手功能障碍者筷子辅具的改进设计

doi:10.3969/j.issn.1006-9771.2021.11.002

摘要/Abstract

摘要：

目的针对手功能障碍患者,改进设计一种新型筷子辅具,以解决因肌力不足、精细动作困难等原因造成的用筷困难。方法采用掌控式横握操作、一体化结构设计、折弯冲压加工工艺,改进折弯连接处、筷柄等关键部位。进行有限元仿真分析,制作样机进行力学测试,由一例3岁男童试用。结果筷子辅具握持操作所需握力与折弯半径、材料、截面积和握持位置相关;握持操作对特定手指肌力和灵巧度的要求不高,使用时不易滑脱,两筷间有确定的相对运动,左右筷头能自动弹开,便于左手使用。结论本设计可解决手功能障碍患者就餐用筷问题,有助于患者提高生活质量,也适合于用筷经验不足的人士。

关键词: 手功能障碍, 筷子辅具, 设计

Abstract:

Objective To design a new type of assistive chopsticks for the hand disorders, such as hand weakness and poor fine movement, etc.Methods The assistive chopsticks were palm-control operative, integrated structure designed, and bending stamping processing technology was adopted. The key parts such as the bends and joint, holding parts were improved. The prototype was tested with finite element analysis and mechanical testing, and used on trial by a three years old boy.Results The gripping force needed was related to the bending radius, material, section size and holding position. It required less dexterity and force for particular fingers, and was not easy to drop down. They could bounce off automatically and were suitable for left hand.Conclusion The new type of assistive chopsticks may help the patients with hand dysfunction to have meals with chopsticks, to improve the quality of life. However, it is also suitable for Westerners with less experience.

Key words: hand dysfunction, assistive chopsticks, structure design

赵展,胡秀枋,徐秀林. 手功能障碍者筷子辅具的改进设计[J]. 《中国康复理论与实践》, 2021, 27(11): 1247-1252.

ZHAO Zhan,HU Xiu-fang,XU Xiu-lin. New Assistive Chopsticks Designed for People with Hand Dysfunction[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(11): 1247-1252.

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参考文献 38

[1]	周明扬. 筷子的设计文化[J]. 南京艺术学院学报(美术与设计), 2009(6):111-112.
	ZHOU M Y. J Nanjing Arts Institute (Fine Arts & Design), 2009(6):111-112.
[2]	杨婷, 钟雅祯, 刘沫含, 等. 筷子使用中的工效学评估及关节运动模型[J]. 应用心理学, 2016, 22(2):127-136.
	YANG T, ZHONG Y Z, LIU M H, et al. Ergonomic analysis and joints movement model during chopsticks using[J]. Chin J Appl Psychol, 2016, 22(2):127-136.
[3]	NAMIKI M, MAKINO M. A Contactless Training Support System of holding chopsticks by posture estimation of chopsticks, hand, and fingers[C]. International Workshop on Advanced Imaging Technology, 2021.
[4]	YU K, TAKEDA D, SASAKI A, et al. Archive and instruction of hand motion: analysis and evaluation of hand motion [C]. Conference of the IEEE Industrial Electronics Society, 2006.
[5]	中国老年保健医学研究会老龄健康服务与标准化分会, 《中国老年保健医学》杂志编辑委员会, 北京小汤山康复医院. 中国高龄脑卒中患者康复治疗技术专家共识[J]. 中国老年保健医学, 2019, 17(1):3-16.
	Aging Health Service and Standardization Branch of China Geriatric Health Medicine Research Association, Chinese Journal of Geriatric Care Editorial Board, Beijing Xiaotangshan Rehabilitation Hospital. Chin J Geriatr Care, 2019, 17(1):3-16.
[6]	吴亚哲, 陈伟伟. 中国脑卒中流行概况[J]. 心脑血管病防治, 2016, 16(6):410-414.
	WU Y Z, CHEN W W. Cardio-Cerebrovasc Dis Prev Treat, 2016, 16(6):410-414.
[7]	中华医学会神经病学分会神经康复学组, 中华医学会神经病学分会脑血管病学组, 卫生部脑卒中筛查与防治工程委员会办公室. 中国脑卒中康复治疗指南(2011完全版)[J]. 中国康复理论与实践, 2012, 18(4):301-318.
	Neurologic Rehabilitation Studies Group and Cerebrovascular Diseases Studies Group of Neurology Branch of Chinese Medical Association, the Office of Stroke Screening and Preventing and Treating Committee of Ministry of Health. 2011 China Guidelines for Stroke Rehabilitation (full version)[J]. Chin J Rehabil Theory Pract, 2012, 18(4):301-318.
[8]	贾杰. "中枢-外周-中枢"闭环康复——脑卒中后手功能康复新理念[J]. 中国康复医学杂志, 2016, 31(11):1180-1182.
	JIA J. Chin J Rehabil Med, 2016, 31(11):1180-1182.
[9]	张文娟, 谭文静. 中国老年人辅助器具的使用行为分析[J]. 人口与发展, 2016, 22(3):100-112, 70.
	ZHANG W J, TAN W J. An analysis on using behave of assistive devices of Chinese elderly[J]. Popul Dev, 2016, 22(3):100-112, 70.
[10]	付永民. 筷子设计研究报告[J]. 设计, 2014(4):15-17.
	FU Y M. Research report of chopsticks design[J]. Design, 2014(4):15-17.
[11]	MIYAWAKI F, USUI M, OONETA Y, et al. Investigation of effects of ways of using muscles on performance of fine handwork[C]. Networking, Sensing and Control, 2009: 507-512.
[12]	KANEKO Y, OTA T, SHIBATA K. Relationship between chopstick manipulation and cross-sectional shape in the developmental stages from infancy to early school age[J]. Appl Ergon, 2021, 103507(97):1-9.
[13]	SHIMOMURA Y, OHSAWA T, SHIMURA M, et al. What is the significance of the traditional pinching mode of holding chopsticks?[J]. J Physiol Anthropol, 2020, 39(13):1-5. doi: 10.1186/s40101-019-0207-0
[14]	WU S P. Effects of the handle diameter and tip angle of chopsticks on the food-serving performance of male subjects[J]. Appl Ergon, 1995, 26(6):379-385. doi: 10.1016/0003-6870(95)00050-X
[15]	LI Z Y, JIANG K P, CAO R P. Research on re-designing the shape of chopsticks[C]. International Asia Conference on Industrial Engineering and Management Innovation, 2012: 29-37.
[16]	李斯. 筷子[P]. 2010-09-01. CN201564175U.
	LI S. Chopsticks [P]. 2010-09-01. CN201564175U.
[17]	赵峰一种筷子 [P]. 2013-06-05. CN103126471A.
	ZHAO F. Chopsticks [P]. 2013-06-05.CN103126471A.
[18]	ATSUSHI T. Tongs with Universal Design [P]. 2006-03-02. JP2006055351A.
[19]	YAMAZAKI A, MASUDA R. Autonomous foods handling by chopsticks for meal assistant robot[C]. Robotics Proceedings of ROBOTIK 2012 7th German Conference, 2012: 221-226.
[20]	YAMAZAKI A, MASUDA R. Various foods handling movement of chopstick-equipped meal assistant robot and there evaluation[C]. ICSR 2012: Social Robotics, 2012: 158-167.
[21]	OKA T, MATSUURA D, SUGAHARA Y, et al. Chopstick-type gripper mechanism for meal-assistance robot capable of adapting to size and elasticity of foods[J]. IFToMM Symposium on Mechanism Design for Robotics, 2018: 284-292.
[22]	KOSHIZAKI T, MASUDA R Control of a meal assistance robot capable of using chopsticks[C]. 41st International Symposium on Robotics (ISR) and 2010 6th German, 2010: 1246-1251.
[23]	SANTOS A V F, LICURSI L, AMARAL M F, et al. User-centered design of a customized assistive device to support feeding[J]. Procedia CIRP, 2019, 84:743-748. doi: 10.1016/j.procir.2019.04.318
[24]	CHEN Y L. Effects of shape and operation of chopsticks on food-serving performance[J]. Appl Ergon, 1998, 29(4):233-238. doi: 10.1016/S0003-6870(97)00046-X
[25]	LEE Y C, CHEN Y L. Optimal combination of auxiliary device size and its location on chopsticks for food-gripping performances[J]. Percept Mot Skills, 2012, 115(1):187-196. doi: 10.2466/25.15.PMS.115.4.187-196
[26]	庄原. 通用设计视野下帕金森患者生活自理类辅具的设计研究[D]. 武汉:武汉理工大学, 2017.
	ZHUANG Y. Design research of self-care aids for patients with Parkinson's disease in universal design[D]. Wuhan: Wuhan University of Technology, 2017.
[27]	李晞, 吴小高. 我国残疾人辅助器具服务工作的现状及展望[J]. 残疾人研究, 2016(3):43-47.
	LI X, WU X G. Present situation and prospects on fitting assistive devices services for persons with disabilities[J]. Disabil Res, 2016(3):43-47.
[28]	DAEHYUNG P, YUUNA H, HARSHAL P M, et al. Active robot-assisted feeding with a general-purpose mobile manipulator: design, evaluation, and lessons learned[J]. Robot Auto Sys, 2020, 124:1-17.
[29]	CANDEIAS A, RHODES T, MARQUES M, et al. Vision augmented robot feeding[J]. Lect Note Comput Sci, 2019, 11134:50-65.
[30]	罗椅民, 师昉, 纪树荣. 老年辅助器具与辅助技术在养老康复中的应用进展[J]. 中国康复医学杂志, 2016, 31(7):813-816.
	LUO Y M, SHI F, JI S R. Chin J Rehabil Med, 2016, 31(7):813-816.
[31]	张济川, 金德闻. 中外辅助技术的发展状况比较[J]. 中国康复理论与实践, 2007, 13(4):324-326.
	ZHANG J C, JIN D W. Development of assistive technology in China and other countries[J]. Chin J Rehabil Theory Pract, 2007, 13(4):324-326.
[32]	赵新泽, 赵俊伟, 陈波, 等. ANSYS Workbench的人字闸门底枢接触应力有限元分析[J]. 机械设计与制造, 2020(2):76-79.
	ZHAO X Z, ZHAO J W, CHEN B, et al. Contact stress FEM analysis of bottom hinges of miter gates base on ANSYS Workbench[J]. Mach Design Manufact, 2020(2):76-79.
[33]	WONG S, CHAN K, WONG V, et al. Use of chopsticks in Chinese children[J]. Child Care Health Dev, 2002, 28(2):157-161. doi: 10.1046/j.1365-2214.2002.00256.x
[34]	陈立典. 康复评定学[M]. 北京: 科学出版社, 2018: 71.
	CHEN L D. Rehabilitation Assessment [M]. Beijing: Science Press, 2018: 71.
[35]	王丽珍, 郭颖彬, 骆俊宏. 居家运动训练对老年肥胖型肌少症的效果[J]. 中国康复理论与实践, 2019, 25(1):90-96.
	WANG L Z, GUO Y B, LUO J H. Effects of home exercise on sarcopenia obesity for aging people[J]. Chin J Rehabil Theory Pract, 2019, 25(1):90-96.
[36]	李亚慧, 李晓红. 帕金森病运动训练方法及其机制的研究进展[J]. 中国康复理论与实践, 2019, 25(1):51-54.
	LI Y H, LI X H. Advance in exercise and related mechanism for Parkinson's disease (review)[J]. Chin J Rehabil Theory Pract, 2019, 25(1):51-54.
[37]	张伟, 张通. 中老年脑卒中患者握力与认知功能的关系探讨:来自中国健康与退休前瞻性队列研究[J]. 中国康复理论与实践, 2019, 25(3):279-283.
	ZHANG W, ZHANG T. Association between grip strength and cognitive function among middle-aged and older adults with stroke: findings from the China Health and Retirement Longitudinal Study[J]. Chin J Rehabil Theory Pract, 2019, 25(3):279-283.
[38]	严隽陶, 杨佩君, 吴毅, 等. 脑卒中居家康复上海地区专家共识[J]. 上海中医药大学学报, 2020, 34(2):1-10.
	YAN J T, YANG P J, WU Y, et al. Expert Consensus on Home Rehabilitation of Stroke in Shanghai[J]. Acad J Shanghai Univ Trad Chin Med, 2020, 34(2):1-10.