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基于加权案例推理的脑卒中后偏瘫患者的智能康复训练处方决策研究
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作者 陈思捷 李素姣 +1 位作者 刘淇 喻洪流 《建模与仿真》 2024年第3期2233-2244,共12页
及时、精准的康复训练干预可以有效促进脑卒中后的偏瘫(Post-Stroke Hemiplegia,PSH)功能恢复,提升生活独立性。现有康复服务模式具有流程繁琐、专家主导、服务资源分配不均等多重问题。为了提高康复训练决策效率,并提供全面可解释性,... 及时、精准的康复训练干预可以有效促进脑卒中后的偏瘫(Post-Stroke Hemiplegia,PSH)功能恢复,提升生活独立性。现有康复服务模式具有流程繁琐、专家主导、服务资源分配不均等多重问题。为了提高康复训练决策效率,并提供全面可解释性,本文针对PSH患者的肢体功能障碍,提出了一种基于加权案例推理(Weighted Case-Based Reasoning,WCBR)的康复训练处方决策算法。基于139例临床的脑卒中患者病例构建案例库,WCBR以K近邻(K-Nearest Neighbor,KNN)为基准策略根据患者量表信息提供初始康复训练方案,供康复治疗师参考修正并给出最终康复治疗处方。通过实验验证,该算法的精度指标为87.5%,召回率指标为90.1%。本研究证明,该算法可以基于PSH患者肢体功能评估实现精准的康复训练决策,有望为康复训练提供临床决策支持,改善康复服务流程。 展开更多
关键词 加权案例推理 康复训练 脑卒中后偏瘫 临床决策支持 多标签分类
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Bionic Design to Reduce Driving Power for a Portable Elbow Exoskeleton Based on Gravity-balancing Coupled Model 被引量:2
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作者 Qiaoling Meng Rongna Xu +3 位作者 Qiaolian Xie Bostan·Mahmutjan sujiao li Hongliu Yu 《Journal of Bionic Engineering》 SCIE EI CSCD 2023年第1期146-157,共12页
Portability is an important performance to the design of exoskeleton for rehabilitation and assistance.However,the structure of traditional exoskeletons will decrease the portability because of their heavy weight and ... Portability is an important performance to the design of exoskeleton for rehabilitation and assistance.However,the structure of traditional exoskeletons will decrease the portability because of their heavy weight and large volume.This paper proposes a novel bionic portable elbow exoskeleton based on a human-exoskeleton gravity-balancing coupled model.The variable stiffness characteristics of the coupled model is analyzed based on the static analysis.In addition,the optimization of human-exoskeleton joint points is analysis to improve the bionic motor characteristics of the exoskeleton.Theoretical prototype is designed and its driving power and dynamic performance are analyzed.Then,a prototype is designed and manufactured with a total weight of 375 g.The merits of driving power reducing is verified by simulation and the isokinetic experiments.The simulation and isokinetic results show that the driving torque and the driving power of the subject were significantly decreased with wearing the proposed exoskeleton.The driving torques are reduced 79.28%and 57.38%from the simulation results and isokinetic experiment results,respectively.The driving work of experiment was reduced by 56.5%.The development of the novel elbow exoskeleton with gravity-balancing mechanism can expand the application of exoskeleton in home-based rehabilitation. 展开更多
关键词 Elbow exoskeleton Bionic Gravity-balancing Human-exoskeleton coupled model-Portability
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