. Enhance, at the same time, through this large number of 201019906 to achieve the behavioral control of the t柩 nerve action control learning for motion control and learning, and neural adaptability.干意®2==$ The angle of the evaluation device's angle marker quadrant = meaning circle. The evaluation device evaluates the angular temper into four positions, and the measurement position field is: the measurement position - 踝 _ 右 right 1Q. Combine forward tilt 1 (r, the left position of the test position is 10 degrees. The combined tilt is 10°, the position of the test is 1 左 left tilted 1 〇. After the combined tilt 1 〇. The position of the test is 1G on the right side of the joint. Pour 1 (), and the above four test positions are presented in a coordinate manner of 4 quadrants. Figure 4 is a flow chart for evaluating the body joint sensation of the present invention. [Simplified Schematic] Circle 1 is the present invention A preferred embodiment of the joint proprioception rehabilitation system and the subject is schematically illustrated. Figure 2 is a schematic diagram of a preferred embodiment of the gamification visual rehabilitation training of the stepping joint proprioception rehabilitation system of the present invention. 3 is the angle marker quadrant of the evaluation device of the ankle joint proprioception rehabilitation system of the present invention. 1 囷4 is the evaluation flow circle of the ankle joint sensation of the present invention. [Main component symbol description] 101 Rotary platform 111 The adjustment frame 121 is supported by Rack 201 fixing part 301 lower limb fixing part 310 adjusting button 320 adjusting button 400 hand-held trigger 500 evaluation device 201019906 600 screen
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