CN108648797A - The dual-purpose portable rehabilitation training system and method for the family practice of vestibular rehabilitation is realized based on virtual reality device - Google Patents
The dual-purpose portable rehabilitation training system and method for the family practice of vestibular rehabilitation is realized based on virtual reality device Download PDFInfo
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/30—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
Abstract
The invention discloses realize the dual-purpose portable rehabilitation training system and method for the family practice of vestibular rehabilitation based on virtual reality device,Training system includes scale evaluation module,Virtual reality device,Alignment sensor,Training self-appraisal module and training memory module,The scale evaluation module has dizziness and disequilibrium scale,State of an illness rank of the dizziness with disequilibrium scale for the trainee that tests and assesses,The virtual reality device has multiple training videos for vestibular dysfunction rehabilitation,Multiple training videos are divided into trained rank corresponding with state of an illness rank,The alignment sensor is mutually practiced with virtual reality device and training self-appraisal module respectively,Alignment sensor is used to sense the rehabilitation training situation of the body part of trainee,And sensing result is transferred to trained self-appraisal module,The training self-appraisal module completes self-appraisal scoring according to the sensing result received.The systems household hospital is general.The present invention discloses its training methods.
Description
Technical field
The family of vestibular rehabilitation is realized the invention belongs to medical rehabilitation technical field, in particular to based on virtual reality device
The dual-purpose portable rehabilitation training system of hospital and method.
Background technology
Dysequilibrium is common in crowd, is common in aural vertigo, the nervous system disease occurs together or the function left
Obstacle is also equally common in the elderly and occurs because of function aging, shows as chronic dizzy, dizzy heavy sense, rocks sense, not depending on object
Clearly, unstable on foot or deviation, (fortune) living move pause and transition in rhythm or melody sense, wound of even falling.
Balanced capacity and eye regard object ability (vision), the impression in limb muscle joint and feed back motion ability (proprioceptive sensation),
Experience inner ear vestibule function (vestibular sensation) three of head movement stimulation, and related to the sense system system of maincenter composition.
Currently, realizing that the rehabilitation training system of vestibular rehabilitation or training method not yet occur based on virtual reality device.
Invention content
One of the objects of the present invention is to provide realize that the family practice of vestibular rehabilitation is dual-purpose based on virtual reality device
Portable rehabilitation training system, the rehabilitation training system can be used in vestibular rehabilitation training, and easy to carry, and family practice is logical
With.
What this purpose of the present invention was realized by following technical solution:Vestibular rehabilitation is realized based on virtual reality device
The dual-purpose portable rehabilitation training system of family practice, it is characterised in that:The rehabilitation training system includes scale assessment mould
Block, virtual reality device, alignment sensor, training self-appraisal module and training memory module, the scale evaluation module have
Dizziness and disequilibrium scale, the dizziness is with disequilibrium scale for the dizzy of trainee's vestibular balance dysfunction of testing and assessing
Dizzy and equilibrium condition, trainee obtains a fractional value by dizziness of testing oneself with disequilibrium scale, while obtaining and the score
It is worth corresponding state of an illness rank, then gives the state of an illness class transport of generation to the virtual reality device, described is virtual existing
Real equipment has multiple training videos for vestibular dysfunction rehabilitation, and multiple training videos are divided into corresponding with state of an illness rank
Training rank, the virtual reality device recalls and plays corresponding with the state of an illness rank after receiving state of an illness class information
The training video of training rank, trainee carry out rehabilitation training, alignment sensor difference according to the training video of broadcasting
Mutually practice with virtual reality device and training self-appraisal module, alignment sensor is used to sense the rehabilitation training of the body part of trainee
Situation, and sensing result is transferred to trained self-appraisal module, the training self-appraisal module is according to the sensing result received
Self-appraisal scoring is completed, and appraisal result is stored in trained memory module.
In the present invention, the body building situation of alignment sensor sensing trainee specifically include detection trainee according to
The content requirement of training video, if the action of body corresponding site can be completed, if complete before the deadline, if
Defined movement range is reached, if corresponding number can be completed.
In the present invention, the trained self-appraisal module completes the standard that self-appraisal is scored according to the sensing result received and is:It sees
Training of the trainee in limiting time is examined, trained score value is set as 0-4 points every time, and 0 point represents any task that can not complete, and 1
1/3 task of completing that represents, 2 points of representative 50% tasks of completion, 3 points of representatives is divided to complete 80% -90% task, 4 points represent completion entirely
Portion's task, score is higher, and to represent balanced capacity better.
In the present invention, the state of an illness rank of test oneself dizziness and the disequilibrium scale is ten grades, by test oneself dizziness with it is flat
The fractional value that weighing apparatus obstacle scale measures is higher, and state of an illness rank is higher, then the state of an illness is also more serious, in the virtual reality device
Training video is 35, and training rank is divided into ten grades, and per level-one, training rank and corresponding state of an illness rank are corresponding.
In the present invention, the rehabilitation training system judges rehabilitation training effect by scoring;Or pass through trainee's health
After a period of time is practiced in refreshment, then by test oneself dizziness and disequilibrium scale of scale evaluation module test oneself to obtain a rehabilitation training
Fractional value afterwards compares the fractional value after rehabilitation training and the fractional value before rehabilitation training, if point after rehabilitation training
Numerical value be less than rehabilitation training before fractional value, then illustrate that rehabilitation training is effective, if the fractional value after rehabilitation training be more than etc.
Fractional value before rehabilitation training then illustrates that rehabilitation training does not have effect, then adjusts corresponding training video again.
In the present invention, the body part of the trainee includes that head, eye, incidence joint, hip joint, upper limb are respectively put
Movable joint, knee and ankle respectively support joint, vestibular-eye movement reflex path, vestibular-neck reflex access and vestibule-spinal cord reflex access.
In rehabilitation training, the body part of the trainee includes the positions such as head, eye and body part.Head, neck
In portion and these positions of limbs with maintain to balance relevant (1) limbs and each movable joint, including head-neck joint, hip joint,
Each swinging joint of upper limb, knee and ankle respectively support joint.(2) each neural reflex access, including vestibular-eye movement reflex path, vestibular-
Neck reflex access, vestibule-spinal cord reflex access.
The rehabilitation training system of the present invention is mounted on by developing video on VR (virtual reality) video equipment, for
Property carry out task training to reach the target of rehabilitation, mechanism is that human body reaches reintegrating for sense system system by rehabilitation training
Coordinate.
The content of video can be such that the cooperation of rehabilitation training combination trainee carries out by designing scene below:1 scene is pierced
Swash:Such as the shelf in supermarket market, dynamic straight line or rotary motion etc..Under 2 stationary states, ocular vision is stared position and is changed
The object of change distinguishes distance or tracing movement object.3 are moved by certain track:Ocular vision stares the object of fixed (or vibrations)
Body distinguishes distance, and 4 can transfer the tracing movement object of the movements such as neck, waist or lower limb or complete Mission Objective.
Target group:1, the balance dysfunction that aural vertigo, the nervous system disease are occurred together or left;2, the elderly
The healthy person Sensory integrative of group is taken exercise with the rehabilitation training of fall prevention and balance dysfunction patient.
The second object of the present invention is to provide realizes that the family practice of vestibular rehabilitation is dual-purpose based on virtual reality device
The training method of portable rehabilitation training system, the training method are easily operated.
What this purpose of the present invention was realized by following technical solution:It realizes above-mentioned based on virtual reality device realization
The training method of the dual-purpose portable rehabilitation training system of family practice of vestibular rehabilitation, which is characterized in that the training method packet
Include following steps:
(1) scale appraisal procedure:Trainee obtains one point by the dizziness of scale evaluation module with disequilibrium scale
Numerical value, while state of an illness rank corresponding with the fractional value is obtained, corresponding training rank is generated according to state of an illness rank;
(2) training class transport step:By the training class transport of generation to virtual reality device;
(3) training video plays step:There is virtual reality device multiple training for vestibular dysfunction rehabilitation to regard
Frequently, multiple training videos are corresponding with training rank, and by playing corresponding training video, trainee regards according to the training of broadcasting
Frequency carries out rehabilitation training;
(4) rehabilitation training senses step:The rehabilitation training situation of the body part of trainee is sensed by alignment sensor,
And sensing result is transferred to trained self-appraisal module;
(5) self-appraisal scoring step:By training self-appraisal module, self-appraisal scoring is completed according to the sensing result received;
(6) appraisal result storing step:Appraisal result is stored by training memory module.
Description of the drawings
The present invention is described in further detail with reference to the accompanying drawings and detailed description.
Fig. 1 is the frame diagram of rehabilitation training system of the present invention;
Fig. 2 is the flow chart of recovery training method of the present invention.
Specific implementation mode
As shown in Figure 1 realizes the dual-purpose portable rehabilitation training of the family practice of vestibular rehabilitation based on virtual reality device
System, the rehabilitation training system include scale evaluation module, virtual reality device, alignment sensor, training self-appraisal module and instruction
Practice memory module, scale evaluation module has dizziness and disequilibrium scale, dizziness trained for testing and assessing with disequilibrium scale
The dizziness and equilibrium condition of person's vestibular balance dysfunction, trainee obtain one point by dizziness of testing oneself with disequilibrium scale
Numerical value, while state of an illness rank corresponding with the fractional value is obtained, then the state of an illness class transport of generation is set to virtual reality
Standby, virtual reality device has multiple training videos for vestibular dysfunction rehabilitation, and multiple training videos are divided into and the state of an illness
The corresponding trained rank of rank, virtual reality device are recalled and are played opposite with the state of an illness rank after receiving state of an illness class information
The training video for the training rank answered, trainee according to the training video of broadcasting carry out rehabilitation training, alignment sensor respectively with
Virtual reality device is mutually practiced with training self-appraisal module, and alignment sensor is used to sense the rehabilitation training feelings of the body part of trainee
Condition, and sensing result is transferred to trained self-appraisal module, training self-appraisal module completes self-appraisal according to the sensing result received
Scoring, and appraisal result is stored in trained memory module.
In the present embodiment, the body building situation of alignment sensor sensing trainee specifically includes detection trainee according to instruction
Practice the content requirement of video, if the action of body corresponding site can be completed, if complete before the deadline, if reach
Defined movement range is arrived, if corresponding number can be completed.
Table 1 is dizziness and disequilibrium scale, for assessing the dizziness of patient's dizziness or the unstable difficulty faced.
Table 1:Dizziness and disequilibrium scale
Wherein, P are scored at 0-28, and E are scored at 0-36, and F are scored at 0-36, total score full marks P+E+F=100.
Table 2 is that Syndrome Scale assesses VAS tables (visual analogue scales), is obtained with disequilibrium scale according to the dizziness of testing oneself of table 1
To a fractional value, the i.e. score value of P+E+F, while state of an illness rank corresponding with the fractional value being obtained, state of an illness rank is ten grades,
Every 10 points corresponding level-ones, refer to following table.
Table 2:Syndrome Scale assesses VAS tables
Dizziness of testing oneself and the state of an illness rank of disequilibrium scale are ten grades, and by testing oneself, dizziness is measured with disequilibrium scale
Fractional value it is higher, state of an illness rank is higher, then the state of an illness is also more serious, the training video in virtual reality device be 35,
Training rank is divided into ten grades, and per level-one, training rank and corresponding state of an illness rank are corresponding, i.e., I grade of training rank corresponds to I grade
State of an illness rank, V grade of training rank corresponds to V grade of state of an illness rank, and Ⅹ grade of training rank corresponds to Ⅹ grade of state of an illness rank.
Table 3:Training video and training objective table
Training video is divided into following ten ranks, and rank and corresponding video serial number are as follows:I grade:1~8, II grade:9~
12, III grade:13~16, IV grade:17~18, V grade:19~22. VI grades:23~26, VII grade:27~29, VIII grade:30~31, Ⅸ
32~33 Ⅹ grades of grade:34~35.
Rehabilitation training system judges rehabilitation training effect by scoring;Or for a period of time by trainee's rehabilitation training
Afterwards, then by test oneself dizziness and disequilibrium scale of scale evaluation module test oneself to obtain fractional value after a rehabilitation training, it will
The fractional value before fractional value and rehabilitation training after rehabilitation training compares, if the fractional value after rehabilitation training is instructed less than rehabilitation
Fractional value before white silk then illustrates that rehabilitation training is effective, if before the fractional value after rehabilitation training is more than or equal to rehabilitation training
Fractional value then illustrates that rehabilitation training does not have effect, then adjusts corresponding training video again.
Training self-appraisal module completes the standard that self-appraisal is scored according to the sensing result received:Observation trainee is limiting
Training in time, the score value trained every time are set as 0-4 points, and 0 point represents any task that can not complete, and 1 point represents completion 1/3
50% task is completed in business, 2 points of representatives, and 3 points represent 80% -90% tasks of completing, and 4 points represent the whole tasks of completion, and score is higher
It is better to represent balanced capacity.
In the present invention, the body part of trainee includes that head, eye, incidence joint, hip joint, upper limb respectively swing pass
Section, knee and ankle respectively support joint, vestibular-eye movement reflex path, vestibular-neck reflex access and vestibule-spinal cord reflex access.
In rehabilitation training, the body part of trainee includes the positions such as head, eye and body part.Head, neck and
In these positions of limbs relevant (1) limbs and each movable joint, including head-neck joint, hip joint, upper limb are balanced with maintenance
Each swinging joint, knee and ankle respectively support joint.(2) each neural reflex access, including vestibular-eye movement reflex path, vestibular-neck are anti-
Penetrate access, vestibule-spinal cord reflex access.
Realize that the dual-purpose portable rehabilitation of the above-mentioned family practice based on virtual reality device realization vestibular rehabilitation trains system
The training method of system, as shown in Fig. 2, the training method includes the following steps:
(1) scale appraisal procedure:Trainee obtains one point by the dizziness of scale evaluation module with disequilibrium scale
Numerical value, while state of an illness rank corresponding with the fractional value is obtained, corresponding training rank is generated according to state of an illness rank;
(2) training class transport step:By the training class transport of generation to virtual reality device;
(3) training video plays step:There is virtual reality device multiple training for vestibular dysfunction rehabilitation to regard
Frequently, multiple training videos are corresponding with training rank, and by playing corresponding training video, trainee regards according to the training of broadcasting
Frequency carries out rehabilitation training;
(4) rehabilitation training senses step:The rehabilitation training situation of the body part of trainee is sensed by alignment sensor,
And sensing result is transferred to trained self-appraisal module;
(5) self-appraisal scoring step:By training self-appraisal module, self-appraisal scoring is completed according to the sensing result received;
(6) appraisal result storing step:Appraisal result is stored by training memory module.
The rehabilitation training system of the present invention includes hardware components and software section, hardware components include virtual reality device and
Alignment sensor plays video to acquire the action of patient (trainer).
Software section includes scale evaluation module, training self-appraisal module and training memory module, and the function of software section is such as
Under:
1, by dizziness and disequilibrium scale, the state of an illness of patient is assessed.
2, according to the state of an illness of assessment, corresponding training rank, the training video of personalized customization are generated.
3, the video of training can realize scoring and score according to the action of patient and the extent of reaction, increase it is interactive and
Trainer can adhere to training for interest..
4, system can access doctor port, the number of statistics patient's training and the time for adding up training, and doctor can root
According to these data, in conjunction with patient training before and after condition assessment, the rehabilitation efficacy of training of judgement video.
Self-appraisal scoring is completed in training:Patient is observed in limiting time, every time 0-4 points of training, 0 point of representative can not be completed to move
Make, 1 point represents 1/3 or so tasks of completing, and 2 points represent 50% or so the task that is only completed, and 3 points are basically completed task, but feel have
Difficulty.4 points represent smooth execution.Score is higher, and to represent balanced capacity better.
Syndrome Scale is assessed:It is carried out with balance Syndrome Scale, VAS tables by dizziness.
Pressure, time, number etc. are involved in attached body-sensing balance plate-record.
5, by alignment sensor, incude action and the body kinematics situation of patient, whether patient is according to video for detection
Content requirement, either with or without the corresponding action (head, eye, the action at the positions such as body) of completion, if before the deadline
It completes, if reached defined movement range, if corresponding number can be completed.
6, training video can be needed according to children and the different of old man.Training to vestibular is divided into vestibular function exploitation
With two kinds of vestibular function rehabilitation (because the vestibular function of old man can degenerate).
Video in project is primarily suitable for 12 years old or more crowd.It is subdivided into 2 groups:
(1) 12 years old~60 years old group, according to patient effect from gently to being divided into 5 grades again:1 grade of activity is unaffected;It is 2 grades light
It spends impacted, most of activity can be carried out;3 grades, moderate is impacted, and activity need to work hard, outgoing to accompany and attend to;4 grades, daily work
It is dynamic limited, it can not go out, it is necessary to rest at home;5 grades, movable critical constraints can not carry out most activities, and severe patient needs
Bed.
Using 1 grade I~Ⅹ grade of corresponding exercise level;2 grades I~VIII grade;3 grades I~VII grade;4 grades I~V grade;5 grades
I~III grade, IV~VI grade under sitting posture state
(2)》60 years old old groups, are divided into:1 grade can be engaged in normal daily routines, and activity is unaffected;:I~Ⅹ grade;2 grades
Normal stand, it is impacted that walking is slight, can carry out most of activity;I~VIII grade;3 grades:Moderate is impacted, walking need to pay compared with
Big effort, there is fall risk;4 grades:Daily routines are limited, and activity need to pay great efforts or by walk helper, there is tumble history;5
Grade, which is stood, to disable, and needs I~VI grade of five rank of wheelchair.
Using corresponding exercise level, group reduces difficulty within than 12 years old~60 years old:1 grade I~Ⅸ grade;2 grades I~VII grade;3 grades
I~V grade, lower VI grade of sitting posture;4 grades I~IV grade, V~VI grade under sitting posture state;5 grades I~III grade, IV~V under sitting posture state
Grade
Sense system training less than 12 children is the further design of early education content needs, and target group is preschool 2~6 years old
Child crowd develops, and strengthens the motor coordination under visual stimulus, such as colorful park, orchard scene, mobile object
It is changed to the animal run, the fish of travelling, the wooden horse of rotation, lift is bowed picking fruit etc., and threading finely regards-and limbs the youngsters such as coordinate
Virgin gameization content.
This product be it is portable, can be one with patient's human hand, train at home, add up training to stage (such as
One month), it then goes to hospital to check, assesses trained effect.Avoid the inconvenience for needing hospital's training review daily.
The above embodiment of the present invention is not limiting the scope of the present invention, and embodiments of the present invention are not limited to
This, all this kind the above according to the present invention is not departing from this according to the ordinary technical knowledge and customary means of this field
Under the premise of inventing above-mentioned basic fundamental thought, modification, replacement or change to other diversified forms that above structure of the present invention is made
More, it should all fall within the scope and spirit of the invention.
Claims (7)
1. realizing that the dual-purpose portable rehabilitation training system of the family practice of vestibular rehabilitation, feature exist based on virtual reality device
In:The rehabilitation training system includes scale evaluation module, virtual reality device, alignment sensor, training self-appraisal module and instruction
Practice memory module, the scale evaluation module has dizziness and disequilibrium scale, the dizziness and disequilibrium scale
For the dizziness and equilibrium condition of trainee's vestibular balance dysfunction of testing and assessing, trainee passes through dizziness and the disequilibrium amount of testing oneself
Table obtains a fractional value, while obtaining state of an illness rank corresponding with the fractional value, then by the state of an illness class transport of generation
To the virtual reality device, there is the virtual reality device multiple training for vestibular dysfunction rehabilitation to regard
Frequently, multiple training videos are divided into trained rank corresponding with state of an illness rank, and the virtual reality device receives state of an illness rank
The training video of trained rank corresponding with the state of an illness rank is recalled and played after information, and trainee regards according to the training of broadcasting
Frequency carries out rehabilitation training, and the alignment sensor is mutually practiced with virtual reality device and training self-appraisal module respectively, orientation sensing
Device is used to sense the rehabilitation training situation of the body part of trainee, and sensing result is transferred to trained self-appraisal module, institute
The training self-appraisal module stated completes self-appraisal scoring according to the sensing result received, and appraisal result is stored in trained storage
In module.
2. according to claim 1 realize the dual-purpose portable health of the family practice of vestibular rehabilitation based on virtual reality device
Multiple training system, it is characterised in that:It is trained that the body building situation of the alignment sensor sensing trainee specifically includes detection
Person requires according to the content of training video, if can complete the action of body corresponding site, if complete before the deadline
At, if reach defined movement range, if corresponding number can be completed.
3. according to claim 1 realize the dual-purpose portable health of the family practice of vestibular rehabilitation based on virtual reality device
Multiple training system, it is characterised in that:The trained self-appraisal module completes the standard of self-appraisal scoring according to the sensing result received
For:Training of the trainee in limiting time is observed, trained score value is set as 0-4 points every time, and 0 point of representative can not complete any
Business, 1 point represents 1/3 task of completing, and 2 points represent 50% task of completing, and 3 points represent 80% -90% task of completing, and 4 points have represented
At whole tasks, score is higher, and to represent balanced capacity better.
4. according to claim 1 realize the dual-purpose portable health of the family practice of vestibular rehabilitation based on virtual reality device
Multiple training system, it is characterised in that:The state of an illness rank of test oneself dizziness and the disequilibrium scale is ten grades, passes through dizziness of testing oneself
The fractional value measured with disequilibrium scale is higher, and state of an illness rank is higher, then the state of an illness is also more serious, the virtual reality device
In training video be 35, training rank be divided into ten grades, per level-one training rank and corresponding state of an illness rank it is corresponding.
5. according to claim 1 realize the dual-purpose portable health of the family practice of vestibular rehabilitation based on virtual reality device
Multiple training system, it is characterised in that:The rehabilitation training system judges rehabilitation training effect by scoring;Or by trained
After person's rehabilitation training for a period of time, then by test oneself dizziness and disequilibrium scale of scale evaluation module test oneself to obtain a rehabilitation
Fractional value after training compares the fractional value after rehabilitation training and the fractional value before rehabilitation training, if after rehabilitation training
Fractional value be less than rehabilitation training before fractional value, then illustrate that rehabilitation training is effective, if the fractional value after rehabilitation training is big
In equal to the fractional value before rehabilitation training, then illustrating that rehabilitation training does not have effect, then corresponding training video is adjusted again.
6. according to claim 1 realize the dual-purpose portable health of the family practice of vestibular rehabilitation based on virtual reality device
Multiple training system, it is characterised in that:The body part of the trainee include head, eye, incidence joint, hip joint, on
Each swinging joint of limb, knee and ankle respectively support joint, vestibular-eye movement reflex path, vestibular-neck reflex access and vestibular-spinal cord anti-
Penetrate access.
7. realizing that claim 1 to 6 any one of them realizes that the family practice of vestibular rehabilitation is dual-purpose based on virtual reality device
Portable rehabilitation training system training method, which is characterized in that the training method includes the following steps:
(1) scale appraisal procedure:Trainee obtains a fractional value by the dizziness of scale evaluation module with disequilibrium scale,
State of an illness rank corresponding with the fractional value is obtained simultaneously, corresponding training rank is generated according to state of an illness rank;
(2) training class transport step:By the training class transport of generation to virtual reality device;
(3) training video plays step:Virtual reality device has multiple training videos for vestibular dysfunction rehabilitation, more
A training video is corresponding with training rank, by playing corresponding training video, trainee according to the training video of broadcasting into
Row rehabilitation training;
(4) rehabilitation training senses step:The rehabilitation training situation of the body part of trainee is sensed by alignment sensor, and
Sensing result is transferred to trained self-appraisal module;
(5) self-appraisal scoring step:By training self-appraisal module, self-appraisal scoring is completed according to the sensing result received;
(6) appraisal result storing step:Appraisal result is stored by training memory module.
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