CN111195189A - Gait freezing symptom rehabilitation training method and system for Parkinson patient - Google Patents

Gait freezing symptom rehabilitation training method and system for Parkinson patient Download PDF

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Publication number
CN111195189A
CN111195189A CN201811370149.3A CN201811370149A CN111195189A CN 111195189 A CN111195189 A CN 111195189A CN 201811370149 A CN201811370149 A CN 201811370149A CN 111195189 A CN111195189 A CN 111195189A
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China
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information
patient
gait
electroencephalogram
module
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CN201811370149.3A
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Chinese (zh)
Inventor
施长城
左国坤
胡静艳
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Ningbo Institute of Material Technology and Engineering of CAS
Cixi Institute of Biomedical Engineering CNITECH of CAS
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Ningbo Institute of Material Technology and Engineering of CAS
Cixi Institute of Biomedical Engineering CNITECH of CAS
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Priority to CN201811370149.3A priority Critical patent/CN111195189A/en
Publication of CN111195189A publication Critical patent/CN111195189A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H3/00Appliances for aiding patients or disabled persons to walk about
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16Physical interface with patient
    • A61H2201/1602Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/165Wearable interfaces
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2230/00Measuring physical parameters of the user
    • A61H2230/08Other bio-electrical signals
    • A61H2230/10Electroencephalographic signals
    • A61H2230/105Electroencephalographic signals used as a control parameter for the apparatus

Abstract

The invention relates to a gait freezing symptom rehabilitation training system for a Parkinson patient, which comprises: the information acquisition module is used for acquiring electroencephalogram information and motion state information of a patient and sending the electroencephalogram information and the motion state information to the control module; the control module is used for analyzing the electroencephalogram information and the motion state information and judging whether the patient is in a gait freezing state or not; if the patient is in a gait freezing state, generating visual prompt information and/or auditory prompt information, and sending the visual prompt information and/or the auditory prompt information to a sensory prompt module; the sensory prompt module is used for outputting visual prompt information and/or auditory prompt information. The invention reminds the patient through the visual cue information and/or the auditory cue information to relieve the gait frozen state of the patient, and the cue information is discontinuously reminded, so that the patient can only remind when the patient is in the gait frozen state, the acuteness of the patient to the cue information can be kept, the patient is prevented from generating sense organ fatigue to the continuous cue information to cause failure, and the probability of failure of the cue is reduced.

Description

Gait freezing symptom rehabilitation training method and system for Parkinson patient
Technical Field
The invention relates to the field of medical auxiliary instruments, in particular to a gait freezing symptom rehabilitation training method and system for a Parkinson patient.
Background
Patients with parkinson's disease usually have different degrees of dyskinesia symptoms, clinically characterized by resting tremor, muscle rigidity, balance and postural gait disorders. The frozen gait is a typical gait dyskinesia symptom occurring in the middle and late stages of the Parkinson disease, the main clinical manifestations of the frozen gait are that a patient is temporarily stopped or difficult to start instantly when walking, the patient feels that the feet of the patient are stuck on the ground and cannot step, meanwhile, the patient is accompanied with shaking of the two legs, and the whole process lasts for several seconds to several minutes. The frozen gait is sudden and transient movement abnormality, which easily causes sudden fall of a patient when the patient walks, and seriously affects the health and the life quality of the patient.
Disclosure of Invention
Based on the above, there is a need to provide a rehabilitation training method and system for the gait freezing symptom of the parkinson patient, aiming at the problem that the gait freezing symptom of the patient suddenly falls when the patient walks.
A parkinson's patient gait freeze symptom rehabilitation training system, said parkinson's patient gait freeze symptom rehabilitation training system comprising: the system comprises a control module, an information acquisition module and a sensory prompt module;
the information acquisition module is used for acquiring electroencephalogram information and motion state information of a patient and sending the electroencephalogram information and the motion state information to the control module;
the control module is connected with the information acquisition module and the sensory prompting module and is used for analyzing the electroencephalogram information and the motion state information and judging whether the patient is in a gait freezing state or not; if the patient is in a gait freezing state, generating visual prompt information and/or auditory prompt information, and sending the visual prompt information and/or the auditory prompt information to the sensory prompt module;
and the sensory prompt module is used for outputting the visual prompt information and/or the auditory prompt information.
In one embodiment, the device further comprises a touch module, wherein the touch module is connected with the control module;
the touch control module is used for collecting input information, generating an adjusting instruction according to the input information and sending the adjusting instruction to the control module;
and the control module adjusts the visual prompt information and/or the auditory prompt information according to the adjusting instruction.
In one embodiment, the system further comprises a power supply module for providing the system operation voltage.
In one embodiment, the motion state information includes at least one of gait information, acceleration information and rotation angle information.
In one embodiment, the electroencephalogram information includes at least one of left occipital electroencephalogram information, right top electroencephalogram information, and frontal cortex electroencephalogram information.
In one embodiment, the visual cue information comprises at least one of two-dimensional visual cue information and three-dimensional visual cue information.
In one embodiment, the sensory cue module comprises a visual cue unit and an auditory cue unit;
the visual prompting unit is used for outputting the visual prompting information;
and the auditory prompting unit is used for outputting the auditory prompting information.
In one embodiment, the information acquisition module comprises an electroencephalogram acquisition unit and a motion information acquisition unit,
the electroencephalogram acquisition unit is used for acquiring electroencephalogram information;
the motion information acquisition unit is used for acquiring motion state information.
A gait freezing symptom rehabilitation training method for a Parkinson patient comprises the following steps:
acquiring electroencephalogram information and motion state information of a patient;
analyzing the electroencephalogram information and the motion state information, and judging whether the patient is in a gait freezing state;
if the patient is in a gait freezing state, generating visual prompt information and/or auditory prompt information;
and outputting the visual prompt information and/or the auditory prompt information.
In one embodiment, the method further comprises:
acquiring input information, and generating an adjusting instruction according to the input information;
and adjusting the visual prompt information and/or the auditory prompt information according to the adjusting instruction.
The invention judges whether the patient is in the gait frozen state or not by collecting and analyzing the electroencephalogram information and the motion state information of the patient, reminds the patient through the visual cue information and/or the auditory cue information when the patient is in the gait frozen state, relieves the gait frozen state of the patient, and prompts only when the patient is in the gait frozen state due to the discontinuous cue of the cue information, thereby keeping the acuteness of the patient to the cue information, avoiding the failure of the patient due to the sensory fatigue of the continuous cue information and reducing the probability of prompt failure.
Drawings
FIG. 1 is a schematic structural diagram of a gait freeze symptom rehabilitation training system for a Parkinson patient according to an embodiment of the invention;
FIG. 2 is a schematic structural diagram of the information acquisition module in FIG. 1;
FIG. 3 is a schematic structural diagram of the sensory cue module of FIG. 1;
FIG. 4 is a schematic product diagram of a Parkinson's patient gait freeze symptom rehabilitation training system according to an embodiment of the invention;
fig. 5 is a flowchart of a rehabilitation training method for a gait frozen symptom of a parkinson patient according to an embodiment of the invention.
Detailed Description
To facilitate an understanding of the invention, the invention will now be described more fully with reference to the accompanying drawings. Preferred embodiments of the present invention are shown in the drawings. This invention may, however, be embodied in many different forms and should not be construed as limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete.
Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. The terminology used in the description of the invention herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention.
As shown in fig. 1 to 3, fig. 1 is a schematic structural view of a gait freeze symptom rehabilitation training system for a parkinson patient according to an embodiment of the invention.
The gait freezing symptom rehabilitation training system for the Parkinson patient comprises: a control module 110, an information acquisition module 120 and a sensory cue module 130. The control module 110 is connected to the information collecting module 120 and the sensory cue module 130.
Optionally, the information collecting module 120 is configured to collect electroencephalogram information and motion state information of a patient, and send the electroencephalogram information and the motion state information to the control module 110. Specifically, the information acquisition module 120 includes an electroencephalogram acquisition unit 121 and a motion information acquisition unit 122, where the electroencephalogram acquisition unit 121 is configured to acquire electroencephalogram information; the motion information collecting unit 122 is configured to collect motion state information.
Optionally, the motion information collecting unit 122 is configured to collect gait information, acceleration information and rotation angle information of the patient during a rehabilitation training process. In particular, the motion information acquisition unit 122 comprises a gyroscope, magnetometer, and acceleration sensor or other sensor devices for detecting acceleration and rotation angle information of a body part of the patient, and for locating the facing direction of the patient. Wherein the gait information comprises step length, stride length, pace, stride frequency, cadence, single step time, stride time or other gait information.
Optionally, the electroencephalogram acquisition unit 121 is configured to acquire electroencephalogram information of the patient during a rehabilitation training process. Specifically, the electroencephalogram information includes left occipital electroencephalogram information, right parietal electroencephalogram information, frontal cortex electroencephalogram information, right frontal polar electroencephalogram information, right anterior temporal electroencephalogram information, right medial temporal electroencephalogram information, right posterior temporal electroencephalogram information, or other electroencephalogram information. In one embodiment, the electroencephalogram signals include left occipital electroencephalogram information, right top electroencephalogram information, and frontal cortex electroencephalogram information. The electroencephalogram information can predict the gait frozen state of the patient to a certain extent, and the electroencephalogram information can also be used together with the gait information and the motion information for diagnosing whether the patient is in the gait frozen state.
Optionally, the control module 110 may determine whether the patient is in a frozen gait state according to the exercise state information collected by the information collecting module 120. Specifically, the gait freezing state is that the gait is frozen when walking, the acceleration changes frequently in the vertical direction, but the forward acceleration only fluctuates, the gyroscope value does not change greatly, and the stride length is almost 0 according to the gait parameters; gait freezing occurs when turning, acceleration changes frequently in the vertical direction, but the forward acceleration only fluctuates, and the gyroscope value changes greatly.
Optionally, the control module 110 may determine whether the patient is in a gait frozen state according to the electroencephalogram information collected by the information collecting module 120. Specifically, the control module 110 converts the acquired electroencephalogram information into an electroencephalogram value, analyzes historical data of the electroencephalogram value within a certain time to generate a threshold, and determines that the patient is in the gait freezing state when the electroencephalogram value reaches the threshold, thereby generating the visual prompt information and/or the auditory prompt information. And when the electroencephalogram value does not reach the threshold value, judging that the patient is not in the gait frozen state, and not generating the visual prompt information and/or the auditory prompt information. The visual prompting information comprises at least one of two-dimensional visual prompting information and three-dimensional visual prompting information, and the visual prompting information has a motion speed and a spatial frequency; the auditory cue information comprises frequency, tone, volume, and tone. For example, the color, frequency, image size, etc. of the visual cue information are adjusted, and the volume, frequency, etc. of the auditory cue information are adjusted.
Optionally, the sensory cue module 130 is configured to output the visual cue information and/or the audible cue information sent by the control module 110 so that the visual cue information and/or the audible cue information can be received by the patient. Specifically, the sensory cue module 130 includes the visual cue unit, configured to output the visual cue information; and the auditory prompting unit is used for outputting the auditory prompting information. In one embodiment, the visual prompting unit is a near-eye display, is positioned in front of the eyes of the patient to display visual prompting information, ensures that the visual prompting is still clear and visible under the condition of strong ambient light, and realizes superposition of a real scene and the visual prompting through the development field of the near-eye display to ensure the use safety of the user. The hearing prompting unit is a bone conduction earphone, and the patient can still clearly hear hearing prompting information when the external environment sounds louder. Simultaneously, because need not block up the ear to can not obstruct external sound and spread into patient's ear, can hear environmental sound, guarantee that the patient is wearing the safety of glasses walking in-process.
Optionally, the gait freezing symptom rehabilitation training system for the parkinson patient further includes a touch module 140, where the touch module 140 is configured to collect input information, generate an adjustment instruction according to the input information, and send the adjustment instruction to the control module 110; the control module 110 adjusts the visual cue information and/or the audible cue information according to the adjustment instruction. In one embodiment, the touch module 140 is a touch-sensitive screen, and the touch module 140 collects operation gestures through different operation gestures to generate an adjustment instruction, and the control module 110 adjusts the movement speed and spatial frequency of the visual cue information and switches the representation form of the visual cue information between two-dimensional and three-dimensional according to the adjustment instruction, wherein the frequency, tone, volume and tone of the auditory cue information are different.
Optionally, the parkinson's patient gait freeze symptom rehabilitation training system further comprises a power supply module 150 for providing the system operating voltage. In one embodiment, the power supply module 150 is a lithium battery, which can provide a continuous power source for the system.
Referring to fig. 4, in an embodiment, the gait freeze symptom rehabilitation training system for the parkinson patient is an intelligent eye environment, the information collecting module 120 includes an electroencephalogram collecting unit 121 and a motion information collecting unit 122, and the electroencephalogram collecting unit 121 is located on a nose bridge and a frame of the intelligent glasses. The motion information collecting unit 122, the power supply module 150 and the control module 110 are located on one temple of the smart glasses. The sense organ prompting module 130 comprises a visual prompting unit and an auditory prompting unit, the visual prompting unit is located on the lenses of the intelligent glasses, and the auditory prompting unit is located on one side, far away from the lenses, of the glasses legs of the intelligent glasses. The touch module 140 is located on another temple of the smart glasses.
According to the rehabilitation training system for the gait freezing symptom of the Parkinson patient, whether the patient is in the gait freezing state or not is judged by collecting and analyzing the electroencephalogram information and the motion state information of the patient, when the patient is in the gait freezing state, the patient is reminded through the visual prompt information and/or the auditory prompt information, the gait freezing state of the patient is relieved, and due to the fact that prompt information is not continuously prompted, only when the patient is in the gait freezing state, prompt can be conducted, the acuteness of the patient on the prompt information can be kept, the phenomenon that the patient loses efficacy due to sensory fatigue of the patient on the continuous prompt information is avoided, and prompt failure probability is reduced.
As shown in fig. 5, fig. 5 is a flowchart of a gait freeze symptom rehabilitation training method for parkinson patients according to an embodiment of the invention. The gait freezing symptom rehabilitation training method for the Parkinson patient is used for a gait freezing symptom rehabilitation training system for the Parkinson patient and comprises the following steps:
step 310, collecting electroencephalogram information and motion state information of a patient.
The information collecting module 120 collects electroencephalogram information and motion state information of a patient and transmits the information to the control module 110.
And 320, analyzing the electroencephalogram information and the motion state information, and judging whether the patient is in a gait freezing state.
The control module 110 receives the electroencephalogram information and the motion state information sent by the information acquisition module 120, converts the acquired electroencephalogram information into an electroencephalogram value, and analyzes historical data of the electroencephalogram value within a certain time to generate a threshold. The control module 110 analyzes the acceleration and the rotation angle in the collected motion state information in combination with the electroencephalogram value to determine whether the patient is in a gait frozen state.
And step 330, if the patient is in a gait frozen state, generating visual prompt information and/or auditory prompt information.
The control module 110 detects that the patient is in a frozen gait state and generates visual and/or audible prompting messages. In one embodiment, the control module 110 generates visual cue information and the audible cue information and sends the visual cue information and the audible cue information to the sensory cue module 130.
The steps further include:
and if the patient is not in the gait frozen state, generating no visual prompt information and/or no auditory prompt information.
And 340, outputting the visual prompt information and/or the auditory prompt information.
The sensory cue module 130 outputs the visual cue information and/or the auditory cue information sent by the control module 110 through a near-eye display and a bone conduction headset.
The method further comprises the following steps:
acquiring input information, and generating an adjusting instruction according to the input information;
and adjusting the visual prompt information and/or the auditory prompt information according to the adjusting instruction.
The touch module 140 collects input information of a patient, generates an adjustment instruction according to the input information, and sends the adjustment instruction to the control module 110, and the control module 110 adjusts the visual prompt information and/or the auditory prompt information according to the adjustment instruction. For example, the color, frequency, image size, etc. of the visual cue information are adjusted, and the volume, frequency, etc. of the auditory cue information are adjusted.
It should be understood that, although the steps in the flowchart of fig. 5 are shown in order as indicated by the arrows, the steps are not necessarily performed in order as indicated by the arrows. The steps are not performed in the exact order shown and described, and may be performed in other orders, unless explicitly stated otherwise. Moreover, at least a portion of the steps in fig. 5 may include multiple sub-steps or multiple stages that are not necessarily performed at the same time, but may be performed at different times, and the order of performance of the sub-steps or stages is not necessarily sequential, but may be performed in turn or alternately with other steps or at least a portion of the sub-steps or stages of other steps.
The technical features of the embodiments described above may be arbitrarily combined, and for the sake of brevity, all possible combinations of the technical features in the embodiments described above are not described, but should be considered as being within the scope of the present specification as long as there is no contradiction between the combinations of the technical features.
The above-mentioned embodiments only express several embodiments of the present invention, and the description thereof is more specific and detailed, but not construed as limiting the scope of the invention. It should be noted that, for a person skilled in the art, several variations and modifications can be made without departing from the inventive concept, which falls within the scope of the present invention. Therefore, the protection scope of the present patent shall be subject to the appended claims.

Claims (10)

1. A gait frozen symptom rehabilitation training system for a Parkinson patient is characterized by comprising the following components: the system comprises a control module, an information acquisition module and a sensory prompt module;
the information acquisition module is used for acquiring electroencephalogram information and motion state information of a patient and sending the electroencephalogram information and the motion state information to the control module;
the control module is connected with the information acquisition module and the sensory prompting module and is used for analyzing the electroencephalogram information and the motion state information and judging whether the patient is in a gait freezing state or not; if the patient is in a gait freezing state, generating visual prompt information and/or auditory prompt information, and sending the visual prompt information and/or the auditory prompt information to the sensory prompt module;
and the sensory prompt module is used for outputting the visual prompt information and/or the auditory prompt information.
2. The parkinsonian patient gait freeze symptom rehabilitation training system according to claim 1, further comprising a touch module, the touch module being connected with the control module;
the touch control module is used for collecting input information, generating an adjusting instruction according to the input information and sending the adjusting instruction to the control module;
and the control module adjusts the visual prompt information and/or the auditory prompt information according to the adjusting instruction.
3. The parkinsonian patient gait freeze symptom rehabilitation training system of claim 1, further comprising a power supply module for providing the system operating voltage.
4. The parkinsonian gait freeze symptom rehabilitation training system of claim 1, wherein the kinetic state information includes at least one of gait information, acceleration information and rotation angle information.
5. The parkinsonian patient gait freeze symptom rehabilitation training system of claim 1, wherein the electroencephalogram information includes at least one of left occipital electroencephalogram information, right parietal electroencephalogram information, and frontal cortex electroencephalogram information.
6. The parkinsonian patient gait freeze symptom rehabilitation training system of claim 1, wherein the visual cue information comprises at least one of two-dimensional visual cue information and three-dimensional visual cue information.
7. The parkinsonian patient gait freeze symptom rehabilitation training system of claim 1, wherein the sensory cue module comprises a visual cue unit and an auditory cue unit;
the visual prompting unit is used for outputting the visual prompting information;
and the auditory prompting unit is used for outputting the auditory prompting information.
8. The parkinsonian gait freeze symptom rehabilitation training system according to claim 1, wherein the information acquisition module comprises an electroencephalogram acquisition unit and a motion information acquisition unit,
the electroencephalogram acquisition unit is used for acquiring electroencephalogram information;
the motion information acquisition unit is used for acquiring motion state information.
9. A gait freezing symptom rehabilitation training method for a Parkinson patient is characterized by comprising the following steps:
acquiring electroencephalogram information and motion state information of a patient;
analyzing the electroencephalogram information and the motion state information, and judging whether the patient is in a gait freezing state;
if the patient is in a gait freezing state, generating visual prompt information and/or auditory prompt information;
and outputting the visual prompt information and/or the auditory prompt information.
10. The parkinsonian gait freeze symptom rehabilitation training method of claim 9, further comprising:
acquiring input information, and generating an adjusting instruction according to the input information;
and adjusting the visual prompt information and/or the auditory prompt information according to the adjusting instruction.
CN201811370149.3A 2018-11-17 2018-11-17 Gait freezing symptom rehabilitation training method and system for Parkinson patient Pending CN111195189A (en)

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Application publication date: 20200526