研究限制與未來展望

活動量記錄儀由於記錄模式與身體運動的強度等適用性問題，使用不適合的紀錄儀在活動量上恐怕會存在偏差，需要分析使用的情境、活動的強度，慎重的選用紀錄儀，而且，若同一個人配戴在不同的身體部位，也很可能得到不同的活動量資料。

若只依據在本研究中得到的結果，要使用手腕錶做為診斷工具還有些不足，在年齡及性別之間是否具有同樣的區辨能力，因樣本大小不足的緣故無法做到，只能留待後續研究去探討，未來的研究可以朝向

ADHD

在測驗中手腕錶活動量的閥值、

ADHD

在不同的

Type

之間其活動量的相關性發展、在年紀較大和較小或男生和女生的受測者之間是否具有一樣的鑑別度，還有在非

CPT

測驗情境，但是限制手腕錶配戴者的行為時，情境可能是指定所有受試者做同一件事情，或是完全靜止的坐著，手腕錶活動量在

Control

及

ADHD

組間是否存在顯著差異。這些議題均值得未來的研究進一步去探討。

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附錄一活動量手腕錶說明

安全性資訊

 手腕錶在使用後皆視為受汙染，必須以酒精清洗擦拭後方能做繼續使用。

 手腕錶使用電池供電，工作電壓低於

5

伏特，因此不會有觸電的危險。

 使用上不能用於

10

公斤以下之嬰兒。

 使用環境地面應為木質、混凝土或是磁磚，若是鋪設人造材料其相對濕度至少應為

30%

。

表十二

EMC

射頻輻射檢測

Emissions Tests Compliance Electromagnetic environment - guidance RF Emissions

CISPR 11

Group 1 The MotionWatch uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.

RF Emissions CISPR 11

Class B The MotionWatch is suitable for use in all

establishments, including domestic establishments and those directly connected to the public

low-voltage power supply network that supplies buildings used for domestic purposes.

手腕錶參數

Time in bed

：關燈與站起的總時間。

Assumed sleep

：睡著與起床之間的總時間。

Actual sleep time

：根據每個

epoch

判定為睡眠的總時間。

Actual sleep(%)

：

Actual sleep

時間與

assumed sleep

時間的百分比。

Actual wake time

：根據每個

epoch

判定為清醒的總時間。

Actual wake(%)

：

Actual wake

時間與

assumed sleep

時間的百分比。

Sleep efficiency(%)

：

Actual sleep

時間與在床上時間的百分比。

Sleep latency

：關燈和睡著之間的時間。

Sleep bouts

：被歸類為睡眠的連續

Epoch

資料數。

Wake bouts

：被歸類為清醒的連續

Epoch

資料數。

Mean sleep bout

：每個睡眠區塊的平均長度。

Mean wake bout

：每個清醒區塊的平均長度。

Immobile mins

：未偵測到動作的總分鐘數。

Immobile time(%)

：

immobile

時間與

assumed sleep

時間的百分比。

Mobile mins

：偵測到移動的總分鐘數。

Mobile time(%)

：

mobile

時間與

assumed sleep

時間的百分比。

Immobile bouts:

被歸類為無動作的連續

Epoch

資料數。

Mean immobile bout:

為無動作區段

(Immobile bouts)

的平均值。

Immobile bouts <=1min:

小於或等於

1

分鐘之無動作區段

(Immobile bouts)

。

Immobile bouts <=1min (%):

小於

1

分鐘之無動作區段占總數之百分比。

Total activity score

：在

assumed sleep

階段所有的活動計數。

Mean activity /epoch

：在

assumed sleep

階段的

Total activity score

除以

epoch

數。

Mean nonzero activity epoch

：在

assumed sleep

階段大於零的

Total activity score

除以

epoch

數。

Fragmentation Index

：

Mobile time(%)

加上

Immobile bouts<=1min(%)

的和。

這是睡眠階段片斷化的指標，可顯示睡眠品質。

圖十二 MotionWare分析軟體介面

Accelerometer Processing

Raw acceleration measurements are processed by the on-board software of the

MotionWatch to produce a quantitative measure of the activity during each epoch. This is a four stage process which is applied to the accelerometer data:

1. The channel perpendicular to the watch is separated and subjected to the bandwidth filtering specified above (3-11Hz).

2. The peak acceleration (either positive or negative) during each second is recorded.

3. This is compared to a minimum “not moving” threshold of approximately 0.1g.

Values below this threshold are ignored to simplify the final activity graph.

4. The result from each second is summed over the epoch and scaled to produce a standard result in controlled jig testing. This value is then recorded

as the MotionWatch count for the epoch.

This process is illustrated in the diagram below, showing the acceleration waveform over two epochs, each containing two seconds of data

Tri-Axial Mode Data Processing

This is similar to above except all three axes are utilized to form counts based upon a peak vector magnitude.

1. The X, Y and Z axes are sampled with filtering at 3-11Hz.

2. The peak X²+ Y²+ Z²value is found per second.

3. The square root of the sum of squares is calculated and added to the epoch sum.

4. This is compared to a minimum “not moving” threshold of approximately 0.1g.

Values below this threshold are ignored to simplify the final activity graph.

5. The values are scaled to produce a ‘Tri-Axial count’ for the epoch.

附錄二 MotionWatch 手腕錶 - 醫療器材許可證

附錄三人體試驗委員會試驗同意書

附錄四長庚醫院受試者同意書

Dalam dokumen PDF 碩士學位論文 (Halaman 46-66)

ADHD

ADHD

Type

CPT

Control

ADHD

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附錄一 活動量手腕錶說明

5

10

30%

EMC

Time in bed

Assumed sleep

Actual sleep time

epoch

Actual sleep(%)

Actual sleep

assumed sleep

Actual wake time

epoch

Actual wake(%)

Actual wake

assumed sleep

Sleep efficiency(%)

Actual sleep

Sleep latency

Sleep bouts

Epoch

Wake bouts

Epoch

Mean sleep bout

Mean wake bout

Immobile mins

Immobile time(%)

immobile

assumed sleep

附錄一活動量手腕錶說明

附錄三人體試驗委員會試驗同意書

附錄四長庚醫院受試者同意書