CN110808092A - Remote exercise rehabilitation system - Google Patents

Remote exercise rehabilitation system Download PDF

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Publication number
CN110808092A
CN110808092A CN201911003818.8A CN201911003818A CN110808092A CN 110808092 A CN110808092 A CN 110808092A CN 201911003818 A CN201911003818 A CN 201911003818A CN 110808092 A CN110808092 A CN 110808092A
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patient
server
training
doctor
information
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王红亮
房强
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Nanjing Maosen Electronics Technology Co Ltd
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Nanjing Maosen Electronics Technology Co Ltd
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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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1118—Determining activity level
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/389—Electromyography [EMG]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6802—Sensor mounted on worn items
    • 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
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • 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
    • G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
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  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
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  • Business, Economics & Management (AREA)
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  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Tools (AREA)

Abstract

The invention discloses a remote exercise rehabilitation system which comprises a patient end (100), a doctor end (200) and a server (300). The patient end is matched with the wearable sensor equipment to evaluate and train the joint mobility, and active and passive joint evaluation information is transmitted to the doctor end through the server. The doctor end creates and maintains the information of the patient, and formulates an individualized evaluation and rehabilitation training scheme for the patient end, so that the doctor end can directly conduct rehabilitation training at the patient end. The invention is based on the micro sensor technology and the network transmission technology, so that patients can receive professional evaluation and training guidance at home and in communities, and the problem of inconvenience in medical treatment is effectively solved. The patient can realize the evaluation and rehabilitation training by using a television or a computer at home through the mobile device.

Description

Remote exercise rehabilitation system
Technical Field
The invention belongs to the technical field of intelligent rehabilitation, and relates to a remote exercise rehabilitation system, in particular to a remote exercise rehabilitation system for interactive upper limb rehabilitation training.
Background
150-150 million new cerebral apoplexy cases and 80-100 million deaths per year in China have the mortality rate of 66.7 percent, the disease causes the limb movement dysfunction or loss of patients, especially the loss of the upper limb movement function, about 75 percent of survivors cause disability, and the daily life capacity of the patients is greatly influenced. The exercise rehabilitation system can help patients to carry out rehabilitation training, and the limb exercise dysfunction of the patients is relieved or eliminated.
In the current research in the field of clinical medicine, the motion rehabilitation system mainly comprises a video-based rehabilitation system, a robot-assisted rehabilitation system and an inertial sensor-based rehabilitation system. Most of the existing rehabilitation system devices are based on a PC (personal computer) terminal, all operations can be completed on one device, and medical staff must perform parameter maintenance on site, so that the rehabilitation training field of a patient is limited. On the one hand, the limitation of the application cannot ensure that more patients get enough rehabilitation therapy opportunities. On the other hand, the rehabilitation evaluation data is not comprehensive, only the angle of the joint can be recorded, the motion characteristics of the patient cannot be recorded, and the relationship between the motion parameters and the dysfunction of the patient cannot be deeply analyzed, so that the evaluation data is lack of comprehensiveness and effectiveness.
Although some inertial sensor-based rehabilitation systems can help patients to perform home rehabilitation training through a network server, they only play a monitoring role. By the rehabilitation system, patients cannot obtain the same rehabilitation training guidance at home as in hospitals, and the relationship between doctors and patients cannot be established, namely, the remote guidance rehabilitation is not really realized.
Disclosure of Invention
The invention aims to solve the technical problem that the existing rehabilitation system can not realize remote and effective rehabilitation training guidance according to the actual motion evaluation data of a patient.
In order to solve the technical problem, the invention provides a remote exercise rehabilitation system which comprises a patient end, a doctor end and a server, wherein the patient end and the doctor end exchange data through the server; the patient side is used for obtaining the evaluation information of the active and passive joints of the limbs of the human body and uploading the evaluation information of the active and passive joints to the server. The doctor end is used for acquiring the evaluation information of the active and passive joints from the server, generating a training scheme according to the evaluation information of the active and passive joints and uploading the training scheme to the server; the patient end is also used for downloading the training scheme from the server and providing a training interactive interface according to the training scheme so that the patient can carry out rehabilitation training.
Preferably, the patient end is connected with a sensor device, the sensor device comprises sensor nodes capable of being attached to limbs of a human body, and each sensor node can acquire and process spatial position and motion information of the sensor node to generate active and passive joint evaluation information.
Preferably, the training scheme comprises: and the doctor end customizes an individualized training scheme through the evaluation information of the active joint and the passive joint.
Preferably, the personalized training scheme automatically generated by the doctor end determines the joint motion and the joint angle range trained by the patient.
Preferably, the patient side is capable of receiving user actions to generate a training regimen.
Preferably, the patient side is configured to obtain active and passive joint assessment information of a human body limb, and upload the active and passive joint assessment information to the server, and further includes:
after the patient end uploads the evaluation information on the server, the server automatically pushes reminding information to the doctor end.
Preferably, the doctor end is configured to obtain the evaluation information of the active and passive joints from the server, customize a training scheme according to the evaluation information of the active and passive joints, and upload the training scheme to the server, and further includes: when the doctor end uploads the training scheme on the server, the server automatically pushes reminding information to the patient;
preferably, the system further comprises a management end, wherein the management end exchanges data with the server for creating and maintaining the association relationship between the doctor end and the patient end.
Preferably, the management end is further configured to configure the server to set a manner in which the server exchanges data between the doctor end and the patient end.
Preferably, the system further comprises a set-top box, wherein the set-top box is used for connecting the patient-side interactive interface and the sensor module.
Drawings
FIG. 1 is a logic block diagram of a remote rehabilitation system of the present invention;
fig. 2 is a logic block diagram of one embodiment of a remote rehabilitation system of the present invention.
Detailed Description
In order to solve the technical problem that the existing rehabilitation system cannot realize remote effective rehabilitation training guidance according to the actual motion evaluation data of a patient, the remote motion rehabilitation system provided by the invention adopts a framework that a client is connected with a server, and the client can set different authorities according to different user identities to realize different functions. Different clients can be connected to the server.
In the present invention, the client may be any electronic device with data processing capability and communication capability, including computers and mobile terminals, such as PCs, mobile phones, tablet computers, and the like, and may also be a dedicated customized device. Corresponding software or APP may be installed on the client according to the method of the invention.
In the present invention, the server may be any electronic device having data processing capability, data storage and management, and communication capability, and may be implemented by a dedicated data server, or may be implemented by a computer such as a PC, as long as hardware and/or software for implementing the method of the present invention are installed thereon. The server referred to in the present invention may be a single device or a device cluster. The multiple devices may be in a centralized configuration or in a distributed configuration. That is, the server of the present invention may also be a cloud server deployed in the cloud.
The invention is not limited to the communication mode between the client and the server, including connection through the internet, nor is it limited to the protocol adopted by data communication. More preferably, however, the clients of the present invention communicate wirelessly, which makes the system of the present invention more portable for the user.
Fig. 1 is a logic block diagram of a remote rehabilitation system of the present invention. As shown in fig. 1, in the most basic architecture, the client of the system of the present invention at least includes a patient end 100 and a doctor end 200. Both the patient side 100 and the doctor side 200 can communicate with the server 300 to exchange data, whereby the patient side and the doctor side can exchange data by accessing the server.
It should be noted that the number of the patient end 100 and the doctor end 200 in the present invention is not limited to one, and actually, through the above-mentioned architecture, the server 300 can provide data exchange services for a plurality of patient ends 100 or doctor ends 200 at the same time. For example, the corresponding relationship and corresponding authority between the patient end 100 and the doctor end 200 can be established in the database of the server 300, so that different clients can perform corresponding data exchange with their associated clients by accessing the server 300.
In order to realize rapid and effective customized rehabilitation training for a patient, the patient side is configured to obtain the evaluation information of the active and passive joints of the human body, and uploads the evaluation information of the active and passive joints to the server, so that a doctor side associated with the client side can obtain the evaluation information of the active and passive joints from the server, customize a training scheme according to the evaluation information of the active and passive joints, and upload the training scheme to the server. In this way, the patient end can download the training scheme from the server, and provide a training interactive interface according to the training scheme for the patient to perform rehabilitation training.
The patient end of the invention can acquire the real-time active and passive joint evaluation information of the patient, so that a doctor does not need to acquire the active and passive joint evaluation information of the patient on site, and only needs to log in a server at the doctor end to acquire the active and passive joint evaluation information of the patient. Meanwhile, the doctor end can customize a targeted rehabilitation training scheme for the patient according to the evaluation result by receiving the operation of the doctor; when the training rehabilitation scheme is uploaded to the server, the patient side can receive and import the training rehabilitation scheme. The patient side can also provide guidance information (audio, video information, text information, or a customized interface for interacting with the patient) that can be viewed and listened to by the patient by parsing the training rehabilitation program.
Therefore, by the mode, the remote and effective rehabilitation training guidance can be realized according to the actual motion evaluation data of the patient.
In addition, as a preferable mode, in order to obtain the active and passive joint assessment information, the patient end may further connect with a corresponding sensor, and generate the active and passive joint assessment information by acquiring data of the sensor. The sensors are typically inertial sensors such as accelerometers and gyroscopes, but the invention is not so limited.
Furthermore, as a preferred embodiment, in order to display the customized rehabilitation training scheme to the patient, the patient end may be connected to a set-top box, and the audio and video information or the interactive information for displaying or indicating the patient is transmitted to the television connected to the set-top box through data conversion of the set-top box. In this way, the patient can complete rehabilitation training by watching or interacting with the television.
Of course, the patient end of the present invention is not limited to being connected to a set-top box, but can be directly connected to a smart tv with a solution training rehabilitation scheme, for example, a smart tv installed with a specific APP.
In order that the objects, technical solutions and advantages of the present invention will become more apparent, the present invention will be further described in detail with reference to the accompanying drawings in conjunction with the following specific embodiments.
Fig. 2 is a logic block diagram of a remote rehabilitation system in accordance with an embodiment of the present invention. As shown in fig. 2, the system includes a patient side 100, a sensor device 110, a set-top box 120, a doctor side 200, a server 300, and a management side 400.
In this embodiment, the administrator terminal 400 includes functions of establishing a hospital room, updating personal information of doctors, and the like, and after the administrator terminal performs operations such as updating personal information of doctors, the operations are transmitted to the doctor terminal 200 through the server 300, and the doctor terminal 200 receives and updates the personal information of doctors.
In this embodiment, the doctor end 200 includes a function of establishing patient information, and makes a corresponding assessment and training prescription for the patient, and transmits the assessment and training prescription to the patient end 100 through the server 300, and when the doctor end 200 uploads a training scheme on the server 300, the server automatically pushes reminding information to the patient end. The patient end 100 receives information from the doctor end 200, performs matching calculation on prescription action information, completes corresponding actions through the sensor 110 according to the prescription requirements, obtains active and passive joint evaluation information of patient training, transmits results to the doctor end 200 through the server for data analysis, and generates a visual report; after the patient end uploads the evaluation information on the server, the server automatically pushes reminding information to the doctor end.
In this embodiment, the system includes 7 sensor nodes, the sensors perform network configuration through wifi, the patient wears the sensor device, and when the patient moves, the patient can obtain the spatial position and the motion information of the patient and process the information to generate a corresponding sensing signal, and the patient end 100 receives the sensing signal and provides a motion indication, where the motion indication mode includes text and 3D animation. The prompted action can be an action sequence which needs to be completed by the user in the rehabilitation process, and the action instruction can comprise information such as a doctor prescription, action key points and the like. The server 300 may issue an action instruction to the user terminal through a wired or wireless network; in addition, before the training is started, the patient may manually input the joint motion and the joint angle range of the current training at the patient end to generate a training plan for training.
In this embodiment, after confirming the patient identity, the server may send an action instruction matching with the patient identity information, and the action instruction may be selected from a plurality of preset action sets, or may be an action set customized by the doctor according to the user condition. The server may directly accept the input from the doctor to obtain the customized action set, or the customized action set may be obtained through the doctor end 200. If the action instructions are obtained from the doctor end, the action instructions cannot be modified or selected, and the action instructions can be directly customized by the doctor according to the condition of the patient.
In this embodiment, the patient end 100 is a patient-using device in a remote rehabilitation system, which may be a computer or a television set, and is used in combination with the set-top box 120. The set-top box is loaded with corresponding patient use software, and the set-top box is started to open a program and enter an application interface. The patient end can establish wireless connection with the sensing equipment for data transmission. All movements are movements of the shoulder joint, elbow joint and wrist joint of the upper limb, and the sensor signals comprise pressure distribution, position signals, angle signals, acceleration, electromyographic signals and the like. The action information of the patient is transmitted to the doctor end through the server, and the doctor end judges whether the action of the patient is normal or abnormal through the action parameter standard range sent by the server and reflects the action information in the obtained report.
In this embodiment, the doctor end 200 and the management end 400 belong to the same web page end, which may be a computer or a tablet computer, and both of them change the authority by switching the login account. At the doctor end, the doctor establishes patient identity information, the identity information comprises personal basic information and relevant clinical diagnosis of the patient, and after the patient information is established, the matched patient identity can be found at the patient end. A patient is selected and a rehabilitation prescription, including an assessment and training prescription, is customized for the patient, and if the patient has completed the doctor-customized prescription activity at the patient end, a "completed" status is indicated at the doctor end. The report data for doctor-side evaluation and training is derived from the action data obtained from the patient side and the basic information of the patient established by the doctor. If multiple groups of actions are performed, such as flexion and extension, abduction and adduction, external rotation and internal rotation, the doctor can choose to print one or more of the actions, print the actions in groups, and store the actions in local or store the actions in groups. The doctor end meets the requirement that the doctor observes the rehabilitation condition of the patient at different places in real time, and the doctor can judge and transmit a new prescription again through the data transmitted by the patient end.
In the embodiment, after exiting from the doctor end, a doctor/administrator login account can be switched to enter an administrator interface, and the administrator is responsible for creating doctor information, allocating doctor departments, creating hospital room information and providing the hospital room information data required in the doctor end report. The hospital name is one and only one, and multiple pieces of department information can be established according to the requirements of doctors. The doctor can modify the login password at the doctor end, and the administrator has the authority to reset the password of the doctor.
The above-mentioned embodiments are intended to illustrate the objects, technical solutions and advantages of the present invention in further detail, and it should be understood that the above-mentioned embodiments are only exemplary embodiments of the present invention and are not intended to limit the present invention, and any modifications, equivalents, improvements and the like made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (10)

1. A telemotor rehabilitation system comprising a patient side (100), a doctor side (200) and a server (300), the patient side (100) and the doctor side (200) exchanging data through the server (300), characterized in that:
the patient end (100) is used for obtaining active and passive joint evaluation information of a human body limb and uploading the active and passive joint evaluation information to the server (300);
the doctor end (200) is used for acquiring the evaluation information of the active and passive joints from the server (300), generating a training scheme according to the evaluation information of the active and passive joints and uploading the training scheme to the server (300);
the patient end (100) is also used for downloading the training scheme from the server (300), and providing a training interactive interface according to the training scheme for the patient to carry out rehabilitation training.
2. The telemotor rehabilitation system of claim 1, wherein the patient side (100) is connected to a sensor device (110), the sensor device (110) comprises sensor nodes attachable to a limb of a human body, and each sensor node is capable of acquiring and processing spatial position and motion information thereof to generate active and passive joint assessment information.
3. The telemotor rehabilitation system of claim 1, wherein the training regimen comprises: the doctor end (200) automatically generates a training scheme through the active and passive joint evaluation information.
4. The telemotor rehabilitation system of claim 3, further comprising: the joint action and the joint angle range of the patient training are determined in the training scheme automatically generated by the doctor end (200).
5. The telemotor rehabilitation system of claim 1, wherein the patient end (100) is capable of receiving user actions to generate a training regimen.
6. The telemotor rehabilitation system of claim 1, wherein the patient side (100) is configured to obtain active and passive joint assessment information of a limb of the human body and upload the active and passive joint assessment information to the server (300), further comprising:
after the patient end uploads the evaluation information on the server, the server automatically pushes reminding information to the doctor end.
7. The telemotor rehabilitation system of claim 1, wherein the doctor end (200) is configured to obtain the active and passive joint assessment information from the server (300), generate a training plan according to the active and passive joint assessment information, and upload the training plan to the server (300), further comprising:
when the doctor end uploads the training scheme on the server, the server automatically pushes reminding information to the patient.
8. The telemotor rehabilitation system of claim 1 further comprising an administration end (400), the administration end (400) exchanging data with the server (300) for creating and maintaining associations between a physician end and a patient end.
9. The telemotor rehabilitation system of claim 8 wherein the management side is further configured to configure the server to set the manner in which the server exchanges data between the physician side and the patient side.
10. The telemotor rehabilitation system of claim 1, further comprising a set-top box (120), the set-top box (120) configured to connect the patient-side interactive interface with the sensor module.
CN201911003818.8A 2019-09-17 2019-10-22 Remote exercise rehabilitation system Pending CN110808092A (en)

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