CN104207782A - Hand motion function rating device for Parkinson's disease patient - Google Patents
Hand motion function rating device for Parkinson's disease patient Download PDFInfo
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- CN104207782A CN104207782A CN201410417872.8A CN201410417872A CN104207782A CN 104207782 A CN104207782 A CN 104207782A CN 201410417872 A CN201410417872 A CN 201410417872A CN 104207782 A CN104207782 A CN 104207782A
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Abstract
The invention discloses a hand motion function rating device for a Parkinson's disease patient. The device comprises a rubber glove, a display screen, a starting switch, time increasing and decreasing buttons, a battery box and a central processing unit, wherein the rubber glove is provided with a piezoelectric sensing iron gauze along the palm; the display screen is positioned in the center of the back of the rubber glove; the time increasing and decreasing buttons are positioned on both sides of the display screen; the starting switch is positioned on the back side of the rubber glove. By adopting the hand motion function rating device, the hand motion of the patient can be rated accurately, and the rating accuracy of a hand motion function can be increased greatly, so that the rating accuracy and reliability of a motion functional part in a UPDRS (Unified Parkinson's Disease Rating Scale) are increased and improved.
Description
Technical field
The present invention relates to armarium technical field, be specially a kind of Parkinsonian's hand movement function grading device.
Background technology
Parkinson disease are that a kind of to take static tremor, bradykinesia, muscular hypertonia and postural balance obstacle be main clinical characteristics, with selectivity substantia nigra of midbrain dopaminergic neuron lose, striatal dopamine content significantly reduces, and black substance and locus coeruleus occur that Lewy body (Lewy body) is person in middle and old age's neurodegenerative diseases of its pathological characteristic.
At present still there is no to diagnose the clinical examination of Parkinson disease.Clinical position person is normal uses Parkinsonian international clinical criteria to diagnose:
One, patient must exist following at least two masters to levy: static tremor, bradykinesia, gear sample myotonia and posture obstacle sexual reflex; But at least to comprise two one of them.
Two, patient's parkinson disease sings and symptoms is not due to cerebral trauma, cerebrovascular disease, the cerebral tumor, viral infection or other known nervous system disease, and known medicine and chemical toxicant cause.
Three, patient must not have following sign: significantly on core property altogether apparent motion obstacle, cerebellum levy, nuclearity dysphonia, postural hypotension (change and surpass more than 30mmHg), pyramidal system infringement and amyotrophy etc.
Four, Dopar test effectively.
The patient with above-mentioned all four standards can clinical diagnosis be parkinson disease.
But the parkinson patient through this clinical criteria diagnosis only has 70%-75% left and right consistent with pathological diagnosis, so its specificity is still not high.In clinical research and epidemiological study, for guarantee the accuracy of diagnosis as far as possible, except requiring patient to meet above-mentioned four standards, if patient's sings and symptoms has asymmetric performance when onset or in the course of disease, Parkinsonian specificity will improve significantly to 90% left and right.
Above-mentioned Parkinsonian clinical symptoms mainly be take motor symptoms as main, but still is no lack of other non-motor symptoms.Non-motor symptoms comprises mental symptom: attention deficit, personality, cognitive disorder, vision (visual space disturbance of perception, color discrimination ability impaired), disturbance of consciousness, depression, indifferent, lack pleasant sensation, intense, manic, anxiety, visual hallucination, computing power, memory, orientation force and judgment forfeiture, hallucination, (physiology) illusion, dementia, cognitive impairment (intellectual function, psychomotor are controlled, high-level cognitive function and cognitive Plasticity abnormal), lively dreamland.Autonomic nerve symptom: constipation, postural hypotension, perspiration, sexual dysfunction, dysuria, sialorrhea etc.Sensory disturbance: numbness, pain, spasm, restless legs syndrome (RLS), anosmia.Sleep disorder: insomnia, restless legs syndrome (RLS), periodic limb movement (PLM), rapid eye movement (REM) sleep and nonrapid eye movements,sleep, behavior disorder, the daytime is drowsiness, insomnia.
Thus, visible, parkinson patient's cardinal symptom is motor symptoms, but also comprises many non-motor symptoms.
To the motor symptoms of PD and non-motor symptoms, Comprehensive Treatment be should take, Drug therapy, operative treatment, rehabilitation, psychotherapy and nursing etc. comprised.Drug therapy, as first-selection, is the primary treatment means in whole therapeutic process, and operative treatment is a kind of effective means of supplementing out economy of Drug therapy.The treatment means of application, can not stop the development of the state of an illness no matter medicine or operation can only improve symptom at present, more cannot cure.Treatment to parkinson patient, to reach effective symptom of improving, improves the quality of living as target, adheres to " dose titration ", " with minimum dose, reaching promising result ".Treatment should be followed rule also should emphasize individuation feature.Therefore, to PD symptom and improve determining of situation, can the clear and definite state of an illness improve or further worsen, and with the selection of therapeutic scheme with defining great and close relationship.
To each ordinary circumstance of parkinson patient independently, generally adopt in the world unified parkinson disease rating scales (Unified Parkinson ' s Disease Rating Scal, UPDRS) to assess.Score value is higher, and PD symptom is more serious.UPDRS is the unified scale of measuring parkinson patient various aspects ability for summarizing, is divided into three parts: first: spirit, behavior and emotion (comprising test event 1-4); Second portion: daily routines (comprise test event 5-17, filled in by patient); Third part: motor function (comprise test event 18-31, doctor checks); The 4th part: the complication for the treatment of (comprise test event 32-42, refer to last week).
Yet, in reality, use in UPDRS, be but faced with numerous difficulties, be mainly the defining standard disunity of some projects, so that its accurate evaluation is caused to great difficulty.
In four parts, first and second, the test of the most projects of four parts has fixed quantisation standard, be easier to measure, and the testing standard of some projects of third part is fuzzyyer, and the standard of some quantifications remains fixing more difficult while being measured in different occasions repeatedly by examiner.
Wherein, the 24th project of third part is:
24, the motor function of hands (full extension, clench completely):
0=is normal;
1=mild damage, frequency is slow, amplitude is less, i.e. and action is slightly slowed down, and amplitude slightly reduces;
The infringement of 2=moderate, obviously obstacle.Senilism, can have intermittently, amplitude is more and more less, like tired shape, has once in a while time-out in motion;
3=grievous injury, serious hindrance.Comprise and difficulty in starting, intermittently hesitate midway when action starts, action has break-off phenomenon in carrying out;
4=almost can not complete.
According to upper known, the condition of Measurement accuracy hand exercise ability is: 1, the standard operation of hand exercise is that alternating movement is clenched fist, opened to singlehanded amplitude peak fast.2, not free restriction.3, the evaluation of hand movement function is divided into 5 ranks, is respectively: be normal; Mild damage; Moderate infringement; Grievous injury; Almost can not complete.Above 5 other evaluating basis of level are observations of tester.Often, tester's observation does not have standard foundation fixing, that quantize.Therefore, for same patient, different time test there is no unified standard, a plurality of even large quantities of patients' evaluation is not had to unified evaluation criterion yet, for different experiments, standard when different test mans carries out this project testing to patient lacks especially.
In same experiment, tester is owing to having different states in different time, and the standard under different conditions is very non-constant, and in may causing test result and testing, patient's practical situation produces serious bias.When different experiments is compared, because judgment criteria is uncontrollable, this bias may be larger.
Defect on all traditional operations above, degree or development process accurate not and that cannot decline to patient's hand exercise ability be made the problems such as accurate confirmation, the test error of the 24th project will be caused, and then cause the error of motor function so that UPRDS third part scoring, then cause the larger problems such as error of follow-up correlation analysis.
Summary of the invention
The object of the invention is provides a kind of Parkinsonian's hand movement function grading device in order to overcome above-mentioned deficiency.
For solving the problems of the technologies described above, realize above-mentioned purpose, the present invention is achieved through the following technical solutions:
A kind of Parkinsonian's hand movement function grading device, comprise rubber gloves, display screen, starting switch, time increase and decrease button, battery case and central processing unit, the centre of the palm direction of described rubber gloves is provided with piezoelectric sensing wire gauze, described display location is in rubber gloves back central authorities, described time increase and decrease button is positioned at display screen both sides, and described starting switch is positioned at the dorsal part of rubber gloves.
Further, the finger root of described rubber gloves is provided with voltage inductance receiver to centre of the palm direction 1cm place to carpal joint to the centre of the palm direction 1cm of place.
Further, the long 1cm of described display screen, wide 1cm.
The present invention can be patient's hand movement function classification more exactly, can increase substantially the degree of accuracy of the hand movement function of this project mensuration, thereby improves precision and the reliability of the mark mensuration of motor function part in UPDRS.Can not only system and to suffering from Parkinsonian's hand movement function, measure accurately on one's own initiative, and can be exactly for subsequent analysis provides reliable basis.Meanwhile, owing to providing with the display screen that clenches number of times, can critically provide the number of times that clenches in setting-up time.This device is different from other finger motion function measuring devices, and complete unit main body is that soft rubber material is made, and can flexiblely overlap and wear the palm to patient.Simultaneously, this device is cheap, technique is simple, different laboratorys can be nigh be made in making factory relatively easily, be beneficial to the unification of method, process and the result of different experiments chamber researcher test UPDRS third part the 24th project, be beneficial to operating process and the result of experiment are analyzed.
Accompanying drawing explanation
Fig. 1 means the profile of hand movement function grading device of the present invention.
Fig. 2 means the profile of the plan of establishment of the switch shown in Fig. 1.
Fig. 3 means that the display shown in Fig. 1 is connected the profile of detachable prescription case with rubber gloves.
Fig. 4 means the profile of the installation battery component shown in Fig. 1 and detachable structure.
Fig. 5 means the outward appearance profile of hand exercise device fingers and palms of the present invention side.
Fig. 6 means the profile of the hand movement function grading device of embodiments of the present invention.
The specific embodiment
Below in conjunction with drawings and Examples, further illustrate the present invention.
Embodiment: comprise rubber gloves 1, display screen 2, starting switch 3, time increase and decrease button 4, battery case 5 and central processing unit 6, the centre of the palm direction of described rubber gloves 1 is provided with piezoelectric sensing wire gauze 7, described display screen 2 is positioned at rubber gloves 1 back central authorities, described time increase and decrease button 4 is positioned at display screen 2 both sides, and described starting switch 3 is positioned at the dorsal part of rubber gloves 1.The finger root of described rubber gloves 1 is provided with voltage inductance receiver 8 to centre of the palm direction 1cm place to carpal joint to the centre of the palm direction 1cm of place.
Before carrying out the setting of apparatus of the present invention, need the quantification manner by project assorted setting the 24th project.Quantum condition can be set as required in different experiments chamber, indicates its quantification manner, so that similar and correlational study reference in experimental result.Scheme below will mainly take the finger extension of being done in 15 seconds, clench times of exercise and illustrate as example, such as, quantification manner can be:
0=normal (>=20 time/15 seconds);
1=mild damage, frequency is slow, amplitude is less, i.e. and action is slightly slowed down, and amplitude slightly reduces (>=15 time/15 seconds);
The infringement of 2=moderate, obviously obstacle.Senilism, can have intermittently, amplitude is more and more less, like tired shape, has once in a while time-out (>=10 time/15 seconds) in motion;
3=grievous injury, serious hindrance.Comprise and difficulty in starting, intermittently hesitate midway when action starts, action has break-off phenomenon (>=5 time/15 seconds) in carrying out;
4=almost can not complete (>=0 time/15 seconds).
Rubber gloves 1 are made for soft, whippy responsive material, and material thickness 0.02cm, simply overlaps and wear in testee on hand, is mitten shape, the long 5cm of outward appearance, wide 4cm.In the finger root of these rubber gloves to centre of the palm direction 1cm place to carpal joint to the built-in meticulous piezoelectric sensing iron wire 7 of scope of 1cm in centre of the palm direction place, long 5cm, wide 2cm, can the pressure variation of " perception " finger to its generation sensitively when at every turn clenching action.And, within the scope of the outer interior 1cm of five finger tips at this rubber gloves back, it is meticulous piezoelectric sensing " scraps of paper ", long 1cm, wide 0.5cm, and there is the chip of experiencing hand stretching pressure at 0.1mm place outside apart from these scraps of paper, can be when each stretching the pressure change of " perception " finger back to its generation sensitively.Then device all changes the average pressure of these five fingers to be converted into change in voltage, then sends " central processing unit " to the form of voltage, by central processing unit, according to some, is programmed into row operation.This program is inputted some and is transformed magnitude of voltage, according to piezoelectricity conversion results, when every stretching stimulates >0.01v or is greater than other threshold values that need to set by project 5 voltage inductance receivers 8 are average and when clenching action to piezoelectricity stimulus of receptor also >0.01v or being greater than other threshold values that need to set by project, be designated as 1 time, record once moves during this period of time from start to finish simultaneously, time span is 15 seconds or other setting-up times, finally demonstrates effective hand exercise event times and movement time.The time span of hand exercise event of take is below 15 seconds, and to take the program that quantification manner is the above-mentioned quantification manner of enumerating be example, and this is programmed for:
input:
VoltageValues_out[n]: a series of stretching, extension magnitudes of voltage
VoltageValues_in[n]: a series of magnitudes of voltage that clench
output:
Total_out_frequency, total_in_frequency, out_frequency, in_frequency, frequency, grage, t: show result
method:
(1) initialization time t sum counter value frequency;
(2)
formotion each time
(3)
if t > 15
then
(4) break;
(5)
end if
(6)
total_out_frequency++;
(7) total_in_frequency++;
(8)
if voltageValues_out[i] > 0.01
then
(9)
out_frequency++;
(10)
end if
(11)
if voltageValues_in[i] > 0.01
then
(9) in_frequency ++;
(10)
end if
(11)
if voltageValues_out[i] > 0.01 && voltageValues_in[i] > 0.01
then
(12) frequency ++;
(13)
end if
(14)
end for
(15)
if frequency >= 20
then
(16) grade = 0;
(17)
end if
(18)
if frequency >= 15 && frequency <= 19
then
(19) grade = 1;
(20)
end if
(21)
if frequency >= 10 && frequency <= 14
then
(22) grade = 2;
(23)
end if
(24)
if frequency >= 5 && frequency <= 9
then
(25) grade = 3;
(26)
end if
(27)
if frequency >= 0 && frequency <= 4
then
(28) grade = 4;
(29)
end if
(30) printf("%d / %d\n", total_out_frequency, total_in_frequency);
(31) printf (" stretch/clench ");
(32)printf("%d / %d\n", out_frequency, in_frequency);
(33) printf("%d / %d\n", grade, frequency);
(34) printf (" classification/mark n ");
(35) printf (" 00:0%d (second) n ", t);
The final result input panel obtaining through " central processing unit " shows.The motion result that the time span of hand exercise event of take is 5 seconds is example, if patient has done stretching altogether 19 times in 15 seconds, 17 times altogether clench action, independent effectively stretching has 10 times, independently effectively clenching action has 9 times, complete supporting effective hand full extension, clenching action completely has 8 times, result form is just shown as: 19/17, 10/9, stretch/clench, 3/8, classification/mark, 00:15 (second), represent: patient has done 19 times stretching altogether in 15 seconds, altogether do 17 times and clenched action, independent effectively stretching has 10 times, independently effectively clenching action has 9 times, supporting stretching, extension, clenching action has 8 times, end product is that item designation is 33 grades, be designated as 3 minutes.
Display screen 2 is positioned at glove back central authorities, is the electronic display that plastics are made, long 1cm, and wide 1cm, is similar to electric sphygmomanometer display screen, can demonstrate exactly and effectively clench number of times, classification mark and the number of seconds of counting to obtain.And can press two kinds of button changeables on side to the required setting measurement time.By two kinds of buttons, the effective stretching, extension number of times in the metering long period.There is a little netted acoustical generator display screen top, can send chimes of doom, and the chimes of doom of " dripping " is used for illustrating 15 seconds or other setting-up times arrive.This display screen, can produce supply by general instrument manufacturing factory.Display screen is detachably changed.The start-stop of whole service program is controlled by starting switch 3.This switch is push switch, is positioned at the dorsal part of rubber gloves, and flicking gets final product the operation of starting drive.The parts that change battery are positioned at the side of switch.By the lid of being convenient to prize, formed the stirring cover that is covered in battery outside, its simple perk more can be renewed to battery, the energy is provided.
Above-described embodiment is preferably embodiment of the present invention; but embodiments of the present invention are not restricted to the described embodiments; other any do not deviate from change, the modification done under spirit of the present invention and principle, substitutes, combination, simplify; all should be equivalent substitute mode, within being included in protection scope of the present invention.
Claims (3)
1. Parkinsonian's hand movement function grading device, it is characterized in that comprising rubber gloves (1), display screen (2), starting switch (3), time increase and decrease button (4), battery case (5) and central processing unit (6), the centre of the palm direction of described rubber gloves (1) is provided with piezoelectric sensing wire gauze (7), described display screen (2) is positioned at rubber gloves (1) back central authorities, described time increase and decrease button (4) is positioned at display screen (2) both sides, and described starting switch (3) is positioned at the dorsal part of rubber gloves (1).
2. Parkinsonian's hand movement function grading device according to claim 1, is characterized in that the finger root of described rubber gloves (1) is provided with voltage inductance receiver (8) to centre of the palm direction 1cm place to carpal joint to the centre of the palm direction 1cm of place.
3. Parkinsonian's hand movement function grading device according to claim 1 and 2, is characterized in that the long 1cm of described display screen (2), wide 1cm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410417872.8A CN104207782B (en) | 2014-08-22 | Parkinsonian's hand movement function grading device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410417872.8A CN104207782B (en) | 2014-08-22 | Parkinsonian's hand movement function grading device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN104207782A true CN104207782A (en) | 2014-12-17 |
| CN104207782B CN104207782B (en) | 2017-01-04 |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN107157450A (en) * | 2017-06-19 | 2017-09-15 | 中国科学院计算技术研究所 | Quantitative estimation method and system are carried out for the hand exercise ability to patient Parkinson |
| CN112370311A (en) * | 2019-12-11 | 2021-02-19 | 上海司羿智能科技有限公司 | Data glove, manufacturing method and finger joint rehabilitation training device |
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Cited By (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107157450A (en) * | 2017-06-19 | 2017-09-15 | 中国科学院计算技术研究所 | Quantitative estimation method and system are carried out for the hand exercise ability to patient Parkinson |
| CN112370311A (en) * | 2019-12-11 | 2021-02-19 | 上海司羿智能科技有限公司 | Data glove, manufacturing method and finger joint rehabilitation training device |
| CN112370312A (en) * | 2019-12-11 | 2021-02-19 | 上海司羿智能科技有限公司 | Hand autonomous training device and control method thereof |
| CN112370310A (en) * | 2019-12-11 | 2021-02-19 | 上海司羿智能科技有限公司 | Hand motion control system and control method thereof |
| WO2021115376A1 (en) * | 2019-12-11 | 2021-06-17 | 上海司羿智能科技有限公司 | Finger joint rehabilitation training device |
| CN112370312B (en) * | 2019-12-11 | 2023-04-07 | 上海司羿智能科技有限公司 | Hand autonomous training device and control method thereof |
| JP7381759B2 (en) | 2019-12-11 | 2023-11-15 | 上海司▲い▼智能科技有限公司 | Finger joint rehabilitation training device |
| CN112370310B (en) * | 2019-12-11 | 2024-03-29 | 上海司羿智能科技有限公司 | Hand movement control system and control method thereof |
| CN112370311B (en) * | 2019-12-11 | 2024-05-28 | 上海司羿智能科技有限公司 | Data glove, manufacturing method and finger joint rehabilitation training device |
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