CN104207780A - Measuring device and measuring method for judgment of lower limb flexibility of parkinsonian - Google Patents

Measuring device and measuring method for judgment of lower limb flexibility of parkinsonian Download PDF

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CN104207780A
CN104207780A CN 201410416108 CN201410416108A CN104207780A CN 104207780 A CN104207780 A CN 104207780A CN 201410416108 CN201410416108 CN 201410416108 CN 201410416108 A CN201410416108 A CN 201410416108A CN 104207780 A CN104207780 A CN 104207780A
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time
control
module
button
display
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CN 201410416108
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Chinese (zh)
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徐仁俩
邓霞
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南昌大学
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Abstract

The invention discloses a device for measuring lower limb flexibility of a parkinsonian. The device comprises a control panel, a pedal pad, a photoelectric sensing device, a time control stop watch, a display screen, a battery device, a time increase and decrease press button, a test switch and a starting and stopping press button. The device can be used for accurately carrying out grade judgment on the lower limb flexibility of the parkinsonian, and the precision of the lower limb flexibility measured by the projected can be greatly improved, so the precision and the reliability of the score measurement of moving function parts in the UPDRS (unified parkinsonian's Disease rating scal) can be improved. The lower limb flexibility of the parkinsonian can be systematically and actively measured, in addition, the reliable basis can be accurately provided for the subsequent analysis, and meanwhile, a display screen with the effective heel raising times is provided, so the effective heel raising times in the set time can be precisely given.

Description

一种用于帕金森病患者下肢灵活度判定的测量装置及方法 A measuring apparatus and method for Parkinson's disease lower limb flexibility for determination

技术领域 FIELD

[0001] 本发明涉及一种评级装置,尤其涉及一种专用于帕金森病患者下肢灵活度判定的测量装置,更进一步涉及实验时对帕金森病人进行国际用统一帕金森病评定量表第三部分中第26项目对下肢灵活度评定中所需用的测量装置。 [0001] The present invention relates to a rating device, particularly to a device designed to measure lower limb Parkinson disease determined flexibility, Parkinson further experiment involving patients with International Unified Parkinson's Disease Rating Scale third the first portion 26 projects Evaluation Legs flexibility desired measuring device.

背景技术 Background technique

[0002] 帕金森病是一种中老年神经退行性疾病,其临床特征通常表现为静止性震颤、运动迟缓、肌张力增高和姿势平衡障碍,其病理特点主要有三点:(1)选择性中脑黑质多巴胺能神经元丧失;(2)纹状体多巴胺含量显著减少;(3)黑质及蓝斑出现路易小体; 目前,对于帕金森病的诊断,通常是采用帕金森病的国际通用临床诊断标准进行诊断: 具体的判断标准如下:(1)静止性震颤、运动迟缓、齿轮样肌强直和姿势性反射障碍,一个帕金森病患者至少需要具有静止性震颤、运动迟缓两项中之一的特征;(2)病人的帕金森病症状和体征不是由于脑外伤、脑血管疾病、脑肿瘤、病毒感染或其他已知的神经系统疾病,以及已知的药物和化学毒物所引起的;(3)病人必须具备以下体征:明显的核上性共视运动障碍、小脑症、核性发音障碍、体位性低血压(改变超 [0002] Parkinson's disease is a neurodegenerative disease in the elderly, which manifests itself clinically characterized resting tremor, bradykinesia, muscle tension and postural balance disorders, pathological features three main points: (1) the selective nigra dopaminergic neuronal loss; (2) striatal dopamine content was significantly reduced; (3) the substantia nigra and locus coeruleus Lewy bodies appear; currently, diagnosis of Parkinson's disease, Parkinson's disease usually by international General clinical diagnostic criteria for diagnosis: specific criteria are as follows: (1) resting tremor, bradykinesia, muscle rigidity and cogwheel postural reflex disorder, a Parkinson's disease patient needs to have at least a resting tremor, bradykinesia in two one feature; (2) patients with signs and symptoms of Parkinson's disease is not due to brain trauma, cerebrovascular disease, brain tumors, viral infection or other known diseases of the nervous system, as well known in the pharmaceutical and chemical toxins caused by ; (3) the patient must have the following signs: significant nuclear common view on sex movement disorders, cerebellar disease, nuclear dysphonia, orthostatic hypotension (change over 过30mmHg以上)、锥体性损害及肌萎缩;(4)左旋多巴制剂试验有效;同时满足上述四项标准的病人可临床诊断为帕金森病; 但是经过此临床标准诊断出的帕金森病人与病理诊断的一致性只有70%-75%,其特异性并不高;在临床研究和流行病学研究中,为尽量保证诊断的准确性,除要求病人符合上述四项标准外,还需要满足病人的症状及体征在初发时或病程中是否有不对称得表现,若病人出现不对称表现在帕金森病的诊断特异性将显著提高到90%左右; 然而上述帕金森病的临床症状主要以运动症状为主,但仍存在非运动症状,非运动症状主要包括(1)精神症状,具体体现在注意力缺陷;人格、认识障碍;视觉(视空间感知障碍、颜色辨别能力受损)、意识障碍;抑郁;淡漠;缺乏快感;激越;躁狂;焦虑;视幻觉;计算力、记忆力、定向力、判断力丧失;(生 Over 30mmHg or more), muscle atrophy lesions and the cone; (4) an effective test of levodopa; clinical diagnosis of patients while meeting the above four criteria for Parkinson's disease; but after this standard clinical diagnosis of Parkinson's patients consistency with the pathological diagnosis of only 70% -75%, its specificity is not high; in clinical studies and epidemiological studies, to try to ensure the accuracy of diagnosis, in addition to meeting the above four criteria require patients, but also need to meet the patient's symptoms and signs in the early course of development or whether there have asymmetric performance, if the patient is skewed performance in Parkinson's disease will significantly improve the diagnostic specificity to about 90%; however, the above-described clinical symptoms of Parkinson's disease mainly in the movement symptoms, but there are still non-motor symptoms, non-motor symptoms include (1) psychotic symptoms, embodied in attention deficit; personality, cognition disorders; visual (visual-spatial perception disorders, impaired color discrimination) , disturbance of consciousness; depression; apathy; anhedonia; agitation; mania; anxiety; visual hallucinations; computing power, memory, orientation, judgment loss; (raw 理)错觉;痴呆;认知损害(智力功能、心理运动控制、高水平认知功能及认知可塑性的异常);生动的梦境;(2)自主神经症状,主要表现在便秘、体位性低血压、出汗、性功能障碍、排尿障碍、流涎;(3)感觉障碍,主要表现在麻木、疼痛、痉挛、不宁腿综合症(RLS)、嗅觉丧失;(4)睡眠障碍,具体表现在失眠、不安腿综合症(RLS)、周期性肢体运动(PLM)、快速眼动(REM)睡眠、非快速眼动睡眠、行为障碍、白日嗜睡; 因此,对于ro的运动症状和非运动症状应采取综合治疗,包括药物治疗、手术治疗、康复治疗、心理治疗及护理等;药物治疗作为首选,是整个治疗过程中的主要治疗手段,而手术治疗则是药物治疗的一种有效补充手段;目前应用的治疗手段,无论是药物或手术,都只能改善症状而不能阻止病情的发展,更无法治愈;对帕金森病人的治 Li) illusion; dementia; cognitive impairment (intellectual functioning, psychomotor control, a high level of cognitive function and cognitive plasticity anomaly); vivid dreams; (2) autonomic symptoms, mainly in constipation, orthostatic hypotension , sweating, sexual dysfunction, voiding dysfunction, salivation; (3) sensory disturbances, mainly in numbness, pain, cramps, restless legs syndrome (RLS), anosmia; (4) sleep disorder, manifested in insomnia , restless legs syndrome (RLS), periodic limb movements (PLM), rapid eye movement (REM) sleep and non-REM sleep behavior disorder, daytime sleepiness; therefore, for the motor symptoms ro and non-motor symptoms should comprehensive treatment, including medication, surgery, rehabilitation, psychological treatment and care; drug therapy as the first choice, is the main treatment throughout the course of treatment, and surgery is an effective complement to drug therapy; currently treatment application, whether it is drugs or surgery, can only improve symptoms but can not prevent the development of disease, but can not be cured; treatment of Parkinson's patients ,以达到有效改善症状,提高生活质量为目标,坚持"剂量滴定"、"以最小剂量达到满意效果";治疗应该根据个体化特点不同而不同;因此,对ro症状的确定,可以明确病情是得到改善还是进一步恶化, 并与治疗方案的选择和确定有着重大而密切的关系; 对帕金森病人所处阶段的判定,国际上普遍采用统一帕金森病评定量表(Unified Parkinson's Disease Rating Seal, UPDRS)来评估;分值越高,PD 症状越严重;UPDRS 是用来概括测量帕金森病人各个方面能力的统一量表,共分三部分:第一部分:精神、行为和情绪(包括测试项目1-4);第二部分:日常活动(包括测试项目5-17,由患者填写);第三部分:运动功能(包括测试项目18-31,医生检查);第四部分:治疗的并发症(包括测试项目32-42,指上周); 然而,在实际使用UPDRS中,却面临着重重难关,主要是一些项目的界定标 In order to achieve an effective improvement in symptoms and quality of life as the goal, adhere to the "dose titration" and "minimum dose to achieve satisfactory results"; treatment should be based on individual characteristics vary; therefore, to determine ro symptoms may clear the condition is improvement or further deterioration, and has a significant and close relations with the selection and determine treatment options; determination of the stage of Parkinson's patients, commonly used by unified Parkinson's disease Rating scale (unified Parkinson's disease Rating Seal international, UPDRS ) to assess; the higher the score, the more severe symptoms of PD; UPDRS is used to summarize unified scale measuring the ability of the various aspects of Parkinson's patients, divided into three parts: part I: mental, behavioral and emotional (including test items 1- 4); part II: activities of daily living (including test items 5-17, completed by the patient); part III: motor function (including test items 18-31, a medical examination); part IV: treatment of complications (including test items 32-42, referring to last week); however, in actual use in the UPDRS, is faced with many difficulties, mainly because some items defined standard 准不统一, 导致其准确评价造成极大的困难;在这四个部分中,第一、二、四部分多数项目的测试有固定量化标准,较容易测量,而第三部分的一些项目的测试标准较模糊,并且一些量化的标准由检查者在多次不同场合中进行测量时来维持固定比较困难;其中,第三部分的第26项检测项目为下肢灵活度,主要是膝关节屈曲状态下腿的灵活性,主要是指快速反复踮起足跟使腿抬起,足跟抬高至少6cm ;通常有五种状态显示:(1) 0表示正常状态;(2) 1表示动作轻度减慢或幅度轻度变小;(3)2表示中度损害;主要症状表现有早衰,可有间歇,即幅度减少,易于疲劳,动作中偶尔有暂停;(4) 3表示严重损害,包括启动困难、中途间歇,即动作开始时犹豫,动作进行中有暂停现象;(5) 4表示几乎不能完成测试; 根据该表分析,准确测量下肢灵活度的条件包括 Motion does not uniform, resulting in an accurate assessment of cause great difficulties; in four parts, the first, testing second, fourth part of most projects have a fixed quantitative criteria, relatively easy to measure, and the third part of the test projects more vague criteria, and some quantitative standard when measured at several different occasions by the checker is difficult to maintain a fixed; wherein the test items of the third portion 26, lower extremity flexibility, primarily the knee flexion leg flexibility, mainly refers to that the rapid repeated Dianqi leg lifted heel, heel elevation least 6cm; usually have five states: (1) 0 represents a normal state; (2) represents the operation of a mild slowing or slightly smaller amplitude; (3) 2 represents moderate damage; main symptoms have premature aging, can be intermittent, i.e. to reduce the amplitude, easy fatigue, occasional pauses in operation; (4) 3 serious damage, including the difficulties start , intermittent way, i.e. when the operation start hesitation, pause operation of the phenomenon; (5) 4 hardly completion of the test; the table according to the analysis, accurate measurement conditions include lower extremity dexterity :1、项目测试的标准动作为快速反复踮起足跟使腿抬起,且足跟太高至少6cm ;2、测试过程没有时间限制;3、对下肢灵活度的评定分为5个级别:正常;轻度障碍;明显障碍;严重障碍;几乎不能完成;根据该表进行帕金森病的判定,主要是根据这5个级别的评定依据观察测试者的情况;然而,对测试者的观察往往没有固定、量化的标准依据;因此,对于同一个病人,不同时间段的测试没有统一的标准,对于多个甚至大批患者的评定也没有统一的评价标准,而不同的实验,不同的测试员对患者进行该项目测试的标准更是没有统一的标准;即便在同一个试验中,测试者由于不同时间里具有不同的状态,不同状态下的标准很不恒定,将可能导致测试结果与实验中患者的实际情况产生严重偏差;对不同实验相对比时,由于标准不可控,此偏移将可能更大; : 1, a standard test for the rapid operation of the project is repeated so that the legs Dianqi heel lift, high heel and at least 6cm; 2, test no time limit; 3, assessment of lower limb flexibility is divided into five levels: normal; mild disorder; significant barriers; serious obstacles; hardly complete; determination Parkinson's disease according to the table, mainly based on the case of these five levels of assessment based on observation of testers; however, the observation of testers often There is no fixed, quantifiable standard basis; therefore, for the same patient, test different time periods is no uniform standard for assessing a large number of even more patients there is no uniform evaluation criteria, and different experiments on different testers patients with the project test standard is no uniform standard; even in the same test, the tester due to the different time with different state standards in different states is very constant, may result in patient test results with experiments serious deviation of the actual situation; when different experimental contrast, since the standard is not controlled, this offset will be larger; 于以上传统测试方法存在种种缺陷,不能精确且无法对患者的下肢灵活度下降的程度或发展进程做出准确的确认,将导致第26项目的测试失误,进而导致运动功能以致UPRDS第三部分评分的失误,继而导致后续相关性分析的失误; 为满足高精度试验中对测量的准确要求,我们设计了一种专门用于帕金森病患者下肢灵活度判定的测试装置,提高测试的精准度。 Shortcomings exist in more traditional testing methods can not be accurate and can not make an accurate confirmation of the patient's lower limb flexibility or decrease the extent of the development process, will result in test failures 26 projects, leading to motor function so that the third part of the score UPRDS the error, in turn resulting in subsequent correlation analysis errors; to meet the requirements of high precision and accurate test measurements, we designed a special test apparatus for lower extremity flexibility Parkinson's disease patient determined to improve the accuracy of the test.

发明内容 SUMMARY

[0003] 本发明为了弥补现有技术的不足,提供一种结构简单的专用于帕金森病患者下肢灵活度判定的测量装置,该装置能够标准、精确地计量数据,有效地避免在短暂的时间里计数不准确、评分不准的结果,大大提高了帕金森病项目测试结构的精确度和可靠度;本发明的另一目的在于提供一种利用该装置进行帕金森病患者下肢灵活度的测量方法,该方法主要是利用简易编程控制时程、利用简易编程计数踮起足跟的有效次数,避免在短暂的时间里计数不准、评分不准的结果,从而大大提高本项目测试结果的精确度和可靠度。 [0003] The present invention, in order to compensate for deficiencies of the prior art, to provide a structurally simple measuring apparatus dedicated to the flexibility of the lower extremities with Parkinson's disease determined, the device can be standard, data measured precisely and effectively in a short time to avoid Lane count is not accurate, inaccurate results and scores, greatly improving the accuracy and reliability of the test structure projects Parkinson's disease; another object of the present invention is to provide a measure of lower extremity Parkinson's disease patients with the device dexterity method, which is the main control program by a simple process, using a simple program count the number of effective Dianqi heel, to avoid counting allowed, score results allowed a short time, thereby greatly improving the accuracy of the test results of the project and the degree of reliability.

[0004] 为实现上述发明目的,本发明采用如下的技术方案: 一种用于帕金森病患者下肢灵活度的测量装置,包括控制板、脚踏垫、光电感应装置、 时间控制秒表、显示屏、电池装置、时间增减按钮、测试开关及启停按钮;其特征在于: 所述控制板设置在脚踏垫的内部,用于实现装置各种操作的控制功能; 所述光电感应装置设置在脚踏垫上,且位于前端设置,与脚踏垫内部的控制板电连接, 用于判定测试者的足跟抬起高度是否达到6cm ; 所述时间控制秒表设置在显示屏的上端,用于控制测试时程控制,并发出测试终止讯息; 所述显示屏设置在脚踏垫的尾部上端,与控制板电连接,用于显示评级级数、计量次数、计量时间; 所述时间增减按钮设置在显示屏的左侧,分别与控制板、显示屏点连接;用于设定测试时间的长短; 所述电池装置设置在显示屏 [0004] In order to achieve the above object, the present invention adopts the following technical solution: A measuring apparatus with Parkinson's disease of the lower limbs flexibility, comprising panels, floor mats, optical sensing means, controlling the stopwatch time, the display the battery device, the time decrease button, the push button switch Commitment; characterized in that: said control board disposed in the interior of the foot pad, the control function for implementing various operations of the device; the photoelectric sensing means disposed foot pad, and at the front end is provided, electrically connected to the control board inside the floor mat, for determining the test subject raised heel height reaches 6cm; controlling said time display at the upper end of the stopwatch is provided for controlling when the test process control, and termination of the test message sent; the display screen provided on the upper end of the tail of the foot pad, is electrically connected to the control board for displaying rating series, the number of metering, metering time; decrease the time set buttons on the left side of the display, are connected to the control board, the display point; means for setting the length of time of the test; the battery device disposed in the display 左侧,且靠近时间增减按钮的尾端,用于给整个装置供电; 所述启动按钮设置在显示屏的右侧,分别控制板、显示屏连接,用于启动整个装置; 所述测试按钮设置在显示屏的右侧,且靠近脚踏垫的尾端,用于控制下肢测试的启停; 进一步改进,所述控制板包括控制模块、显示模块、开关模块、电源模块、时间设定模块、光电感应控制模块及时间控制模块;所述开关模块、显示模块、电源模块、时间设定模块、光电感应控制模块及时间控制模块均为控制模块电连接;所述开关模块分别与启停按钮、测试开关电连接;所述显示模块与显示屏电连接;所述时间设定模块与时间增减按钮连接,实现时间增加或减少的设定;所述电源模块与电池专职电连接,用于给测量装置提供电源;所述光电感应控制模块与光电感应装置电连接,控制两个光电感应装置 The left side, and near the trailing end of the time increase and decrease buttons for power supply to the entire apparatus; a start button is provided on the right side of the display, respectively, the control board, connected to the display for starting the entire device; the test button disposed on the right side of the display, and the foot pad near the trailing end of the lower limb for controlling start and stop tests; further improvement, the control plate comprises a control module, a display module, a switching module, a power module, a time setting module , photoelectric sensors and the time control module the control module; a switching module, a display module, a power module, a time setting module, and a photoelectric sensor control module time control module are electrically connected to the control module; and a start-stop button switch module respectively , test switch electrically connected; the display module is electrically connected with the display screen; and the time setting module connected to the button changes in time, achieve an increase or decrease of setting time; the power module is electrically connected to the battery full, for providing power to the measuring apparatus; said photoelectric sensors control module electrically connected to the photoelectric sensing device, controlling two photoelectric sensing device 行光源相互对射、感应;所述时间控制模块与时间控制秒表电连接,用于控制时间秒表时间的设定及控制; 所述控制模块为可写入控制程序的中央处理器; 进一步改进,所述踏脚板包括踏板及支撑板;所述踏板设置在支撑板上,与支撑板插接固定; 进一步改进,所述踏板为塑料踏板;其长度为40cm、宽度为20cm、厚度为0. 5cm ; 进一步改进,所述支撑板为橡胶支撑板; 进一步改进,所述时间增减按钮包括增加按钮及减少按钮;所述增加按钮用" + "表示; 所述减少按钮用表示; 进一步改进,所述光电感应开关为一对对射式红外线光电开关;其中一个为红外线发射器;另一个为红外线接收器; 进一步改进,所述时间控制秒表为具有编程程序的秒表; 进一步改进,所述时间控制秒表内设有报警单元,用于发出测量终止报警信号,终止测量; 利用上述装 Each row of light emitting induction; the time control module electrically connected to the stopwatch time control, and control for setting a time stopwatch time; the control module is a central processing unit write control program; further improvements, the foot plate and the support plate includes a pedal; the pedal is provided on the support plate, the support plate fixed to the plug; further improvement, the pedal is a pedal plastic; a length of 40cm, a width of 20cm, a thickness of 0. 5cm ; further improvement, the support plate is a rubber support plate; further improvement, increasing or decreasing the time increment button and a button comprises a button decrease; the increase buttons "+" indicates; represents a decrease buttons; further improvement, the said switch is a photoelectric sensor pair emitted infrared photoelectric switch; wherein an infrared emitter; the other is an infrared receiver; a further improvement, the stopwatch time control program is programmed with a stopwatch; further improvement, the time control stopwatch equipped with an alarm unit for emitting an alarm signal to terminate the measurement, the measurement is terminated; using the apparatus 进行下肢灵活度的测量方法,具体步骤如下: 步骤一:测量前检查,检测测量装置运行是否正常;显示屏的显示是否清晰,电池的电量是否冲出,各部件是否齐全、其工作性能是否良好; 步骤二、让患者的一只脚站在该装置的脚踏板上,测试人员指导患者进行足跟抬起练习, 步骤三、长按启停开关,启动本装置; 步骤四、通过时间增减按钮中增加按钮增加测试所需的时间; 步骤五、待患者足跟抬起稳定后,启动测试开关,光电感应装置对有效的踮脚次数,并将该信息传送至控制板中控制模块;控制模块根据内部的编程程序进行运算,获得最终的有效次数、等级判断信息,并在控制信息在显示屏上进行显示; 与现有技术相比,采用上述方案,本发明的有益效果是:本发明能够较准确地为患者的下肢灵活度进行等级判断,能大幅度提高本项目测定 Method of measuring the flexibility of the lower limbs, the following steps: Step a: measured before the test, the measuring device detecting operation is normal; display screen is clear, whether out of battery power, the various components are complete, its performance is good ; step two, the patient standing on one foot pedals of the device, testers guidance in patients with heel lift exercises, step three, press start-stop switch, start the unit; step four, increasing by time Save button increases the time required to increment button test; step five, the heel to be lifted stable patients, start the test switches, photoelectric sensing means effective for times on tiptoe, and the control information is transmitted to the control board module; control the interior of the module programming operation program, to obtain the final number of effective, level determination information, and control information on a display screen; compared with the prior art, the above-described embodiment, the beneficial effects of the present invention are: the present invention could accurately be judged as grade lower limb flexibility patients, can greatly improve the determination of the project 的下肢灵活度的精确度,从而提高UPDRS中运动功能部分的分数测定的精度与可靠性;不仅能系统且主动地对具有帕金森病患者的下肢灵活度进行准确的测定,而且能准确地为后续分析提供可靠依据;同时,由于提供了带有有效足跟抬高次数的显示屏,可以精密地给出设定时间内足跟抬高的有效次数; 另外,本发明整体采用较硬的塑料材料制成,价格低廉,工艺简单,可以轻便地携带;利于不同实验室研究者测试UPDRS第三部分第26项目的方法、过程与结果的统一,利于对实验的操作过程和结果进行对比分析。 The accuracy of the lower limb flexibility so as to improve the accuracy and reliability of the motion UPDRS score functions determined portion; not only to the system and actively accurate measurement of lower limb flexibility with Parkinson's disease, but also to accurately provide a reliable basis for subsequent analysis; the same time, since the display is provided with a raised heel valid number, the number can be precisely set time give an effective elevated heel; Further, the present invention uses the entire hard plastic made materials, low cost, simple process, can carry light; conducive to a unified approach to project researchers tested 26 UPDRS part III, process and results of different laboratories, conducive to the operation of the process and results of the experiment were analyzed.

附图说明 BRIEF DESCRIPTION

[0005] 图1是本发明的结构示意图; 图2是图1所示的显示屏的结构示意图; 图3是图1所示的显示屏与踏脚板连接的结构示意图; 图4是图1所示报警装置结构示意图; 图5是本发明的测试患者脚放置的结构示意图; 图6是本发明的测试患者脚踮起的结构示意图; 图7是本发明的控制板结构示意图; 其中,1.红外线发射器;2.红外线接收器;3.踏脚板;4.时间控制秒表;5.报警单元; 6.显示屏;7.启停按钮;8.测试开关;9.踏板;10、固定板;11.支撑板;12.电池装置; 13、减少按钮;14、增加按钮;15、卡槽。 [0005] FIG. 1 is a structural diagram of the present invention; FIG. 2 is a schematic view of a display screen shown in FIG. 1; FIG. 3 is a schematic structural diagram of the display and the footplate illustrated in Figure 1 is connected; FIG. 4 is a diagram of a It shows a schematic configuration alarm device; FIG. 5 is a schematic structural diagram of the present invention to test patients foot placement; FIG. 6 is a schematic structural diagram of a test patient's foot of the present invention Dianqi; FIG. 7 is a schematic view of the control panel of the present invention; wherein a. infrared transmitter; 2 infrared receiver;. footboard 3; 4 stopwatch time control;. alerting unit 5; 6 display; 7 start and stop buttons; 8 test switch; 9 pedal; 10, a fixing plate ;. a support plate 11;. 12 battery means; 13, decrease button; 14, increase button; 15, a card slot.

具体实施方式 Detailed ways

[0006] 下面结合附图和实施例对本发明进一步说明。 Figures and examples further illustrate the present invention [0006] The following binding.

[0007] 如图1一图4所示,一种用于帕金森病患者手指捏合能力的测量装置,包括控制板、脚踏垫3、光电感应装置、时间控制秒表4、显示屏6、电池装置12、时间增减按钮、测试开关8及启停按钮7 ;所述控制板设置在脚踏垫3的内部,用于实现装置各种操作的控制功能;所述光电感应装置设置在脚踏垫3上,且位于前端设置,与脚踏垫3内部的控制板电连接,用于判定测试者的足跟抬起高度是否达到6cm ;所述时间控制秒表4设置在显示屏6的上端,用于控制测试时程控制,并发出测试终止讯息;所述显示屏6设置在脚踏垫3的尾部上端,与控制板电连接,用于显示评级级数、计量次数、计量时间;所述时间增减按钮设置在显示屏6的左侧,分别与控制板、显示屏6点连接;用于设定测试时间的长短;所述电池装置12设置在显示屏6的左侧,且靠近时间增减按钮的尾端, [0007] As shown in FIG. 1 a 4 a measuring apparatus with Parkinson's disease finger kneadability, comprising panels, floor mat 3, photoelectric sensing means, controlling time stopwatch 4, display 6, the battery means 12, the time decrease button, the start and stop push button switches 8 and 7; 3 inside the control board disposed in the foot pad, the control function for implementing various operations of the apparatus; said photo sensing means provided at the foot pad 3, and is provided at the front end, the control board is electrically connected to the inside of the floor mat 3, the test subject for determining the heel lift height reaches 6cm; stopwatch the time control 4 is provided on the upper end of the display screen 6, controls for controlling the testing process, and issues a message to terminate the test; the display screen 6 disposed in the upper end of the tail portion 3 of the foot pad, is electrically connected to the control board for displaying rating series, the number of metering, metering time; the time decrease button disposed on the left side of the display screen 6, respectively, and the control board, a display screen connected to 6:00; set for the length of time of the test; the battery device 12 is provided left of the display 6, and close to the time increase or decrease the end of the button, 于给整个装置供电;所述启动按钮设置在显示屏6的右侧,分别控制板、显示屏6连接,用于启动整个装置;所述测试按钮设置在显示屏6的右侧,且靠近脚踏垫3的尾端,用于控制下肢测试的启停; 所述踏脚板3包括踏板9及支撑板11 ;所述踏板9设置在支撑板11上,与支撑板11插接固定; 所述踏板9的边缘处设有固定板10,该固定板10使踏板9周边形成凹槽;所述支撑板11嵌入该固定板10形成的凹槽内; 优选地,所述踏板9为塑料踏板,采用质地较硬的塑料材质制成;其长度为40cm、宽度为20cm、厚度为0. 5cm ; 所述固定板10为塑料固定板,采用于踏板9同材质的塑料材质制成,其长度为10cm、厚度为2cm ;高度为6. 5cm ; 所述支撑板11为橡胶支撑板;支撑板11采用天然橡胶或其他耐磨橡胶材料制成;支撑板11紧贴地面,防止患者在测试过程中脚步用力导致装置滑动,避免测试 To supply to the entire apparatus; a start button 6 provided on the right of the display, respectively, the control panel, the display 6 is connected, means for activating the whole; the test button provided on the right side of the display 6, and close to the foot the trailing end of the mat 3, the lower extremities for controlling start and stop tests; the foot pedal 9 comprises a plate 3 and the support plate 11; said pedal 9 disposed on the support plate 11, the support plate 11 is fixed inserted; the 9 at the edge of the pedal 10 is provided with a fixing plate, the fixing plate 10 so that the periphery of the pedal 9 is formed a recess; the support plate 11 fitted within the recess 10 formed in the fixing plate; preferably, the pedal 9 is a plastic pedal, use is made of hard plastic material texture; a length of 40cm, a width of 20cm, a thickness of 0. 5cm; the fixing plate 10 is fixed to a plastic plate, made of the same material as the pedal 9 in plastic material, having a length 10cm, a thickness of 2cm; height 6. 5cm; the support plate 11 supporting a rubber plate; supporting plate 11 made of natural rubber or other wear-resistant rubber material; support plate 11 close to the ground, to prevent the patient during the test the pace of force causing the sliding device, avoid testing 果不准确; 所述时间增减按钮包括增加按钮14及减少按钮13 ;所述增加按钮14用"+"表示,;所述减少按钮13用表示;通过增加按钮14、减少按钮13两种按钮,计量较长时间内的有效踏脚次数;时间设定最长为60秒;最短为0秒; 所述光电感应开关为一对对射式红外线光电开关;其中一个为红外线发射器1 ;另一个为红外线接收器2 ;所述光电感应开关为方形开关,所述开关外壳采用塑料外壳;光电感应开关设置在塑料外壳内,塑料外壳上设有一个孔,便于红外线的对射;所述光电感应开关距离踏脚板3的距离为6cm,距离塑料外壳顶部的距离为0. 5cm ; 优选地,在一对对射的红外线发射器1与红外线接收器2之间的踏脚板3上设有一个黑色的圆点,防止患者测试初始过程中脚后跟放置位置偏离过大,避免导致测试结果不标准; 所述时间控制秒表4为具有编程程序的秒 If inaccurate; increasing or decreasing the time increment button comprises a button 14 and button 13 is reduced; the increase button 14 with "+", and; represented by a decrease button 13; 14 by adding a button, two kinds of decrease button 13 button , the number of effective measurement foot over a longer period; time is set to 60 seconds maximum; minimum 0 seconds; the photoelectric sensor switch is a pair of infrared emitting type photoelectric switch; wherein a is an infrared transmitter; other 2 is an infrared receiver; square of the photoelectric sensor switch switch, the switch housing plastic housing; in the plastic housing, the plastic housing provided with a hole photoelectric sensor switch is provided to facilitate the exit of the infrared rays; the photoelectric distance from the sensor switch footboard 3 is 6cm, the distance from the top of the plastic housing is 0. 5cm; preferably provided on a pair of emitted infrared emitter and an infrared receiver between the foot plate 3 black dots, prevent the patient from placing the heel during the initial testing positional deviation is too large, resulting in test results do not avoid the standard; 4 stopwatch the time control program having a program seconds ,实现对患者测试的时间的精确限定;所述时间控制秒表4内设有报警单元5,用于发出测量终止报警信号,终止测量,便于更清晰地给予测试者项目测试结束的信息、利于准确地终止测试; 优选地,所述显示屏6为电子显示屏,其材质为塑料,长度为lcm,宽度为lcm ;显示屏6 是数字式的电子显示屏,类似于电子血压计显示屏,可准确地显示出有效踮脚次数、分级分数及所计的秒数;显示屏6为可拆卸更换的显示屏,所述指身装置上设有卡槽15,所述显示屏6可直接卡入该卡槽15内,便于显示屏6的更换;显示屏6数字化显示最后评级级数、计量的次数,便于详细记录、利于后续的多层面深入分析; 优选地,所述测试开关8为触碰式按钮开关,根据需要选择启动测试或终止测试; 优选地,所述电池装置12为可拆卸式装置,便于电池的安装、拆卸及更换; 如图7所 , Defining precise time of the test patient; the time of the stopwatch control alarm unit 4 is provided with a 5, for emitting an alarm signal to terminate the measurement, the measurement is terminated, information facilitates more clearly tester administered test item end, facilitate accurate terminating the test; preferably, the electronic display is a display screen 6, which is made of plastic, LCM length, width LCM; 6 is a digital display of the electronic display, similar to the electronic sphygmomanometer display, can be accurately shows the number of effective tiptoe, hierarchy minutes and seconds counted; 6 detachable replacement screen display, the finger slot 15 is provided on the apparatus body, the display screen 6 can directly engage in the a card slot 15 for easy replacement of the display screen 6; final rating number series, metered digital display screen 6, to facilitate detailed records facilitate subsequent in-depth analysis of multidimensional; preferably, the test switch 8 to touch the formula button switch, be selected to start the test or the test is terminated; preferably, the battery device 12 is a removable device, for easy installation, removal and replacement of the battery; FIG. 7 ,所述控制板包括控制模块、显示模块、开关模块、电源模块、时间设定模块、光电感应控制模块及时间控制模块;所述开关模块、显示模块、电源模块、时间设定模块、光电感应控制模块及时间控制模块均为控制模块电连接;所述开关模块分别与启停按钮7、测试开关8电连接;所述显示模块与显示屏6电连接;所述时间设定模块与时间增减按钮连接,实现时间增加或减少的设定;所述电源模块与电池专职电连接,用于给测量装置提供电源;所述光电感应控制模块与光电感应装置电连接,控制两个光电感应装置进行光源相互对射、感应;所述时间控制模块与时间控制秒表4电连接,用于控制时间秒表时间的设定及控制; 所述控制模块为可写入控制程序的中央处理器;经"中央处理器"所获得的最终结果输入显示屏显示出来;例如:患者15秒内做了8次抬 The control board comprises a control module, a display module, a switching module, power module, the time setting module, and a photoelectric sensor control module time control module; a switching module, a display module, a power module, a time setting module, photoelectric sensors and a time control module the control module are electrically connected to the control module; the switching module is connected to the start-stop button 7, a test switch electrically 8; the display module is electrically connected with the display screen 6; the time increment and time setting module Save button to connect, to achieve an increase or decrease of setting time; the power module is electrically connected to the battery full, for supplying power to the measuring device; said photoelectric sensors control module electrically connected to the photoelectric sensing device, controlling two photoelectric sensing device for each light source emitting induction; the time control and time control module 4 is electrically connected to a stopwatch, and for setting a control time stopwatch time; the control module is a control program may be written to a central processor; by " central processor "final result obtained by the input screen shown; for example: patients do lift 8 times within 15 seconds 运动,红外线接收器总共接收次数为8 次。 Sports, infrared receiver receives a total number of eight times. 输出:8/3,分级/次数,00:15(秒),表示患者15秒内做了8次抬脚运动,记为分级中的3级,也记为3分。 Output: 8/3 grading / times, 00:15 (in seconds), indicates patients do eight times within 15 seconds heels movement, referred to as a 3-level hierarchy, also referred to as 3 points.

[0008] 利用上述装置进行下肢灵活度的测量方法,具体步骤如下: 步骤一:测量前检查,检测测量装置运行是否正常;显示屏6的显示是否清晰,电池的电量是否冲出,各部件是否齐全、其工作性能是否良好; 步骤二、让患者的一只脚站在该装置的脚踏板上,测试人员指导患者进行足跟抬起练习, 步骤三、长按启停开关,启动本装置; 步骤四、通过时间增减按钮中增加按钮增加测试所需的时间; 步骤五、待患者足跟抬起稳定后,启动测试开关8,光电感应装置对有效的踮脚次数,并将该信息传送至控制板中控制模块;控制模块根据内部的编程程序进行运算,获得最终的有效次数、等级判断信息,并在控制信息在显示屏6上进行显示; 更具体,本实施例以15秒时间测试为例子: 步骤一、在利用本发明进行测试前,需要按照需求对UPDRS中第26项目进行量化 [0008] The method for measuring the flexibility of the lower limbs using the above apparatus, the following steps: Step a: measured before the test, the measuring device detecting operation is normal; display screen 6 is clear, whether out of battery power, whether the components complete their work performance is good; step two, the patient standing on one foot pedals of the device, testers guidance in patients with heel lift exercises, step three, press start-stop switch, start the unit ; step four, the increase button increases the time required for the test by increasing or decreasing the time button; step five, the patient to be lifted heel stability, the switch 8 to start the test, photoelectric sensing means the number of effective tiptoe, and the information transfer to the control board in the control module; a control module calculates the internal programming procedure, the final number of effective, level determination information, and control information on a display screen 6; more specifically, Example 15 of the present embodiment seconds test is an example: a step, before the use of the present invention were tested, the need for the first 26 items UPDRS quantization on demand 定, 不同的实验可以根据不同的测试需求进行量化条件的设定; 在15秒测试时间内的量化方式为: 0=正常(X兰20次/15秒) 1=动作轻度减慢或幅度轻度变小(20次/15秒> X 3 15次/15秒) 2=中度损害(15次/15秒>X兰10次/15秒) 3=严重损害(10次/15秒> X兰5次/15秒) 4=几乎不能完成测试(5次/15秒> X 3 0次/15秒) 步骤二、向控制板的中央处理器中输入设定程序,具体程序设定如下: output: frequency, grage,t :显不结果method: (1) 初始化时间t和计数器值frequency; (2) for每一次运动{ (3) if t > 15 then (4) break; (5) end if (6) if抬脚高度> 6 then (7) frequency++; (8) end if (9) end for (10) if frequency >=20 then (11) grade = 0; (12) end if (13) iffrequency >= 15 && frequency <= 19 then (14) grade = 1; (15) end if (16) iffrequency >= 10 && frequency <= 14 then (17) grade = 2; (18) end if (19) if frequency >= 5 && frequency 〈=9 then (20) grade = 3; (21) end if (22 Set, different experimental conditions can be set according to different quantization test requirements; quantization mode within 15 seconds of test time: 0 = Normal (X Blue 20 times / 15 seconds) 1 = Mild slowing or amplitude operation slightly smaller (20 times / 15 seconds> 3 X-15/15 sec) 2 = moderate damage (15 times / 15 seconds> blue X-10/15 seconds) 3 = severe damage (10 times / 15 seconds> blue X 5 times / 15 seconds) to complete the test hardly 4 = (5/15 seconds> X 3 0 times / 15 seconds) in step two, setting program input to the central processor in the control panel, set the following specific procedures : output: frequency, grage, t: significant fruitless method: (1) initialize the time t and a counter value frequency; (2) for each movement {(3) if t> 15 then (4) break; (5) end if (6) if the heels height> 6 then (7) frequency ++; (8) end if (9) end for (10) if frequency> = 20 then (11) grade = 0; (12) end if (13) iffrequency> = 15 && frequency <= 19 then (14) grade = 1; (15) end if (16) iffrequency> = 10 && frequency <= 14 then (17) grade = 2; (18) end if (19) if frequency> = 5 && frequency <= 9 then (20) grade = 3; (21) end if (22 ) if frequency >= 0 && frequency <= 4 then (23) grade = 4; (24) end if (25) printf (〃%d / %d\n〃,grade, frequency); (26) printf (〃 分级/ 次数\n〃); (27) printf ("00:0%d (秒)\n", t); 步骤三、检测本发明装置的运行是否正常,对射式红外线光电开关是否正常、显示屏6 的显示是否清晰,电池电量是否充足、各部件是否齐全;并检查背部各部件是否齐全; 这个步骤通常要在进行测量前进行,具体的做法如下:取出本发明产品,首先检查测量装置上的各部件是否齐全;然后按下启停开关7,启动本装置;然后,按动增加按钮14,设置所需的时间,若不小心时间设置的太多,可通过减少按钮13进行时间下调,同时查看显示屏6上所显示的数字是否清晰;若不清晰,分析不清晰的原因,若分析结果为显示屏6老化导致数字显示不清晰,则进行显示屏6的更换;若分析结果为电池电量不足导致的 ) If frequency> = 0 && frequency <= 4 then (23) grade = 4; (24) end if (25) printf (〃% d /% d \ n〃, grade, frequency); (26) printf (〃 rating / number \ n〃); (27) printf ( "00: 0% d (s) \ n", t); step three, the detection operation of the present invention, apparatus is normal, the normal-beam infrared photoelectric switch, 6 show the screen is clear, the battery power is sufficient, the various components are complete; back and check the various components are complete; this step is usually performed before the measurement, specifically, the following: remove the product of the present invention, first check the measuring means each member are complete; 7 and then press the start-stop switch, starting the unit; then, pressing the Add button 14, set the desired time, if not too much time carefully set, can be reduced by reducing the time the button 13 while viewing the digital display on six displayed is clear; if not clear, not clear analysis of the reasons, if the analysis results display 6 caused by the aging digital display is not clear, replace the display 6 is carried out; if the analysis results Low battery caused 字显示不清晰,则进行电池的更换;待检查合格后,长按启停开关7,即可将测试装置关闭,进入下一步的实际测试; 检测对射式红外线光电开关是否运行正常,主要方法如下:1、将一物体置于红外线发射装置1和红外线接收装置2之间,观察红外线是否中断,如图5所示;同时观察显示屏6 显示是否为〇;2、将物体抬高至6cm,观察红外线的状态,同时显示屏6显示是否为1,如图6 所示;若两步观察显示正常,则表示红外线光电开关工作正常;若不是,则需检查是否是某一侧的光电开关出问题; 优选地,当无遮挡物时,红外线接收器2接收到红外线发射器1发出的红外线,其触点动作;当有物体挡住时,红外线接收器2便接收不到红外线发射器1发出的红外线,其触点复位;即当患者快速反复踮起足跟使腿抬起,足跟抬高至少6cm时,红外线传导完整,红外线接 Character display is not clear, battery replacement is performed; After passing the examination, press start and stop switch 7, the test device is closed to enter the next actual test; detecting infrared-beam photoelectric switch is operating normally, the main method as follows: 1, the object is placed an infrared transmitting device and an infrared receiving device 2 between the observed infrared is interrupted, 5; 6 while observing the display screen whether the square; 2, will raise the object to 6cm , infrared observation state, while the display screen 6 is 1, shown in Figure 6; two steps observed when the normal display, then the infrared photoelectric switch is working properly; if not, need to check if the photoelectric switch is of the one side problems; preferably, when there is no obstruction, the IR receiver 2 receives an infrared ray emitted from the infrared emitter, which contact action; when an object blocking the infrared receiver 2 does not receive the infrared emitter will emit 1 infrared, reset the contacts; i.e. fast repeated when the patient so that the legs Dianqi heel lift, at least 6cm heel elevation, the infrared conduction complete, then the infrared 收器可以接收到发射器发出的红外线信号,通过只要抬脚高度>6cm就累加一次,再以有效次数的形式传送给"中央处理器",由中央处理器根据以下编程进行运算计数;在15秒内,红外线接收器接受一次红外线算一次有效次数; 显示屏6的更换只需将原有的显示屏从卡槽15中取下,并断开显示屏6与显示模块之间的连接,将新的显示屏与显示模块进行连接后,将新的显示屏卡入卡槽15即可; 电池的更换过程与目前市面上的录音机、玩具汽车类似,在此不再累述; 步骤四、长按启停按钮7,启动本发明装置,按动增加按钮14,将时间增加到测试所需的时间,即15s ; 若增加的时间超过15s,则按动减少按钮13,将时间减少到15s ; 步骤五、如图5所示,测试人员先在地面上指导测试患者进行踮脚动作,待测试者踮脚动作稳定后,测试人员指导患者将脚放置在踏脚板3上,脚 Receiver can receive an infrared signal emitted by the transmitter, by increments, as long as the height of the heels> 6cm once again transmitted in the form of a number of effective "central processor", counted by the central processor calculates according to the following program; 15 the second, an infrared receiver receiving an infrared operator once an effective frequency; 6 simply replace the original display screen is removed from the slot 15, and disconnect the connection between the screen 6 and the display module, after the new module is connected with the display screen, the new grooves 15 can display Karu Ka; battery exchange process and recorders currently on the market, a similar toy car, which is not tired; step 4 long press start and stop button 7, starting apparatus of the present invention, the push button 14 increases, the time required for the testing time is increased, i.e., 15s; if increased more than 15s, decrease button 13 is pressed, will reduce the time to 15s; step 5 shown in Figure 5, the tester to test a patient on the ground to guide the tiptoe operation performed, to be tested by tiptoe stable operation, the patient is instructed tester foot placed on the foot plate 3, foot 中心至于黑色圆点上,前脚掌自然放置,然后在踏脚板3上,指导患者进行踮脚,并使足跟部抬高6cm,按下测试开关8,开始进行测试; 步骤六、红外线接收装置2接收红外线发射装置发射的红外线光;并将该光信号转换成电信号,传送至控制板中的控制模块, 注,足跟抬高6cm后成功接收一次红外线光信号,此时计为一次有效的足跟抬高动作; 步骤七、控制模块根据内部中央处理器中的编程程序进行运算,得到最终的有效次数信息,累计计数,待到达15s测试时间时,时间控制秒表4上的报警单元5发出"滴滴"的报警声,表示测试时间已到,提醒测试人员关闭测试开关5 ;控制模块进行等级级数的判断; 并将结果显示在显示屏6上; 本发明在于提供一种简易的、标准的、精确的,即利用简易编程控制时程、利用简易编程识别并累计踮起足跟有效次数,避免在 As for the central black dot, natural forefoot placed on the footboard and 3, guide patients tiptoe, heel and raised 6cm, test switch 8 is pressed to start the test; Step six, infrared receiver means 2 receives an infrared emitting infrared light emitting device; and the optical signal into an electrical signal transmitted to the control board in the control module, injection, heel elevation successfully received infrared light signals after primary 6cm, this time in terms of a valid heel elevation operation; step seven, the control module calculates the central processor according to an internal programming procedures, to give a final number of effective information accumulated count, to be 15s test time arrives, the alarm time control unit 4 issue 5 on the stopwatch "bit" alarm sound, indicates that the test time is to remind the staff to close the test switch to test 5; control level series determination module; and display the results on a display screen 6; the present invention to provide a simple, standard, accurate, i.e. when using a simple drive control program, and by a simple program to identify the number of effective accumulated Dianqi heel, to avoid 短暂时间里计数不准、评分不准的结果,从而大大提高本项目测试结果的精确度和可靠度;通过此UPDRS第三部分中第26项目配套装置,给予患者简单的教习之后,将开始准确计量患者有效踮起足跟次数,从而给予后续下肢灵活度的评分、UPDRS第三部分提供可靠的基础数据,以利于UPDRS第三部分后续的相关分析, 从而可将ro患者运动功能情况与实验的一些其他方面的相关性得到准确量化,比如在功能磁共振检查中,可将ro患者以数值方式量化的脑区受刺激的激活位置与程度与下肢灵活度作相关分析,得出不同脑区刺激位置、程度是否与下肢灵活度的损害程度相关。 Short time allowed to count, scoring inaccurate results, thus greatly improving the accuracy and reliability of test results of the project; after the adoption of the third part of this UPDRS 26 projects supporting device, to give a simple patient instructors, will begin exactly Dianqi heel patient an effective number of metering, thereby giving flexibility of the lower limbs subsequent rating, provide a reliable basis data UPDRS third portion, the third portion of UPDRS facilitate the subsequent correlation analysis, which can be the case of patient motion function ro experiments Some other aspects of the correlation accurate quantization, such as analysis correlation function in MRI examination, the patient may be ro numerically quantify brain stimulated active position and extent of flexibility for the lower limb, stimulation results in different brain regions location, extent of damage is associated with the degree of flexibility of the lower limbs. 深入探索,可能掌握有下肢灵活度损害的患者的具体的有相关的脑区损害区域以及由该脑区激活程度来推导反映出的手指下降程度;下肢灵活度损害为患者运动功能损害的项目之一,以期根据这些特定的脑区损害与其他疾病相鉴别,准确地识别帕金森病,为帕金森病的早期识别、早期治疗与治疗检测提供有力的证据; 通过本发明可以对帕金森病人踮脚运动功能(快速反复踮起足跟使腿抬起,足跟抬高至少6cm)做以下研究:1、根据下肢踮脚运动功能与一些诊断方法做相关性分析研究诊断方法的可行性;例如:下肢踮脚运动功能损害程度与帕金森病Hoehn-Yahr (修正)分级量表分级的相关性,下肢踮脚运动功能损坏程度与下肢踮脚运动事件相关性功能磁共振研究所激活脑区的相关性,下肢踮脚运动功能损坏程度与脑电图受损程度之间的相关性,下肢踮脚运动 Depth exploration, the patient may have mastered the lower extremity flexibility impairment of specific brain areas related areas as well as by the extent of damage to the brain areas activated to derive the degree of decline reflects the fingers; lower limb flexibility patients with damage to the project of motor function impairment a view to these specific areas of the brain damage as differentiated from other diseases, Parkinson's disease accurately recognized, providing strong evidence for early identification of Parkinson's disease, early detection and treatment therapy; patients with Parkinson's may tiptoe by the present invention motor function (Quick repeatedly Dianqi heel lift the leg, heel raise at least 6cm) to do the following research: 1, according to tiptoe lower limb motor function and some diagnostic methods to do the feasibility study correlation analysis diagnostic methods; for example: lower limb degree tiptoe movement dysfunction and Parkinson's disease, Hoehn-Yahr (correction) grading scale relevance rating, and lower limb tiptoe motor function damage degree of correlation between functional magnetic resonance Institute and lower limb tiptoe sports events related to activation of brain regions, lower extremity toes relevance, leg tiptoe movement between the motor function of the extent of damage and the extent of damage EEG 能损坏程度与经颅磁刺激后显示脑部损坏程度之间的相关性;2、监测治疗后的功能恢复情况;下肢踮脚运动功能恢复程度与各种药物治疗、手术治疗细胞治疗、基因治疗及使用其他新治疗方法后功能恢复的相关性; 根据本发明的下肢灵活度评级装置,由于能通过任意设定时程、短时间内有效地捕捉患者的有效足跟抬高次数,因此能大大提高对国际用统一帕金森病评定量表(Unified Parkinson' s Disease Rating Seal, UPDRS)第三部分第26项目的测试精准度;整套具有精确时间设置、统一标准化定位有效足跟抬高运动的装置,能准确给予下肢灵活度评分,也能详细给予患者特定时间内的有效足跟抬高运动次数,所以能大幅度提高下肢灵活度测试结果的精度和可靠性; 本发明能够较准确地为患者的下肢灵活度进行等级判断,能大幅度提高本项目测定的下肢灵活度的 Shows the correlation between the extent of damage after brain damage degree and can transcranial magnetic stimulation; 2, the monitoring function after treatment recovery; lower limb motor function recovery degree tiptoe with various drugs, surgical treatment cell therapy, and gene therapy other methods of treatment using the new correlation function recovery; lower extremity flexibility rating apparatus according to the present invention, since the process time can be arbitrarily set, short period of time effective to efficiently capture the patient's heel elevation times, it is possible to greatly increase international Parkinson's disease assessment scale unified (unified Parkinson 's disease Rating Seal, UPDRS) part III test accuracy of 26 items; package having a time setting precise, uniform positioning effectively standardized heel elevation device moves, lower limb can accurately give flexibility score, also detailed in the patient administering an effective heel elevation motion frequency specific time, it can greatly improve the accuracy and reliability of the test result of the flexibility of the lower limbs; the present invention is capable of accurately patients lower limb flexibility for level determination, can greatly improve the lower extremity of the item measured dexterity 确度,从而提高UPDRS中运动功能部分的分数测定的精度与可靠性;不仅能系统且主动地对具有帕金森病患者的下肢灵活度进行准确的测定,而且能准确地为后续分析提供可靠依据;同时,由于提供了带有有效足跟抬高次数的显示屏,可以精密地给出设定时间内足跟抬1¾的有效次数; 另外,本发明整体采用较硬的塑料材料制成,价格低廉,工艺简单,可以轻便地携带;利于不同实验室研究者测试UPDRS第三部分第26项目的方法、过程与结果的统一,利于对实验的操作过程和结果进行对比分析; 本发明不局限于上述具体的实施方式,本领域的普通技术人员从上述构思出发,不经过创造性的劳动,所作出的种种变换,均落在本发明的保护范围之内。 Accuracy, which increases the accuracy and reliability of the motion UPDRS score functions determined portion; actively and not only to the system having the lower limb flexibility Parkinson disease patients accurate measurement, and can provide accurate and reliable basis for subsequent analysis ; Meanwhile, since the display is provided with a raised heel valid number, can be precisely set time gives the number of effective 1¾ heel lift; in addition, the present invention generally employ a relatively hard plastic material, the price inexpensive, simple technology, can carry light; conducive to unify different methods of laboratory researchers tested 26 items UPDRS part III, process and results, conducive to the operation of the process and results of the experiment were analyzed; the invention is not limited to the above specific embodiments, those of ordinary skill in the art from the concepts described above, without creative labor, made all the transformation, are within the scope of the present invention.

Claims (10)

1. 一种用于帕金森病患者下肢灵活度的测量装置,包括控制板、脚踏垫、光电感应装置、时间控制秒表、显示屏、电池装置、时间增减按钮、测试开关及启停按钮;其特征在于: 所述控制板设置在脚踏垫的内部,用于实现装置各种操作的控制功能; 所述光电感应装置设置在脚踏垫上,且位于前端设置,与脚踏垫内部的控制板电连接, 用于判定测试者的足跟抬起高度是否达到6cm ; 所述时间控制秒表设置在显示屏的上端,用于控制测试时程控制,并发出测试终止讯息; 所述显示屏设置在脚踏垫的尾部上端,与控制板电连接,用于显示评级级数、计量次数、计量时间; 所述时间增减按钮设置在显示屏的左侧,分别与控制板、显示屏点连接;用于设定测试时间的长短; 所述电池装置设置在显示屏的左侧,且靠近时间增减按钮的尾端,用于给整个装置供 1. A measuring device with Parkinson's disease of the lower limbs flexibility, comprising panels, floor mats, optical sensing means, stopwatch time control, display, battery means, increase or decrease the time button, the button switch Commitment ; characterized in that: said control board disposed in the interior of the foot pad, the control function for implementing various operations of the apparatus; said photo sensing means provided at the foot pad, and is disposed at the front end, with the interior of the floor mat electrically connected to the control board, the test subject for determining the heel lift height reaches 6cm; stopwatch the time control is provided at the upper end of the display, for controlling the test process control, and termination of the test message sent; the display screen provided at the upper tail of the foot pad, is electrically connected to the control board for displaying rating series, the number of metering, metering time; decrease the time display button disposed on the left side, respectively, and the control panel, the display point connection; a set length of time of the test; the battery device is provided on the left side of the display, and decrease the time close to the trailing end of the button for the entire supply means ; 所述启动按钮设置在显示屏的右侧,分别控制板、显示屏连接,用于启动整个装置; 所述测试按钮设置在显示屏的右侧,且靠近脚踏垫的尾端,用于控制下肢测试的启停。 ; Start button provided on the right of the display, respectively, the control board, connected to the display for starting the entire device; the test button is provided on the right side of the display, and the pad near the trailing end of the foot, for start or stop the lower extremity tests.
2. 根据权利要求1所述的一种用于帕金森病患者下肢灵活度的测量装置,其特征在于:所述控制板包括控制模块、显示模块、开关模块、电源模块、时间设定模块、光电感应控制模块及时间控制模块;所述开关模块、显示模块、电源模块、时间设定模块、光电感应控制模块及时间控制模块均为控制模块电连接;所述开关模块分别与启停按钮、测试开关电连接;所述显示模块与显示屏电连接;所述时间设定模块与时间增减按钮连接,实现时间增加或减少的设定;所述电源模块与电池专职电连接,用于给测量装置提供电源;所述光电感应控制模块与光电感应装置电连接,控制两个光电感应装置进行光源相互对射、感应;所述时间控制模块与时间控制秒表电连接,用于控制时间秒表时间的设定及控制。 2. A method according to claim 1 for measuring device flexibility with Parkinson's disease of the lower extremities, which is characterized in that: said control panel includes a control module, a display module, a switching module, power module, the time setting module, Optical sensor module and the control time control module; a switching module, a display module, a power module, a time setting module, and a photoelectric sensor control module time control module are electrically connected to the control module; a start and stop button switch module respectively, test switch electrically connected; the display module is electrically connected with the display screen; and the time setting module connected to the button changes in time, achieve an increase or decrease of setting time; full the power module is electrically connected to the battery, to give measuring means for providing power; the photoelectric sensor control module electrically connected to the photoelectric sensing device, two optical sensors the control means of each a light source emitting induction; the time control and time control module is electrically connected to a stopwatch, the time for controlling the stopwatch time the setting and control.
3. 根据权利要求2所述的一种用于帕金森病患者下肢灵活度的测量装置,其特征在于:所述控制模块为可写入控制程序的中央处理器。 According to claim 2, wherein one of said means for measuring the flexibility with Parkinson's disease of the lower limbs, wherein: said control module is a control program may be written to the central processor.
4. 根据权利要求1所述的一种用于帕金森病患者下肢灵活度的测量装置,其特征在于:所述踏脚板包括踏板及支撑板;所述踏板设置在支撑板上,与支撑板插接固定。 According to claim 1, wherein one of the means for measuring the flexibility with Parkinson's disease of the lower limbs, wherein: said foot pedal comprises a plate and the support plate; said pedal is provided on the support plate, the support plate plug fixed.
5. 根据权利要求4所述的一种用于帕金森病患者下肢灵活度的测量装置,其特征在于:所述踏板为塑料踏板;其长度为40cm、宽度为20cm、厚度为0. 5cm。 5. A method according to claim 4, wherein the means for measuring the flexibility with Parkinson's disease of the lower extremities, which is characterized in that: the pedal is a pedal plastic; a length of 40cm, a width of 20cm, a thickness of 0. 5cm.
6. 根据权利要求4所述的一种用于帕金森病患者下肢灵活度的测量装置,其特征在于:所述支撑板为橡胶支撑板。 6. A method according to claim 4, wherein the means for measuring the flexibility with Parkinson's disease of the lower extremities, which is characterized in that: the support plate is a rubber support plate.
7. 根据权利要求1所述的一种用于帕金森病患者下肢灵活度的测量装置,其特征在于:所述时间增减按钮包括增加按钮及减少按钮;所述增加按钮用" + "表示;所述减少按钮用表示。 7. A method according to claim 1 for measuring device flexibility with Parkinson's disease of the lower extremities, which is characterized in that: said time increment button and a decrease button includes buttons decrease; the increase buttons "+" indicates ; represented by the decrease button.
8. 根据权利要求1所述的一种用于帕金森病患者下肢灵活度的测量装置,其特征在于:所述光电感应开关为一对对射式红外线光电开关;其中一个为红外线发射器;另一个为红外线接收器。 The measuring device of claim 1 Parkinson disease for a lower limb dexterity claim, wherein: said switch is a photoelectric sensor pair emitted infrared photoelectric switch; wherein an infrared emitter; another is an infrared receiver.
9. 根据权利要求1所述的一种用于帕金森病患者下肢灵活度的测量装置,其特征在于:所述时间控制秒表为具有编程程序的秒表;所述时间控制秒表内设有报警单元,用于发出测量终止报警信号,终止测量。 According to claim 1, wherein one of the means for measuring the flexibility with Parkinson's disease of the lower extremities, which is characterized in that: said time control stopwatch stopwatch is programmed with a program; the time control alarm unit equipped with a stopwatch , for emitting an alarm signal to terminate the measurement, the measurement is terminated.
10.利用如权利要求1所述的装置进行下肢灵活度的测量方法,具体步骤如下: 步骤一:测量前检查,检测测量装置运行是否正常;显示屏的显示是否清晰,电池的电量是否冲出,各部件是否齐全、其工作性能是否良好; 步骤二、让患者的一只脚站在该装置的脚踏板上,测试人员指导患者进行足跟抬起练习, 步骤三、长按启停开关,启动本装置; 步骤四、通过时间增减按钮中增加按钮增加测试所需的时间; 步骤五、待患者足跟抬起稳定后,启动测试开关,光电感应装置对有效的踮脚次数,并将该信息传送至控制板中控制模块;控制模块根据内部的编程程序进行运算,获得最终的有效次数、等级判断信息,并在控制信息在显示屏上进行显示。 10. The use of apparatus as claimed in claim 1, said method for measuring the flexibility of the lower limbs, the following steps: Step a: measured before the test, the measuring device detecting operation is normal; clear whether the display screen, if the batteries are out , the components are complete, their performance is good; step two, the patient standing on one foot pedals of the device, testers guidance in patients with heel lift exercises, step three, press start-stop switch start the unit; step 4 by increasing or decreasing the time increment button button increases the time required for the test; step five, the patient heel rise to be stable, start the test switches, photoelectric sensing means effective for tiptoe times, and this information is transmitted to the control board module; control module calculates the internal programming procedure, the final number of effective, level determination information, and control information is displayed on the display screen.
CN 201410416108 2014-08-22 2014-08-22 Measuring device and measuring method for judgment of lower limb flexibility of parkinsonian CN104207780A (en)

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