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PL
W ramach pracy przeprowadzone zostały badania wspomagające proces przygotowania i doboru zindywidualizowanych ortez kończyny dolnej. Badania obejmowały analizę chodu pacjentów z mózgowym porażeniem dziecięcym MPD o różnej postaci i stopniu upośledzenia ruchowego. W przypadku wszystkich przebadanych dzieci wyniki badań chodu wykorzystano do przygotowania zaopatrzenia ortopedycznego w postaci ortez stopy i stawu skokowego AFO lub dynamicznej ortezy stopy i stawu skokowego DAFO. W artykule przedstawiono również metodykę analizy wytrzymałościowej ortez z wykorzystaniem metody elementów skończonych (MES). W procesie przygotowania indywidualnych ortez do rehabilitacji wykorzystano ręczny skaner 3D. Na podstawie rezultatów skanowania opracowano model geometryczny 3D spersonalizowanej ortezy stawu skokowego, a następnie model dyskretny 3D. Obliczenia wytrzymałościowe modelu MES ortezy pozwoliły dobrać optymalną grubość ortezy.
EN
The research is concerned with support of the process of preparation and selection of lower limb individual orthosis. The paper presents the analysis of gait in patients with cerebral palsy CP in varying forms and degrees of motor impairment. The results obtained from laboratory tests of children’s gait were used for the preparation of orthopedic orthosis in the form of AFO (ankle foot orthosis) type or DAFO (dynamic ankle foot orthosis) type. The article also describes the methodology of strength analysis of orthosis with the use of the Finite Element Method (FEM). A manual 3D scanner was applied in the process of the preparation of individual orthosis. A 3D geometrical model was developed for individual ankle orthosis based on the results of the scan. Further a devised 3D discretized model FEM allowed to carry out of strength analysis and choose the optimum orthosis thickness.
2
Content available remote Interactive rehabilitation of small children with lower limbs dysfunction
EN
Purpose: of this paper is to presents a method of interactive rehabilitation based on a mechatronic system supporting psychomotor rehabilitation of children with lower limbs dysfunction. Design/methodology/approach: The method is grounded on stimulation of senses through image and sound. To achieve this purpose one used modern multimedia solutions in conjunction with an intelligent controlling system. The system controls the degree of the set rehabilitation load as well as measures the child’s concentration. Findings: The proposed method is a kind of contemporary physiotherapy which combines traditional cyclotherapy and stimulation of the child’s intellectual development by means of Glenn Doman’s improvement method or with the use of music therapy depending on the degree of the child’s intellectual development. Therapeutic activities undertaken with the use of the developed equipment may in the case of paresis or paralysis restore the action of the muscles by improving their elasticity or increasing their ability to react to stimulation of the nervous system. Research limitations/implications: The combination of movement therapy with psychological stimulation enables the children to use their abilities more efficiently and speeds up the rehabilitation process. Practical implications: The application of the equipment in question increases efficiency of the therapists’ and parents’ actions, being at the same time a vital element supporting the laborious and painstaking process of rehabilitation of little patients. Originality/value: The method consists in movement therapy combined with simultaneous psychological stimulation of the child.
PL
W pracy przedstawiono zagadnienia dotyczące zaburzeń i metod wspomagania rozwoju psychoruchowego, z wykorzystaniem podzespołów elektronicznych. W związku z brakiem urządzeń dostosowanych do potrzeb oraz ograniczeń dzieci niepełnosprawnych, dokonano przeglądu dostępnych czujników. Zweryfikowano je pod kątem zastosowania w urządzeniach projektowanych z myślą o dzieciach z zaburzeniami motoryki precyzyjnej. Przeprowadzono badania precyzji i siły nacisku z udziałem dzieci niepełnosprawnych i zdrowych.
EN
The article presents issues concerning the disorder and methods of supporting psychomotor development, the use of electronic components. In the absence of facilities tailored to the needs and limitations of children with disabilities, was done a review of available sensors. Verified them for use in devices design for children a disorder motility precise. Study was carried out precision and pressure force involving disabled and healthy children.
EN
Purpose: This article presents an innovative approach to the process of rehabilitation of children under 3 years of age. It shows a system supporting the process of rehabilitation based on cyclotherapy. This work presents a method of combining traditional cyclotherapy with stimulation of intellectual development of the child by means of using the Glenn Doman method or music therapy depending on the degree of intellectual development of the child. Rehabilitation will take place in the form of a play with the use of specially designed equipment. Design/methodology/approach: This work reviews selected methods of improving the children’s condition, which methods may be applied in interactive rehabilitation. Findings: The combination of movement-based therapy with mental stimulation will make it possible to use the child’s potential in a more effective way and quicken the process of rehabilitation. Research limitations/implications: In further stages of works it is expected to make a prototype device that can be transferred to a public benefit organization or an organization of a similar nature in order to conduct researches within their own works. Practical implications: The combination of movement therapy with psychological stimulation will exploit, to the maximum extent, natural abilities of brain development in small children. This is enormously important as it is often a factor that conditions the length and, first of all, the quality of life of the patients. Originality/value: The device being developed will include all the most important factors that may affect the physical structure of children and their psyche, which can directly affect the improvement of their health.
5
EN
Purpose: This article presents the concept of an interactive rehabilitation equipment designed for children under 3 years of age with dysfunction of the lower limbs. Through the use of interactive play-boards and games not only will the children learn faster, but the whole process of rehabilitation will be really fun. Furthermore, the device can be connected to a computer or a special synoptic screen mounted on a special rack. Thanks to an interactive combination of the function of movement rehabilitation with mental stimulation of a child it will be possible to support the development of cognitive functions, cause-effect thinking, stimulation of the senses and to improve coordination and spatial orientation of the young patient. Design/methodology/approach: The novelty of the station is combination of the traditional cycle-therapy with the Glenn Doman improvement method, or with music therapy, depending on the degree of disability of a child. Findings: Combination of the traditional cycle-therapy with music therapy or Glenn Doman’s method in rehabilitation of small patients will help to maximize the children’s activity and their involvement, which at this stage of development is possible only by giving rehabilitation exercises an attractive form of plays and games. Research limitations/implications: FMEA is a very important method which should be employed in companies fPractical implications: The researches from the broadly understood biomechanics that are carried out shall lead to a construction of a rehabilitation device designed for children under the age of three. The proposed device should be very effective in the rehabilitation process, even for the youngest children, and due to its relatively simple modular construction and the possibility of cooperation with many plays and games, it should also be a market success by contributing to the effective rehabilitation of the considerable population of children who require such rehabilitation. Originality/value: The device being developed will include all the most important factors that may affect the physical structure of children and their psyche, which can directly affect the improvement of their health.
6
EN
Purpose: The article discusses the assumptions and a concept of a system aiding progress in rehabilitation by stimulating a child’s senses through image and sound. A special rehabilitation device comprised of a training bike with a chair and a synoptic screen enables the patient to perform prophylactic and corrective exercises. Brain activity measurement with an EEG sensor is used as a function steering the rehabilitation process. Design/methodology/approach: The article discusses a method of combining traditional cyclotherapy with the stimulation of a child’s intellectual development with the Glenn Doman rehabilitation method or with music therapy depending on the degree of a child’s intellectual development. Findings: Combination of the traditional cycle-therapy with music therapy or Glenn Doman’s method in rehabilitation of small patients will help to maximize the children’s activity and their involvement, which at this stage of development is possible only by giving rehabilitation exercises an attractive form of plays and games. Research limitations/implications: In further stages of works it is expected to make a prototype device that can be transferred to a public benefit organization in order to conduct researches within their own works. Practical implications: The proposed device should be very effective in the rehabilitation process, even for the youngest children, and due to its relatively simple modular construction and the possibility of cooperation with many plays and games. Originality/value: The device being developed will include all the most important factors that may affect the physical structure of children and their psyche, which can directly affect the improvement of their health.
PL
W pracy przedstawiono koncepcję stacjonarnego, interaktywnego rowerka rehabilitacyjnego dla dzieci poniżej trzeciego roku życia. Rehabilitacja małych dzieci musi być dostosowana do ich potrzeb oraz możliwości, a także powinna w sposób wszechstronny uwzględniać ich odrębność strukturalną i czynnościową wynikającą z wieku. Leczenie dysfunkcji kończyn dolnych przy minimalnej świadomości dziecka podczas zabawy podnosi atrakcyjność rehabilitacji, zwiększając zainteresowanie małego pacjenta oraz umożliwia dłuższe wykonywanie różnych czynności nie powodując znudzenia. Koncepcję rowerku wykonano w programie Autodesk Inventor.
EN
This paper presents the concept of a stationary, interactive rehabilitation bicycle for children below the age of three. The rehabilitation of small children has to be adjusted to their needs and possibilities and it should comprehensively take into account children’s structural and functional diversity related to their age. The treatment of dysfunction of lower limbs while the child is barely aware of it during play, increases the attractiveness of rehabilitation and thus child’s engagement and allows for longer exercises that do not cause boredom. The concept of the bicycle has been prepared with the use of Inventor software.
EN
Positioning precision belongs to the most necessary properties of surgical robot. Improvement of robot is facilitated by the elaborated dynamic model, enabling investigation of influence of parameters on control precision. The set of complex, non-linear phenomena, considered in the model, includes elasticity of robot elements, clearances in joints, characteristics of servo-motors and control loops, friction and internal damping, etc. The paper presents assumptions of the model, method of solving model equations, exemplary results of simulation and conclusions, confirming possibilities of the program and showing strong influence of analyzed parameters on positioning precision.
PL
Uzyskanie wysokiej precyzji pozycjonowania jest jednym z kluczowych zadań robota kardiochirurgicznego. Opracowany w Instytucie program symulacji dynamiki robota RobMed [1] ułatwia doskonalenie konstrukcji robota, poprzez możliwość badania wpływu szeregu cech konstrukcyjnych i eksploatacyjnych na dokładność sterowania. W artykule omówiono opracowaną metodę modelowania luzów łożyskowych, należących do ważniejszych przyczyn niedokładności. Określono zależności, służące do wyznaczania aktualnych luzów w węźle, w różnych warunkach kontaktu sąsiadujących członów. Podano równania przejścia, wiążące błędy pozycjonowania narzędzia ze skutkami luzów, podatności i niedokładności montażu. Zamieszczono przykładowe wyniki symulacji, ukazujące wpływ luzów na błędy pozycjonowania.
EN
Gaming excellent positioning precision is one of the key tasks of cardiosurgical robot. The program RobMed [1], simulating dynamics of robot, elaborated by author, facilitates robot improvement, by enabling analysis of influence of numerous design and operating parameters on precision. The paper describes elaborated method of modeling of bearing clearances, belonging to most important causes of inaccuracies. The relations, determining actual values of clearances in joint, in different conditions of contact of neighboring members, are derived. The matrix transient equations, connecting positioning errors of surgical tool with the effects of clearances, elasticity end assembling inaccuracy, are presented. Exemplary results of simulation, showing influence of clearances on errors are included.
PL
Artykuł prezentuje model matematyczny i program komputerowy, symulujący dynamikę robota kardiochirurgicznego, stanowiacy narzędzie do badania precyzji pozycjonowania. Model uwzględnia wiele złożonych nieliniowych zjawisk, wpływających na precyzję, związanych m.in. z podatnością elementów robota, luzami w połączeniach, charakterystykami siłowników, tarciem i tłumieniem wewnętrznym. Przedstawiono założenia modelu, metodykę rozwiązywania równań modelowych oraz wstępne wyniki symulacji, potwierdzające możliwości programu i wpływ analizowanych parametrów na precyzję pozycjonowania.
EN
The paper presents a mathematical model and a computer program, enabling simulation of cardio-surgical robot dynamics, prepared as a tool for investigation of positioning precision. The model includes the set of complex, non-linear phenomena, influencing precision of control, connected with elasticity of robot elements, clearances in joints, characteristics of servo-motors, friction and internal damping, etc. The assumptions of the model, the method of solving model equations and preliminary results of simulation, confirming possibilities of the program and showing influence of analyzed parameters on positioning precision have been shown.
PL
W artykule zaprezentowano model matematyczny procesów dynamicznych, zachodzących podczas pracy robota kardiochirurgicznego. Przedstawiono ogólne założenia modelu, metodykę symulacji oraz modele kilku wybranych elementów robota. Formułując model uwzględniono szereg własności i zjawisk, związanych z podatnością, luzami, drganiami i charakterystykami sterowników, istotnie wpływających na precyzję sterowania, zwłaszcza w przypadku stosunkowo szybkich ruchów automatycznego szycia i utrzymywania względnej pozycji narzędzia w stosunku do bijącego serca.
EN
The paper presents mathematical model of dynamie processes, oceurring during operation of cardiosurgical robot. Paper describes assumptions of the model, methods of simulation, and models of selected elements of robot. Model takes into account extensive set of properties and phenomena, joined with elasticity, clearances, vibrations and characteristics of controllers, influencing the precision of control, especially in the case of relatively fast motions of automatic sewing and positioning the tool towards the surface of beating heart.
EN
Robotic telesurgery is a relatively new, very promising application ofrobotics to medicine. It is aimed at enhancing the dexterity and precision of surgeons manipulation, and at minimisation of necessary operational incisions. It is based on the use of robot, equipped with manipulators having very smali diameter, remotely controlled by the surgeon. The paper is concentrated on the use of robots in the heart surgery. Some historical information, concerning heart surgery and usage of robots in medicine is presented. Selected professional stelesurgery systems are described, together with a Polish robot Robin Heart, actually prepared by the Foundation for Cardiac Surgery Development. Main benefits and problems, connected with telesurgery are discussed.
PL
Roboty, zdalnie sterowane przez chirurga, zmniejszające ból, groźbę śmierci lub powikłań i czas rekonwalescencji pacjentów, poprzez małoinwazyjne wykonywanie wielu trudnych, także kardiochirurgicznych operacji, stanowią jedną z najszybciej rozwijających się dziedzin techniki medycznej. W artykule przedstawiono perspektywy rozwoju i podstawowe problemy, których rozwiązanie umożliwi powszechniejsze wykorzystanie potencjalnych walorów robotów kardiochirurgicznych. Scharakteryzowano najważniejsze istniejące na świecie systemy i omówiono polski robot RobInHeart, przygotowywany w Fundacji dla Rozwoju Kardiochirurgii.
EN
Robots, remotely controlled by the surgeon, decreasing pain, risk of death or complications and convalescence time of patients, by performing many difficult, also cardiosurgical operations in minimally invasive manner, are one of mostly fast developing branches of medical engineering. The paper presents perspectives of progress and main problems, which solving will enable more common utilisation of potential advantages of cardiosurgery robots. Most important professional systems existing in the world are characterised and Polish robot RobIn Heart, prepared by Foundation for Cardiosurgery Development is described.
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