CN109621324A - Upper extremity function rehabilitation intelligence system based on mirror neuron theory - Google Patents

Upper extremity function rehabilitation intelligence system based on mirror neuron theory Download PDF

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Publication number
CN109621324A
CN109621324A CN201811604541.XA CN201811604541A CN109621324A CN 109621324 A CN109621324 A CN 109621324A CN 201811604541 A CN201811604541 A CN 201811604541A CN 109621324 A CN109621324 A CN 109621324A
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China
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upper extremity
rehabilitation
intelligence system
desktop
controller
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CN201811604541.XA
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Chinese (zh)
Inventor
朱美红
高华敏
余国
曾明
沈芳
沈雅萍
王勤俭
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Second Hospital Iaxing
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Second Hospital Iaxing
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Priority to CN201811604541.XA priority Critical patent/CN109621324A/en
Publication of CN109621324A publication Critical patent/CN109621324A/en
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    • AHUMAN NECESSITIES
    • A63SPORTS; GAMES; AMUSEMENTS
    • A63BAPPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00Exercising apparatus specially adapted for particular parts of the body
    • A63B23/035Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously
    • A63B23/12Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for upper limbs or related muscles, e.g. chest, upper back or shoulder muscles
    • A63B23/16Exercising apparatus specially adapted for particular parts of the body for limbs, i.e. upper or lower limbs, e.g. simultaneously for upper limbs or related muscles, e.g. chest, upper back or shoulder muscles for hands or fingers

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Tools (AREA)

Abstract

The invention discloses a kind of upper extremity function rehabilitation intelligence systems based on mirror neuron theory, including restoring gloves, upper extremity exercise supporting mechanism and display equipment, the display equipment is for showing rehabilitation exercise motion, the restoring gloves are equipped with motion sensor and for acting the artificial tendon supported, the motion sensor is connect with the artificial tendon and upper extremity exercise supporting mechanism electric signal, for detecting the motor function of upper limb and hand, to adjust the movement of artificial tendon and upper extremity exercise supporting mechanism;The upper extremity function rehabilitation intelligence system further includes controller, the controller is connect with the motion sensor, artificial tendon and display equipment, the controller receives the detection signal of the motion sensor, it identifies and handles through the controller, and the artificial tendon and upper extremity exercise supporting mechanism are transmitted into action command.Using the present invention, the hand motion of hemiplegia user can adapt to, auxiliary completes related rehabilitation movement, improves rehabilitation efficacy.

Description

Upper extremity function rehabilitation intelligence system based on mirror neuron theory
Technical field
The present invention relates to rehabilitation equipment technical field, specifically a kind of upper extremity function based on mirror neuron theory Rehabilitation intelligence system.
Background technique
With the aging of society, cerebral apoplexy threatens health of people most normal to become the characteristics of high incidence and high disability rate One of cause of disease seen.Statistical data is shown, in developed country and developing country, the annual the first case number about 1600 of cerebral apoplexy Ten thousand.Most of patients with cerebral apoplexy can leave different degrees of dyskinesia in convalescence, wherein upper limb disorder tool The characteristics of having disease incidence high and poor prognosis.Studies have shown that up to 80% patients with cerebral apoplexy is in acute stage, there are upper extremity exercise function Energy obstacle, even if, at post-stroke 6 months, also only 5% -20% patient can be extensive to some extent after rehabilitation Multiple upper extremity function.This not only seriously affects the quality of life of patient, also brings huge spirit and economy to family or even society Burden.In clinical treatment, the rehabilitation speed of upper extremity function causes very compared with slow, rehabilitation efficacy is poor after patients with cerebral apoplexy hemiplegia There are physical disabilities by more patients, and individual elusiveness is made to be very limited.The rehabilitation therapy master that upper extremity function is restored at present Include: compelling element, traditional hand functional training method, the training of robot assisted Sex Rehabilitation, functional electrostimulation, it is double on Limb training etc. jointly.However these therapy majorities require that patient's upper limb row high pressure training, treatment must have therapist's participation, And one-to-one training is done to patient, this high-intensitive, prolonged training makes most of patients be difficult to complete.
Existing movement observation therapy carries out rehabilitation training of upper limbs and needs patient's echomotism video, and patient is minimum from difficulty One group of video start to watch, tried one's best imitations with paralysis side limbs, if patient can in the complete independently group 4 or more move Make, then enters the biggish next group of training of difficulty;If cannot complete, continue to observe and imitate the movement in this group of video.Mesh For preceding movement observation therapy because television set fixed placement, the height of tables and chairs are not adjustable, rehabilitation efficacy is not ideal enough.And brain Stroke hemiplegin patient's hand function is very poor, and most of patient can only go to imitate video on television set, is difficult to complete the movement in video, Patient is set to be easy to lose the confidence of rehabilitation.
Summary of the invention
In view of this, the present invention is for above-mentioned upper limb healing effect of the existing technology, poor, patient is difficult to complete to train The problems such as movement in video, a kind of hand motion that can adapt to hemiplegic patient is provided, auxiliary completes related rehabilitation movement Upper extremity function rehabilitation intelligence system based on mirror neuron theory, improves the rehabilitation efficacy of patient.
The technical solution of the invention is as follows, provides a kind of upper extremity function rehabilitation intelligence system based on mirror neuron theory It unites, including restoring gloves, upper extremity exercise supporting mechanism and display equipment, the display equipment are used to show rehabilitation exercise motion, The restoring gloves be equipped with motion sensor and for act support artificial tendon, the motion sensor and it is described manually Tendon is connected with upper extremity exercise supporting mechanism electric signal, for detecting the motor function of upper limb and hand, to adjust artificial tendon With the movement of upper extremity exercise supporting mechanism.
As an improvement, the upper extremity function rehabilitation intelligence system further includes controller, the controller and the movement are passed Sensor, artificial tendon are connected with display equipment, and the controller receives the detection signal of the motion sensor, through the control Device identification and processing, and the artificial tendon and upper extremity exercise supporting mechanism are transmitted into action command.
As an improvement, the upper extremity exercise supporting mechanism is multiple-degree-of-freedom mechanism, including horizontal multi link, vertical angles tune Section device and Support bracket, one end of the horizontal multi link are fixed on platform or desktop, the other end of the horizontal multi link It is connect with vertical angles adjuster lower end, the upper end of the vertical angles adjuster is connect with the Support bracket, described Support bracket is used to support human arm.
As an improvement, the Support bracket includes bracket body and arm body, one end of the arm body connects the vertical angle Adjuster is spent, the other end connects the bracket body.
As an improvement, the demostrating action video recorded is shown in the display equipment, the controller is according to institute The type and movement of demonstration video are stated, action command is transmitted in Xiang Suoshu artificial tendon and upper extremity exercise supporting mechanism, accordingly to adjust Save and control the original state of the artificial tendon and upper extremity exercise supporting mechanism.
As an improvement, the motion state of the motion sensor senses upper limb and hand, and will test signal and be transferred to control Device processed, the controller is handled the detection signal according to the detection signal, and carries out linear fit, then through scheming After processing, simulated action information, the hand of the simulated action information real-time characterization human body and the action state of upper limb are formed, The simulated action information is transferred to the display equipment, shows corresponding realtime graphic in the display device, and user passes through sight The realtime graphic is examined to adjust the movement of hand and upper limb.
As an improvement, the completeness that the controller acts demonstration video or Standard Task according to user, to user Rehabilitation outcome evaluated, and adaptively formulate corresponding rehabilitation training plans, the rehabilitation training plans be transmitted to cloud End, user supplement the healthy number of user according to the rehabilitation training plans by rehabilitation training plans described in mobile terminal accessing According to finely tuning the rehabilitation training plans.
As an improvement, the upper extremity function rehabilitation intelligence system equipment includes that two sets of restoring gloves and two upper extremity exercises are supported Mechanism, to realize both upper extremities while carry out rehabilitation training.
As an improvement, the upper extremity function rehabilitation intelligence system further includes desktop, moves support plate and desktop lifting mechanism, Display/panel bracket is fixedly installed on the desktop, the other end of the display/panel bracket is fixedly connected with display equipment, described The both ends of desktop lifting mechanism are connected with desktop and mobile support plate respectively, and the edge of desktop is additionally provided with for controlling desktop liter The lifting button of descending mechanism.
As an improvement, the desktop lifting mechanism includes electric cylinder and cylinder screw rod, consolidate on the lower surface of the desktop Surely it is provided with connector, connecting rod is fixedly connected on the connector, the other end of the connecting rod is connect with cylinder screw rod.
Using the present invention, can actually execute movement and movement observation in the way of movement observation can activate volume Leaf-top-temporal lobe loop neuron system (MNS).Wherein, the primary motor cortex (primary motor, M1) of the mankind, Preceding motor area (premotor cortex, PM) and supplement motor area (supplementary motor area, SMA) exist MNS, and above-mentioned two region is brain domain relevant to motor function.
When the mankind imagine that certain movement, observe can be to some extent when other people move and imitate other people movement Activation moves identical neuron system, i.e. MNS with certain oneself is executed.Improve the mirror image mind including the area cerebral cortex M1 Excitability through metasystem, and then promote upper extremity exercise functional rehabilitation.It is proposed by the present invention based on theoretical upper of mirror neuron Limb functional rehabilitation intelligence system help to solve the rehabilitation speed of upper extremity function after cerebral apoplexy user hemiplegia in clinical treatment compared with Slowly, the poor problem of rehabilitation efficacy can keep and improve range of motion, improve joint metabolism, blood and Lymphatic Circulation, Improve harmony, flexibility and functional independence.User's visual stimulus abundant and daily life feelings are given over the course for the treatment of Scape simulation, significantly improves trained interest.
Detailed description of the invention
Fig. 1 is that the present invention is based on the schematic diagrames of the upper extremity function rehabilitation intelligence system of mirror neuron theory;
Fig. 2 is the structural schematic diagram of tabletop section of the invention;
Fig. 3 is another structural schematic diagram of tabletop section of the invention.
As shown in the figure, 1- desktop, the mobile support plate of 2-, 3- display/panel bracket, 4- display screen, 5- lifting button, 6- are electronic Cylinder, 7- cylinder screw rod, 8- connector, 9- connecting rod, 10- universal wheel, 11- vertical bar, 12-L type connecting rod, 13- annular sleeve; A- restoring gloves, B- upper extremity exercise supporting mechanism, C- controller, A-1- motion sensor-, A-2- artificial tendon, B-1- are horizontal Multi link, B-2- vertical angles adjuster, B-3- Support bracket.
Specific embodiment
The present invention will be further explained below with reference to the attached drawings and specific examples, but the present invention is not restricted to these Embodiment.The present invention covers any substitution made on the essence and scope of the present invention, modification, equivalent method and scheme.For So that the public is had thorough understanding to the present invention, is described in detail concrete details in the following preferred embodiment of the present invention, and The present invention can also be understood completely in description without these details for a person skilled in the art.
As shown in Figure 1, the upper extremity function rehabilitation intelligence system based on mirror neuron theory includes restoring gloves A, upper limb Supporting mechanism B and display equipment 4 are moved, the display equipment 4 is set on the restoring gloves A for showing rehabilitation exercise motion Have motion sensor A-1 and for acting the artificial tendon A-2 supported, the motion sensor and the artificial tendon A-2 and Upper extremity exercise supporting mechanism B electric signal connection, for detecting the motor function of upper limb and hand, to adjust artificial tendon and upper limb Move the movement of supporting mechanism B.
The upper extremity function rehabilitation intelligence system further includes controller C, the controller C and motion sensor A-1, Artificial tendon A-2 and display equipment 4 connect, and the controller C receives the detection signal of the motion sensor A-1, through described Controller identification and processing, and the artificial tendon A-2 and upper extremity exercise supporting mechanism B is transmitted into action command.
The upper extremity exercise supporting mechanism B is multiple-degree-of-freedom mechanism, including horizontal multi link B-1, vertical angles adjuster B-2 and Support bracket B-3, one end of the horizontal multi link B-1 are fixed on platform or desktop, the horizontal multi link B-1 The other end connect with the lower end vertical angles adjuster B-2, the upper end of the vertical angles adjuster B-2 and the support Bracket B-3 connection, the Support bracket B-3 are used to support human arm.
The Support bracket B-3 includes one end connection institute of bracket body B-3-1 and arm body B-3-2, the arm body B-3-2 Vertical angles adjuster B-2 is stated, the other end connects the bracket body B-3-1.
The demostrating action video recorded is shown in the display equipment, the controller is according to the demonstration video Type and movement, action command is transmitted in Xiang Suoshu artificial tendon and upper extremity exercise supporting mechanism, with corresponding regulation and control institute State the original state of artificial tendon and upper extremity exercise supporting mechanism.
The motion state of the motion sensor senses upper limb and hand, and will test signal and be transferred to controller, it is described Controller is handled the detection signal according to the detection signal, and carries out linear fit, then after image procossing, Form simulated action information, the hand of the simulated action information real-time characterization human body and the action state of upper limb, the simulation Action message is transferred to the display equipment, shows corresponding realtime graphic in the display device, user is by observing the reality When image adjust the movement of hand and upper limb.
The completeness that the controller acts demonstration video or Standard Task according to user, to the rehabilitation outcome of user It is evaluated, and adaptively formulates corresponding rehabilitation training plans, the rehabilitation training plans are transmitted to cloud, user passes through It is described to finely tune to supplement the health data of user according to the rehabilitation training plans for rehabilitation training plans described in mobile terminal accessing Rehabilitation training plans.
The upper extremity function rehabilitation intelligence system includes two sets of restoring gloves and two upper extremity exercise supporting mechanisms, with realization pair Side upper limb carries out rehabilitation training simultaneously.
As shown in Figure 2,3, the upper extremity function rehabilitation intelligence system further includes desktop 1, mobile support plate 2, desktop lifting Mechanism is fixedly installed with display/panel bracket 3 on the desktop 1, and the other end of the display/panel bracket 3 is fixedly connected with display screen 4, the both ends of the desktop lifting mechanism are connected with desktop 1 and mobile support plate 2 respectively, and the edge of desktop 1, which is additionally provided with, to be used for Control the lifting button 5 of desktop lifting mechanism.
The desktop lifting mechanism includes electric cylinder 6 and cylinder screw rod 7, is fixedly installed on the lower surface of the desktop 1 There is connector 8, connecting rod 9 is fixedly connected on the connector 8, the other end of the connecting rod 9 is connect with cylinder screw rod 7.
It shows that equipment can be television set or computer monitor or tablet computer, shows and be stored with upper limb healing instruction in equipment Practice video, including conventional action training video and activity of daily living training video, the conventional action training video includes shoulder Before joint is anteflexion, shoulder joint extendes back, receipts, shoulder joint are revolved in shoulder abduction, shoulder joint, shoulder joint supination, shrug, in shoulder blade Receipts, the stretching, extension of elbow joint buckling, elbow joint, the stretching, extension of wrist joint buckling, wrist joint, wrist joint ruler is inclined, wrist joint oar is inclined, forearm rotation Before, forearm supinated, stick up thumb, empty-handedly grasp, grab big ball, amplify ball, grab big cube, amplify cube, grab big cylindrical body, Enlarged cylindrical body Cyber Sphere, drops shot, grabs small cubes, puts small cubes, grabs small cylinder and put small cylinder etc., described Activity of daily living training video includes drinking water, picking and placing fruit, pinching and put coin, taking and placing bank card, twist lid for jar, twist narrow-mouthed bottle Lid, taking and placing key, pinch put pen, hold put mouse, typewriting, handset dialing, pick-and-place spoon, taking and placing chopsticks, feeding training, zip, Detain button etc..
The upper extremity function rehabilitation intelligence system is mainly used for the rehabilitation training of upper limbs of patients with cerebral apoplexy, carries out to brain soldier patient Imitation exercise, upper extremity exercise function and daily life active ability to hemiplegic patient after discharge carry out successive treatment, structure It mainly include mobile support plate, the table that desktop (facilitating the training of wheelchair Rehabilitation), U-shaped structure with U-shaped notch are arranged Face elevating mechanism is fixedly installed with display/panel bracket on desktop, and the other end of display/panel bracket is fixedly connected with display screen, display Screen is for playing programmed various rehabilitations movement in advance, so that patient observes and imitates, thus achieve the purpose that it is trained, Wherein, display/panel bracket includes fixed vertical bar, L-type connecting rod on the table, and one end and the display screen of L-type connecting rod are fixed Connection, the other end of L-type connecting rod are provided with annular sleeve, and ring-like set socket is arranged in vertical bar.The two of desktop lifting mechanism End is connected with desktop and mobile support plate respectively, the edge of desktop be additionally provided with the lifting for controlling desktop lifting mechanism by Button.
Desktop lifting mechanism includes electric cylinder and cylinder screw rod, is fixedly installed connector on the lower surface of desktop, even Connecting rod is fixedly connected on fitting, the other end of connecting rod is connect with cylinder screw rod.Wherein, connector includes what integral type was arranged Connecting plate and the fixed plate for being symmetricly set on connecting plate two sides, one end grafting of connecting rod is arranged in be formed between two connecting plates In space, and it is screwed.The setting of desktop lifting mechanism, it is easy to operate convenient for adjusting the height of desktop, for convenience of moving It is dynamic, it is arranged in the lower end of mobile support plate there are four universal wheel, keeps movement more steady.
Only the preferred embodiment of the present invention has been described above, but is not to be construed as limiting the scope of the invention.This Invention is not only limited to above embodiments, and specific structure is allowed to vary.In short, all guarantors in independent claims of the present invention Made various change is within the scope of the invention in shield range.

Claims (10)

1. a kind of upper extremity function rehabilitation intelligence system based on mirror neuron theory, including restoring gloves, upper extremity exercise are supported Mechanism and display equipment, it is characterised in that: the display equipment is for showing that rehabilitation exercise motion, the restoring gloves are equipped with Motion sensor and for acting the artificial tendon supported, the motion sensor and the artificial tendon and upper extremity exercise are supported Mechanism electric signal connection, for detecting the motor function of upper limb and hand, to adjust artificial tendon and upper extremity exercise supporting mechanism Movement.
2. the upper extremity function rehabilitation intelligence system according to claim 1 based on mirror neuron theory, it is characterised in that: The upper extremity function rehabilitation intelligence system equipment further includes controller, the controller and the motion sensor, artificial tendon It being connected with display equipment, the controller receives the detection signal of the motion sensor, and it identifies and handles through the controller, And the artificial tendon and upper extremity exercise supporting mechanism are transmitted into action command.
3. the upper extremity function rehabilitation intelligence system according to claim 2 based on mirror neuron theory, it is characterised in that: The upper extremity exercise supporting mechanism is multiple-degree-of-freedom mechanism, including horizontal multi link, vertical angles adjuster and Support bracket, institute The one end for stating horizontal multi link is fixed on platform or desktop, and the other end of the horizontal multi link and the vertical angles are adjusted The connection of device lower end, the upper end of the vertical angles adjuster are connect with the Support bracket, and the Support bracket is used to support people Body arm.
4. the upper extremity function rehabilitation intelligence system according to claim 3 based on mirror neuron theory, it is characterised in that: The Support bracket includes bracket body and arm body, and one end of the arm body connects the vertical angles adjuster, and the other end connects Connect the bracket body.
5. according to claim 1 described in any one of -4 based on the upper extremity function rehabilitation intelligence system of mirror neuron theory, It is characterized by: the demostrating action video recorded is shown in the display equipment, the controller is according to the demonstration Action command is transmitted in the type and movement of video, Xiang Suoshu artificial tendon and upper extremity exercise supporting mechanism, accordingly to adjust and control Make the original state of the artificial tendon and upper extremity exercise supporting mechanism.
6. the upper extremity function rehabilitation intelligence system according to claim 5 based on mirror neuron theory, it is characterised in that: The motion state of the motion sensor senses upper limb and hand, and will test signal and be transferred to controller, the controller root According to the detection signal, the detection signal is handled, and carries out linear fit, then after image procossing, forms simulation Action message, the hand of the simulated action information real-time characterization human body and the action state of upper limb, the simulated action information Be transferred to the display equipment, show corresponding realtime graphic in the display device, user by observe the realtime graphic come Adjust the movement of hand and upper limb.
7. the upper extremity function rehabilitation intelligence system according to claim 6 based on mirror neuron theory, it is characterised in that: The completeness that the controller acts demonstration video or Standard Task according to user, comments the rehabilitation outcome of user Valence, and corresponding rehabilitation training plans are adaptively formulated, the rehabilitation training plans are transmitted to cloud, user passes through mobile whole End accesses the rehabilitation training plans, supplements the health data of user according to the rehabilitation training plans and instructs to finely tune the rehabilitation Practice plan.
8. the upper extremity function rehabilitation intelligence system according to any one of claims 1-4 based on mirror neuron theory, It is characterized by: the upper extremity function rehabilitation intelligence system includes two sets of restoring gloves and two upper extremity exercise supporting mechanisms, with reality Existing both upper extremities carry out rehabilitation training simultaneously.
9. the upper extremity function rehabilitation intelligence system according to claim 3 based on mirror neuron theory, it is characterised in that: The upper extremity function rehabilitation intelligence system further includes desktop, mobile support plate and desktop lifting mechanism, fixed peace on the desktop Equipped with display/panel bracket, the other end of the display/panel bracket is fixedly connected with display equipment, and the two of the desktop lifting mechanism End is connected with desktop and mobile support plate respectively, the edge of desktop be additionally provided with the lifting for controlling desktop lifting mechanism by Button.
10. the upper extremity function rehabilitation intelligence system according to claim 9 based on mirror neuron theory, feature exist In: the desktop lifting mechanism includes electric cylinder and cylinder screw rod, is fixedly installed connector on the lower surface of the desktop, Connecting rod is fixedly connected on the connector, the other end of the connecting rod is connect with cylinder screw rod.
CN201811604541.XA 2018-12-26 2018-12-26 Upper extremity function rehabilitation intelligence system based on mirror neuron theory Withdrawn CN109621324A (en)

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Cited By (4)

* Cited by examiner, † Cited by third party
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CN111631726A (en) * 2020-06-01 2020-09-08 深圳华鹊景医疗科技有限公司 Upper limb function evaluation device and method and upper limb rehabilitation training system and method
CN112999607A (en) * 2021-02-25 2021-06-22 辽宁中医药大学 Recovered frame of recovered device height-adjustable's upper limbs
CN114171162A (en) * 2021-12-03 2022-03-11 广州穗海新峰医疗设备制造股份有限公司 Mirror neuron rehabilitation training method and system based on big data analysis
CN114187657A (en) * 2021-12-01 2022-03-15 广州穗海新峰医疗设备制造股份有限公司 Simulated operation guiding method, device, equipment and storage medium of heart model

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111631726A (en) * 2020-06-01 2020-09-08 深圳华鹊景医疗科技有限公司 Upper limb function evaluation device and method and upper limb rehabilitation training system and method
WO2021243918A1 (en) * 2020-06-01 2021-12-09 深圳华鹊景医疗科技有限公司 Upper-limb function evaluation apparatus and method, and upper-limb rehabilitation training system and method
JP2022536439A (en) * 2020-06-01 2022-08-17 深▲せん▼華鵲景医療科技有限公司 Upper limb function evaluation device and method, and upper limb rehabilitation training system and method
JP7382415B2 (en) 2020-06-01 2023-11-16 深▲せん▼華鵲景医療科技有限公司 Upper limb function evaluation device and method and upper limb rehabilitation training system and method
CN112999607A (en) * 2021-02-25 2021-06-22 辽宁中医药大学 Recovered frame of recovered device height-adjustable's upper limbs
CN114187657A (en) * 2021-12-01 2022-03-15 广州穗海新峰医疗设备制造股份有限公司 Simulated operation guiding method, device, equipment and storage medium of heart model
CN114171162A (en) * 2021-12-03 2022-03-11 广州穗海新峰医疗设备制造股份有限公司 Mirror neuron rehabilitation training method and system based on big data analysis

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