KR101320624B1 - Integrated cognitive rehabilitation system and integrated cognitive rehabilitation service providing method - Google Patents

Abstract

Disclosed are an integrated cognitive rehabilitation system and an integrated cognitive rehabilitation service providing method integrating cognitive function evaluation, cognitive training, and training evaluation. A cognitive function evaluation module that executes a cognitive function evaluation program for confirming information about any patient and evaluating the patient's cognitive ability using the cognitive function evaluation content and prescribing a training level. A training module for executing the selected training content and generating a response result of the patient according to the execution of the training content as a data, a cognitive function evaluation and prescription result in the cognitive function evaluation module using the training evaluation content, and the training Training evaluation module to evaluate the training results in the module, and outputs one or more of the cognitive function evaluation and prescription content, training content and training evaluation content in the form of an output and the cognitive function evaluation module, the training module connected through the Internet Controlling the operation of the training evaluation module; According to the integrated cognitive rehabilitation system including a web server that manages training content and a database storing the training evaluation content, training evaluation and treatment can coexist in one system, and training content corresponding to the training evaluation content can be automatically determined. .

Description

Integrated cognitive rehabilitation system and integrated cognitive rehabilitation service providing method}

The present invention relates to a cognitive rehabilitation system, and more particularly, to a method for providing an integrated cognitive rehabilitation system and integrated cognitive rehabilitation service that integrates cognitive function evaluation, cognitive training, and training evaluation.

Cognitive impairment is particularly decisive for brain injury patients and dementia patients to perform their daily activities independently and to carry out activities that place meaning and value on them. People with impaired cognition have problems processing meaningful information provided by the environment. So they are difficult to structure and organize their environment. Training to restore the cognitive abilities of injured or weakened people is a very important task because it enhances their ability to perform their work, their ability to perform their activities and enables them to perform their daily activities independently. to be.

Cognitive rehabilitation training programs help maximize the potential of patients with these cognitive abilities and reduce the incidence of disability in activities that are meaningful to them. Rehabilitation program for cognitive impairment of brain injury patient is very important treatment area in domestic medical rehabilitation related institution. This is because treatment for cognitive impairment is essential to improve patient quality of life and optimize meaningful performance. However, although rehabilitation of cognitive impairment or cognitive impairment is very important, there is a lack of related therapeutic tools or training tools.

Contrary to the lack of cognitive rehabilitation training programs, there are a growing number of people who complain of cognitive impairment. Representative patient groups include traumatic brain injury, stroke and dementia. Today, the number of stroke patients is increasing rapidly due to adult diseases and modern stress. Stroke is the leading cause of death among Koreans, who consistently ranked second in mortality after cancer from 1994 to 2007, especially in people over 50. There were 240 strokes and 75 deaths per 100,000 population, and 29,277 deaths in 2007 (statistics, 2007). The number of patients with traumatic brain injury as a result of various industrial accidents and traffic accidents is increasing rapidly. Patients with traumatic brain injury are deficient in visual information processing, disability, limited concentration, memory impairment, loss of insight and awareness, reduced learning ability, impaired organizing ability of verbal or nonverbal activities, incomplete thinking and behavior, problem solving Problems such as decreased ability and reduced starting ability. These cognitive problems in patients with traumatic brain injury prevent them from independently performing self-help skills, productive activities and leisure activities. Stroke and traumatic brain injury, both of which are representative diseases of brain injury, both destroy brain cells, impairing cognitive abilities, causing impairment of basic activities in daily life, losing work, and depriving people of leisure and play culture. Lets experience social dissension.

In addition, our society has already begun 'aging society' due to the rapid growth of the aging population due to the development of medical technology.In this speed, the elderly population will enter the `` aging society '' where 2018 will account for 14% of the population. (National Statistical Office, 2006). Although medical technology for physical diseases is developing and life expectancy of human beings is longer than in the past, brain dysfunction due to aging has no clue for solution. Dementia is a representative disease that causes cognitive impairment due to aging.

The number of patients with dementia in Korea continues to increase. The Ministry of Health, Welfare and Family released an estimate of the number of elderly people with dementia in the 2005 Health and Welfare White Paper, which is now 1.5 times higher than in 1997 and is expected to nearly triple in 2020 (Ministry of Health and Welfare, 2005).

Dementia causes difficulty in concentration and working memory in the early stages, deterioration in mid-term, poor memory of recent events, and serious problems in the target person. Even in the later stages, the problem of cognition is obvious, such as the problem of facial loss authentication, which does not even recognize the faces of close family members. However, there is a lack of clear medical and training approaches to address the dementia causing these serious disabilities. Cognitive therapy for brain injury patients and dementia patients is continuously performed in the occupational therapy room of rehabilitation hospitals in Korea, but therapists are suffering from the lack of special treatment tools.

In the past, therapeutic modalities in cognitive rehabilitation can be divided into paper & pencil, table top, and treatment through work (work, daily life, leisure) activities.

The paper and pencil method is based on the type and severity of the patient's cognitive impairment, the therapist and patient using the cognitive training workbook or paper and pen to draw and train the patient directly. The therapist presents the pre-created task for the patient's characteristics on the paper, and the patient is trained by responding by writing or drawing with a pen. Rather than the formal method, the therapist will individually design and present them according to the characteristics of the patient. The table-top method is a game method such as playing cards, puzzles, and chess on a desk, such as training while presenting a memory training card on a desk to a patient with memory problems. Cognitive training through work activities allows the patient to perform functional activities such as cooking, handicrafts, shopping at a store, and errands on the premise that activities meaningful to the patient improve not only the physical function but also the cognitive function of the patient. By improving the cognitive function of the patient.

Efforts to formalize these three training methods and efforts to verify their effectiveness have been ongoing in the clinic, but have the following disadvantages.

First, the training method is formalized and unstructured, so the therapist approach is different and subjective. If stroke treatment is given three times a week, the treatment method presented last week and the level of training presented should be linked so that this week's treatments can tell you where to begin and at what level. Advanced treatment is difficult to control in this area.

Secondly, it is not structured, so the treatment is inconsistent. The same therapist treats the same patient because they do not train in a defined framework, but the treatment task or the way in which the task is presented to the patient may vary. In addition, the therapist's explanations or clues may vary from training to training.

Third, they often fail to give feedback to patients after training. And even with feedback, feedback can vary from training to training, making it difficult for the patient or therapist to determine how well the patient is improving.

Therefore, in order to make up for the shortcomings of traditional cognitive rehabilitation treatments, cognitive rehabilitation programs using computers have been developed around developed countries. For example, the method of treating cognitive impairment using games and filed by Sungshin Women's University The recording medium, a game apparatus for treating cognitive disorders (Korean Patent Publication No. 10-0805274), and the like.

However, such a computer-based cognitive rehabilitation program is for cognitive training only, and the trainer must manually select the patient's level, and a training system that is different from the diagnosis or evaluation system performed on the patient is selected. There was a problem that patients do not receive the appropriate cognitive training.

Korea Patent Publication No. 10-0805274

According to the present invention, cognitive function evaluation, training and training evaluation are integrated and operated in one system, thereby evaluating the cognition and perception ability of the patient in the same system, and according to the result, it is automatic for the cognitive and perceptual areas where the patient is vulnerable. The purpose of the present invention is to provide an integrated cognitive rehabilitation system and an integrated cognitive rehabilitation service providing method which can configure training content and automatically adjust the training difficulty to the patient's level.

Other objects of the present invention will become readily apparent from the following description.

According to an aspect of the present invention, as an integrated cognitive rehabilitation system that integrates cognitive function evaluation, training, training evaluation, by identifying information about any patient and evaluating the cognitive ability of the patient using cognitive function evaluation content A cognitive function evaluation module for executing a cognitive function evaluation program for prescribing a training level; A training module for executing the selected training content according to the training grade prescribed for the patient, and generating data of a response result of the patient according to the execution of the training content; The training evaluation content is used to evaluate the cognitive function evaluation and prescription results in the cognitive function evaluation module and the training result in the training module, and output one or more of the cognitive function evaluation and prescription content, training content and training evaluation content. Training evaluation module to output in the form; And a web server connected through the Internet to control operations of the cognitive function evaluation module, the training module, and the training evaluation module, and to manage a database storing the cognitive function evaluation content, the training content, and the training evaluation content. An integrated cognitive rehabilitation system is provided.

The web server may include an authentication processing unit configured to perform an authentication process on an access request to at least one of the cognitive function evaluation module, the training module, and the training evaluation module using access authentication information stored in a connection ID management database; A patient information management unit for retrieving and providing patient information corresponding to identification information of a patient requested in at least one of the cognitive function evaluation module, the training module and the training evaluation module from a patient database, and the cognitive function evaluation module and the training module And a content manager configured to selectively provide the cognitive function evaluation content, the training content, and the training evaluation content requested by each of the training evaluation modules.

The cognitive function evaluation content includes concentration reduction / absence determination content, long-term and short-term memory reduction / absence determination content, visual / hearing / tactile agnosia reduction / absence determination content, space-time perception reduction / absence determination content, Content of visual neglect judgment, perceptual processing discrimination judgment content, selective attention assessment content, alternating attention assessment content, assessment content for reaction ability (accuracy and response time), spatiotemporal perception and manipulation ability ( visual spatial relationship & operations) evaluation content, mental rotation evaluation content, concept formation & categorization evaluation content.

The training content includes attention & concentration training content, memory training content, agnosia training content, visual-spatial perception training content, shape constancy training content , Visual discrimination training content, categorization training content, and sequencing training content.

The training evaluation content includes: Digit span test content, Visual span test content, Continuous perfomance test content, Stroop color-word interference test Content, Preliminary Test Content, Card Sorting Test Content, Auditory Verbal Learning Test Content, Visual Recognition Test Content, Visual Continue Performance Test Content, auditory controlled higher cognition function test (Auditory controlled higher cognition function test) may be at least one of the content.

The cognitive function evaluation content, the training content, the training evaluation content may be designed to have a difficulty corresponding to the training level.

The cognitive function evaluation content, the training content, the training evaluation content may have a three-dimensional configuration.

Meanwhile, according to another aspect of the present invention, a method for providing an integrated cognitive rehabilitation service for performing cognitive function evaluation, training, and training evaluation that is performed in an integrated cognitive rehabilitation system including a cognitive function evaluation module, a training module, and a training evaluation module and the same There is provided a recording medium having recorded thereon a program for performing.

Integrated cognitive rehabilitation service providing method according to an embodiment, (a) to identify any patient in the cognitive function evaluation area through the cognitive function evaluation module to evaluate the cognitive ability of the patient using cognitive function evaluation content Prescribing a training level; (b) executing the training content selected according to the training grade prescribed for the patient in the training area through the training module, and generating a result of the patient's response according to the execution of the training content; And (c) training evaluation of cognitive function evaluation and prescription results in the cognitive function evaluation module and training results in the training module using training evaluation content in the training evaluation area through the training evaluation module, And outputting one or more of prescription content, training content, and training evaluation content in the form of an output, wherein the cognitive function evaluation module, the training module, and the training evaluation module are connected to a web server through the Internet to control their operation. Can be.

Step (a), the cognitive function evaluator logging into the cognitive function evaluation module; Obtaining patient information about the patient on the web server via a cognitive assessment architecture; A cognitive function evaluation corresponding to the patient information may be performed according to the cognitive function evaluation content to automatically prescribe the training grade.

The step (b) may include requesting and receiving the patient information to be trained from the web server; Extracting the training grade from the patient information to adjust one or more training stimulus attributes among the type, number, complexity, speed, and difficulty of the training content; Executing selected training content according to the adjusted training stimulus attribute; And generating, as the data, the response result of the patient according to the execution of the training content and transmitting the data to the web server.

The step (c) may include: receiving and transmitting patient information, which is a subject of training evaluation, to the web server; Executing training evaluation content corresponding to the patient information; And outputting training evaluation contents according to execution of the training evaluation contents, cognitive function evaluation and prescription results in step (a), and training contents in step (b).

Other aspects, features, and advantages will become apparent from the following drawings, claims, and detailed description of the invention.

According to a preferred embodiment of the present invention, cognitive function evaluation, training and training evaluation are integrated and operated in one system, thereby evaluating the patient's cognition and perception ability in the same system and according to the result, Training content can be automatically configured for the perceptual domain and training difficulty can be automatically adjusted to match the patient's level. In other words, training evaluation and treatment coexist in one system, and the training content corresponding to the training evaluation content can be automatically determined.

1 is a view schematically showing the overall configuration of an integrated cognitive rehabilitation system according to an embodiment of the present invention,
2 is a block diagram illustrating a web server included in an integrated cognitive rehabilitation system;
3 is a block diagram illustrating a cognitive function evaluation module included in an integrated cognitive rehabilitation system;
4 is a block diagram illustrating a training module included in an integrated cognitive rehabilitation system;
5 is a block diagram illustrating a training evaluation module included in an integrated cognitive rehabilitation system;
6 is a diagram illustrating a method for providing an integrated cognitive rehabilitation service in an integrated cognitive rehabilitation system according to an embodiment of the present invention.

BRIEF DESCRIPTION OF THE DRAWINGS The present invention is capable of various modifications and various embodiments, and specific embodiments are illustrated in the drawings and described in detail in the detailed description. It is to be understood, however, that the invention is not to be limited to the specific embodiments, but includes all modifications, equivalents, and alternatives falling within the spirit and scope of the invention. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, the present invention will be described in detail with reference to the accompanying drawings.

The terms first, second, etc. may be used to describe various components, but the components should not be limited by the terms. The terms are used only for the purpose of distinguishing one component from another.

The terminology used herein is for the purpose of describing particular example embodiments only and is not intended to be limiting of the present invention. Singular expressions include plural expressions unless the context clearly indicates otherwise. In this application, the terms "comprise" or "have" are intended to indicate that there is a feature, number, step, operation, component, part, or combination thereof described in the specification, and one or more other features. It is to be understood that the present invention does not exclude the possibility of the presence or the addition of numbers, steps, operations, components, components, or a combination thereof.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT Hereinafter, embodiments of the present invention will be described in detail with reference to the accompanying drawings. Referring to the accompanying drawings, the same or corresponding components are denoted by the same reference numerals, .

1 is a view schematically showing the overall configuration of the integrated cognitive rehabilitation system according to an embodiment of the present invention, Figure 2 is a block diagram of a web server included in the integrated cognitive rehabilitation system, Figure 3 is an integrated cognitive rehabilitation system 4 is a block diagram of a training module included in an integrated cognitive rehabilitation system, and FIG. 5 is a block diagram of a training evaluation module included in an integrated cognitive rehabilitation system.

The integrated cognitive rehabilitation system according to the present embodiment is a system for providing an integrated cognitive rehabilitation program that unifies cognitive rehabilitation, treatment (training), and training evaluation for cognitive rehabilitation, which have been previously separated, The service overcomes temporal / spatial constraints, evaluates the patient's cognitive abilities, and automatically configures the training content for the cognitive area where the patient is vulnerable, and adjusts the difficulty level to suit the patient's level.

Referring to FIG. 1, the integrated cognitive rehabilitation system 1 includes a web server 10, a cognitive function evaluation module 20, a training module 30, a training evaluation module 40, and each component is connected to the Internet. You are connected via the same network.

In this embodiment, some components or all of the integrated cognitive rehabilitation system 1 is configured as integrated software including a cognitive function evaluation program, a training program, a training evaluation program, and a control program for controlling and controlling them in detail. It may be distributed and installed in a spatially separated computing device (cognitive function evaluation module 20, training module 30, training evaluation module 40, web server 10). Here, the computing device may be a PC, a laptop, a tablet PC, a smartphone, an IPTV, a set-top box, or the like, on which an operating system capable of executing the above program is installed.

The web server 10 is an apparatus for providing the integrated cognitive rehabilitation service as a web service linked to the Internet in the integrated cognitive rehabilitation system 1, and may use an ASP program. Integrated cognitive rehabilitation services include patient and patient care information services, caregiver or therapist information services, patient action tracking services, therapist's treatment plan storage and analysis services, and training assessment data monitoring services.

Referring to FIG. 2, the web server 10 includes an authentication processor 110, a patient information manager 120, and a content manager 130. Databases such as connection ID management database 11, patient database 12, and web server database 13 are directly or indirectly connected to the web server 10, and the cognitive function evaluation module 20 and training module 30 are connected. And, in response to various requests from one or more of the training evaluation modules 40, provide a response such as approval / deny, new database registration / update, transmission of related data, and the like through a database search.

The connection ID management database 11 includes users (cognitive function evaluators, trainers, patients) of the integrated cognitive rehabilitation system 1 connected to one of the cognitive function evaluation module 20, the training module 30, and the training evaluation module 40. Connection authentication information (e.g., an ID and a password) of the guardian. When a connection request is received from each module, the authentication processing unit 110 of the web server 10 searches for connection authentication information stored in the connection ID management database 11 to determine whether the user is permitted to access each module. The authentication process is performed by determining the connection status and responding to the connection approval / rejection according to the result.

The patient database 12 stores patient data such as patient information, cognitive function evaluation contents, specificities, training evaluation contents, and the like. Patient information is basic personal information for patients who receive integrated cognitive rehabilitation services, and includes, for example, name, age, gender, and cognitive impairment type. The cognitive function evaluation content is a result of cognitive function evaluation and prescription of the patient performed by the cognitive function evaluator through the cognitive function evaluation module 20, and determines the type and / or difficulty of the training content that the patient will use for training. Includes training grades. Specific matters are items that require special attention regarding the patient (for example, specific medical history, etc.), and the training evaluation contents are the results of the training evaluation of the cognitive function evaluation and training of the patient performed through the training evaluation module 40. to be.

The patient information management unit 120 searches and confirms whether the patient information stored in the patient database 12 is stored in the patient database 12 for a patient requested by a user who accesses the web server 10 through the Internet, and no data exists. If not, information about the patient is registered in the patient database 12, and if data exists, the information is provided in response or updated with new information.

The web server database 13 stores data for providing integrated cognitive rehabilitation services, cognitive function evaluation content for evaluating cognitive ability, training content for performing cognitive training, and training evaluation content for cognitive training evaluation. In addition, the content management unit 130 of the web server 10 may provide corresponding content to the cognitive function evaluation module 20, the training module 30, and the training evaluation module 40.

Cognitive function evaluation content includes concentration reduction / absence judgment content, long-term and short-term memory reduction / absence judgment content, visual / hearing / tactile agnosia reduction / absence judgment content, space-time perception reduction / absence judgment content, Content of visual neglect judgment, perceptual processing discrimination judgment content, selective attention assessment content, alternating attention assessment content, assessment content for reaction ability (accuracy and response time), spatiotemporal perception and manipulation ability ( visual spatial relationship & operations assessment content, mental rotation assessment content, and concept formation & categorization assessment content. Training content includes Attention & Concentration training content, Memory training content, Agnosia training content, Visual-spatial perception training content, Shape constancy training content , Visual discrimination training content, categorization training content, and sequencing training content.

Training evaluation content includes Digit span test content, Visual span test content, Continuous Perfomance Test content, Stroop Color-Word interference Test Content, Preliminary Test Content, Card Sorting Test Content, Auditory Verbal Learning Test Content, Visual Recognition Test Content, Visual Continue Performance Test Content, auditory controlled higher cognition function test content, and the like.

Since the content is designed for each content, the content management unit 130 of the web server 10 may provide content for each grade to the level of the patient. For example, the training content of the difficulty corresponding to the training level set according to the cognitive function evaluation and the prescription result in the cognitive function evaluation module 20 is transmitted to the training module 30 to train the patient having an appropriate level of difficulty. To do this. The degree of difficulty design can be adjusted, for example, from a minimum of 10 levels to a maximum of 20 levels per content.

In addition, each content may have a three-dimensional configuration in addition to the two-dimensional configuration, for example, shade, color, line draw-in, outline, etc., and rejection of an elderly patient who may have a feeling of rejection in a computer or a computing device. It has the advantage of reducing and providing more realistic stimuli. By applying a distributed rendering method to a content having a two-dimensional structure by using a three-dimensional transformation engine, it is possible to generate and provide content having a three-dimensional structure.

The cognitive function evaluation module 20 is a computer device on which a cognitive function evaluation program is executed so that the cognitive function evaluator checks information on the patient and evaluates and prescribes the cognitive ability of the patient.

The cognitive function evaluation module 20 displays the received data by making a request to the web server 10 so that the patient's cognitive ability can be evaluated, and according to the result, a patient's database 12 receives a training grade appropriate for the patient. Update the content.

Cognitive function evaluation module 20 is a cognitive function evaluator (for example, doctors, occupational therapists, etc.) that can evaluate the patient's cognitive ability to easily access the patient information systematically, and easy and simple to show the user interface, etc. It has a cognitive function evaluation architecture that allows a cognitive function evaluator to easily input cognitive function evaluation contents and newly register or update the content in a database of the web server 10.

Referring to FIG. 3, the cognitive function evaluation module 20 includes a connection authentication unit 210, a cognitive function evaluation, and a prescription unit 220.

The cognitive function evaluation module 20 is connected to the cognitive function evaluator who can evaluate the cognitive ability of the patient as a user, the access authentication unit 210 enters the ID and password entered by the cognitive function evaluator attempts to log in to the web The server 10 transmits the corresponding information to the server 10 and receives a response to approve the access, and performs the access authentication of the cognitive function evaluator according to the result.

The cognitive function evaluation and prescribing unit 220 enables the patient search by accessing the database by interworking with the web server 10 through the Internet only for the authorized user and obtaining and displaying information on the searched patient on the screen. . The displayed patient information is information that enables the cognitive function evaluator to make an accurate assessment of cognitive ability, such as patient name, past diagnosis history, training contents by date, and training evaluation contents.

The cognitive function evaluation and prescribing unit 220 evaluates the cognitive ability of the patient subject to the cognitive function evaluation using the cognitive function evaluation content stored in the web server 10, and allows the patient to receive training of the appropriate difficulty level. Training grade can be prescribed.

In performing cognitive function assessment, concentration / absence judgment, long-term and short-term memory loss / absence judgment, visual / hearing / tactile real authentication decrease / absence judgment, space-time perception reduction / absence judgment, neglect of judgment, judgment discrimination judgment Cognitive function assessment is one or more judgment / evaluation methods selected from the group consisting of selective concentration assessment, shift concentration assessment, reaction ability assessment, working memory assessment, spatiotemporal perception and manipulation ability assessment, mental rotation ability assessment, concept formation and categorization assessment. It can be used to.

The cognitive function evaluation and prescribing unit 220 may transmit the information about the new patient added by the cognitive function evaluator or the new cognitive function evaluation content for the existing patient to the web server 10 so that the database is updated.

The training module 30 is a computer device in which a training program is executed for training a patient corresponding to a prescription input by a cognitive function evaluator through the cognitive function evaluation module 20.

The training module 30 is managed by a trainer (therapist) in charge of cognitive training and prescribed through the cognitive function evaluation module 20 for a patient to be trained among various training contents stored in the web server database 13. The training content having the kind and difficulty corresponding to the result is selected and the training proceeds as prescribed. Here, the selection means that a certain number of training contents are selected or combined in any order.

Referring to FIG. 4, the training module 30 includes a patient DB calling unit 310, a grade adjusting unit 320, and a training unit 330.

The patient DB calling unit 310 transmits patient information corresponding to identification information of a patient to be trained by a trainer to the web server 10 and receives information about the patient retrieved from the patient database 12. .

The grade adjuster 320 trains one or more of the type, number, complexity, speed, and difficulty of training content to be provided to the patient according to the prescription result (training grade) included in the patient information received from the patient DB caller 310. Adjust the stimulus properties. The adjustment of the training stimulus properties allows the trainer to perform individualized training that is adaptively designed to the patient's ability.

The training unit 330 may select one or more training contents from the web server database 13 of the web server 10 according to the training stimulus attribute determined by the grade adjusting unit 320. The training unit 330 executes the selected training contents and displays them on the screen so that the patient can receive appropriate training as prescribed by the trainer. One or more training may be provided from the group consisting of attention and concentration training, memory training, authenticity training, spatiotemporal perception training, shape identity training, visual discrimination training, categorization training, ordering training, and the like.

The training unit 330 can adjust many training stimuli (contents of the training content) to various functions, and the function and learning content may be changed according to the progress of the patient and whether there is a program error.

The training result is generated as data and registered in the corresponding field in the patient database 12 of the web server 10 or the existing training result data is updated.

By utilizing the training content having the optimal type and difficulty for each patient according to the prescription result given by the cognitive function evaluation module 20, it was difficult to perform proper training because the cognitive function evaluation, training and training evaluation were made in different systems in the past. Allows you to solve problems.

Training module 30 will have a training architecture configuration that provides a variety of training content to the user to facilitate the patient training as described above and to overcome the patient's cognitive impairment.

The training evaluation module 40 displays the training contents, the training evaluation contents, the cognitive function evaluation contents of the cognitive function evaluator, etc. when the training is completed through the training module 30 with respect to any patient, or the external output device (eg For example, it is a computer device that executes a training evaluation program that is output through a printer or the like, or outputted so that it can be checked by another computer device through a transmission means such as an email.

The training evaluation module 40 outputs the process of cognitive rehabilitation such as training contents, training evaluation contents, cognitive function evaluation contents, etc. to the guardian of the patient in the form of printed materials such as reference materials (screen display, printed output, e-mail transmission, etc.). Have a training evaluation architecture configuration.

Referring to FIG. 5, the training evaluation module 40 includes a connection authentication unit 410, a grade adjustment unit 420, a training evaluation unit 430, and an output unit 440.

The training evaluation module 40 is connected to a user (for example, the patient or guardian) to check the patient's cognitive rehabilitation progress, the access authentication unit 410 inputs the ID and password entered by the user When the user attempts to log in, the server transmits the corresponding information to the web server 10, and responds to the approval of the access, and performs the user's access authentication according to the result.

The grade adjustment unit 420 searches for a training grade among patient information retrieved from the patient database 12 of the web server 10 according to the identification information of the patient who wants to check the cognitive rehabilitation progression input by the user, and performs cognitive training evaluation. Adjust the difficulty for

The training evaluation unit 430 selects the training evaluation content according to the difficulty adjusted by the grade adjusting unit 420 among the training evaluation contents stored in the web server database 13 of the web server 10 to evaluate the cognitive function of the patient. And conduct a training assessment of the training content. Numerical test, spatio-temporal test, continuous test, stroop color-word interference test, line trace test, card classification test, auditory language learning disorder test, visual recognition test, visual continuous test, auditory control cognitive function test, etc. One or more tests selected from the group consisting of may be used for training assessment.

The training evaluation content is generated as data and registered in the corresponding field in the patient database 12 of the web server 10 or the existing training evaluation content is updated.

The output unit 440 is provided from the web server database 13 of the web server 10 of the cognitive function evaluation content and training content made for the patient, and various training evaluation content performed by the training evaluation unit 430 Output to at least one of the forms of the output so that the user can be provided with accurate information about the patient's cognitive rehabilitation process.

The composition of the output may include presentation of a report (text type), presentation of a final score, presentation of a result graph, and presentation of a score for each cognitive subregion content.

6 is a diagram illustrating a method for providing an integrated cognitive rehabilitation service in an integrated cognitive rehabilitation system according to an embodiment of the present invention. Each step described below may be performed by each component of the integrated cognitive rehabilitation system.

The service provision in the web area performed by the web server 10 is performed in connection with the service provision through modules such as the cognitive function evaluation module 20, the training module 30, and the training evaluation module 40. The description will be given together with each service providing method.

First, the service providing method in the cognitive function evaluation area performed in the cognitive function evaluation module 20 is as follows.

The cognitive function evaluator logs in to the cognitive function evaluation module 20 (step S500). The cognitive function evaluation module 20 transmits an access approval request together with the login information of the cognitive function evaluator to the web server 10 (step S502), and the web server 10 connects to the access ID management database 11 based on the login information. ) To determine whether the cognitive function evaluator who requested the access approval is an authorized user (step S504), and transmits an approval or rejection response to the cognitive function evaluation module 20 according to the result (step S506).

In the case of the approved cognitive function evaluator, the cognitive function evaluation architecture requests data from the web server 10 to search for a specific patient and obtain information about the patient. It can be confirmed and also other matters such as unusual matters can be confirmed (step S508).

The cognitive function evaluator prescribes the appropriate training grade to the patient based on the patient information or evaluates the cognitive ability of the patient to be assessed using the cognitive function evaluation content stored in the web server 10 and according to the result. Training grades can be automatically prescribed (step S510), and cognitive function evaluation and prescription results are sent to the web server 10 to be updated in the patient database corresponding to the patient (step S512).

Next, the service providing method in the training area performed in the training module 30 is as follows.

The training module 30 calls the patient database 12 to read out data corresponding to the patient to be trained (step S514). Before this process, the step of verifying whether the user (trainer) accessing the training module 30 is an authenticated user may be preceded, and the process is similar to steps S500 to S506.

The training module 30 extracts the training grade of the patient determined according to the prescription result in step S510 among the patient information, and adjusts one or more training stimulus attributes among the type, number, complexity, speed, and difficulty of training contents according to the grade. (Step S516).

Then, according to the training architecture, the training module 30 selects and provides training contents corresponding to the adjusted training stimulus attributes so that the patient can perform training by grade (step S518), and generates training results as data to generate a web server. It registers / updates in the database of (10) (step S520).

Next, the service providing method in the training evaluation area performed in the training evaluation module 40 is as follows.

The patient or guardian of the patient logs in to the training evaluation module 40 (step S522). The training evaluation module 40 transmits a connection approval request to the web server 10 together with the login information of the user (patient or guardian of the patient), and the web server 10 connects to the connection ID management database 11 based on the login information. ) To determine whether the user requesting the access approval is an authorized user, and transmits an approval or rejection response to the training evaluation module 40 according to the result.

The training evaluation module 40 extracts the training grade of the patient determined according to the prescription result in step S510 among the patient information, and adjusts the training evaluation criteria according to the corresponding grade (step S524).

Afterwards, according to the training evaluation architecture, the training evaluation module 40 causes the progress of the process related to cognitive rehabilitation, such as the training contents, the training evaluation contents, the cognitive function evaluation contents, etc. retrieved for the patient, to be output in the form of output (step S526). The output form may be a screen display, a printed matter output, an e-mail transmission, or the like (step S528).

The training evaluation module 40 evaluates the cognitive function for the patient according to the training evaluation content selected according to the training evaluation criteria adjusted in step S524 among the training evaluation contents stored in the web server database 13 of the web server 10. You can also conduct a training assessment of the training content.

The integrated cognitive rehabilitation service providing method described above is an automated procedure according to the time series by a software program distributed and installed in each component (web server, cognitive function evaluation module, training module, training evaluation module) of the integrated cognitive rehabilitation system. Obviously, it may be performed. The codes and code segments that make up the program can be easily deduced by a computer programmer in the field. In addition, the program is stored in a computer-readable information storage medium, and the program is read and executed by a computer to implement the method. The information storage medium includes a magnetic recording medium, an optical recording medium, and a carrier wave medium.

According to the integrated cognitive rehabilitation system and integrated cognitive rehabilitation service providing method as described above, many training stimuli can be adjusted to various functions. The trainer can personalize the training by adjusting the training stimulus properties such as the number, complexity, speed, and difficulty of the training stimuli that are presented according to the patient's abilities. Errors can be easily corrected. It is also possible to present training content consistently and to be able to repeatedly train the patient's shortcomings.

In addition, since the training stimulus is presented on the screen, it can be realistically depicted in three dimensions to induce the interest of the patient and induce active participation. In addition, feedback on the training results is provided, and the results of the patient's performance are automatically stored as data so that the performance of the patient's task can be directly checked on the monitor so that the performance of the patient during the training can be compared and analyzed.

In the present embodiment, the cognitive region excluded from the treatment target is differentiated as compared to the conventional one, and the level adjustment is possible from at least 10 steps to at least 20 steps for each task in consideration of the patient's level.

In addition, the universally designed controller can be used by patients with physical disabilities to overcome physical limitations, and it is easy to access even those who have difficulty in interpreting the shape, color, and spatial relationship of the controller due to visual perception problems. Do it.

In addition, the integrated cognitive rehabilitation system and integrated cognitive rehabilitation service providing method according to the present embodiment in response to the training method (bottom-up or top-down processing training) or stimulus according to the information processing method to improve the overall cognitive ability Programs to improve speed may be added to programs that enhance cognitive sub-factors.

In addition, according to the patient's familiarity can provide the trainer with the opportunity to change or select the material, and also has a feature that can be realized on the web.

This integrated cognitive rehabilitation system and integrated cognitive rehabilitation service providing method is different from the conventional decision of the rehabilitation treatment according to the doctor's diagnosis, it is possible to detailed and accurate classification according to the cognitive rehabilitation patients, computerized detailed evaluation is easy Has one advantage.

In addition, by integrating the separate cognitive function-treatment-training assessments, the cost of hospitalization for patients with cognitive impairment is reduced by approximately 30%, and the convergence of IT and BT technology allows the U-Healthcare market to grow. It can be pioneered, and it is possible to implement U-city beyond time and space by providing remote medical care and remote medical service through the Internet.

Cognitive training can be performed on people with cognitive impairment or cognitive impairment due to brain damage.It can also be used to maintain the cognitive ability of patients with mild dementia who may have cognitive impairment due to progressive disease. Therefore, it can be applied as a preventive measure to the elderly who may have a cognitive decline.

It is primarily used in university hospitals, general hospitals, general hospitals, clinics, and other specialized institutions with occupational therapy rooms. It is designed to be used at home for those who want to prevent and train them but do not have the proper equipment.

It will be apparent to those skilled in the art that various modifications and variations can be made in the present invention without departing from the spirit or scope of the invention as defined in the appended claims. It will be understood that the invention may be varied and varied without departing from the scope of the invention.

1: Integrated Cognitive Rehabilitation System
10: web server 20: cognitive function evaluation module
30: training module 40: training evaluation module
110: authentication processing unit 120: patient information management unit
130: content management unit 210: access authentication unit
220: cognitive function evaluation and prescription unit 310: patient DB call unit
320: class adjustment unit 330: training unit
410: connection authentication unit 420: class-specific adjustment unit
430: training evaluation unit 440: output unit

Claims (7)

An integrated cognitive rehabilitation system that integrates cognitive function assessment, training and training assessment.
Cognitive function evaluation module that executes a cognitive function evaluation program for confirming information about any patient and evaluating the cognitive ability of the patient using the content of cognitive function and prescribing a training level, wherein the cognitive function content is focused Reduction / absence judgment content, long-term and short-term memory reduction / absence judgment content, visual / hearing / tactile agnosia reduction / absence judgment content, space-time perception reduction / absence judgment content, neglected judgment content, perception processing Discrimination judgment content, selective attention assessment content, alternating attention assessment content, assessment of reaction ability (response accuracy and reaction time), assessment of space-time perception and operational ability Content, mental rotation assessment content, concept formation & categ orization) at least one of the evaluation content;
A training module for executing selected training content according to the training grade prescribed for the patient, and generating data of the patient's response according to the execution of the training content, wherein the training content includes attention and concentration; ) Training content, memory training content, agnosia training content, visual-spatial perception training content, shape constancy training content, visual discrimination training content, At least one of Categorization training content and Sequencing training content;
The training evaluation content is used to evaluate the cognitive function evaluation and prescription results in the cognitive function evaluation module and the training result in the training module, and output one or more of the cognitive function evaluation and prescription content, training content and training evaluation content. Training evaluation module outputting in the form, wherein the training evaluation content is Digit span test content, Visual span test content, Continuous Perfomance Test content, Stroop color-word Stroop Color-Word Interference Test content, Preliminary Trace content, Card sorting test content, Auditory Verbal Learning Test content, Visual Recognition Test content, Visual continues performance test Content, auditory controlled higher cognition function test content At least one of; And
A web server connected through the Internet and controlling operations of the cognitive function evaluation module, the training module, and the training evaluation module, and managing a database in which the cognitive function evaluation content, the training content, and the training evaluation content are stored; ,
The web server comprises:
An authentication processing unit for performing an authentication process on a connection request to at least one of the cognitive function evaluation module, the training module, and the training evaluation module by using access authentication information stored in a connection ID management database;
A patient information management unit which searches for and provides patient information corresponding to identification information of a patient requested in at least one of the cognitive function evaluation module, the training module and the training evaluation module, from a patient database;
And a content manager configured to selectively provide the cognitive function evaluation content, the training content, and the training evaluation content requested by each of the cognitive function evaluation module, the training module, and the training evaluation module, respectively.
The cognitive function evaluation content, the training content, the training evaluation content is designed to have a difficulty corresponding to the training grade,
The cognitive function evaluation content, the training content, the training evaluation content is integrated cognitive rehabilitation system having a three-dimensional configuration. delete delete delete delete delete delete

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