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Conception d'un simulateur pour l'apprentissage du geste de kinésithérapie respiratoire

Abstract : This research work is in the framework of a collaboration between SYMME laboratory and expert physiotherapists from the Réseaux Bronchiolite. It aims at designing a physical torso simulator of an infant for chest physiotherapy gesture learning. In response to a specific need expressed by practitioners, we propose a didactical tool to allow a novice to assess proficiency in comparison to referent gesture. Expert vocational activity in real working situation has been observed to define environment and constraints pertaining to the patient and to precise needs in term of measurement.
In order to characterize the gesture, an innovative specific and painless system has been designed and realized using displacement and pressure sensors inserted on gloves. Special care has been brought concerning the implementation of the DAQ chain and the calibration method.
Measurement campaigns in real care situation in ward office have been led. Data processing and analysis showed an obvious repeatability of the expert gesture that allows constructing a database.
Relevant parameters for the design of the future simulator have been defined and analysed.
In close collaboration with physiotherapists, the mechatronical approach includes didactical dimension to the construction of the specifications. The simulator consists in a physical anthropomorphic torso of a six month infant. The learning paradigm and functionalities will be
obtained conjointly by the mechanical structure and its instrumentation. A passive system focussing research work on structure and materials has been preferred. Several finite element simulations have been performed with boundaries conditions corresponding to representative gesture situation. The choice of the structural design and choice of materials by trial and error approach was done comparing displacement results from the simulation with the one measured during campaign on realbabies.
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https://tel.archives-ouvertes.fr/tel-00362765
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Submitted on : Thursday, February 19, 2009 - 11:44:41 AM
Last modification on : Friday, November 6, 2020 - 3:34:33 AM
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Luc Maréchal. Conception d'un simulateur pour l'apprentissage du geste de kinésithérapie respiratoire. Sciences de l'ingénieur [physics]. Université de Savoie, 2008. Français. ⟨tel-00362765⟩

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