CN104540560B - 用于步态训练的构造及方法 - Google Patents

用于步态训练的构造及方法 Download PDF

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CN104540560B
CN104540560B CN201380029567.5A CN201380029567A CN104540560B CN 104540560 B CN104540560 B CN 104540560B CN 201380029567 A CN201380029567 A CN 201380029567A CN 104540560 B CN104540560 B CN 104540560B
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skirt position
skirt
construction
display
walkway surface
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CN104540560A (zh
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W·布鲁能
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Zebris Medical GmbH
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Zebris Medical GmbH
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Abstract

本发明涉及一种用于步态训练的设备(1),所述设备具有:预定义行走表面(2b);放置位置传感器(3),被分配给所述行走表面并用于检测测试主体将他的脚放在行走表面上的实际放置位置;训练程序存储器(47),用于存储步态训练程序,所述步态训练程序包括用于在行走表面上为测试主体的脚预先定义一序列所需放置位置的数据;图像显示装置(7),用于显示图像,所述图像示出所述所需放置位置;以及显示同步装置(46,48),在输入侧连接至训练程序存储器及放置位置传感器,并在输出侧连接至图像显示装置,并且用于使图像显示装置同步以自放置位置传感器输出数据,从而根据所检测到的实际放置位置而连续修改对所需放置位置的指示。

Description

用于步态训练的构造及方法
技术领域
本发明涉及一种用于训练步态的构造及方法。
背景技术
例如在DE 36 42 088 C2及DE 25 29 475 C3中所公开的用于检测压力分布及力分布的现有技术设备可用作生物力学步态分析平台,以用于检查及分析脊椎动物尤其是人的步态。然而,存在如下缺陷:只能记录脚的仅单个脚步及单个屈曲动作。然而,为获得自然的步态行为,需要在较长时间周期中记录步态。
同样,用于步态分析的设备及方法已众所周知,其提供进行此种登记及分析的可能性并利用跑步机。此处请参照例如DE 40 27 317 C1或美国专利No.6,010,465 A。
在R.Kram及A.J.Powell的“安装跑步机的力平台(A treadmill-mounted forceplatform)”(应用生理学(Appl.Physiol.)67(4):1692-1698(1989))中,阐述了如先前所公开的一种设备,其中在测量平台或测量表面上牵引跑步机带,从而能够连续检测由患者的脚施加的力。
还已知在跑步机系统中使用显示装置,例如显示屏。
自EP 1 145 1682 A2已知一种基于跑步机技术的康复设备及方法,其中使跑步机的功能适应于要进行恢复的患者的行走或跑动能力的当前状态。具体而言,使跑步机的速度适应于用户的个人脚步周期(step cycle),同时设备将给予用户反馈。在具体实施例中,提供对在一步中所施加的压力的检测及其分析作为整个程序的一部分。该公开案还描述了将显示屏与键盘结合使用以显示跑步机带上产生的脚印并根据这种显示来调整跑步机带参数。
美国专利No.6,231,527 B1也公开了在用于运动医学及康复学的跑步机设备中使用显示屏,其中可显示不同照相机的图像,从而记录运动员/患者在跑步机上的运动。
此外,本申请人的EP 2 352 462及WO 2010/057552描述了一种在运动医学及康复学中使用的基于图像显示技术的跑步机系统,其另外能够与所显示的图像同步地记录并分析在跑步机上行走的人所产生的压力分布图案。
发明内容
本发明的目的在于提供一种进一步改进的所述最后一种类型的设备,所述设备尤其适用于运动医学及康复目的。一个目标是进一步开发系统以获得可灵活使用的训练/治疗设备、同时提高用户接受度及理疗效果。
根据本发明的装置形态,此目标是利用具有如权利要求1所述的特征的构造来实现,且在本发明的方法形态中,此目标是利用具有如权利要求12所述的特征的方法来实现。对本发明概念的有用改进均定义在随附权利要求书中。
本发明包括如下理念:不仅仅对锻炼的患者严格规定脚步序列作为他的训练程序,而且将他的训练状态及他当前的努力考虑在内。此外,本发明包括如下理念:为达此目的,在向患者提供训练程序时,应检测并考虑所述患者的脚步,更确切而言,检测并考虑患者在行走表面上实际放(踢)脚的位置(点)(下文称为所感测踢脚位置)。这会得到另一理念:根据所检测到的实际脚步(所感测踢脚位置)而使所规定脚步的图像显示,或更确切而言,患者的脚的所规定踢脚位置(下文称为所指示踢脚位置)同步。
因此,在装置形态中,提出一种构造,所述构造除包括预定的行走表面(其可独立于测量构造而存在)之外还包括:踢脚位置感测构件,用于确定患者在所述行走表面上踢他的脚的实际踢脚位置,所述踢脚位置感测构件与所述行走表面相关联;训练程序存储器,用于存储步态训练程序,所述步态训练程序包括用于为所述患者的脚预先确定一序列所指示踢脚位置的数据;显示设备,用于显示图像,所述图像示出所指示踢脚位置;以及显示同步设备,在其输入侧连接至所述训练程序存储器及所述踢脚位置感测构件。
所提出的解决方案具有以下主要优点:现有技术构造的缺点在于,最初必须使患者(通常为严重残疾患者)“同步”以进行测量,即,必须注意他的脚要符合所投影的图像。因患者自任意位置开始,故这是非常困难的。当患者使所投影的图像与他的脚相符时,一旦患者出现错误(即,未恰当地符合所规定位置),则患者必须不断纠正每一相应后续脚步。然而,这种纠正脚步并不是应训练的脚步,而是较短或较长的脚步或者可能包括增大或减小的步宽(脚的横向距离)或脚的旋转。如果图像本身并非投影至跑步机带上而是投影至屏幕上,则这甚至会更加困难。
在本发明中,在将脚放到所述表面上时的错误不再重要,因为系统总是自动输出所要学习的预定脚步。本文中,步幅(步长)是重要参数;除此之外,所提出的解决方案还可根据特定患者的实际状态而修改步态训练程序的时间方面。
用于确定当前位置的测量构件可优选地利用矩阵型压力分布传感器板或压力开关板的现有构造来实施。然而,作为另外一种选择,可使用基于反射型或透射型挡光板阵列的测量系统、2D或3D照相机等。优选地,所述构造是在跑步机上运作。如果图像直接投影至测量表面,则所述构造甚至可在固定的行走表面上使用,所述行走表面可视需要设置有可互换表面及/或特定障碍物。
在本发明的另一实施例中,以时间解析的方式依序检测一序列所感测踢脚位置,并且适应于所述一序列所感测踢脚位置而使图像显示同步以用于显示所指示踢脚位置。因此,在装置形态中,所述踢脚位置感测构件包括存储器单元,所述存储器单元用于以时间解析的方式存储一序列依序感测的实际踢脚位置,且所述显示同步设备适用于加载所述序列并用于根据所感测序列而改变欲显示的所指示踢脚位置。作为另外一种选择,提出:可存储已基于先前检测到的踢脚位置而确定的患者的一个或多个步态参数,并且所述显示同步设备基于对这个参数或这些参数的评估来操作。
在再一实施例中,所述构造包括反馈单元,所述反馈单元用于检测主体在其中显示预定图像元素的地方或其中不显示预定图像元素的地方对所述行走表面的接触,并用于响应于所述接触而输出警报信号或信息信号。此外或甚至独立于后一实施例,可提供用户引导单元,所述用户引导单元用于显示伴随指令(display-accompanying instruction)的视觉及/或听觉输出,特别是通过耳机及/或显示单元的文本投影来输出。除根据所述患者的实际脚步序列对训练程序进行创新性修改之外,还可提供对患者训练的辅助支持。
在本发明的框架中,可采用几种算法来将所述患者的脚的所感测踢脚位置或自其导出的步态参数考虑在内,以根据所述患者的真实情况而修改所述训练程序。优选实施例包括根据所感测步幅而修改预定所指示步幅。此外或在可能时,作为另外一种选择,可实施针对步幅的逐步修改或针对一个或多个其它步态参数的灵活或逐步修改,具体而言针对脚的步频或横向距离进行修改。
训练或康复程序的实施可如下所述:首先,患者根据其惯常的行走方式来行走。通过整合于跑步机中的压力传感器矩阵,检测特征步态参数,尤其是脚步的步长、足迹宽度、脚旋转角度或所施加的力的值。这些参数可接着用作训练的起始值。基于此设定,投影至跑步机带上的图案接着在一次训练过程中自动根据治疗专家所期望的目标值进行修改。所述值的改变可为线性的、呈指数方式、或以任何其它数学函数来完成。随后,可执行基于目标性能比较的自动分析,即,检查患者依从默认值(default)的程度。如果患者改变在脚的部分区域中或整只脚所施加的力,则由听觉信号或声音输出对患者发出指示,例如指示患者将更多或更少的重量放在一只脚上。
在特定实施例中,预定义步幅或步宽可在训练过程中不断变化(例如,增大),以使患者缓慢地接近训练目标。此可通过如下实施例来实现:在所述实施例中,显示过程控制器包括程序存储器及/或相对位置调整构件,所述程序存储器用于存储多个预定显示过程及/或速度,所述相对位置调整构件用于调整显示过程的速度并用于预先定义显示器各图像元素间的相对位置。
附图说明
将通过图式在对优选实施例的以下说明中解释本发明的优点及有用特征。在图式中:
图1显示本发明第一实施例的示意性表示;
图2显示本发明第二实施例的示意性表示;
图3显示另一实施例的详视图;
图4显示再一实施例的详视图;以及
图5显示在训练程序中可在构造的行走表面上提供的图像。
具体实施方式
图1显示提供一种跑步机训练系统1,跑步机训练系统1包括:跑步机带2b,在两个滚轴2a上运行,两个滚轴2a位于跑步机带2b的上表面之下,跑步机带2b的所述上表面被用户用作行走表面2c;压力检测板3,具有高的空间分辨率,并且具有多个压力传感器(未单独标识),所述压力传感器以矩阵型方式排列并检测用户在跑步机上行走时产生的压力检测图像。所述两个滚轴2a之一被以预定速度驱动并拉动跑步机带2b,通过所述构造的处理及控制单元4及速度控制器5来调整所述预定速度。此外,可通过适合的倾斜度致动器6来根据需要调整整个跑步机的倾斜度,或者可选地,仅轻微提升跑步机的前部,倾斜度致动器6可同样地自处理及控制单元4接收到干扰信号(这仅象征性地例示在图式中)。
在图1所示经高度简化的实施例中,自速度控制器5向处理及控制单元4报告用于表征经调整的跑步机速度值的信号,其中所述信号用于使由投影仪(激光投影机)7显示于行走表面2c上的图像同步,所述图像是从预先存储的图像元素及/或图像序列产生(见下文)。
基于速度信号(特别是结合下文所述的另一特定实施例)控制图像,以向用户呈现对行走环境的完全协调的模拟,这优选地与插入用脚触碰的标记物相结合及/或与模拟所要翻越或避开的障碍物相结合。与图式中的表示不同,跑步机的实际速度也可由适宜(未图示)的传感器系统来检测,且测量值可提供至处理及控制单元4以实现对图像显示的(实际上反馈)过程控制以及对压力分布图案的同步分析。
图式中显示投影仪7以可针对角度调整的方式固定至壁固持器7a,以使得投影的方向与跑步机的平面围成可变角度。为避免处理及控制单元4所提供的图像或图像元素由于投影的锐角角度而发生畸变,在投影仪7的上游连接有图像信号畸变校正器(imagesignal distortion corrector)7b。这个畸变校正器7b可根据投影仪7在固持器7a上的实际角度位置而工作,然而,为清晰起见,此未显示在图式中。此外,为收集用户界面,提供音频级(audio stage)8(此处以扬声器符号表示),进行锻炼的人可通过音频级8接收附加听觉训练指示。还可例如以头戴式耳机(headset)形式双向地构建音频级8,以使得进行锻炼的人可给出听觉反馈(例如,确认接收到指示或对其所提问问题的回答)。
为在跑步机系统上执行训练任务,可能感兴趣的是例如当主体翻越虚拟障碍物时检测脚相对于带的抬起高度。在另一实施例中,主体因此在其每一只脚上均附有传感器9,可通过已知的(未图示)位置检测感测系统来检测传感器9的信号,以得出关于脚的位置或高度的结论。优选地,所述传感器是与压力分布矩阵的传感器在时间上同步地工作。在适当时,可通过红外信号或无线电信号或通过对脚接触带的时刻进行检测而产生精确的时间同步。
传感器9可被设计为加速度传感器(acceleration sensor)或多轴加速度传感器,且在适当情况下以无线方式连接至分析计算机4。可根据加速度信号计算脚的位置,特别是如果在计算中可另外包含压力分布图案的时间及位置相关性时。在扩展构造中,可利用惯性传感器系统,其中另外使用用于检测地球磁场的陀螺仪(gyroscope)或传感器。当然,这类传感器还可附接至其它身体部位,从而可测量并表示整个下肢或整个身体的运动。然而,传感器9还可根据其它测量原理而工作,例如,基于由固定式照相机所记录的有源或无源光标记(light marker)、磁场传感器、或向固定式接收器发出或自固定式接收器接收超声波并根据声音传播时间确定脚的位置的传感器。
压力检测板的压力传感器可视需要设置有模拟响应特性(开/关特性),或根据更简单且更廉价的实施例,设置有数字响应特性(开/关特性)。这两个选项均适于某些应用,且系统设计员将根据主要使用要求来选择所述选项中的一个。
图2显示对图1所示及以上所述构造的修改。在利用图1所示及以上所述构造的相同部件时,所述相同部件由图1中所用的相同参考编号来指示,且下面将不再予以赘述。
实质性的修改在于使用大表面光电触摸屏7’替代投影仪作为显示装置。所述触摸屏的上表面界定在使用时位于环形带(endless belt)2b的上部之下的显示表面2c’。同时,所述触摸屏界定新颖的压力检测板3’。根据经修改型式的触摸屏原理,并考虑到所述构造的实际成本,可由多个较小光电显示元件(例如,LCD显示器)与分别相邻的较小压力检测板形成的矩阵型交替式构造来替换这种组合式显示/压力检测装置,或者可将对压力不敏感的柔性显示屏(例如,OLED型显示屏)放置于正常压力检测板上。
在所有情况下,环形带(2b)均至少在其横向延伸方向的中心部分中由透明材料形成,以使锻炼的人能够感知显示于显示表面2c’上的图像。
图3显示图1或图2所示构造的处理及控制单元4的主要部件的详细显示。此处不包括图1所单独显示的图像信号畸变校正器,所述图像信号畸变校正器仅用于其中投影仪相对于跑步机倾斜的构造的实施例中。
在显示控制部4A中,处理及控制单元4包括图像元素存储单元41及视频存储器42,在其下游连接有图像元素混合器43及最后是视频图像元素混合器44,图像元素混合器43及视频图像元素混合器44用于通过预定的图像元素插入来产生图像序列。此外,在图中象征性地显示:这两个混合器43、44还可受到随机产生器45的控制信号的影响。此外,显示过程控制器46连接于第二混合器44的下游,第二混合器44被分配有过程程序存储器47及同步单元48。图像元素位置控制器49的控制信号连接至图像元素混合器43并作用于图像元素混合器43,以改变图像元素在最终显示中的相对位置。
同步单元48可受到跑步机的速度控制器5(此图中未显示)的信号的影响。然而,主要地,患者的脚的所感测踢脚位置的座标值被输入至同步单元中,从而根据由患者的脚在图1所示压力分布板3上形成的压力感测图像来进行协调或(如以上进一步所述)计算。此外,图1所示传感器9的信号(图中未显示)可输入至同步单元48作为进一步输入信号。这有助于最终使显示同步,尤其是只要其根据跑步机的速度以及患者的脚的所感测踢脚位置及视需要根据患者的脚的进一步运动参数来显示患者的脚的所指示踢脚位置即可。关于根据患者的实际运动来修改呈现给患者的显示而言,显示过程控制器46及同步单元48可一同被视为所述构造的显示同步设备。
同时,这些信号被提供至所述构造的系统控制单元50,从而使显示及分析功能的不同控制程序同步、并执行对数据流及数据格式的必要修改。在图式中,这由指向显示控制部4A及分析部4B的两个箭头表示。
此外,将在显示过程控制器的输出处提供的最终图像信号及另一方面压力分布板3的(空间-时间解析(space-time-resolved))输出信号提供至分析部4B。压力分布板3的输出信号不受干扰信号及压力信号预处理级51中的伪影(artefact)的影响,并在压力信号时间修改级52中在时间上及在压力信号位置适应级53中在空间上与图像信号同步,并且基于预定训练分析程序在训练分析级(主要过程级)53中得到处理,所得结果在治疗专家的单独显示单元10上输出。此外,所得结果可在用户引导级54中与通过治疗专家的输入单元11输入的指示一起被处理成对锻炼者的指示,所述指示由分配给锻炼者的显示单元7或7’并视需要由音频级8输出。
图4显示根据本发明实施例的另一构造1’的部件的详视图,所述部件是实施本发明必不可少的。这些部件是固定的受限行走表面2’,固定的受限行走表面2’与位于所述表面正上方并作为踢脚位置感测设备的核心部件的激光挡光板12相关联,激光挡光板12可利用横向传播激光束或者可根据多次反射原理工作,并且通过这些方式,被修改变成大面积挡光板。一旦用户(患者)在这个挡光板的检测区域内将脚放置(踢)至行走表面上,则这将由挡光板通过提供多个单一(商业上可获得且廉价的)挡光板而检测到,或者通过使用具有高位置分辨率的构件而可检测到患者的脚的踢脚位置(实际踢脚位置)。在预定时间周期中检测到的踢脚位置的座标可存储在踢脚位置存储单元13中,踢脚位置存储单元13以时间相关方式连接至激光挡光板构件12的输出。此存储单元可根据先进先出(FIFO)原理工作并以此种方式自动更新。
提供训练程序存储器14,以存储用于训练步态的训练程序,可特别是由预定脚步序列及步幅及视需要其他参数(例如,脚的横向距离)来规定所述程序。踢脚存储单元13(作为踢脚感测设备的部件)以及训练程序存储器14连接至显示同步设备15的输入,以使向患者显示的步态指示与患者的实际运动同步。
显示同步设备15包括:计算级15a,用于根据自踢脚位置存储器13加载的所感测踢脚位置时间序列来计算相关步态参数;以及修改级15b,用于根据患者的步态参数修改自训练程序存储器加载的预定脚步序列。同步设备输出所指示踢脚位置的一序列座标以用于在行走表面2’上执行的进一步的步态,所述序列是根据患者的实际运动加以修改,并且此通过患者在其步态训练期间所看到的大屏幕17的显示控制单元16来实现。
举例说明在行走表面上为锻炼者提供图像,图5显示(以简化方式)一系列脚印f’及地面特征A(小坑或“软”点)及B(石头或硬隆起)。自上述说明可知:这些障碍物的影响不仅通过视觉感知来传递,而且也通过触觉感知来传递,此通过在图4所示类型的行走表面中的致动器阵列来实现。
本发明的实现方法并不仅限于上述例子,而是也可在所属领域的技术人员能胜任的行为框架内做出多种修改。

Claims (15)

1.一种用于训练步态的构造,其特征在于,包括:
预定的行走表面;
踢脚位置感测构件,用于确定患者在所述行走表面上踢他的脚的实际踢脚位置,所述踢脚位置感测构件与所述行走表面相关联;
训练程序存储器,用于存储步态训练程序,所述步态训练程序包括用于在所述行走表面上为所述患者的脚预先确定一序列所指示踢脚位置的数据;
显示设备,用于显示图像,所述图像示出所述所指示踢脚位置;以及
显示同步设备,在其输入侧连接至所述训练程序存储器及所述踢脚位置感测构件,并且在其输出侧连接所述显示设备以输出所述踢脚位置感测构件的数据,使得根据所感测到的所述实际踢脚位置而连续地改变所述所指示踢脚位置的显示。
2.如权利要求1所述的构造,其特征在于,所述踢脚位置感测构件包括存储单元,所述存储单元用于以时间解析的方式存储依序感测的实际踢脚位置的一序列或表征所述序列的参数,且所述显示同步设备适用于加载所述序列并用于使欲显示的所述所指示踢脚位置适应于所述感测到的序列。
3.如权利要求1或2所述的构造,其特征在于,所述显示设备包括位于所述行走表面上方的显示屏或投影屏。
4.如权利要求1或2所述的构造,其特征在于,所述显示设备包括图像投影仪,且所述行走表面适合用作投影屏。
5.如权利要求1或2所述的构造,其特征在于,包括反馈单元,所述反馈单元用于检测主体在其中显示预定图像元素的地方或在其中不显示预定图像元素的地方对所述行走表面的接触,并响应于所述接触而输出警报信号或信息信号。
6.如权利要求1或2所述的构造,其特征在于,包括用户引导单元,所述用户引导单元用于显示伴随指令的视觉及/或听觉输出至所述行走表面的区域上。
7.如权利要求1或2所述的构造,其特征在于,包括环形带(endless belt),所述环形带被在至少两个滚轴上引导并用作跑步机(treadmill),所述跑步机的一个表面用作所述行走表面。
8.如权利要求7所述的构造,其特征在于,所述踢脚位置感测构件包括:
测力板(force measurement plate),位于所述行走表面之下,所述测力板在面向所述环形带的一侧上设置有多个力传感器;分析单元,在所述输入侧连接至所述力传感器,用于检测压力分布;处理单元,所述处理单元在所述输入侧连接至所述分析单元,用于根据所述压力分布确定所述实际踢脚位置。
9.如权利要求1或2所述的构造,其特征在于,所述踢脚位置感测构件包括光检测器构件,所述光检测器构件用于检测所述患者的脚在踢至所述行走表面上时的位置。
10.如权利要求1或2所述的构造,其特征在于,与所述确定所述所指示踢脚位置的所述序列有关的数据包括所指示步幅(instructed step width)及/或其中用于表征所述所指示踢脚位置的所述序列的参数是实际步幅。
11.如权利要求10所述的构造,其特征在于,在所述显示同步设备中,实施用于根据所感测步幅来灵活地修改预编程指示步幅的算法。
12.一种用于训练用户在预定行走表面上的步态的方法,其特征在于,
通过与所述行走表面相关联的踢脚位置感测构件,感测实际踢脚位置,其中所述用户在所述行走表面上踢脚;
根据预定训练程序,计算所述用户的脚在所述行走表面上的一序列预定所指示踢脚位置;以及
通过显示设备向所述用户显示图像,所述图像示出所述用户的脚的所指示踢脚位置,其中使所述显示连续地同步,以示出根据由所述踢脚位置感测构件所检测的所述实际踢脚位置而改变所指示踢脚位置。
13.如权利要求12所述的方法,其特征在于,以时间解析的方式依序检测一序列实际踢脚位置,并且响应于实际踢脚位置的所述序列而使所述显示同步以示出所述改变的所指示踢脚位置。
14.如权利要求12或13所述的方法,其特征在于,根据所述所感测实际踢脚位置使所显示的所述所指示踢脚位置同步包括:根据所述用户的所感测步长灵活地修改预定的所指示步长。
15.如权利要求12或13所述的方法,其特征在于,对所述用户的脚在所述行走表面上的所述实际踢脚位置的感测包括:光学检测,或者所述感测是基于对所述用户的脚在矩阵型压力传感器构造上的压力分布图像的检测,所述矩阵型压力传感器构造位于所述行走表面之下。
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