CN108986884A - The training system and method that a kind of balanced rehabilitation and cognitive rehabilitation blend - Google Patents
The training system and method that a kind of balanced rehabilitation and cognitive rehabilitation blend Download PDFInfo
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Abstract
The invention discloses a kind of training system for blending balanced rehabilitation and cognitive rehabilitation and methods, rehabilitation content is set for patient profiles by training system rehabilitation teacher, it is adapted and can effectively eliminate the training situation of uninteresting sense in patient's training process therewith according to the rehabilitation content system of setting construction, balanced rehabilitation and cognitive rehabilitation are blended among same situation；In the training process, patient completes rehabilitation training and cognitive training by motion guiding；System obtains the action data of patient's training process by somatosensory device, calculate patient's center of gravity, carry out visualization display, provide evaluation feedback in time in a manner of visual pattern to training result, rehabilitation teacher is facilitated to instruct and evaluate patient, be conducive to patient and eliminate rehabilitation course sense dry as dust, heighten one's confidence lasting completion rehabilitation training.
Description
Technical field
The present invention relates to computer field and rehabilitation technique field, and in particular to a kind of balance is blended with cognitive rehabilitation
Training system and method.
Background technique
With brain trauma caused by closing on for aging, and different reasons, the funeral of more and more people's walking ability is caused
The decline for cognitive ability of becoming estranged, more and more people need to carry out rehabilitation training come the ability of restoring balance, and then realize normal row
It walks, while needing to restore cognitive ability, eliminate the influence that brain aging and damage generate.The rehabilitation training needs of traditional approach are gone
Special rehabilitation institution carries out guidance auxiliary by special messenger, however convalescent home of China popularization degree is inadequate, and place is limited and personnel
Instruct with high costs, and effect is not obvious enough；Restored using rehabilitation appliances, instrument it is at high cost, need additional space,
And restricted application, the patient in different rehabilitation stages is not adapted to, and training method is single uninteresting, is unfavorable for patient and has adhered to
At rehabilitation course；And aforesaid way all can not achieve cognitive rehabilitative training, however for Alzheimer disease caused by old age,
The training of the recovery of brain trauma and patients with cerebral apoplexy viability, cognitive ability is often more important.Urgent need wants one kind being capable of needle
The balanced rehabilitation patient of different level is independently trained, and the system that can be dissolved into cognitive training in balance training is come
It solves the above problems.
Summary of the invention
In view of the above technical problems, the present invention provides one kind and can customize for different patients and provide balance and cognition
The training program blended builds easily pleasant training situation, enables patient with the training of active complete independently, trained
Auxiliary is instructed without special messenger in journey, and training feedback can be obtained in time, understands execution, and with corresponding incentive mechanism,
Patient is set to enhance training confidence, effective training for promotion effect.It, can meanwhile by acquiring, handling to action data, analyze, save
Facilitate rehabilitation's teacher adjusting training scheme, improves balance and cognitive rehabilitative training system.
The technical solution adopted by the present invention is that: a kind of training system that balanced rehabilitation is blended with cognitive rehabilitation, including it is interior
Hold definition module, situation constructing module, motion guiding module, detecting and tracking module, center of gravity calculation module and movement feedback mould
Block；
The content-defined module, for setting rehabilitation training content according to patient profiles；
The situation constructing module is that rehabilitation training content for constructing and setting is adapted and can effectively eliminate patient
The training situation of the uninteresting sense of training process；
The motion guiding module, for the movement needed for guiding patient to execute；
The detecting and tracking module, pre-processes for obtaining the action data of patient, and to action data；
The center of gravity calculation module calculates patient's center of gravity for the patient motion data according to acquisition；
The movement feedback module, the movement for being completed according to patient provide anti-gravity's center control situation and cognitive assessment
Feedback.
The present invention sets rehabilitation training content according to patient profiles by content-defined module；Scene constructing module construction with
Training situation that the rehabilitation training content of setting is adapted and that the uninteresting sense of patient's training process can be effectively eliminated；Training is in training
It is carried out in situation, the movement needed for being executed by motion guiding module booting patient；The action data of patient is by detecting and tracking module
It obtains, and is sent to center of gravity calculation module after pre-processing to data；Center of gravity calculation module calculates position of centre of gravity；Movement is anti-
The action data that resume module detecting and tracking module provides and the gravity's center control data that center of gravity calculation module provides are presented, evaluation is provided
Feedback.Above system can be directed to different patients, and the training program that customization balanced rehabilitation and cognitive rehabilitation blend enables patient
The complete independently training in one easily pleasant training situation, the action data of training process by system acquisition, processing, divide
Analysis, and gravity's center control situation is calculated and analyzed, it can check that training result and training are suggested, can effectively training for promotion imitate
Fruit.
More preferably, in the above-mentioned technical solutions, the rehabilitation training content of the content-defined module setting includes balance instruction
Practice content and cognitive training content, the balance training content includes balanced reaction training, range of balance training, stability of equilibrium
Training, required movement balance training,；The cognitive training content be and the matched cognitive training of the patient age state of an illness.It is such
Setting facilitates doctor and patient to customize drill program, so that system is had more preferable applicability, training process sufficiently agrees with Patients ' Cognitive
The training stage and demand of rehabilitation and balanced rehabilitation.
More preferably, in the above-mentioned technical solutions, the situation constructing module include match balance training content scene and
Match the theme of balance training content；The scene of the matching balance training content includes scene situation selection submodule, is used for
According to the rehabilitation training content of the content-defined module selection, corresponding scene is selected；It recognizes theme and selects submodule, be used for
The situation that submodule selection is selected according to the scene situation, selects the theme of cognitive training.Such setting can use a feelings
Cognitive training and balance training are merged in border, the selection of cognitive training are carried out with the movement of balance training, and difficulty is suitble to suffer from
The requirement and progress of person, it is easy to accomplish while slightly challenge；Scene content can excite patient's training enthusiasm, eliminate
Uninteresting sense.
More preferably, in the above-mentioned technical solutions, the motion guiding module includes executing balance training to the guidance of movement
Motion guiding and execution cognitive training motion guiding；
Balance training motion guiding, including guidance patient complete upper and lower extremities required movement, guidance patient's gravity motion to finger
Determine orientation angle, guidance patient's center of gravity is maintained at fixed point specified time, guidance patient's center of gravity follows mobile target specified time；
Cognitive training motion guiding, guidance patient execute corresponding actions and accurately express itself cognition result.
Such setting substitutes artificial training guidance, allows patient that can easily carry out stand-alone training, not dejected not to be stranded
The entire training program of puzzled completion guarantees training effect.
More preferably, in the above-mentioned technical solutions, the detecting and tracking module includes patient's recognition and tracking submodule, for locking
Set the goal patient, can continue tracking target when being blocked and interfering；Patient articular's point data acquires submodule, for acquiring
The artis space coordinate of patient is sent to the center of gravity calculation module and action recognition module, and is trembled with filtering algorithm elimination
Joint information dynamic and that removal confidence level is low；Patient motion identify submodule, for identification with storage patient motion sequence, concurrently
It send to the movement feedback module, reflects the corresponding relationship of position of centre of gravity and current action.The shadow of environmental disturbances is eliminated in this way
It rings, makes up equipment itself limitation, bring the good experience sense of patient by being not interrupted patient's training, enhance trained special
Industry and the data of high confidence level are provided for rehabilitation teacher.
More preferably, in the above-mentioned technical solutions, the center of gravity calculation module includes segment centroid position computational submodule, again
Heart position computational submodule；Segment centroid position computational submodule is respectively saved according to patient articular's space of points coordinate and human body
The relative position Duan Zhixin parameter list calculates each segment centroid position of body；Position of centre of gravity computational submodule is according to the segment matter
Heart position and each segment distribution of weight parameter list of human body calculate weighted center of gravity space coordinate, and are sent to the movement feedback mould
Block.
The science of center of gravity result is increased by the specific gravity control of segment in this way, parameter independently may customize, can be to specific
The more accurate measurement of patient and targetedly training.
More preferably, in the above-mentioned technical solutions, the gravity's center control situation of the movement feedback module feedback includes center of gravity control
The accuracy of system, reaction speed, range size, the tilt angle of center of gravity, the relativeness of position of centre of gravity and current action；Feedback
Recognizing accuracy situation includes recognizing the correctness, accuracy, timeliness of selection.
Such setting is concerned about the state of oneself, intensive training target, to improperly training action convenient for patient in real time
It is corrected, and is encouraged and approved after correct, enhanced training confidence, promote effect.
More preferably, in the above-mentioned technical solutions, the system also includes analysis evaluation modules, for receiving the center of gravity control
Situation processed and cognitive training scoring event count the range of gravity's center control, reaction speed, range, angle and cognitive training
As a result in graphical form scores show, and as the result is shown on the screen by general comment, given according to the general comment result
Guiding opinion out.
Such setting facilitates patient to see that trained achievement, enhancing patient's training confidence generate further continuous training
Power.
More preferably, in the above-mentioned technical solutions, the system also includes excitation module, for according to the general comment as a result,
Cumulative award score is calculated, score is accumulative can to unlock locked situation and cognition theme.
Such be provided with obtains sense of accomplishment conducive to patient, and enhancing training system encourages patient to adhere to the viscosity of patient
Training.
The invention further relates to a kind of training methods that balance is blended with cognitive rehabilitation, comprising:
The first step, patient are guided the registration for carrying out personal account by rehabilitation teacher, establish personal balance training in the database
Medical archive；Database store patient's training data record, comprising: the training time, training duration, barycenter trajectory, human-subject test,
Training photo, sign monitoring data etc..Patient's details remotely can be checked and be managed by doctor terminal；
Second step, rehabilitation teacher are diagnosed by content-defined module according to patient, selection cognition balance training content and cognition
Training content.Content includes initial training grade of difficulty；
Third step, the Training scene of scene constructing module meeting Auto-matching training content and grade of difficulty, forms customization
Balance training game is supplied to patient and is trained；
4th step, patient start to train under the guidance of motion guiding module, and detecting and tracking module is opened, and equipment enters inspection
Survey state.Center of gravity calculation module records center of gravity information in background process detection data in real time in the database.Training difficulty meeting
Since content-defined module set initial difficulty, in training according to balance control situation and cognition performance automatically into
Row, which floats, to be adjusted；
5th step, training terminate, the training result that movement feedback module is handled well, center of gravity data, training achievement, together with note
Record is presented to patient in the database when the overall scores of secondary training information and all previous training compares as training feedback.Training
Record is completely saved in database, and rehabilitation teacher can be checked in doctor terminal.
Above-mentioned kind balance is to be blended based on kind of balance with cognitive rehabilitation with the training method that cognitive rehabilitation blends
It is carried out on training system, rehabilitation content is set for patient profiles by rehabilitation teacher, is constructed according to the rehabilitation content system of setting
The training situation of uninteresting sense in patient's training process is adapted and can effectively eliminated therewith, and balanced rehabilitation is merged with cognitive rehabilitation
Among same situation；In the training process, patient completes rehabilitation training and cognitive training by motion guiding；System passes through body
Feel the action data that equipment obtains patient's training process, calculates patient's center of gravity, visualization display is carried out, to training result with intuitive
Vivid mode provides evaluation feedback in time, and rehabilitation teacher is facilitated to instruct and evaluate patient, is conducive to patient and eliminates rehabilitation
Journey sense dry as dust, heighten one's confidence lasting completion rehabilitation training.
Detailed description of the invention
Fig. 1 is the schematic diagram for the training system that a kind of balanced rehabilitation provided by the invention and cognitive rehabilitation blend.
Specific embodiment
With reference to the accompanying drawing and specific embodiment further illustrates the present invention.
Embodiment 1
The training system that a kind of balance and cognitive rehabilitation as shown in Figure 1 blends, including content-defined module, situation structure
Modeling block, motion guiding module, detecting and tracking module, center of gravity calculation module and movement feedback module.
Content-defined module sets rehabilitation training content according to patient profiles；The rehabilitation of scene constructing module construction and setting
Training situation that training content is adapted and that the uninteresting sense of patient's training process can be effectively eliminated；Training training situation in into
Row, the movement needed for being executed by motion guiding module booting patient；The action data of patient is obtained by detecting and tracking module, and
Center of gravity calculation module is sent to after pre-processing to data；Center of gravity calculation module calculates position of centre of gravity；It acts at feedback module
The action data that detecting and tracking module provides and the gravity's center control data that center of gravity calculation module provides are managed, evaluation feedback is provided.
The rehabilitation training content of content-defined module setting include include balance training content and cognitive training content, it is described
Balance training content includes balanced reaction training, range of balance training, stability of equilibrium training and required movement balance training；Institute
Stating cognitive training content is and the matched cognitive training of the patient age state of an illness.
Situation constructing module includes scene situation selection submodule, for the rehabilitation according to the content-defined module selection
Training content selects corresponding scene；It recognizes theme and selects submodule, for selecting submodule selection according to the scene situation
Situation, select the theme of cognitive training；Cognitive training difficulty control submodule, corresponds in theme for controlling cognitive training
Training difficulty；Balance training difficulty control submodule, for controlling the difficulty completing balance training and requiring.
In embodiment, balance training difficulty control submodule, including single double-legged model selection: double-legged standing pattern, Dan Zuo
Foot standing pattern, single right crus of diaphragm standing pattern；The customization of balance training weight: adjustment patient's appointed part weight adjusts upper and lower extremities
Weight, the weight for adjusting unilateral limbs；Posture and balance controlled training adjusting of difficulty: adjustment single training duration, adjusting training
Scene obstacle and the quantity of reward, type, range placed in the middle, unilateral specific gravity, adjusting training speed of service bound；Gravity's center control energy
Power trains adjusting of difficulty: adjustment single training duration, adjust fixed target occur range placed in the middle, unilateral specific gravity, frequency, type,
The upper limit of the number adjusts mobile target appearance interval duration, movement speed, moving range, effective time, effective range.
Guiding module includes executing balance training motion guiding, execution cognitive training motion guiding to the guidance of movement.
When content-defined module selection cognitive training theme and posture and gravity's center control training program, matched situation process
Include the following steps: with motion guiding in training
(1) patient occurs in the form of the three-dimensional character for driving balance car in virtual training scene.Wherein, three-dimensional character bone
Bone artis is consistent with subjects bones' joint space relative position that attitude detection module detects, reflects the current appearance of patient in real time
State；The balance tail-light of three-dimensional character lights the offset of position reflection patient's center of gravity left and right directions, with position of centre of gravity variable quantity
With the corresponding relationship of patient's attitudes vibration amount, the feedback that position of centre of gravity is influenced as current patents' attitudes vibration.
(2) after training starts, virtual role is moved ahead with the initial velocity set along straight road, occurs obstacle and prize in road
It encourages；Wherein, initial obstacle reward appearance position, frequency, type, quantity and forward speed, which meet in scene constructing module, puts down
The setting for the training difficulty control module that weighs.
(3) patient's foot is as you were, swerves the weight and virtual role is driven to move left and right.
(4) balanced rehabilitation and cognitive rehabilitation are embodied in avoiding barrier and touching reward, choosing during virtual role moves ahead
It selects and hides or touch, training Patients ' Cognitive ability, execution is hidden and touch action training patient's balanced capacity.Wherein, it collides
Obstacle can deduct score, and touching reward will increase score, using obstacle and the frequency of occurrences of reward, quantity, type, position as trouble
Person balances the guidance of controlled training movement range and reaction, flat as patient using the special efficacy and score of knocking down and reward appearance
The feedback that the controlled training that weighs acts.
Detecting and tracking module includes patient's recognition and tracking submodule, is used for lock onto target patient, is being blocked and is interfering
When can continue tracking target；Patient articular's point data acquisition submodule is sent to for acquiring the artis space coordinate of patient
The center of gravity calculation module and action recognition module, and eliminate shake with filtering algorithm and remove the low joint information of confidence level；
Patient motion identifies submodule, for identification with storage patient motion sequence, and is sent to the movement feedback module, reflection weight
The corresponding relationship of heart position and current action.
, center of gravity calculation module includes segment centroid position computational submodule, position of centre of gravity computational submodule.Segment mass center position
Computational submodule is set, according to patient articular's space of points coordinate and each segment mass center of human body relative position parameter list, calculates body
Each segment centroid position of body；Position of centre of gravity computational submodule is joined according to the segment centroid position and each segment distribution of weight of human body
Number table, calculates weighted center of gravity space coordinate, and be sent to the movement feedback module.
Kinect can be used as sensor in detecting and tracking module hardware, and the data of acquisition pass through computer disposal, substantially
It is divided into five steps:
(1) Kinect sensor acquires 20 skeletal joint point space coordinates of human body；
(2) corresponding 20 artis space coordinates of each posture, and be divided into 15 segments, including head, the trunk upper half,
Trunk lower half, left and right upper arm, left and right forearm, right-hand man, left and right thigh, left and right shank, left and right foot；
(3) 15 segment centroid positions are calculated according to human body each segment mass center relative position parameter list；
(4) gravity center of human body spatial position coordinate is calculated according to segment distribution of weight parameter list；
(5) gravity center of human body's space coordinate and supporting surface centre coordinate is taken to obtain tilt angle and inclined direction vector.
The gravity's center control situation of movement feedback module feedback include the accuracy of gravity's center control, reaction speed, range size,
The tilt angle of center of gravity, the relativeness of position of centre of gravity and current action, the correctness for recognizing selection, accuracy, timeliness.
Embodiment 2
A kind of training system that balance is blended with cognitive rehabilitation as described in Example 1, which, which has been further added by, includes
Analysis evaluation module counts the range, anti-of gravity's center control for receiving the gravity's center control situation and cognitive training scoring event
Answer the scores of speed, range, angle and cognitive training, as a result in graphical form, show, and by general comment result
It is displayed on the screen, guiding opinion is provided according to the general comment result.
Embodiment 3
A kind of training system that balance is blended with cognitive rehabilitation as described in Example 2, it includes swashing which, which also increases,
Module is encouraged, for, as a result, calculating cumulative award score, score is accumulative can be unlocked locked situation and recognize according to the general comment
Know theme.
Above embodiment is intended to illustrate the present invention and can realize or use for professional and technical personnel in the field, to above-mentioned
Embodiment is modified and be will be apparent for professional and technical personnel in the field, thus the present invention include but is not limited on
Embodiment is stated, it is any to meet the claims or specification description, meet and principles disclosed herein and novelty, wound
Method, the technique, product of new property feature, fall within the protection scope of the present invention.
Claims (10)
1. the training system that a kind of balanced rehabilitation and cognitive rehabilitation blend characterized by comprising
Content-defined module, situation constructing module, motion guiding module, detecting and tracking module, center of gravity calculation module and movement
Feedback module；
Content-defined module, for setting rehabilitation training content according to patient profiles；
Scene constructing module is that rehabilitation training content for constructing and setting is adapted and can effectively eliminate patient's training process
The training situation of uninteresting sense；
Motion guiding module, for guiding patient to execute required movement in training situation；
Detecting and tracking module, for obtaining the action data of patient, and after being pre-processed to data；
Center of gravity calculation module calculates patient's center of gravity for the patient motion data according to acquisition；
Feedback module is acted, the gravity's center control number that the action data and center of gravity calculation module that processing detection tracking module provides provide
According to, provide evaluation feedback.
2. the training system that balanced rehabilitation as described in claim 1 and cognitive rehabilitation blend, it is characterised in that: the content is fixed
The rehabilitation training content of adopted module setting includes balance training content and cognitive training content, and the balance training content includes flat
Weigh response training, range of balance training, stability of equilibrium training and required movement balance training；The cognitive training content be with
The matched cognitive training of the patient age state of an illness.
3. the training system that balanced rehabilitation as described in claim 1 and cognitive rehabilitation blend, it is characterised in that: the situation structure
Modeling block includes the theme for matching the scene and matching balance training content of balance training content；The matching balance training content
Scene include scene situation selection submodule, for the rehabilitation training content according to the content-defined module selection, selection
Corresponding scene；The theme of the matching balance training content includes that cognition theme selects submodule, for according to the scene
Situation selects the situation of submodule selection, selects the theme of cognitive training；Cognitive training difficulty control submodule is recognized for controlling
Know the training difficulty in the corresponding theme of training；Balance training difficulty control submodule completes what balance training required for controlling
Difficulty.
4. the training system that balanced rehabilitation as described in claim 1 and cognitive rehabilitation blend, it is characterised in that: the movement is drawn
Guide module includes executing balance training motion guiding and execution cognitive training motion guiding to the guidance of movement；
Balance training motion guiding, including guidance patient complete upper and lower extremities required movement, guidance patient's gravity motion to designated parties
To angle, guidance patient's center of gravity are maintained at fixed point specified time, guidance patient's center of gravity follows mobile target specified time；
Cognitive training motion guiding, guidance patient execute corresponding actions and accurately express cognition result.
5. the training system that balanced rehabilitation as described in claim 1 and cognitive rehabilitation blend, it is characterised in that: the detection with
Track module includes patient's recognition and tracking submodule, is used for lock onto target patient, can continue tracking mesh when being blocked and interfering
Mark；Patient articular's point data acquires submodule and is sent to the center of gravity calculation mould for acquiring the artis space coordinate of patient
Block and action recognition module, and eliminate shake with filtering algorithm and remove the low joint information of confidence level；Patient motion identification
Module and is sent to the movement feedback module for identification with storage patient motion sequence, reflection position of centre of gravity and current dynamic
The corresponding relationship of work.
6. the training system that balanced rehabilitation as described in claim 1 and cognitive rehabilitation blend, it is characterised in that: the stasiofax
Calculating module includes segment centroid position computational submodule and position of centre of gravity computational submodule；Segment centroid position computational submodule,
According to patient articular's space of points coordinate and each segment mass center of human body relative position parameter list, each segment mass center of body position is calculated
It sets；Position of centre of gravity computational submodule calculates weighting according to the segment centroid position and each segment distribution of weight parameter list of human body
Center of gravity space coordinate, and it is sent to the movement feedback module.
7. the training system that balanced rehabilitation as described in claim 1 and cognitive rehabilitation blend, it is characterised in that: the movement is anti-
Feedback module feedback gravity's center control situation include the accuracy of gravity's center control, reaction speed, range size, the tilt angle of center of gravity,
The relativeness of position of centre of gravity and current action；Feedback cognition accuracy situation include the correctness for recognizing selection, accuracy and
Shi Xing.
8. the training system that balance as described in claim 1 is blended with cognitive rehabilitation, it is characterised in that: the system is also wrapped
Include analysis evaluation module, for receiving the gravity's center control situation and cognitive training scoring event, count gravity's center control range,
Reaction speed, range, angle and cognitive training scores as a result in graphical form show, and by general comment knot
Fruit is displayed on the screen, and provides guiding opinion according to the general comment result.
9. the training system that balance as described in claim 1 is blended with cognitive rehabilitation, it is characterised in that: the system is also wrapped
Excitation module is included, for, as a result, calculating cumulative award score, score is accumulative can to unlock locked situation according to the general comment
With cognition theme.
10. a kind of training method that balance is blended with cognitive rehabilitation, characterized by the following steps:
The first step, patient are guided the registration for carrying out personal account by rehabilitation teacher, establish personal balance training medical treatment in the database
Archives；
Second step, rehabilitation teacher are diagnosed by content-defined module according to patient, selection cognition balance training content and cognitive training
Content；
Third step, the Training scene of scene constructing module meeting Auto-matching training content and grade of difficulty, forms the balance of customization
Training game is supplied to patient and is trained；
4th step, patient start to train under the guidance of motion guiding module, and detecting and tracking module is opened, and equipment enters detection shape
State；Center of gravity calculation module records center of gravity information in background process detection data in real time in the database；Training difficulty can be from interior
The initial difficulty for holding definition module setting starts, and is floated automatically in training according to balance control situation and cognition performance
Dynamic adjustment；
5th step, training terminate, the training result handled well of movement feedback module, center of gravity data, training achievement, together with being recorded in
When the overall scores of secondary training information and all previous training compares as training feedback in database, it is presented to patient；Training record
It completely is saved in database, rehabilitation teacher can be checked in doctor terminal.
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