CN107080672B - A kind of rehabilitation ectoskeleton training mode control system and method - Google Patents

A kind of rehabilitation ectoskeleton training mode control system and method Download PDF

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CN107080672B
CN107080672B CN201710203825.7A CN201710203825A CN107080672B CN 107080672 B CN107080672 B CN 107080672B CN 201710203825 A CN201710203825 A CN 201710203825A CN 107080672 B CN107080672 B CN 107080672B
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training
characteristic attribute
training mode
rehabilitation
assessment
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CN107080672A (en
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赵青
郭雅静
黄玉平
郑继贵
邓烨
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Beijing Research Institute of Precise Mechatronic Controls
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Beijing Research Institute of Precise Mechatronic Controls
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H3/00Appliances for aiding patients or disabled persons to walk about
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus ; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • A61H1/02Stretching or bending or torsioning apparatus for exercising
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5007Control means thereof computer controlled
    • A61H2201/501Control means thereof computer controlled connected to external computer devices or networks
    • A61H2201/5012Control means thereof computer controlled connected to external computer devices or networks using the internet

Abstract

A kind of rehabilitation ectoskeleton training mode control system and method, system include rehabilitation ectoskeleton database, the host computer that can carry out quantity extension according to demand, pass through network connection between rehabilitation ectoskeleton database and host computer;Every host computer includes data reception module, training mode selecting module, training effect evaluation module, training mode adjustment module;The system is by 1 sets of data library, and communication network, one arrives more set host computers and forms with the matched rehabilitation exoskeleton device of every host computer, human-computer interaction, medical instruments and equipment.The rehabilitation ectoskeleton training mode that the system can be suitble to according to patient's own characteristic for its customization, and training effect can be assessed, the rehabilitation ectoskeleton training mode bad to training effect can be carried out adjustment and generate new rehabilitation ectoskeleton training mode;System is in addition to being capable of providing automation rehabilitation training, and also reserved man-machine interactive interface, doctor, patient freely control rehabilitation training.

Description

A kind of rehabilitation ectoskeleton training mode control system and method
Technical field
The present invention relates to rehabilitation medical field more particularly to a kind of rehabilitation dermoskeletons shared based on network, database data Bone training mode control system and method.
Background technique
The limbs of people are a compound and accurate dynamic systems, if impaired cause the dyskinesia of limbs will be direct The quality of life of people is influenced, the rehabilitation of science plays very important work to the recovery and raising of extremity motor function in time With.Rehabilitation ectoskeleton is ectoskeleton technology and the new opplication that rehabilitation medical combines, with computer technology, medical science of recovery therapy, machine Device people learns and the fast development of the emerging science and technology such as microelectric technique, has carried forward vigorously the intelligence of rehabilitation medical facility, has given Medical Robot's development brings new opportunities.
In recent years, many scientific research personnel both domestic and external had been developed that the rehabilitation ectoskeleton training system of various different styles, Science training method abundant and training effect evaluation index can be provided for four limbs impaired subjects, patient is helped to carry out rehabilitation instruction Practice, but rehabilitation ectoskeleton training system is single machine control at present, the related datas such as training mode can not all be shared;Training mode Relatively single, selectable training mode is limited;It is less to the individual difference consideration for participating in rehabilitation training patient, it generally will not root Training mode is customized according to patient characteristic for it;Not enough to effective experience accumulation in rehabilitation ectoskeleton training process, in training process Effective training mode can not be recorded, for subsequent use.
Summary of the invention
Technology of the invention solves the problems, such as: having overcome the deficiencies of the prior art and provide a kind of based on network, database number According to shared rehabilitation ectoskeleton training mode control system and method.
The technical solution of the invention is as follows: a kind of rehabilitation ectoskeleton training mode control system, including rehabilitation ectoskeleton Database, the host computer that can carry out quantity extension according to demand are connected between rehabilitation ectoskeleton database and host computer by network It connects;Every host computer includes data reception module, training mode selecting module, training effect evaluation module, training mode adjustment Module;
In rehabilitation ectoskeleton database according to clinical information be stored in advance patient characteristic attribute, training mode characteristic attribute, Assess the relationship map chain between characteristic attribute and three;
Data reception module on every host computer is received by human-computer interaction interface to be believed to the characteristic attribute of rehabilitation Breath, and receive the newest assessment characteristic attribute information of the patient that Medical Instruments is sent;
Training mode selecting module will store in the received above- mentioned information of data reception module and rehabilitation ectoskeleton database Information be compared, and then determine current optimal training mode characteristic attribute, and send out according to the training mode characteristic attribute It send corresponding instruction to rehabilitation ectoskeleton training device, command adapted thereto is executed by rehabilitation ectoskeleton training device, patient is carried out often Group training;The newest assessment characteristic attribute information initial value of the patient that the Medical Instruments is sent is commenting for the preceding patient of training Estimate characteristic attribute information;
Medical Instruments acquires the assessment characteristic attribute information of patient and is sent to data reception module after every group of training;
Training effect evaluation module calculates evaluation parameter according to the assessment characteristic attribute information after every group of training, if evaluation This group of rehabilitation training of parameter characterization is effective, then by the characteristic attribute information of the patient, training before assessment characteristic attribute information with And the opening relationships in rehabilitation ectoskeleton database of corresponding training mode characteristic attribute maps chain;If invalid, start training mould Formula adjusts module;
Training mode adjusts module according to the assessment characteristic attribute information adjusting training pattern feature attribute of patient, according to tune Training mode characteristic attribute after whole sends control instruction to rehabilitation ectoskeleton training device and carries out one group of training.
Further, the human-computer interaction interface includes emergency stop function region and function selection control area;Institute The function selection control area stated provides training mode characteristic attribute and manually adjusts interface and training mode selection interface, artificial Adjustment interface is directly received by the data reception module in host computer by being manually entered after corresponding numerical value, training mode adjustment Directly data send corresponding control instruction to module based on the received;In training mode selection interface, manually have in database Training mode selected, corresponding control is directly sent according to the training mode of selection by training mode selecting module and is referred to It enables.
Further, training mode selecting module determines the implementation of current optimal training mode characteristic attribute such as Under:
(1) according to each characteristic attribute i and assessment feature category that exoskeleton rehabilitation medicinal empirical data is patient Property j be arranged weighted value Pi、Pj, ∑iPi=1, ∑jPj=1;
For patient characteristic attribute, weighted value P is set31, for assessment characteristic attribute, weighted value P is set32, P31+P32=1, P32> P31
(2) according to the characteristic attribute value a of current training patientiAnd current newest assessment characteristic attribute value bj, it calculates With canned data similarity { s in database1,s2…sm…sn};
Wherein, Aim、BjmFor the corresponding characteristic attribute value of the m articles relationship map chain in database and assessment characteristic attribute Value;
N is the relationship map chain quantity stored in database;
(3) best similarity x=min { s is found out1,s2……sn, the corresponding s of xmIt is most close with training patient's states , according to smCorresponding training mode characteristic attribute value, the as patient are found most by relationship map chain in the database Good training mode.
Further, training effect evaluation module judges that whether effective rehabilitation training implementation be as follows:
(1) according to the type of impairment of exoskeleton rehabilitation medicinal empirical data combination patient itself and damage rank, solution Calculate goal-based assessment spy attribute value indicative obj
(2) according to the assessment characteristic attribute information b after trainingjEvaluation parameter is resolved with goal-based assessment characteristic attribute value
(3) judge whether g falls into preset threshold range, if falling into, it is effective to characterize this group of rehabilitation training, otherwise without Effect.
Further, the preset threshold range (0~5).
Further, goal-based assessment spy attribute value indicative objDetermination steps are as follows:
It (1.1) is that classification is built respectively with type of impairment and impairment scale according to exoskeleton rehabilitation medicinal empirical data The change rate of each assessment characteristic attribute is found referring to table;
(1.2) according to the type of impairment of patient and damage rank, for each assessment characteristic attribute respectively in above-mentioned attribute Change rate is referring to finding out corresponding attribute change rate set in table;
(1.3) it is directed to each assessment characteristic attribute, takes and finds out corresponding attribute change rate intersection of sets collection as the assessment The change rate of characteristic attribute;
(14) it is directed to each assessment characteristic attribute, the assessment characteristic attribute value before training is added in step (1.3) and is obtained Corresponding change rate to get arrive the assessment characteristic attribute goal-based assessment spy's attribute value indicative.
Further, training mode adjustment module utilizes following formula adjusting training pattern feature attribute values:
h'i=hi+∑j(b'j-bj)×kij×Pj
Wherein, hiFor training mode characteristic attribute value,
hi' it is training mode characteristic attribute value after adjustment,
bj' to assess characteristic ginseng value after training,
PjFor assess characteristic attribute j weighted value,
kijFor the empirical coefficient of training mode characteristic attribute regulation and assessment characteristic attribute change rate relationship.
A kind of rehabilitation ectoskeleton training mode control method, steps are as follows:
(1) patient characteristic attribute, training mode are stored in advance according to clinical information in rehabilitation ectoskeleton database in advance Relationship map chain between characteristic attribute, assessment characteristic attribute and three;
(2) it will be attached between rehabilitation ectoskeleton database and more host computers by network, the quantity root of host computer It is arranged according to actual demand;Every host computer for participating in training executes every group of training as steps described below:
(2.1) the externally input characteristic attribute information to rehabilitation is received;
(2.2) by it is received to the characteristic attribute information of rehabilitation, the newest assessment characteristic attribute information of the patient with The information stored in rehabilitation ectoskeleton database is compared, and then determines current optimal training mode characteristic attribute, and root Corresponding instruction is sent to rehabilitation ectoskeleton training device according to the training mode characteristic attribute, is held by rehabilitation ectoskeleton training device The training that row command adapted thereto currently organizes patient;The newest assessment characteristic attribute information starts in first group of training The preceding assessment characteristic attribute information for patient before training, every later group of assessment for being trained for the patient acquired after previous group training are special Levy attribute information;
(2.3) after current group training, the assessment characteristic attribute information of patient is acquired by Medical Instruments;
(2.4) evaluation parameter is calculated according to the assessment characteristic attribute information after training, if evaluation parameter characterizes this group of health Refreshment is practiced effectively, then (2.5) is gone to step, if in vain, going to step (2.6);
(2.5) by the characteristic attribute information of the patient, training before assessment characteristic attribute information and corresponding trained mould The opening relationships in rehabilitation ectoskeleton database of formula characteristic attribute maps chain, goes to step (2.2) and carries out next group of training;
(2.6) according to the assessment characteristic attribute information adjusting training pattern feature attribute of patient, according to training adjusted After pattern feature attribute sends control instruction to rehabilitation ectoskeleton training device one group of training of progress, (2.3) are gone to step.
Further, the human-computer interaction interface includes emergency stop function region and function selection control area;Institute The function selection control area stated provides training mode characteristic attribute and manually adjusts interface and training mode selection interface, artificial By being manually entered after corresponding numerical value, directly by host computer, data send corresponding control instruction to rehabilitation based on the received at adjustment interface Ectoskeleton training device is transferred to step (2.3) and starts to execute;In training mode selection interface, manually to existing in database Training mode is selected, and directly sends corresponding control instruction to rehabilitation ectoskeleton according to the training mode of selection by host computer Training device is transferred to step (2.3) and starts to execute.
The present invention has the beneficial effect that compared with prior art
Present system/method is based on network and database technology, can generate to the rehabilitation exoskeleton system for being connected into network Training mode and related data be collected, and store in the database, realize the training mode experience accumulation of rehabilitation ectoskeleton, Database data is shared into each rehabilitation exoskeleton system on network simultaneously and searches calling for it.With rehabilitation in database Ectoskeleton training mode and its related data are continuously increased abundant, and finer, accurate rehabilitation ectoskeleton instruction will be provided for patient Practice mode.
The invention proposes a kind of rehabilitation ectoskeleton training mode control system and methods.The system is led to by 1 sets of data library Communication network, one to more set host computers and with the matched rehabilitation exoskeleton device of every host computer, human-computer interaction, medical instruments and equipment Composition.The rehabilitation ectoskeleton training mode that the system can be suitble to according to patient's own characteristic for its customization, and training can be imitated Fruit assessment, the rehabilitation ectoskeleton training mode bad to training effect can be carried out adjustment and generate new rehabilitation ectoskeleton training mould Formula;System is in addition to being capable of providing automation rehabilitation training, and also reserved man-machine interactive interface, doctor, patient freely control health Refreshment is practiced.
Detailed description of the invention
Fig. 1 is system structure of the invention figure;
Fig. 2 is that training mode of the present invention selects flow chart;
Fig. 3 is training mode recruitment evaluation flow chart of the present invention;
Fig. 4 is that training mode of the present invention adjusts flow chart;
Fig. 5 is relationship map chain figure of the present invention.
Specific embodiment
With reference to the accompanying drawing and example elaborates to the present invention.
System proposed in this paper is as shown in Figure 1, including rehabilitation ectoskeleton database, can carrying out quantity extension according to demand Host computer passes through network connection (such as local area network or internet etc.) between rehabilitation ectoskeleton database and host computer;Every Host computer includes data reception module, training mode selecting module, training effect evaluation module, training mode adjustment module.
Each part is described as follows below
(1) rehabilitation ectoskeleton database
It is the important component of rehabilitation ectoskeleton training mode control system, is a set of large buffer memory Database Systems, It is rehabilitation ectoskeleton training mode sample space for storing rehabilitation exoskeleton system related data, is the various algorithms of host computer It resolves and data support is provided, be the basis for realizing more set rehabilitation exoskeleton system data sharings on local area network.Rehabilitation ectoskeleton number Patient characteristic attribute, training mode characteristic attribute, assessment characteristic attribute and three are stored in advance according to clinical information according in library Between relationship map chain.
Following information is stored in database:
Patient characteristic attribute: be mainly used to describe patient body and psychological characteristics, such as may include: gender, the age, Weight, rehabilitation limbs length, type of impairment, impairment scale, psychological condition;According to actual needs, in general, type of impairment, Impairment scale is necessary feature, other are optional feature, and other feature can also be added as needed.
Training mode characteristic attribute: it is mainly used to description rehabilitation ectoskeleton training motion feature within the set time, mainly Including motion profile, speed, bend and stretch angle, traction dynamics and training time.
Assessment characteristic attribute: be mainly used to describe patient body functioning characteristics, characteristic attribute include muscle activity, heart rate and Oxygen demand.
Relationship map chain, as shown in Figure 5:
It builds patient characteristic attribute list respectively in the database, assesses characteristic attribute table, training mode characteristic attribute table and pass System's mapping chained list.
Patient characteristic attribute list stores patient characteristic attribute value and Major key a_pk
Assess characteristic attribute table storage assessment characteristic attribute value and Major key b_pk
Training mode characteristic attribute table deposits training mode characteristic attribute value and Major key h_pk
Relationship map storage of linked list a_pk, b_pk, h_pk and Major key rc_pk establish patient by relationship map chained list Mapping relations between characteristic attribute, assessment characteristic attribute and training mode characteristic attribute.
(2) Medical Instruments
Medical Instruments is used to measure heart rate, oxygen demand and muscle activity of the patient before rehabilitation training and in training process, Data measured is sent to host computer by host computer demand.Using current existing equipment.
(3) host computer
Data reception module on host computer receives the characteristic attribute information to rehabilitation by human-computer interaction interface, with And receive the newest assessment characteristic attribute information of the patient that Medical Instruments is sent;
(a) training mode selecting module
Training mode selecting module will store in the received above- mentioned information of data reception module and rehabilitation ectoskeleton database Information be compared, and then determine current optimal training mode characteristic attribute, and send out according to the training mode characteristic attribute It send corresponding instruction to rehabilitation ectoskeleton training device, command adapted thereto is executed by rehabilitation ectoskeleton training device, patient is carried out often Group training;The newest assessment characteristic attribute information initial value of the patient that the Medical Instruments is sent is commenting for the preceding patient of training Estimate characteristic attribute information;
Such as Fig. 2, training mode selects flow chart, specifically includes the following steps: obtaining from Medical Instruments, patient is newest to be commented Estimate characteristic attribute value A, patient characteristic attribute value is obtained from human-computer interaction, patient evaluation characteristic attribute value A and patient characteristic category Property enter ginseng of the value as attribute value weighted registration selection algorithm, optimum training mode is calculated from database, according to best instruction Practice mode and obtain training mode characteristic value, is sent to control driver control rehabilitation ectoskeleton and does training.
According to each characteristic attribute that exoskeleton rehabilitation medicinal empirical data is patient, weighted value P is set11, P12, P13,P14,P15,P16,P17Respectively correspond gender, age, weight, rehabilitation limbs length, limbs type, type of impairment, damage etc. Grade, psychological condition, P11+P12+P13+P14+P15+P16+P17=1
According to each characteristic attribute that exoskeleton rehabilitation medicinal empirical data is assessment, weighted value P is set21, P22,P23 Respectively correspond muscle activity, heart rate, oxygen demand, P21+P22+P23=1
P31For patient characteristic attribute, weighted value, P are set32For assessment characteristic attribute, weighted value, P are set31+P32=1
Characteristic attribute value (a of training patient1,a2,a3,a4,a5,a6,a7),
The assessment characteristic attribute value (b of training patient1,b2,b3),
Relationship map chained list is traversed, by the a_pk and b_pk stored in relationship map chained list, in patient characteristic attribute list It is extracted respectively with assessment characteristic attribute table, patient characteristic attribute value sequence:
{(a11,a12,a13,a14,a15,a16,a17),(a21,a22,a23,a24,a25,a26,a27)……(an1,an2,an3,an4, an5,an6,an7)};
With assessment characteristic attribute value sequence:
{(b11,b12,b13),(b21,b22,b23)……(bn1,bn2,bn3)},
Find out best similarity x=min { s1,s2……sn, the corresponding s of xiIt is and trains patient's states most similar, According to siCorresponding rc can be foundi(Major key { rc in relationship map chained list1,rc2......rcnAnd similarity comparison value { s1, s2,…….snBe one-to-one relationship), pass through rciThe corresponding value of h_kp is found in relationship map chained list, passes through h_kp value Corresponding training mode characteristic attribute value, as the optimum training mode of the patient are found in training mode characteristic attribute table.
(b) training effect evaluation module
Evaluation parameter is calculated according to the assessment characteristic attribute information after every group of training, if evaluation parameter characterizes this group of rehabilitation Training is effective, then by the assessment characteristic attribute information and corresponding training mode before the characteristic attribute information of the patient, training Characteristic attribute opening relationships in rehabilitation ectoskeleton database maps chain;If invalid, starting training mode adjusts module;
It is specific to be realized as shown in figure 3, being referred under type such as:
(1) according to the type of impairment of exoskeleton rehabilitation medicinal empirical data combination patient itself and damage rank, solution Calculate goal-based assessment spy attribute value indicative obj;Target signature attribute: it is mainly used to describe patient by one group of rehabilitation ectoskeleton training The expected functioning characteristics of body afterwards, characteristic attribute includes muscle activity, heart rate and oxygen demand.
It is that muscle is established in classification respectively with type of impairment and impairment scale according to exoskeleton rehabilitation medicinal empirical data Activity profile change rate is referring to table
Heart rate attribute change rate is referring to table
Oxygen demand attribute change rate is referring to table
Muscle activity goal-based assessment value solves:
1 according to the type of impairment a5 of patient in evaluation attribute change rate referring to finding corresponding muscle activity change rate in table Set Di={ di1...dij…din};
2 according to the damage rank a6 of patient in evaluation attribute change rate referring to finding corresponding muscle activity change rate in table Set Dj={ d1...dij…dmj};
3 muscle activity attribute change rate D=Di∩Dj={ dij};
4 muscle activity goal-based assessment value ob1=b1+dij
b1For the muscle activity value of patient before training.
Heart rate goal assessed value solves:
1 according to the type of impairment a5 of patient in evaluation attribute change rate referring to finding corresponding change rate of heartbeat set in table Ei={ ei1…eij…ein};
2 according to the damage rank a6 of patient in evaluation attribute change rate referring to finding corresponding change rate of heartbeat set in table Ej={ e1j…eij…emj};
3 heart rate attribute change rate E=Ej∩Ej={ eij};
4 heart rate goal assessed value ob2=b2+eij
b2For the heart rate of patient before training.
Oxygen demand goal-based assessment value solves:
1 according to the type of impairment a5 of patient in evaluation attribute change rate referring to finding corresponding oxygen demand change rate collection in table Close Fi={ fi1…fij…fin};
2 according to the damage rank a6 of patient in evaluation attribute change rate referring to finding corresponding oxygen demand change rate collection in table Close Fj={ f1j…fij…fmj};
3 oxygen demand attribute change rate F=Fi∩Fj={ fij};
4 oxygen demand goal-based assessment value ob3=b3+fij
b3For the oxygen demand of patient before training.
Calculate goal-based assessment spy attribute value indicative OB={ ob1,ob2,ob3}。
(2) according to the assessment characteristic attribute information b after trainingjEvaluation parameter is resolved with goal-based assessment characteristic attribute value
(3) judge whether g falls into preset threshold range (value within the scope of general recommendations 0-5), if falling into, characterize this Group rehabilitation training is effective, otherwise in vain.
(c) training mode adjusts module
Training mode adjusts module according to the assessment characteristic attribute information adjusting training pattern feature attribute of patient, according to tune Training mode characteristic attribute after whole sends control instruction to rehabilitation ectoskeleton training device and carries out one group of training.
As shown in figure 4, for example, training mode characteristic attribute tune can be established according to exoskeleton rehabilitation medicinal empirical data Empirical coefficient table between whole rate and assessment characteristic attribute change rate:
Assessment characteristic attribute value (b before training patient motion1,b2,b3)
b1,b2,b3Muscle activity value, heart rate value, oxygen consumption magnitude respectively before training
Assessment characteristic attribute value (b after training patient motion1',b2',b3')
b1',b2',b3' it is respectively muscle activity after training, heart rate, oxygen demand
Training mode characteristic attribute value (h1,h2,h3,h4,h5)
h1,h2,h3,h4,h5Preceding motion profile, speed are adjusted for training mode, bend and stretch angle, traction dynamics and training time
Training mode characteristic attribute value (h after adjustment1',h2',h3',h4',h5')
h1',h2',h3',h4',h5' for training mode adjustment after motion profile, speed, bend and stretch angle, traction dynamics and instruction Practice the time
According to each characteristic attribute that exoskeleton rehabilitation medicinal empirical data is assessment, weighted value P is set21, P22, P23 Respectively correspond muscle activity, heart rate, oxygen demand, P21+P22+P23=1
P31For patient characteristic attribute, weighted value, P are set32For assessment characteristic attribute, weighted value, P are set31+P32=1
Motion profile solves after adjustment:
h1'=h1+(b1'-b1)×k11×P21+(b2'-b2)×k12×P22+(b3'-b3)×k13×P23
Speed solves after adjustment:
h2'=h2+(b1'-b1)×k21×P21+(b2'-b2)×k22×P22+(b3'-b3)×k23×P23
Angle solution is bent and stretched after adjustment:
h3'=h3+(b1'-b1)×k31×P21+(b2'-b2)×k32×P22+(b3'-b3)×k33×P23
Traction dynamics are adjusted to solve:
h4'=h4+(b1'-b1)×k41×P21+(b2'-b2)×k42×P22+(b3'-b3)×k43×P23
The adjusting training time solves:
h5'=h5+(b1'-b1)×k51×P21+(b2'-b2)×k52×P22+(b3'-b3)×k53×P23
hiFor training mode characteristic attribute value,
hi' it is training mode characteristic attribute value after adjustment,
bj' it is to assess characteristic ginseng value after training
kijFor the empirical coefficient of training mode characteristic attribute regulation and assessment characteristic attribute change rate relationship
h'i=hi+∑j(b'j-bj)×kij×Pj
(4) rehabilitation ectoskeleton training device
Rehabilitation ectoskeleton training device can be using existing convalescence device currently on the market, can also be using institute in Fig. 1 The example given carries out rehabilitation training.
As shown in Figure 1, device includes ectoskeleton skeleton, joint motor, control driver, sensor (position sensor, angle Spend sensor, pickoff);
Ectoskeleton skeleton: immobilized patients upper limb/lower limb follows motor to move by control strategy.
Joint motor: providing joint mechanical power source, drives ectoskeleton skeleton motion.
Control driver: the control instruction transmitted according to host computer forms motor work order, and driving motor presses pre- cover half Formula movement.
Sensor: monitoring ectoskeleton motion process simultaneously gives data feedback to control driver.Angular transducer measures dermoskeleton The angle of bone joint motions;Position sensor measures ectoskeleton movement position;Pickoff measures patient's upper limb/lower limb flesh Meat pressure state.
(5) human-computer interaction interface
Human-computer interaction interface can carry out Function Extension according to actual needs, include in this example emergency stop function region and Function selects control area;Emergency stop function region provides the means of emergent management for patient or doctor, for example, by using behaviour The mode of vertical pole or button carries out emergency stop to training in progress.
The function selection control area provides training mode characteristic attribute and manually adjusts interface and training mode selection Interface is manually adjusting interface by directly being received by the data reception module in host computer after corresponding numerical value is manually entered, Training mode adjusts module, and directly data send corresponding control instruction based on the received;It is artificial right in training mode selection interface Existing training mode is selected in database, directly sends phase according to the training mode of selection by training mode selecting module The control instruction answered.
The present invention also provides a kind of rehabilitation ectoskeleton training mode control methods, and steps are as follows:
(1) patient characteristic attribute, training mode are stored in advance according to clinical information in rehabilitation ectoskeleton database in advance Relationship map chain between characteristic attribute, assessment characteristic attribute and three;
(2) it will be attached between rehabilitation ectoskeleton database and more host computers by network, the quantity root of host computer It is arranged according to actual demand;Every host computer for participating in training executes every group of training as steps described below:
(2.1) the externally input characteristic attribute information to rehabilitation is received;
(2.2) by it is received to the characteristic attribute information of rehabilitation, the newest assessment characteristic attribute information of the patient with The information stored in rehabilitation ectoskeleton database is compared, and then determines current optimal training mode characteristic attribute, and root Corresponding instruction is sent to rehabilitation ectoskeleton training device according to the training mode characteristic attribute, is held by rehabilitation ectoskeleton training device The training that row command adapted thereto currently organizes patient;The newest assessment characteristic attribute information starts in first group of training The preceding assessment characteristic attribute information for patient before training, every later group of assessment for being trained for the patient acquired after previous group training are special Levy attribute information;
(2.3) after current group training, the assessment characteristic attribute information of patient is acquired by Medical Instruments;
(2.4) evaluation parameter is calculated according to the assessment characteristic attribute information after training, if evaluation parameter characterizes this group of health Refreshment is practiced effectively, then (2.5) is gone to step, if in vain, going to step (2.6);
(2.5) by the characteristic attribute information of the patient, training before assessment characteristic attribute information and corresponding trained mould The opening relationships in rehabilitation ectoskeleton database of formula characteristic attribute maps chain, goes to step (2.2) and carries out next group of training;
(2.6) according to the assessment characteristic attribute information adjusting training pattern feature attribute of patient, according to training adjusted After pattern feature attribute sends control instruction to rehabilitation ectoskeleton training device one group of training of progress, (2.3) are gone to step.
The human-computer interaction interface includes emergency stop function region and function selection control area;The function choosing Select control area provide training mode characteristic attribute manually adjust interface and training mode selection interface, manually adjust interface by It is manually entered after corresponding numerical value directly that data send corresponding control instruction to the training of rehabilitation ectoskeleton based on the received by host computer Device is transferred to step (2.3) and starts to execute;In training mode selection interface, manually to training mode existing in database into Row selection directly sends corresponding control instruction to rehabilitation ectoskeleton training device according to the training mode of selection by host computer, Step (2.3) is transferred to start to execute.
The realization of specific steps can use identical processing mode with system in method, not repeated excessively herein.
Unspecified part of the present invention belongs to common sense well known to those skilled in the art.

Claims (6)

1. a kind of rehabilitation ectoskeleton training mode control system, it is characterised in that: including rehabilitation ectoskeleton database, can be according to need The host computer for carrying out quantity extension is sought, passes through network connection between rehabilitation ectoskeleton database and host computer;Every host computer packet Include data reception module, training mode selecting module, training effect evaluation module, training mode adjustment module;
Patient characteristic attribute, training mode characteristic attribute, assessment are stored in advance according to clinical information in rehabilitation ectoskeleton database Relationship map chain between characteristic attribute and three;
Data reception module on every host computer receives the characteristic attribute information to rehabilitation by human-computer interaction interface, with And receive the newest assessment characteristic attribute information of the patient that Medical Instruments is sent;
The letter that training mode selecting module will store in the received above- mentioned information of data reception module and rehabilitation ectoskeleton database Breath is compared, and then determines current optimal training mode characteristic attribute, and send phase according to the training mode characteristic attribute The instruction answered executes command adapted thereto by rehabilitation ectoskeleton training device and carries out every group of instruction to patient to rehabilitation ectoskeleton training device Practice;The newest assessment characteristic attribute information initial value of the patient that the Medical Instruments is sent is the assessment spy of patient before training Levy attribute information;
Medical Instruments acquires the assessment characteristic attribute information of patient and is sent to data reception module after every group of training;
Training effect evaluation module calculates evaluation parameter according to the assessment characteristic attribute information after every group of training, if evaluation parameter Characterize that this group of rehabilitation training is effective, then by assessment characteristic attribute information before the characteristic attribute information of the patient, training and right The training mode characteristic attribute answered opening relationships in rehabilitation ectoskeleton database maps chain;If invalid, start training mode tune Mould preparation block;
Training mode adjusts module according to the assessment characteristic attribute information adjusting training pattern feature attribute of patient, after adjustment Training mode characteristic attribute send control instruction to rehabilitation ectoskeleton training device carry out one group of training;
The training mode selecting module determines that the implementation of current optimal training mode characteristic attribute is as follows:
(1) it is set according to each characteristic attribute i and assessment characteristic attribute j that exoskeleton rehabilitation medicinal empirical data is patient Set weighted value Pi、Pj,,
For patient characteristic attribute, weighted value P is set31, for assessment characteristic attribute, weighted value P is set32, P31+P32=1, P32> P31
(2) according to the characteristic attribute value a of current training patientiAnd current newest assessment characteristic attribute value bj, calculate and data Canned data similarity { s in library1,s2…sm…sn};
Wherein, Aim、BjmFor the characteristic attribute value of the corresponding patient of the m articles relationship map chain in database and assessment characteristic attribute Value;
N is the relationship map chain quantity stored in database;
(3) best similarity x=min { s is found out1,s2……sn, the corresponding s of xmIt is, root most similar with training patient's states According to smCorresponding training mode characteristic attribute value, the as optimum training of the patient are found by relationship map chain in the database Mode.
2. system according to claim 1, it is characterised in that: the human-computer interaction interface includes emergency stop function region Control area is selected with function;The function selection control area provides training mode characteristic attribute and manually adjusts interface and instruction Practice model selection interface, manually adjust interface by after corresponding numerical value is manually entered directly by the data reception module in host computer It is received, training mode adjusts module, and directly data send corresponding control instruction based on the received;Boundary is selected in training mode Face manually selects training mode existing in database, by training mode selecting module directly according to the training of selection Mode sends corresponding control instruction.
3. system according to claim 1, it is characterised in that: training effect evaluation module judges whether rehabilitation training is effective Implementation is as follows:
(1) it according to the type of impairment of exoskeleton rehabilitation medicinal empirical data combination patient itself and damage rank, calculates Goal-based assessment attributive character value obj
(2) according to the assessment characteristic attribute information b after trainingjWith goal-based assessment attributive character value objResolve evaluation parameter
(3) judge whether g falls into preset threshold range, if falling into, it is effective to characterize this group of rehabilitation training, otherwise in vain.
4. system according to claim 3, it is characterised in that: the preset threshold range is (0 ~ 5).
5. system according to claim 3, it is characterised in that: goal-based assessment attributive character value objDetermination steps are as follows:
It (1.1) is that classification is established often respectively with type of impairment and impairment scale according to exoskeleton rehabilitation medicinal empirical data The change rate of a assessment characteristic attribute is referring to table;
(1.2) according to the type of impairment of patient and damage rank, become respectively in above-mentioned attribute for each assessment characteristic attribute Rate is referring to finding out corresponding attribute change rate set in table;
(1.3) it is directed to each assessment characteristic attribute, removes to find out corresponding attribute change rate intersection of sets collection as the assessment feature The change rate of attribute;
(1.4) it is directed to each assessment characteristic attribute, by the assessment characteristic attribute value before training plus right obtained in step (1.3) The change rate answered is to get the goal-based assessment attributive character value for arriving the assessment characteristic attribute.
6. system according to claim 1, it is characterised in that: training mode adjusts module and utilizes following formula adjusting trainings Pattern feature attribute value:
Wherein, hiFor training mode characteristic attribute value,
hi' it is training mode characteristic attribute value after adjustment,
bj' to assess characteristic ginseng value after training,
PjFor assess characteristic attribute j weighted value,
kijFor the empirical coefficient of training mode characteristic attribute regulation and assessment characteristic attribute change rate relationship.
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