AKTİF BİR BİLEK ORTEZ TASARIMI VE ÜRETİMİ

Yıl 2017, Cilt: 5 Sayı: 1, 33 - 44, 20.03.2017

Ergin Kılıç Erdi Doğan

Öz

Bu çalışma kapsamında dirsek bölgesinde tendon yırtığı veya inflamasyonu olan hastaların hem rehabilitasyonları için hem de günlük ve mesleki hayat aktivitelerinin devamı için kullanılabilecek bir aktif bilek ortezin tasarımı ve üretimi amaçlanmaktadır. Aktif bilek ortezi, ön kol ve bilek ile etkileşim halinde çalışabilen elektromekanik bir cihaz olucaktır. Bu cihaz, mesleği gereği gün içerisinde çok fazla tekrarlı bilek hareketleri yapmak zorunda kalan kimselerin bilek hareketlerine yardımcı olmak ve tıp literatüründe tenisçi ve golfçü dirseği olarak bilinen hastalıkların fizik tedavi uygulamaları için kullanılacaktır. Önerilen çalışmanın özgünlüğü, mesleğinden ötürü tekrarlı bilek hareketleri yapmak zorunda kalan kimselerin dirsek bölgelerinde oluşan tendon yırtığı hastalıkların önlenmesi veya tedavisi için kullanılabilecek, bileğe yüksek seviyelerde tork takviyesini yüksek hızlarda sağlayabilecek, mobil ve ergonomik bir bilek ortez tasarımı yapılacak olmasıdır. Çalışmanın temel hedefi tekrarlı bilek hareketi yapan kişilerin dirsek bölgelerinde oluşabilecek tendon yırtıklarının engellenmesi veya tedavisinin kolaylaştırılması için bir cihazın tasarımı ve üretimidir.

Anahtar Kelimeler

Bilek Ortezi, Robotik Rehabilitasyon; Tenisçi Dirseği; Golfçü Dirseği

Kaynakça

• Longo, U.G., Franceschetti, E., Rizelle, G., Petrillo, S. and Denarp, V., “Elbow tendinopathy”, Muscle Ligaments Tendons, Cilt 2, No 2, 115-120, 2012.
• Gruchow, H.W. and Pelletier, D., “An epidemiologic study of tennis elbow. Incidence, recurrence and effectiveness of preventine strategies”, American Journal of Sports Medicine, Cilt 7, No 4, 234-238, 1979.
• Wadsworth, T.G., “Tennis elbow: Conservative surgical and manipulative treatment”, British Medical Journal, Cilt 294, No 6572, 621-623, 1987.
• Pienimaki, T., Karinen, P., Kemilla, T. and Koivukangas, P., “Long-term follow-up of conservatively treated chronic tennis elbow patients. A prospective and retrospective analysis”, Scandinavian Journal of Rehabilitation Medicine, Cilt 30, 159-166, 1998.
• Wuori, J.L., Overend, T.J., Kramer J.F. and MacDermid, J., “Strength and pain measures associated with lateral epicondylitis bracing”. Archives of Physical Medicine and Rehabilitation, Cilt 79, 832-837, 1998.
• Bowen, R.E., Dorey, F.J. and Shapiro, M.S., “Efficacy of nonoperative treatment for lateral epicondylitis”, American Journal of Orthopedics, Cilt 30, 642-646, 2001.
• McMurtrie, A. and Watts, A.C., “(vi) Tennis elbow and Golfer’s elbow”, Orthopaedics and Trauma, Cilt 26, No 5, 337-344, 2012.
• Goodall, R. M., Pratt, D.J., Rogers, C.T. and Murray-Leslie, C.M. “Enhancing Postural Stability in Hemi-Plegics Using Externally Applied Forces”, International Journal of Rehabilitation Research, Cilt 10, No 4, 132-140, 1987.
• Erlandson, R. F., “Applications of Robotic/Mechatronic Systems in Special Education, Rehabilitation Therapy”, IEEE Transactions on Rehabilitation Engineering, Cilt 3, No 1, 22-34, 1992.
• Khalili, D. and Zomlefer, M., “An Intelligent Robotic System for Rehabilitation of Joints and Estimation of Body Segment Parameters” IEEE Transactions on Biomedical Engineering, Cilt 35, No 2, 138-146, 1988.
• White C.J., Schneider, A.M. and Brogan, W.K., “Robotic Orthosis for Stroke Patient Rehabilitation”, IEEE International Conference of Engineering in Medicine and Biology Society, San Diego, CA, USA, 1272-1273, 28-31 Ekim 1993.
• Kotovsky, J. and Rosen, M.J., “A wearable tremor-suppression orthosis”, Journal of Rehabilitation Research and Development, Cilt 35, No 4, 373-387, 1998.
• Rocon, E., Belda-Lois, J.M., Ruiz, A.F., Manto, M., Moreno, J.C. and Pons, J.L., “Design and validation of a rehabilitation robotic exoskeleton for tremor assessment and suppression”, IEEE Transactions on Neural Systems and Rehabilitation Engineering, Cilt 15, 367–378, 2007.
• Nef, T., Mihelj, M., Colombo, G. and Riener, R., “ARMin – Robot for Rehabilitation of the Upper Extremities”, IEEE International Conference on Robotics and Automation, Orlando, Florida, USA, 3152-3157, 15-19 Mayıs 2006.
• Gupta, A. and O’Malley, M.K., “Design of a Haptic Arm Exoskeleton for Training and Rehabilitation”, IEEE/ASME Transactions on Mechatronics, Cilt 11, No 3, 280-289, 2006.
• Pehlivan, A.U., Lee, S. and O’Malley, M.K., “Mechanical Design of RiceWrist-S: a Forearm-Wrist Exoskeleton for Stroke and Spinal Cord Injury Rehabilitation”, 4th IEEE RAS/EMBS International Conference on Biomedical Robotics and Biomechatronics, Roma, Italy, 1573-1578, 24-27 Haziran 2012.
• Gopura, R.A.R.C. and Kiguchi, K., “EMG-Based Control of an Exoskeleton Robot for Human Forearm and Wrist Motion Assist ”, IEEE International Conference on Robotics and Automation, Pasadena, CA, USA, 731-736, 19-23 Mayıs 2008.
• Rahman M.H., K-Ouimet, T., Saad, M., Kenne, J.P.and Archambault, P.S., “Control of a Powered Exoskeleton for Elbow, Forearm and Wrist Joint Movements”, IEEE International Conference on Robotics and Biomimetics, Phuket, Thailand, 1561-1566, 7-11 Aralık 2011.
• Williams, D.J., Krebs, H.I. and Hogan, N., “A robot for wrist rehabilitation”, The IEEE Proceedings of the 23rd A nnual International Conference of Engineering in Medicine and Biology Society, 2, 1336-1339, 25-28 Ekim 2001.
• Cramer, S.C., Takahashi, C.D., Der-Yeghiaian, L., See, J., Motiwala, R.R. and Le, V., “Robot Based Hand Motor Therapy after Stroke”, International Stroke Conference, San Francisco, USA, Şubat 2007.
• Chapuis, D., Grave, R.B., Lambercy, O. and Gassert, R, “ReFlex, a Haptic Wrist Interface for Motor Learning and Rehabilitation”, IEEE Haptics Symposium, Waltham, Massachusetts, USA, 25-26 Mart 2010.
• Erdoğan, A., Satıcı, A.C. and Patoglu, V., “Passive Velocity Field Control of a Forearm-Wrist Rehabilitation Robot”, IEEE International Conference on Rehabilitation Robotics, Zurich, Switzerland, 29 Haziran – 1 Temmuz 2011.
• Kutner N.G.., Zhang, R., Butler, A.J., Wollf, S.L. and Alberts, J.L., “ Quality-of-Life Change Associated With Robotic-Assisted Therapy to Improve Hand Motor Function in Patients With Subacute Stroke: A Randomized Clinical Trial”, Research report featured in Physical Therapy, Cilt 90, No4, 493–504, 2010.
• Squeri, V., Masia, L., Giannoni, P., Sandini, G. and Morasso, P., “Wrist Rehabilitation in Chronic Stroke Patients by Means of Adaptive, Progressive Robot-Aided Therapy”, IEEE Transactions On Neural Systems and Rehabilitation Engineering, Cilt 22, No 2, 312-325, 2014.
• Morse J.L., Jung, M.C., Bashford, G.R. and Hallbeck, M.S., “Maximal dynamic grip force and wrist torque: The effects of gender, exertion direction, angular velocity, and wrist angle”, Applied Ergonomics, Cilt 37, No 6, 737-742, 2006.
• Gopura, R.A.R.C. and Kiguchi, K., “Mechanical Designs of Active Upper-Limb Exoskeleton Robots State-of-the-Art and Design Difficulties”, IEEE 11th International Conference on Rehabilitation Robotics, Kyoto, Japan, 178-187, 23-26 Haziran 2009.