葉純妤Chun-Yu Yeh陳香伶Xaing-Ling Chen物理治療學系2026-03-239999-12-312022https://handle.ncl.edu.tw/11296/454j26https://scholars.csmu.edu.tw/handle/123456789/6246背景與前言:中風是指大腦局部血管因為出血或缺血造成中樞神經系統的上運動神經元損傷疾病。中風患者常見偏癱及不對稱的承重方式都會導致平衡功能障礙，並影響其執行日常生活活動及獨立生活能力。生物回饋系統是一種具有即時回饋訊號的感測技術，可增加視覺及聽覺之訊號回饋給中風患者，增強治療之效果。過去文獻已證實中風患者使用生物回饋訓練之效果良好，但目前較少文獻是針對中風患的平衡問題而設計的治療系統，所以本研究將針對中風患者的平衡性問題開發出一套生物回饋系統。研究目的:本研究欲探討慢性中風患者使用此生物回饋系統對於慢性中風患者的平衡影響。方法:本研究納入20位慢性中風患者，以抽籤的方式隨機分成兩組，實驗組10人及控制組10人，兩組接受了12次60分鐘的傳統治療，而實驗組額外接受了12次15分鐘的生物回饋系統的治療。在治療前後將會進行評估，評估的內容包含:靜態平衡的Zebris FDM-S力板評估之雙腳間足底變化量 (單位:N)對稱性與站立平衡重心位移量 (COP displacement)與動態平衡的坐站起走測試 (Timed Up and Go test) 及功能性伸取測試 (Functional Reach Test)。統計分析:以描述性統計的Shapiro-Wilk常態分配檢定分析受試者的 基本資料；以無母數為威克森符號檢定分析實驗組及控制組組內改變量是否有明顯差異；以曼-惠特尼考驗分析實驗組及控制組的組間改變量是否有明顯差異。研究結果:本研究所建立之生物回饋系統可顯著改善靜態平衡的雙腳間足底變化量之對稱性與站立平衡重心位移量 (COP displacement)與動態平衡的坐站起走測試 (Timed Up and Go test)及功能性伸取測試 (Functional Reach Test)。結論與建議:經生物回饋系統訓練可提升慢性中風患者靜態站立平衡及動態平衡，提供未來臨床復健治療之新選項。Background and Preface: Stroke refers to the damage to the central nervous system caused by hemorrhage or ischemia in the local blood vessels of the brain, which belongs to the upper motor neuron injury disease. Common hemiplegia and asymmetrical weight-bearing patterns in stroke patients can lead to balance dysfunction and affect activities of daily living and independent living. Biofeedback system is a sensing technology with real-time feedback signals, which can increase the feedback of visual and auditory signals to stroke patients and enhance the effect of treatment. Previous studies have confirmed that the use of biofeedback training in stroke patients has good effects, but few studies are currently focused on the treatment system designed for the balance problem of stroke patients. Therefore, this study will develop a biofeedback system for the balance problem of stroke patients.The aim of this study was to investigate the balance of chronic stroke patients using this biofeedback system.Methods: Twenty chronic stroke patients were included in this study and randomly divided into an experimental group of 10 and a control group of 10 by lottery. Both groups received 12 sessions of 60-minute conventional therapy, while the experimental group received 12 additional sessions of 15-minute sessions. Treatment with biofeedback systems. Evaluations will be performed before and after treatment. The evaluation contents include: statically balanced zebris FDM-S force plate evaluation of the asymmetry ratio index of bilateral foot pressure (unit: N) and standing balance center of gravity displacement (COP displacement), dynamic balanced TUG (timed up and go test) and FRT (functional reach test).Statistical analysis: The Shapiro-Wilk normal distribution test was used to analyze the basic data of the subjects. Whether there is a significant difference in the amount of change between the experimental group and the control group was analyzed by using the parentless number as the Kerson symbol test. The Mann-Whitney test was used to analyze whether there was a significant difference in the amount of change between the experimental group and the control group.Results: The biofeedback system established in this study can significantly improve the static balance (asymmetry ratio index of bilateral foot pressure and COP displacement) and dynamic balance(TUG and FRT).Conclusions: Biofeedback system training can improve static standing balance and dynamic balance in chronic stroke patients, providing a new option for future clinical rehabilitation therapy.中風生物回饋系統平衡strokebiofeedback systembalancethesis