CN101822894B - Breath training system - Google Patents

Breath training system Download PDF

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Publication number
CN101822894B
CN101822894B CN2009101701084A CN200910170108A CN101822894B CN 101822894 B CN101822894 B CN 101822894B CN 2009101701084 A CN2009101701084 A CN 2009101701084A CN 200910170108 A CN200910170108 A CN 200910170108A CN 101822894 B CN101822894 B CN 101822894B
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user
training
action
slowly
client
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CN101822894A (en
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柳丰萍
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Yancheng Health Vocational and Technical College
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Yancheng Health Vocational and Technical College
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Abstract

The invention relates to a breath training system, which is used for aiding a patient with chronic obstructive pulmonary disease in rehabilitation training and comprises a server device and a client device. The client device comprises a client communication part, a client storage part, a client display part, a client input part and a client processing part, wherein the client processing part comprises first to fourth stage guidance and indication modules which guide breathing exercises of first to fourth training actions respectively. The first training action adopts a lip-contracting ventral breathing way; the second training action adopts a breathing way of making a fist, deep breathing and slowly expiring air; the third training action adopts a whole body breathing exercising way; and the fourth training action adopts a deep inspiration-holding breathing-slowly air expiring way.

Description

A kind of breath training system
Technical field
The present invention relates to a kind of breath training system, particularly a kind of suitable family uses is used for the respiration muscle trainers that the COPD user resumes training.
Background technology
(Chronic Obstructive Pulmonary Disease is the main chronic disease and the cause of death in a kind of global range COPD) to COPD, has accounted for the 4th of the global cause of death.Among the crowd, the incidence of disease of COPD is 8%~10% more than 40 years old in China, and annual about 500~1,100 ten thousand people are disabled because of COPD.COPD be with carrying out property increase the weight of, incomplete reversible flow limitation is the chronic respiratory disease of feature, long, the outbreak repeatedly of the course of disease has a strong impact on patient's labour capacity and quality of life, brings heavy financial burden for society, family.Along with going deep into of diagnosis and treatment technology and drug research, COPD acute attack stage symptom has obtained control preferably.But in case disease transfers stationary phase to, the patient will face the decline of carrying out property of PFT inevitably, expiratory dyspnea increases the weight of, and cause quality of life to reduce.After disease changes stationary phase over to, the patient will face the decline of carrying out property of PFT, expiratory dyspnea aggravation, and its average annual medical expense is about 2.92 ten thousand yuan/people.Usually by instructing the patient to carry out respiratory training, strengthen the muscular strength and the endurance of respiratory muscle clinically, optimize chest abdomen forms of motion, alleviate hyperventilation, improve gas exchange capacity, delay the process of impairment of pulmonary function, thus the dyspneic symptom of reduction of patient.But, the ventilatory muscle training measure of individuation for want of all the time, the compliance that causes the patient to train is generally relatively poor.And, at present both at home and abroad still needleless patient physiological and psychology are changed, under hospital and home environment all spendable respiration training.
Summary of the invention
This breath training system is based on COPD user ventilatory muscle training and has the characteristics design that " invertibity ", " guidance and supervision " reach " evolutionarity ".Its major technique is to have developed " breathe guiding animation ", integrates video and audio frequency guidance, timer, historical record device simultaneously and loosens the breath training system of functions such as music.This breath training system is divided into four-stage with respiratory training, and the user can enter the corresponding training stage according to s own situation.The user measures its respiratory function index with Jaeger PFT instrument before using this breath training system to train, be forced vital capacity (FVC), first second timed vital capacity (FEV1) and one second rate (FEV1/FVC), maximum expiratory flow volume (PEF), determine that according to its respiratory function index the user is in selected respiratory rate of each stage by system.System side allowed it to enter the latter half training after the user had only finished the training of previous stage, after the user has finished the four-stage training, can choose a stage wantonly and train.
The invention provides a kind of breath training system, it is applicable to the rehabilitation training of COPD, described breath training system comprises server-side device and client terminal device, and described server-side device comprises server end communication component, server stores parts, server display unit, server input block and server processing unit; Described client terminal device comprises client communication parts, client stores parts, client display unit, client input block and client process parts, it is characterized in that described client process parts comprise:
Phase I guiding indicating module, described phase I guiding indicating module carries out the first training action respiration exercise by described client display unit prompting, will practise process data by described client communication parts and upload and store;
Second stage guiding indicating module, described second stage guiding indicating module carries out the second training action respiration exercise by described client display unit prompting, will practise process data by described client communication parts and upload and store;
Phase III guiding indicating module, described phase III guiding indicating module carries out the 3rd training action respiration exercise by described client display unit prompting, will practise process data by described client communication parts and upload and store;
Quadravalence section guiding indicating module, described quadravalence section guiding indicating module carries out the 4th training action respiration exercise by described client display unit prompting, will practise process data by described client communication parts and upload and store;
Login module, described login module is logined identity by described client communication parts described server-side device checking user, checking obtains described user's user information corresponding by the back in the server-side device inquiry, and selects corresponding first to fourth stage guiding indicating module to train guiding according to the historical rank data of the user in the described user profile.
In technique scheme, the difficulty of described first to fourth training action increases gradually; Described first training action is the lip abdominal respiration mode that contracts, described second training action is the dark air-breathing breathing pattern of blowing slowly of clenching fist, described the 3rd training action is whole body respiratory exercise exercise mode, and described the 4th training action adopts the air-breathing deeply-exercise mode of holding one's breath-exhale slowly.
In technique scheme, the described lip abdominal respiration mode that contracts shows below leading question or the demonstration of human action animation for circular order at the appointed time:
Get seat or upright position, left hand is placed on the shirtfront, the right hand is placed on belly,
Air-breathing deeply with nose, keep chest motionless as far as possible, belly is slowly heaved,
Shorten lip into the shape of whistling, health slightly turns forward, and is slowly blown by mouth, makes belly slowly sink;
The described dark air-breathing breathing pattern of blowing slowly of clenching fist shows below leading question for circular order at the appointed time or the human action animation is demonstrated:
Get seat or upright position, both hands are clenched fist and slowly mentioned, and are air-breathing deeply,
Both hands are carried to the shoulder height,
Both hands slowly put down, and do the action of whistling simultaneously and slowly blow;
Described whole body respiratory exercise exercise mode shows below leading question or the demonstration of human action animation for circular order at the appointed time:
Get upright position,
First segment slowly lifts the left hand or the right hand and does dark aspiratory action,
The both hands applying light is done the action of whistling at belly slowly blows,
Slowly flat the stretching of second joint, both hands done dark aspiratory action,
Both hands are slowly put down doing the action of whistling and slowly blow,
The 3rd joint, both hands slowly lift does dark aspiratory action,
Both hands are slowly put down doing the action of whistling and slowly blow,
The 4th joint, both hands slowly stretch to the health both sides does dark aspiratory action,
Both hands are done the slowly air blowing of action of whistling by being pressed in belly,
The 5th joint, both hands slowly lift does dark aspiratory action,
Slowly squat down and do the slowly air blowing of action of whistling;
Described air-breathing deeply-the exercise mode of holding one's breath-exhale slowly shows below leading question or the demonstration of human action animation for circular order at the appointed time:
Get seat or upright position, air-breathing deeply,
Hold one's breath,
Slowly exhale.
In technique scheme, described first to fourth stage guiding indicating module uses sound, text, animation and/or video mode indication user learning to grasp described first to fourth training action by described client display unit.
In technique scheme, described first adopts first dynamical fashion to point out to second stage guiding indicating module by described client display unit carries out first to the second training action respiration exercise;
The first training strength parameter that described first dynamical fashion is selected according to the user is drawn one in the time ratio lifting parabola sequence that Open Side Down, the rising or falling speed ratio that described parabola sequence is drawn is 1: 2, represent that suggested air-breathing/expiration duration ratio is 1: 2, and the lifting number of times in the decision per minute, the adjacent parabola of described parabola sequence links to each other by the straight line line segment at described openend;
When the described parabola of drawing rises, draw red bead in the described parabola, the direction of motion of described red bead is slowly to shift to parabolical top from described parabolical openend; When described parabola descends, red little club in the described parabola becomes black, when described parabola sequence is plotted to described straight line line segment, described black bead disappears, and described red bead appears once more when the adjacent parabola of drawing rises, repeat above-mentioned drafting mode and draw described parabola sequence;
Point out simultaneously the user according to the bead of being drawn color and the lifting of described parabola sequence train, when described bead takes on a red color along with dark aspiratory action is done in described parabolical rising; When described bead becomes black, along with described parabolical decline is done to whistle and moved slowly blow gas.
In technique scheme, described parabola sequence drafting mode is as follows, the lifting frequency of described parabola sequence is determined according to the first training strength parameter, be N time/minute, each parabolical rise time is [(60 ÷ N) * 1/3] second in the described parabola sequence, the time that descends is [(60 ÷ N) * 2/3] second, and the span of N is 6~14 in the formula.
In technique scheme, described quadravalence section guiding indicating module adopts second dynamical fashion prompting carrying out the 4th training action respiration exercise by described client display unit;
Described second dynamical fashion is drawn one in the time ratio lifting trapezoidal broken line sequence that Open Side Down according to the first training strength parameter and the second training strength parameter that the user selects, the rising or falling speed ratio that described trapezoidal broken line sequence is drawn is 1: 2, represent that suggested air-breathing/expiration duration ratio is 1: 2, and the lifting number of times in the decision per minute, the adjacent trapezoidal broken line of described trapezoidal broken line sequence links to each other at described openend;
When the described trapezoidal broken line of drawing was in the left side rising edge, the use redness was drawn and is pointed out; When the described trapezoidal broken line of drawing was in the top steady section, the use blueness was drawn and is pointed out; When described trapezoidal broken line was in the right side trailing edge, use black was drawn and is pointed out, and repeats above-mentioned drafting mode and draws described trapezoidal broken line sequence;
Point out the user to train simultaneously, when described trapezoidal broken line is in the left side rising edge, do aspiratory action according to the lifting and the color of the described trapezoidal broken line sequence of being drawn; When being in the top steady section, does in described trapezoidal broken line the action of holding one's breath; When being in the right side trailing edge, does in described trapezoidal broken line exhale action.
In technique scheme, described trapezoidal broken line sequence drafting mode is as follows, the lifting frequency of described trapezoidal broken line sequence is determined according to the first training strength parameter, be that the top steady section time determines according to the second training strength parameter N time/minute, be M second, in the described trapezoidal broken line sequence left side rising edge time of each trapezoidal broken line be (60 ÷ N)-M] * 1/3} second, the time that descends be [(60 ÷ N)-M] * 2/3} second, the span of N is 6~8 in the formula, the span of N is 1~2.
In technique scheme, when described client process parts equaled 1 when the historical rank data of user, the prompting user visited phase I guiding indicating module; When the historical rank data of user equaled 2, the prompting user visited second stage guiding indicating module; When the historical rank data of user equaled 3, the prompting user visited phase III guiding indicating module; When the historical rank data of user equaled 4, the prompting user visited quadravalence section guiding indicating module.
In technique scheme, described client communication parts communicate by the XML file communication interface and the described server end communication component of HTTP carrying.
In technique scheme, described user exchanges module provides user and expert by the client display unit online exchange interface function; Described user exchanges module preparation and the broadcast interface function of loosening music also is provided; Described user exchanges module and the selection of the picture of various informations and video file also is provided and function is set.
In technique scheme, selected training stage of the automatic recording user of described history module, training strength parameter, the time that continues exercise, exercise date and concrete time.
In technique scheme, described client process parts user mode machine realizes that described state machine comprises first action director's state, the first action training state, second action director's state, the second action training state, the 3rd action director's state, the 3rd action training state, the 4th action director's state, the 4th action training state.
In technique scheme, described server end communication component and described client communication parts use same hardware, described server stores parts and described client stores parts use same hardware, described server display unit and described client display unit use same hardware, described server input block and client input block use same hardware, and described server process parts and client process parts use same hardware.
The present invention has obtained following technique effect:
(1) principle that can improve gradually along with training time and intensity according to the respiratory muscle exercise tolerance, system's design has also been adopted amount of exercise such as " the lip abdominal respiration of contracting ", " clench fist dark air-breathing blow slowly ", " whole body respiratory exercise ", " air-breathing deeply-as to hold one's breath-as to exhale slowly " and the training method of the quadravalence section respiratory exercise that the motion difficulty is ascending;
(2) system adopts FLASH animation and script etc. to make ventilatory muscle training guiding cartoon interface, to guarantee the accuracy of user's respiratory training degree of depth and frequency;
(3) in training system, founded " historical record " device, promptly when the user selects to enter record training data interface, this interface can utilize list that the training data of user's registration is stored in the database of server-side device, the user can consult the historical record of oneself at any time, doctor and expert also can consult all users' training data at any time, so that in time analyze and instruct, and play the excitation user and overcome difficulties and adhere to the effect practised;
(4) training system integrates video and audio frequency and instructs, breathes guiding animation figure, timer, historical record device and loosen function such as music, has improved the applicability of system.
Figure of description
Fig. 1 is a system architecture diagram;
Fig. 2 is the login module workflow diagram;
Fig. 3 is system works flow process figure;
Fig. 4 is phase I guiding indicating module workflow diagram;
Fig. 5 is second stage guiding indicating module workflow diagram;
Fig. 6 is phase III guiding indicating module workflow diagram;
Fig. 7 is a quadravalence section guiding indicating module workflow diagram;
Fig. 8 is phase I guiding indication surface chart;
Fig. 9 is second stage guiding indication surface chart;
Figure 10 is phase III guiding indication surface chart;
Figure 11 is a quadravalence section guiding indication surface chart;
Figure 12 is visual analogue scale scale (Visual Analog Scale) schematic diagram;
Figure 13 is the state diagram of client process unit status machine;
Figure 14 is a system client hardware schematic diagram.
The specific embodiment
Understand and enforcement the present invention for the ease of those of ordinary skills, the present invention is described in further detail below in conjunction with the drawings and the specific embodiments.
Breath training system comprises server-side device and client terminal device, server-side device comprises server end communication component, server stores parts, server display unit, server input block and server processing unit, and the server process parts comprise the consulting processing module and instruct module; Client terminal device comprises client communication parts, client stores parts, client display unit, client input block and client process parts, and the client process parts comprise that login module, phase I guiding indicating module, second stage guiding indicating module, phase III guiding indicating module, quadravalence section guiding indicating module, history module exchange module with the user.
The server end communication component is responsible for the reception of the exercise data that client terminal device uploads, and the server end memory unit is responsible for the storage of the exercise data that client terminal device uploads; The consulting processing module is responsible for handling user's consultation information of receiving by the server end communication component and is beamed back the consulting object information by the server end communication component to client terminal device, instruct module to be in charge of the doctor, by the server end communication component tutorial message is sent to client terminal device simultaneously according to the tutorial message that each user's who receives information such as exercise data provide.
The login module of client is responsible for the user and is logined authentication; Phase I guiding indicating module is responsible for demonstrating the lip abdominal respiration exercise mode that contracts by the client display unit, practises guiding and practising uploading and storing of data; Second stage guiding indicating module is responsible for demonstrating the dark air-breathing exercise mode of blowing slowly of clenching fist by the client display unit, practises guiding and practising uploading and storing of data; Phase III guiding indicating module is responsible for practising guiding and practising uploading and storing of data by client display unit demonstration whole body respiratory exercise exercise mode; Quadravalence section guiding indicating module is responsible for practising guiding and practising uploading and storing of data by the air-breathing deeply-exercise mode of holding one's breath-exhale slowly of client display unit demonstration.
The client communication parts communicate by the XML file communication interface and the server end communication component of HTTP carrying.The client communication parts transmit parameter by an XML document, submit a HTTP request to the server end communication component, the server end communication component uses an Asp page to obtain this parameter, carry out its corresponding processing method, use XMl file communication interface then to client communication parts return data.
The XML file communication interface of HTTP carrying is meant and is to use the XmlHttp browser object, and GET by simulation HTTP and POST request are at the communication mode of the data of server end and client exchange XML form.As long as the client communication parts have sent the XML document that meets form in request, Request among the ASP and Response object just can carry out corresponding work.The XML file communication interface of HTTP carrying can improve the diversity that transmits data, is fit to the transmission of multi-medium datas such as text, sound, image, video.If improve performance and strengthen security, can use com component to expand ASP at the service end communication component, to reach best effect.
The system works flow process as shown in Figure 3, the login module of client terminal device at first shows welcome message and log-on message by the client display unit, input user name corresponding and password by the user, login module is verified the username and password of input, checking obtains this user's user information corresponding by the back inquiry, selects corresponding stage guiding indicating module to carry out work according to the historical rank data of user.Client terminal device collection user's training data and consultation information are sent to server end by the client communication parts during this time, and server-side device sends it back client terminal device with result and tutorial message then.
The login module workflow as shown in Figure 2, login module is the inlet of client terminal device, its prompting user carries out authentication by client input block input username and password.After the authentication success, change corresponding module over to according to the historical rank data of user, four modules of the first~the quadravalence section guiding indicating module are independent relatively separately, and whether system can conduct interviews to them according to the historical rank data decision of user.When the historical rank data of user equal 1, allow visit phase I guiding indicating module; When the historical rank data of user equal 2, allow visit second stage guiding indicating module; When the historical rank data of user equal 3, allow visit phase III guiding indicating module; When the historical rank data of user equal 4, allow visit quadravalence section guiding indicating module.
Phase I guides the indicating module workflow as shown in Figure 4, and phase I guiding indicating module points out by the client display unit whether channeling conduct is demonstrated, and the user selects by the client input block.When the user selects to watch demonstration, show that by the client display unit phase I guides the demonstration interface.
Phase I guiding demonstration interface display is play the icon of phase I instruction sound, when the user selects this icon, then plays the audio frequency of phase I instruction.The icon that shows phase I instruction text simultaneously when the user clicks this icon, then presents the text of instruction.The phase I guiding is demonstrated the interface by sound, text, animation and/or video mode, and the indication user learning is grasped the phase I exercise action.
The phase I exercise action is divided into phase I aspiratory action and phase I exhale action.The phase I aspiratory action is air-breathing deeply with nose, keeps chest motionless as far as possible, feels that belly slowly heaves.The phase I exhale action is for to shorten lip into the shape of whistling, and health slightly turns forward, and is slowly blown by mouth, and the sensation belly slowly sink.
After user learning is grasped the phase I exercise action, enter phase I training bootup process by selecting the exercise option.Phase I guiding indicating module shows phase I training guiding animation by the client display unit, and timer is set picks up counting, and regularly arrives up to timer, and timer stops, and phase I training guiding finishes.During phase I training guiding animation showed, the user can suspend timer by selecting pause function, suspended the guiding animation and showed, by selecting continue function, timer was recovered then, recovered the guiding animation and showed.After phase I training guiding finished, phase I guiding indicating module was preserved user's training data, and by the client communication parts with user's training data end device of uploading onto the server.Phase I guiding indicating module is judged user class according to the user in the input information of client input unit, when user class enters second stage training bootup process more than or equal to 2 the time.
Phase I guiding indicating module uses visual analogue scale scale (Visual Analog Scale) to determine the degree of user's training.The visual analogue scale scale can be used for determining the degree of user's shortness of breath as shown in figure 12.The user selects a numeral in each training back according to its shortness of breath degree on visual analogue scale scale as shown in figure 12, the client process parts judge according to the degree of each training back shortness of breath whether the exercise intensity of current training stage is fit to user's respiratory muscle endurance then.If numeral≤5 that the user selects then show that its respiratory muscle can tolerate selected respiratory rate.
The training goal in this stage is intended to allow the user change invalid, rapid breathing form, makes it form effective, the correct lip abdominal respiration mode that contracts according to video and breathing guiding animation.The lip abdominal respiration can increase air flue collar extension section resistance because of contracting, make isopiestic point shift to central big airways, prevent that little air flue is closed too early, press in the raising air flue, prevent too early sunken the closing of air flue, make the interior residual gas of lung be easier to discharge, help to suck more fresh air next time, when increasing moisture and aloveolar ventilation amount, CO2 is discharged increase, improve anoxic and ventilation/blood flow is out of proportion.
Preferably, in first training stage, the user selects the first training strength parameter by the client input block, respiration rate is set to 14 times/minute, phase I guiding indicating module shows phase I training guiding animation according to set training boot parameter by the client display unit, and the user practises according to the training guiding animation that shows.Preferably, about 5~30 minutes of each practice periods is practised 2~5 every day, practises week age continuously.The user can be according to s own situation after a week, and respiration rate is set to 12 times/minute and practises.Each exercise is after 5~10 minutes, and the user selects numeral according to training in the visual analogue scale scale, if the exercise week age is then continued in numeral≤5 that the user selects; If numeral 〉=5 that the user selects are then reselected last grade training strength (respiration rate 14 times/minute) and are continued the exercise week age.After a week, select back one grade training strength (respiration rate 12 times/minute) to begin exercise again.The rest may be inferred, and to last grade training strength (respiration rate 6 times/minute), the user still selects≤5 numeral until exercise, then user class added 1, enters next stage.
Preferably, phase I guiding indicating module shows interface as described in Figure 8 by the client display unit.The background at this interface is used pale green or light blue, and the user can select wherein arbitrary numeral as the first training strength parameter in " respiration rate " that the client display unit shows by the client input block.And draw one in the time ratio lifting parabola sequence that Open Side Down according to the first training strength parameter (respiration rate) that the user selects, the rising or falling speed ratio that this parabola sequence is drawn is 1: 2 (it is 1: 2 that expression is guided air-breathing/expiration duration ratio), decides the lifting number of times of per minute according to the first training strength parameter of user's selection.When the parabola of drawing rises, draw red bead in the curve, the direction of motion of bead is slowly to shift to parabolical top from parabolical openend; When parabola descended, the little club in the curve became black, and when curve became straight line, the black bead disappeared.Red bead appears again during rising, above-mentioned again drafting mode.Guide the user to train simultaneously according to the color of bead among the figure and the lifting of curve, when bead takes on a red color among the figure along with dark aspiratory action is done in the rising of curve; When bead becomes black, please do to whistle and move slowly blow gas along with the decline of curve.
Concrete parabolic curve drafting mode is as follows, and the frequency of parabolic curve lifting is 14~6 times/minute, and existing is for 6 times that example describes with the per minute lifting.Each lifting process (60 ÷ 6) consuming time altogether=10 seconds, the lifting time ratio is 1: 2, the time (showing the red bead time) that is the parabola rising is [(60 ÷ 6) * 1/3] second, and the time that parabola descends (showing the black bead time) is [(60 ÷ 6) * 2/3] second.
The user can select " beginning " and " stopping " state by the client input block in " timer " that the client display unit shows, with convenient practice periods is shown.In this process, the time span of timer work is represented the time that the user trains each time, it equates that with the time of parabola setting in motion if i.e. parabola lifting continues 5 minutes, then the time of timer from " " to " stopping " also is 5 minutes.When the user selected training to finish, the client display unit showed encouragement information, is preferably, and shows baby's picture, and occurred praising language: " grandfather/grandmother: you have a long day! The respiration rate that you selected just now is X time, and practice periods is X minute.Please adhere to exercise! Your health could be become better and better! It is long-lived that here's to your health! " show that grandfather or grandmother are determined by the sex that the user imports.Deposit in " historical record " between the timing of " timer " institute, consult later on for the user.The client display unit can present encouragement information in the mode of audio frequency and/or text.
Second stage guides the indicating module workflow as shown in Figure 5, and second stage guiding indicating module points out by the client display unit whether channeling conduct is demonstrated, and the user selects by the client input block.When the user selects to watch demonstration, show second stage guiding demonstration interface by the client display unit.
Second stage guiding demonstration interface display is play the icon of second stage instruction sound, when the user selects this icon, then plays the audio frequency of second stage instruction.The icon that shows second stage instruction text simultaneously when the user clicks this icon, then presents the text of instruction.Second stage guiding demonstration interface is by sound, text, animation and/or video mode, and the indication user learning is grasped the second stage exercise action.
The second stage exercise action is got upright position or seat, is divided into second stage aspiratory action and second stage exhale action.The second stage aspiratory action is that both hands are clenched fist and slowly mentioned, and is simultaneously air-breathing deeply.The second stage exhale action is slowly put down both hands for when both hands are carried to the shoulder height, does the action of whistling simultaneously and slowly blows.
After user learning is grasped the second stage exercise action, enter second stage training bootup process by selecting the exercise option.Second stage guiding indicating module shows second stage training guiding animation by the client display unit, and timer is set picks up counting, and regularly arrives up to timer, and timer stops, and second stage training guiding finishes.During second stage training guiding animation showed, the user can suspend timer by selecting pause function, suspended the guiding animation and showed, by selecting continue function, timer was recovered then, recovered the guiding animation and showed.After second stage training guiding finished, second stage guiding indicating module was preserved user's training data, and by the client communication parts with user's training data end device of uploading onto the server.Second stage guiding indicating module judges that in the input information of client input unit the user trains rank according to the user, when user class enters phase III training bootup process more than or equal to 3 the time, when judging that the user is unsuitable for this training in stage, turn back to the training of channeling conduct on last stage.
Second stage guiding indicating module equally also uses the visual analogue scale scale to determine the degree of user's training.
The training goal in this stage is intended to after the user has formed the correct lip abdominal respiration of contracting, and its respiratory function will make moderate progress, and it is air-breathing deeply to promote the motion guiding user by clenching fist, and puts down the motion guiding user by clenching fist and exhales slowly.This move can increase the absorption of user's oxygen and the exhalation amount of carbon dioxide; Humeral movement has also reduced the requirement of ventilation potentially, promotes the tolerance of humeral movement, when upper arm is strained, helps ventilation by the increase back of the body, waist muscle length.
Preferably, in second training stage, the user selects the first training strength parameter by the client input block, respiration rate is set to 10 times/minute, second stage guiding indicating module shows second stage training guiding animation according to set training boot parameter by the client display unit, and the user practises according to the training guiding animation that shows.Preferably, about 10~30 minutes of each practice periods is practised 2~5 every day, practises week age continuously.The user can be according to s own situation after a week, and respiration rate is set to 12 times/minute and practises.Each exercise is after 5~10 minutes, and the user selects numeral according to training in the visual analogue scale scale, if the exercise week age is then continued in numeral≤5 that the user selects; If numeral 〉=5 that the user selects are then reselected last grade training strength (respiration rate 10 times/minute) and are continued the exercise week age.After a week, select back one grade training strength (respiration rate 8 times/minute) to begin exercise again.The rest may be inferred, and to last grade training strength (respiration rate 6 times/minute), the user still selects≤5 numeral until exercise, then user class added 1, enters next stage.
Preferably, second stage guiding indicating module shows interface as described in Figure 9 by the client display unit.This interface and interface shown in Figure 8 are similar, draw one in the time ratio lifting parabola sequence that Open Side Down according to the first training strength parameter that the user selects.The guiding user train according to the color of bead among the figure and the lifting of curve, when bead takes on a red color among the figure along with dark aspiratory action is done in the rising of curve; When bead becomes black, please do to whistle and move slowly blow gas along with the decline of curve.
Concrete parabolic curve drafting mode and phase I are similar.
When the user selected training to finish, the client display unit showed encouragement information, adopted with similar mode of phase I to show.
Phase III guides the indicating module workflow as shown in Figure 6, and phase III guiding indicating module points out by the client display unit whether channeling conduct is demonstrated, and the user selects by the client input block.When the user selects to watch demonstration, show that by the client display unit phase III guides the demonstration interface.
Phase III guiding demonstration interface display is play the icon of phase III instruction sound, when the user selects this icon, then plays the audio frequency of phase III instruction.The icon that shows phase III instruction text simultaneously when the user clicks this icon, then presents the text of instruction.The phase III guiding is demonstrated the interface by sound, text, animation and/or video mode, and the indication user learning is grasped the phase III exercise action.
The phase III exercise action is got upright position, is divided into five joint actions.The 1st joint: slowly lift the left hand or the right hand and do dark aspiratory action, then the both hands applying light is done the action of whistling at belly and slowly blow.The 2nd joint: slowly flat the stretching of both hands done dark aspiratory action, both hands slowly put down do the slowly air blowing of action of whistling then.The 3rd joint: both hands slowly lift does dark aspiratory action, both hands is slowly put down do the slowly air blowing of action of whistling then.The 4th joint: both hands slowly stretch to the health both sides does dark aspiratory action, then both hands is done the slowly air blowing of action of whistling by being pressed in belly.The 5th joint: both hands slowly lift does dark aspiratory action, slowly squats down then and does the slowly air blowing of action of whistling.
After user learning is grasped the phase III exercise action, enter phase III training bootup process by selecting the exercise option.Phase III guiding indicating module shows phase III training guiding animation by the client display unit, and timer is set picks up counting, and regularly arrives up to timer, and timer stops, and phase III training guiding finishes.During phase III training guiding animation showed, the user can suspend timer by selecting pause function, suspended the guiding animation and showed, by selecting continue function, timer was recovered then, recovered the guiding animation and showed.After phase III training guiding finished, phase III guiding indicating module was preserved user's training data, and by the client communication parts with user's training data end device of uploading onto the server.Phase III guiding indicating module judges that in the input information of client input unit the user trains rank according to the user, when user class enters quadravalence section training bootup process more than or equal to 4 the time, when judging that the user is unsuitable for this training in stage, turn back to the training of channeling conduct on last stage.
The training goal in this stage is intended to the training through first and second stage as the user, after user's respiratory muscle function is able to further improve, by the five joint whole body respiratory exercise training in this stage, further strengthens the function of its respiratory muscle.
Preferably, in the 3rd training stage, phase III guiding indicating module shows phase III training guiding animation by the client display unit, and the user practises according to the training guiding animation that shows.Preferably, about 15~30 minutes of each practice periods is practised 2 every day, practises continuously one month.Training time phase III adds 1 with user class after reaching one month, enters next stage.
Preferably, phase III guiding indicating module shows interface as described in Figure 10 by the client display unit.The background at this interface is used pale green or light blue, by sound, text, animation and/or video mode, repeats to guide the user to train according to the five joint actions that the phase III exercise action comprises.
When the user selected training to finish, the client display unit showed encouragement information, adopted with similar mode of phase I to show.
The quadravalence section guides the indicating module workflow as shown in Figure 7, and quadravalence section guiding indicating module points out by the client display unit whether channeling conduct is demonstrated, and the user selects by the client input block.When the user selects to watch demonstration, show quadravalence section guiding demonstration interface by the client display unit.
Quadravalence section guiding demonstration interface display is play the icon of quadravalence section instruction sound, when the user selects this icon, then plays the audio frequency of quadravalence section instruction.The icon that shows quadravalence section instruction text simultaneously when the user clicks this icon, then presents the text of instruction.Quadravalence section guiding demonstration interface is by sound, text, animation and/or video mode, and the indication user learning is grasped quadravalence section exercise action.
Quadravalence section exercise action is got upright position or seat, is divided into quadravalence section aspiratory action, quadravalence section hold one's breath action and quadravalence section exhale action.Quadravalence section aspiratory action is for air-breathing deeply, and quadravalence section exhale action is exhaled slowly.
After user learning is grasped quadravalence section exercise action, enter quadravalence section training bootup process by selecting the exercise option.Quadravalence section guiding indicating module shows quadravalence section training guiding animation by the client display unit, and timer is set picks up counting, and regularly arrives up to timer, and timer stops, and quadravalence section training guiding finishes.During quadravalence section training guiding animation showed, the user can suspend timer by selecting pause function, suspended the guiding animation and showed, by selecting continue function, timer was recovered then, recovered the guiding animation and showed.After the training guiding of quadravalence section finished, quadravalence section guiding indicating module was preserved user's training data, and by the client communication parts with user's training data end device of uploading onto the server.Quadravalence section guiding indicating module judges that in the input information of client input unit the user trains rank according to the user, when judging that the user is unsuitable for this training in stage, turns back to the training of channeling conduct on last stage.
Quadravalence section guiding indicating module equally also uses the visual analogue scale scale to determine the degree of user's training.
The training goal in this stage is intended to after the training of user through the front three phases, the endurance of user's respiratory muscle will be strengthened, can tolerate holding one's breath of short time this moment, by holding one's breath 1~2 second to prolong the time of oxygen disperse in alveolar, with the further dyspneic situation of user of improving between air-breathing and the expiration.
Preferably, in the 4th training stage, the user selects the first training strength parameter by the client input block, respiration rate is set to 8 times/minute, select the second training strength parameter, the time of holding one's breath is set to 1 second/time, and quadravalence section guiding indicating module shows quadravalence section training guiding animation according to set training boot parameter by the client display unit, and the user practises according to the training guiding animation that shows.Preferably, about 10~20 minutes of each practice periods is practised 2~3 every day, practises week age continuously.The user can be according to s own situation after a week, and respiration rate is set to 6 times/minute and practises.Each exercise is after 5~10 minutes, and the user selects numeral according to training in the visual analogue scale scale, if the exercise week age is then continued in numeral≤5 that the user selects; If numeral 〉=5 that the user selects are then reselected last grade training strength (respiration rate 8 times/minute) and are continued the exercise week age.After a week, select back one grade training strength (respiration rate 6 times/minute) to begin exercise again.Respiration rate is set to 8 times/minute then, and the time of holding one's breath is set to practise in 2 seconds/time.The rest may be inferred, and to last grade training strength (respiration rate 6 times/minute is held one's breath 2 seconds/time time), the user still selects≤5 numeral until exercise, and then the whole quadravalence sections training of user are all finished.
Preferably, quadravalence section guiding indicating module shows interface as described in Figure 11 by the client display unit.The background at this interface is used pale green or light blue, the user can select wherein arbitrary numeral as the first training strength parameter in " respiration rate " that the client display unit shows by the client input block, selects a numeral as the second training strength parameter in " holding one's breath the time " that the client display unit shows by the client input block simultaneously.And draw one in the time ratio lifting trapezoidal broken line sequence that Open Side Down according to the first training strength parameter (respiration rate) that the user selects.As shown in figure 11, this trapezoidal broken line presents following Changing Pattern: slowly draw the B point from the A point, represent to guide and carries out aspiratory action, the some expression guides the action of holding one's breath from the B point-rendering to C, and the some expression guides the lip air blowing action of contracting from the C point-rendering to D.The rising or falling speed ratio that this trapezoidal broken line sequence is drawn is 1: 2 (it is 1: 2 that expression is guided air-breathing/expiration duration ratio, and the time of holding one's breath is not included in to inhale and exhales in the time), decides the lifting number of times of per minute according to the first training strength parameter of user's selection.When the trapezoidal broken line of drawing was in the ascent stage, the use redness was drawn and is pointed out; When the trapezoidal broken line of drawing was in steady section, the use blueness was drawn and is pointed out; When the trapezoidal broken line of drawing was in descending branch, use black was drawn and is pointed out, and repeated aforesaid way and draw a trapezoidal broken line sequence.Guide the user to train simultaneously according to the color of trapezoidal broken line and text prompt among the figure and the lifting of trapezoidal broken line, when trapezoidal broken line and text prompt take on a red color among the figure along with aspiratory action is done in the rising of trapezoidal broken line; When trapezoidal broken line is blueness with text prompt among the figure along with trapezoidal broken line parallel cooked the action of holding one's breath; When trapezoidal broken line and text prompt are black among the figure along with exhale action is done in the decline of trapezoidal broken line.
Concrete trapezoidal broken line drafting mode is as follows, and the frequency of trapezoidal broken line lifting is 8~6 times/minute, and showing with per minute lifting 8 times, holding one's breath 1 second is that example describes.Lifting is consuming time at every turn is (60 ÷ 8) second.Be uphill process from the A point to the B point wherein, the duration is { [(60 ÷ 8)-1] * 1/3} second; The motion state linearly from the B point to the trapezoidal broken line of C point, the duration is 1 second; From C point to D point is trapezoidal broken line decline process, and the duration is { [(60 ÷ 8)-1] * 2/3} second.
When the user selected training to finish, the client display unit showed encouragement information, adopted with similar mode of phase I to show.
The user exchanges module provides user and expert by the client display unit online exchange interface.The preparation and the broadcast interface that loosen music also are provided.This module can provide 60 head to loosen music, and when the user selected the icon of " music libraries ", system can present the song title, when selecting once more, can play corresponding song.The selection and the setting of the picture and the video file of various informations also are provided simultaneously.
History module can the selected training stage of automatic recording user, training strength parameter (respiration rate, hold one's breath the time), continue time, exercise date and the concrete time of exercise, the respiration rate of clicking in this training as the user is 6, the time of parabolic motion is 5 minutes, the exercise date is 9: 10 on the 6th August in 2009, the data of preserving in the historical record are exactly: 9: 10 on the 6th August in 2009 respiration rate 6, practice periods 5 minutes.
Client process parts user mode machine is realized the switching between each functional module, and the state transition diagram of this state machine as shown in figure 13.After the client start, the state machine of client process parts is in initial state, shows to welcome interface information, and the prompting user logins; After treating that the user imports username and password, the state machine of client process parts enters logging status, and username and password is verified; Enter init state after username and password is proved to be successful, obtain user information corresponding according to user name; Select to enter first to fourth corresponding action director's state according to the historical rank data of user then.
When the state machine of client process parts enters first action director's state, corresponding phase I guiding indicating module points out by the client display unit whether channeling conduct is demonstrated, when the user selects to watch demonstration, show that by the client display unit phase I guides the demonstration interface, by the multimedia teaching mode, the guiding user learning is also grasped first training action; Constantly repeat this process, after the user learned to grasp the phase I training action, when the user selected no longer to watch demonstration, the state machine of client process parts entered the first action exercise state.In the first action exercise state, phase I guiding indicating module is practised by client display unit guiding user, constantly repeat this process, use the visual analogue scale scale to determine that the degree of user's training adds with user class at 1 o'clock up to phase I guiding indicating module, the state machine of client process parts enters second action director's state.
Equally, when the state machine of client process parts entered second action director's state, the guiding user learning was also grasped second training action; Constantly repeat this process, learn to grasp the second stage training action, enter the second action exercise state up to the user.In the second action exercise state, second stage guiding indicating module is practised by client display unit guiding user, constantly repeats this process, adds at 1 o'clock up to user class, and the state machine of client process parts enters the 3rd action director's state.
Equally, when the state machine of client process parts entered the 3rd action director's state, the guiding user learning was also grasped the 3rd training action; Constantly repeat this process, learn to grasp the phase III training action, enter the 3rd action exercise state up to the user.In the 3rd action exercise state, phase III guiding indicating module is practised by client display unit guiding user, constantly repeats this process, adds at 1 o'clock up to user class, and the state machine of client process parts enters the 4th action director's state.
Equally, when the state machine of client process parts entered the 4th action director's state, the guiding user learning was also grasped the 4th training action; Constantly repeat this process, learn to grasp quadravalence section training action, enter the 4th action exercise state up to the user.In the 4th action exercise state, quadravalence section guiding indicating module is practised by client display unit guiding user, constantly repeat this process, use the visual analogue scale scale to determine that the whole quadravalence sections training of user have all finished up to quadravalence section guiding indicating module, the state machine of client process parts enters the network interaction state.
The state machine of client process parts can enter the network interaction state by user's selection behind first to fourth action exercise state.At the network interaction state, first to fourth stage guiding indicating module can be by the client communication parts with the action director in first to fourth stage and action exercise data upload to server end, can also exchange the online exchange that module realizes client user and server end expert by the user.The state machine of client process parts enters done state behind the network interaction state, the state flow process of whole client finishes.
This breath training system can by on common server and personal computer by relevant software realization, also can on special-purpose embedded hardware platform, realize portable breath training system.When using special-purpose embedded hardware platform to realize, the client hardware schematic appearance of this system preferably adopts the outward appearance of similar portable panel computer as shown in figure 14.Wherein the client display unit adopts 4 ~ 20 inches touch LCD display screen or common liquid crystals display screen to show, and voice output is set at the display screen edge, and client input block, the client input block can adopt the combination of simplifying keyboard and touch pad or trace ball or TrackPoint, also can external QWERTY keyboard and mouse import.The client communication parts can adopt Ethernet card or other communication interfaces of RJ45 interface.
Above embodiment only is a kind of specific embodiment of the present invention, and it describes comparatively concrete and detailed, but can not therefore be interpreted as the restriction to claim of the present invention.Should be pointed out that for the person of ordinary skill of the art without departing from the inventive concept of the premise, can also make some distortion and improvement, these all belong to protection scope of the present invention.

Claims (9)

1. breath training system, it is applicable to the rehabilitation training of COPD, described breath training system comprises server-side device and client terminal device, and described server-side device comprises server end communication component, server stores parts, server display unit, server input block and server processing unit; Described client terminal device comprises client communication parts, client stores parts, client display unit, client input block and client process parts, it is characterized in that described client process parts comprise:
Phase I guiding indicating module, described phase I guiding indicating module carries out the first training action respiration exercise by described client display unit prompting, will practise process data by described client communication parts and upload and store;
Second stage guiding indicating module, described second stage guiding indicating module carries out the second training action respiration exercise by described client display unit prompting, will practise process data by described client communication parts and upload and store;
Phase III guiding indicating module, described phase III guiding indicating module carries out the 3rd training action respiration exercise by described client display unit prompting, will practise process data by described client communication parts and upload and store;
Quadravalence section guiding indicating module, described quadravalence section guiding indicating module carries out the 4th training action respiration exercise by described client display unit prompting, will practise process data by described client communication parts and upload and store;
Login module, described login module is logined identity by described client communication parts described server-side device checking user, checking obtains described user's user information corresponding by the back in the server-side device inquiry, and selects corresponding first to fourth stage guiding indicating module to train guiding according to the historical rank data of the user in the described user profile;
The difficulty of described first to fourth training action increases gradually; Described first training action is the lip abdominal respiration mode that contracts, described second training action is the dark air-breathing breathing pattern of blowing slowly of clenching fist, described the 3rd training action is whole body respiratory exercise exercise mode, and described the 4th training action adopts the air-breathing deeply-exercise mode of holding one's breath-exhale slowly.
2. breath training system according to claim 1 is characterized in that:
The described lip abdominal respiration mode that contracts shows below leading question or the demonstration of human action animation for circular order at the appointed time:
Get seat or upright position, left hand is placed on the shirtfront, the right hand is placed on belly,
Air-breathing deeply with nose, keep chest motionless as far as possible, belly is slowly heaved,
Shorten lip into the shape of whistling, health slightly turns forward, and is slowly blown by mouth, makes belly slowly sink;
The described dark air-breathing breathing pattern of blowing slowly of clenching fist shows below leading question for circular order at the appointed time or the human action animation is demonstrated:
Get seat or upright position, both hands are clenched fist and slowly mentioned, and are air-breathing deeply,
Both hands are carried to the shoulder height,
Both hands slowly put down, and do the action of whistling simultaneously and slowly blow;
Described whole body respiratory exercise exercise mode shows below leading question or the demonstration of human action animation for circular order at the appointed time:
Get upright position,
First segment slowly lifts the left hand or the right hand and does dark aspiratory action,
The both hands applying light is done the action of whistling at belly slowly blows,
Slowly flat the stretching of second joint, both hands done dark aspiratory action,
Both hands are slowly put down doing the action of whistling and slowly blow,
The 3rd joint, both hands slowly lift does dark aspiratory action,
Both hands are slowly put down doing the action of whistling and slowly blow,
The 4th joint, both hands slowly stretch to the health both sides does dark aspiratory action,
Both hands are done the slowly air blowing of action of whistling by being pressed in belly,
The 5th joint, both hands slowly lift does dark aspiratory action,
Slowly squat down and do the slowly air blowing of action of whistling;
Described air-breathing deeply-the exercise mode of holding one's breath-exhale slowly shows below leading question or the demonstration of human action animation for circular order at the appointed time:
Get seat or upright position, air-breathing deeply,
Hold one's breath,
Slowly exhale.
3. breath training system according to claim 2 is characterized in that: described first to fourth stage guiding indicating module uses sound, text, animation and/or video mode indication user learning to grasp described first to fourth training action by described client display unit.
4. breath training system according to claim 3 is characterized in that: described first adopts first dynamical fashion to point out to second stage guiding indicating module by described client display unit carries out first to the second training action respiration exercise;
The first training strength parameter that described first dynamical fashion is selected according to the user is drawn one in the time ratio lifting parabola sequence that Open Side Down, the rising or falling speed ratio that described parabola sequence is drawn is 1: 2, represent that suggested air-breathing/expiration duration ratio is 1: 2, and the lifting number of times in the decision per minute, the adjacent parabola of described parabola sequence links to each other by the straight line line segment at described openend;
When the described parabola of drawing rises, draw red bead in the described parabola, the direction of motion of described red bead is slowly to shift to parabolical top from described parabolical openend; When described parabola descends, red little club in the described parabola becomes black, when described parabola sequence is plotted to described straight line line segment, described black bead disappears, and described red bead appears once more when the adjacent parabola of drawing rises, repeat above-mentioned drafting mode and draw described parabola sequence;
Point out simultaneously the user according to the bead of being drawn color and the lifting of described parabola sequence train, when described bead takes on a red color along with dark aspiratory action is done in described parabolical rising; When described bead becomes black, along with described parabolical decline is done to whistle and moved slowly blow gas.
5. breath training system according to claim 4, it is characterized in that: described parabola sequence drafting mode is as follows, the lifting frequency of described parabola sequence is determined according to the first training strength parameter, be N time/minute, each parabolical rise time is [(60 ÷ N) * 1/3] second in the described parabola sequence, the time that descends is [(60 ÷ N) * 2/3] second, and the span of N is 6~14 in the formula.
6. breath training system according to claim 3 is characterized in that: described quadravalence section guiding indicating module adopts second dynamical fashion prompting carrying out the 4th training action respiration exercise by described client display unit;
Described second dynamical fashion is drawn one in the time ratio lifting trapezoidal broken line sequence that Open Side Down according to the first training strength parameter and the second training strength parameter that the user selects, the rising or falling speed ratio that described trapezoidal broken line sequence is drawn is 1: 2, represent that suggested air-breathing/expiration duration ratio is 1: 2, and the lifting number of times in the decision per minute, the adjacent trapezoidal broken line of described trapezoidal broken line sequence links to each other at described openend;
When the described trapezoidal broken line of drawing was in the left side rising edge, the use redness was drawn and is pointed out; When the described trapezoidal broken line of drawing was in the top steady section, the use blueness was drawn and is pointed out; When described trapezoidal broken line was in the right side trailing edge, use black was drawn and is pointed out, and repeats above-mentioned drafting mode and draws described trapezoidal broken line sequence;
Point out the user to train simultaneously, when described trapezoidal broken line is in the left side rising edge, do aspiratory action according to the lifting and the color of the described trapezoidal broken line sequence of being drawn; When being in the top steady section, does in described trapezoidal broken line the action of holding one's breath; When being in the right side trailing edge, does in described trapezoidal broken line exhale action.
7. according to any described breath training system among the claim 1-6, it is characterized in that: when described client process parts equaled 1 when the historical rank data of user, the prompting user visited phase I guiding indicating module; When the historical rank data of user equaled 2, the prompting user visited second stage guiding indicating module; When the historical rank data of user equaled 3, the prompting user visited phase III guiding indicating module; When the historical rank data of user equaled 4, the prompting user visited quadravalence section guiding indicating module.
8. according to any described breath training system among the claim 1-6, it is characterized in that: described client communication parts communicate by the XML file communication interface and the described server end communication component of HTTP carrying, described client process parts comprise that the user exchanges module, and described user exchanges the online exchange interface function that module provides user and expert; Described user exchanges module preparation and the broadcast interface function of loosening music also is provided; Described user exchanges module and the selection of the picture of various informations and video file also is provided and function is set.
9. according to any described breath training system among the claim 1-6, it is characterized in that: described server end communication component and described client communication parts use same hardware, described server stores parts and described client stores parts use same hardware, described server display unit and described client display unit use same hardware, described server input block and client input block use same hardware, and described server process parts and client process parts use same hardware.
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