CN111839459A

CN111839459A - Cervical vertebra assessment rehabilitation system based on cloud platform

Info

Publication number: CN111839459A
Application number: CN202010641130.9A
Authority: CN
Inventors: 俞杭平; 裴梓辰; 李天宸; 刘涛
Original assignee: Individual
Current assignee: Individual
Priority date: 2020-07-06
Filing date: 2020-07-06
Publication date: 2020-10-30

Abstract

The invention belongs to the field of medical instruments, and particularly discloses a cervical vertebra evaluation and rehabilitation system based on a cloud platform, which can be used for evaluating, detecting and rehabilitating the health state of cervical vertebra of a patient. The system objectively and quantitatively evaluates the muscle strain condition around the cervical vertebra through the activity range and strength test of the cervical vertebra, and makes up the defect that the traditional imaging examination mainly aims at the spine and spinal cord; the system integrates evaluation and rehabilitation, can generate a targeted rehabilitation scheme according to a subject, can not only aim at most of patients with cervical muscle strain, neck pain, cervical spondylosis or sequelae of cervical vertebra whiplash injury, but also evaluate, detect, prevent and care the health state of cervical vertebra of healthy people; because the relevant data detected by the equipment end is uploaded to the cloud server end, the cervical vertebra model and the cervical vertebra database can be optimized, and a cervical vertebra evaluation report and a targeted rehabilitation scheme are generated for the cervical vertebra information of the patient.

Description

Cervical vertebra assessment rehabilitation system based on cloud platform

Technical Field

The invention belongs to the field of medical instruments, and particularly relates to a cervical vertebra evaluation rehabilitation system based on a cloud platform.

Background

With the increasing aging degree of the population in China and the wide application of portable electronic devices such as smart phones and notebook computers, the incidence rate of cervical spondylosis is on a rising trend. Cervical spondylosis is common in the elderly, but in recent years, the prevalence of teenagers has increased year by year, and cervical spine assessment and rehabilitation equipment capable of covering all ages is urgently needed in the market.

At present, the traditional clinical imaging examination mainly comprises CT, X-ray and MRI, and can examine cervical vertebra bones and cervical intervertebral discs of patients and spinal cord injuries. However, the cervical vertebrae include both bones and muscles, and the examination of the musculature is difficult to perform by the imaging examination. In fact, some patients with cervical spondylosis and many sub-healthy people do not have the above-mentioned pathologies, the cause of which is mainly due to muscle injuries, which in turn lead to skeletal pathologies. Therefore, in order to make up for the shortcomings of the conventional imaging examination, it is necessary to find a method for examining the neck muscles and to make a corresponding training and rehabilitation plan according to the conditions of the neck muscles.

The existing cervical muscle examination schemes have the following three types:

MCU: MCU (Multi-Cervical Units) is a system for Cervical assessment rehabilitation developed by BTE technology. Used for evaluating and recovering patients suffering from neck pain, flogging related diseases (WAD) and cervical spondylosis in general. The diseased neck and cervical spine can be objectively evaluated, exercised, and recovered. The MCU may help the physician perform standard or custom tests and provide objective assessment by automatically generating reports. The scheme has high detection cost and complicated operation flow.

sEMG: semg (surface electromyography) is a surface electromyography that detects the activity of the musculo-nervous system. Under standardized control, sEMG signals can quantitatively reflect fatigue, muscle strength levels, coordination of multiple muscle groups and other functional conditions. The scheme has higher requirements on the configuration position of the sensor, is difficult to be suitable for a plurality of detection individuals, and has higher detection cost and longer detection period.

Ultrasonic wave: compared with sEMG and MRI, ultrasound has the advantages of simplicity and convenience in operation, no wound, low cost, reliability and effectiveness, and can better evaluate the thickness of muscles. The scheme has high requirements on the level of the sonographer and is not beneficial to large-scale popularization and application.

None of the above solutions provide a quantifiable assessment solution based on neck muscle examination, nor do they customize a personalized rehabilitation training solution.

Therefore, the cervical vertebra assessment and rehabilitation system based on the cloud platform is designed, assessment and rehabilitation integration can be achieved simultaneously, a quantitative assessment scheme is provided for the cervical vertebra of a patient, the cost can be reduced, detection steps can be simplified, a rehabilitation training scheme can be customized, and the system obviously has positive practical significance.

Disclosure of Invention

The invention aims to solve the problems and the defects in the prior art, and provides a cervical vertebra evaluation and rehabilitation system based on a cloud platform and suitable for all ages, so that the cost and the inspection requirement are reduced, the inspection precision of neck muscles is improved, and objective evaluation basis is provided for doctors. The system can help a doctor to check the patient, detect and evaluate the cervical vertebra health condition of the patient, can also formulate an individualized treatment scheme, relieves pain caused by cervical spondylosis through rehabilitation training, and is convenient to operate, short in detection period and good in treatment effect.

In order to achieve the above purpose, the invention specifically adopts the following technical scheme:

a cervical vertebra assessment rehabilitation system based on a cloud platform is characterized by comprising a cervical vertebra assessment rehabilitation equipment unit and a cervical vertebra assessment and rehabilitation data cloud platform unit;

the cervical vertebra evaluation rehabilitation equipment unit comprises a multi-degree-of-freedom cervical vertebra movement measuring device, a sensing detection module, an embedded control module, a wireless communication module and a main control interaction module;

the multi-degree-of-freedom cervical vertebra movement measuring device is provided with a head-mounted frame, traction equipment and a sensing detection module and is used for realizing the cervical vertebra movement range, isometric force test and resistance rehabilitation training of a user; the head-wearing type frame is sleeved on the head of a user and at least has two rotational degrees of freedom, wherein the first rotational degree of freedom is used for enabling the head of the user to rotate along a vertical axis, and the second rotational degree of freedom is used for enabling the head of the user to swing; when any rotational degree of freedom of the head-wearing type frame rotates, traction force is applied to the head of a user by traction equipment; the sensing detection module is arranged on the multi-degree-of-freedom cervical vertebra movement measuring device and comprises an encoder, a force sensor and a pain detection module; the two encoders are respectively used for detecting angular displacement of two rotational degrees of freedom in the head-mounted frame, the force sensor is used for detecting force applied to the head-mounted frame by the head of a user in a cervical vertebra isometric force test process, and the pain detection module is used for realizing pain detection of the user;

The embedded control module is arranged on the multi-degree-of-freedom cervical vertebra movement measuring device and is used for processing and packaging data obtained by the sensing detection module;

the wireless communication module is arranged on the multi-degree-of-freedom cervical vertebra movement measuring device and used for sending the data packet packaged by the embedded control module to the main control interaction module;

the master control interaction module comprises an upper computer and a wireless receiver; the wireless receiver is used for receiving the data packet sent by the wireless communication module; the upper computer is used for further processing the received data packet and displaying the data packet in real time, and is also used for associating user registration information with the received data packet to form user data, and a user data transceiver module which is in communication connection with the cervical vertebra assessment and rehabilitation data cloud platform unit is mounted on the upper computer;

the cervical vertebra evaluation and rehabilitation data cloud platform unit comprises a user data transceiving module, a cloud storage module, a cloud computing processing module and a client module;

the user data transceiver module is used for acquiring user data obtained by a main control interaction module of the cervical vertebra evaluation rehabilitation equipment unit and sending the data to the cloud storage module through the Ethernet; meanwhile, the system is also used for receiving the user cervical vertebra evaluation result and the targeted rehabilitation training scheme obtained by the cloud computing processing module;

The cloud storage module is used for storing user data and analysis results;

the cloud computing processing module is used for searching and analyzing user data to generate a cervical vertebra evaluation result and a rehabilitation training scheme of a user;

the client module is used as an entrance of a user access system and used for realizing the query of the user on the cervical vertebra condition and the rehabilitation training scheme.

Preferably, the sensing detection module is further provided with a temperature sensor for detecting the body temperature of the user.

Preferably, the pain detection module is a near infrared spectrum sensor to assist the pain ruler in quantifying the pain index of the user.

Preferably, the main control interaction module is provided with a printer which is responsible for outputting a cervical vertebra evaluation result report and related medical evidence of the user.

Preferably, the main control interaction module is provided with a sound generating device for generating action prompt sound in the detection and rehabilitation training process, and performing auxiliary counting and safety range prompting.

Preferably, the cloud storage module stores a cervical vertebra model and a standard reference database, and the cloud computing processing module evaluates the cervical vertebra condition of the user according to the cervical vertebra model and the standard reference database, generates a cervical vertebra evaluation result and an individualized rehabilitation training scheme of the user, and performs feedback improvement on the cervical vertebra model and the standard reference database.

Preferably, in the client module, the user access mode includes a web page mode and a mobile client mode.

Preferably, in the multi-degree-of-freedom cervical vertebra movement measuring device, the data acquisition method of the sensor module in the cervical vertebra movement range and isometric strength test and resistance rehabilitation training process of the user is as follows:

s1: testing the cervical vertebra movement range, enabling a user to respectively stretch forwards and backwards, rotate left and right and bend left and right through the multi-degree-of-freedom cervical vertebra movement measuring device, repeatedly moving in 3 freedom directions in total, and detecting corresponding angular displacement in the head-mounted frame through the encoder;

s2: the isometric strength test of cervical vertebra, through multi freedom cervical vertebra activity measuring device let the user do the counter action in anteflexion, back extension, left/right side flexion direction respectively, force transducer detects user's head and to the force of wearing the type frame in the isometric strength test of cervical vertebra.

S3: for other graduated movement range tests and isometric force tests, the test process refers to steps S1 and S2, and the horizontal circumference graduation adjustment of the multi-degree-of-freedom cervical vertebra movement measuring device is adopted to adjust and respectively test within a 180-degree range, so that sensor data are obtained.

Furthermore, in the multi-degree-of-freedom cervical vertebra movement measuring device, the encoder detects the movement range of the head of the user through detecting the angular displacement, so that the average movement range, the maximum movement range and the variation coefficient of the user are obtained, the force sensor further obtains the average strength, the maximum strength and the variation coefficient of the user through the force value, the near infrared spectrum sensor detects pain data of the user, and meanwhile, the pain ruler is assisted to obtain a quantized value of a pain index of the user.

Further, in the cervical vertebra assessment and rehabilitation data cloud platform unit, the cloud computing processing module obtains the user data obtained in steps S1-S3 through the user data transceiver module, then compares and jointly analyzes the measured activity range, strength and pain index with the pre-stored cervical vertebra model and the standard reference database to obtain the muscle condition of the user, finds out the responsible muscles of the user with strain and causing cervical vertebra dynamic imbalance, and finally outputs a complete cervical vertebra assessment result report and a rehabilitation training scheme.

Preferably, the multi-degree-of-freedom cervical vertebra movement measuring device comprises a detection device, a traction device and a supporting device; wherein the traction mechanism is fixed on the supporting device, and the detection device is suspended above the front end of the supporting device;

The detection device comprises a rotating central shaft, a first encoder, a horizontal circumference indexing mechanism, a second degree-of-freedom frame, a first degree-of-freedom frame, a rotating adjusting mechanism, a headstock, a second encoder, a vertical circumference indexing mechanism and a head ring;

the rotating central shaft is fixed on the switching block and is meshed with a first encoder for detecting the rotating angle of the rotating central shaft through a gear set; the rotary central shaft and the horizontal circumference indexing mechanism are relatively fixed; the second degree of freedom frame and the horizontal circumference indexing mechanism are relatively fixed, the whole body is in an inverted U shape, and the second degree of freedom frame can rotate relative to the supporting device by taking the rotating central shaft as a center; the first degree-of-freedom frame is in an inverted U shape and is arranged in the second degree-of-freedom frame, two bottom ends of the first degree-of-freedom frame and the second degree-of-freedom frame are respectively in rotating connection with the rotating shaft through a bearing, and a second encoder for detecting the rotating angle of the rotating shaft is arranged on the rotating shaft; the first degree-of-freedom frame rotates relative to the second degree-of-freedom frame by taking the rotating shaft as a center; the first degree-of-freedom frame adjusts the initial relative angle with the second degree-of-freedom frame through a vertical circumference indexing mechanism; a head ring is arranged in the inner side space of the first degree-of-freedom frame, and the relative angle between the head ring and the second degree-of-freedom frame is adjusted through a rotary adjusting mechanism; the head frame is fixed on the head ring and used for buckling the head of the tester;

The traction device comprises a guide shaft support, a counterweight group, a first adapter plate, a bolt positioning column, a steel wire tensioning mechanism, a guide shaft, a first steel wire guiding and restraining mechanism, a second steel wire guiding and restraining mechanism, a steel wire, a rotary traction pulley block, a second adapter plate, a third steel wire guiding and restraining mechanism and a flexion and extension traction mechanism;

the top of the second degree-of-freedom frame is provided with a disc fixing piece with a mounting through hole in the center, and the second adapter plate is used for adapter-mounting the rotating central shaft on the disc fixing piece; the rotary traction pulley block is arc-shaped, the inner side of the rotary traction pulley block is fixed on the second adapter plate, the arc ring is fixed along the circumference of the disc fixing piece, a plurality of pulleys which are distributed at equal angles and can freely rotate are fixed between the arc ring and the disc fixing piece, the circumferential edges of the two pulleys positioned in the middle position are close, and the pulley grooves of the two pulleys are opposite to each other to form a first guide channel for the steel wire to pass through; the third steel wire guiding and restraining mechanism is fixed in the mounting through hole of the disc fixing piece and is provided with three guide wheels, the circumferential edges of the first guide wheel and the second guide wheel are close to each other, wheel grooves of the first guide wheel and the second guide wheel are opposite to each other to form a second guiding channel for the steel wire to pass through, and the third guide wheel is mounted above the first guide wheel; one end of the steel wire is fixed on the traction mechanism, and the other end of the steel wire vertically passes through a second guide channel of a third steel wire guide and constraint mechanism, then horizontally passes through a first guide channel of a rotary traction pulley block under the guide of a third guide wheel, and then passes through the guide and constraint of the second steel wire guide and constraint mechanism and the first steel wire guide and constraint mechanism, so that one end of the steel wire is fixed on the steel wire tensioning mechanism; the lower end of the steel wire tensioning mechanism is detachably connected with the first adapter plate through a bolt positioning column; the balancing weight group is hung below the first adapter plate and can slide up and down along the guide shaft under the traction of the steel wire; two ends of the guide shaft are fixed on the support bracket through the guide shaft support;

When the second degree-of-freedom frame rotates relative to the supporting device by taking the rotating central shaft as the center and the first degree-of-freedom frame rotates relative to the second degree-of-freedom frame by taking the rotating shaft as the center, the steel wire can pull the steel wire tensioning mechanism under the traction of the traction mechanism.

On the basis of the common knowledge in the field, the above preferred conditions can be combined randomly to obtain the preferred embodiments of the invention.

Compared with the prior art, the invention has the positive improvement effects that:

(1) the cervical vertebra evaluation rehabilitation equipment unit is combined with the rehabilitation data cloud platform unit, the cervical vertebra evaluation rehabilitation equipment unit is used for realizing the cervical vertebra activity range, isometric force test and resistance rehabilitation training of a user, and a cervical vertebra evaluation report and a targeted rehabilitation scheme are generated for the cervical vertebra information of the patient through the cervical vertebra evaluation and rehabilitation data cloud platform unit. The evaluation process of the cervical vertebra evaluation rehabilitation system is simple in action, and a subject only needs to do few actions according to prompts and can carry out all-around detection on the cervical vertebra part in half an hour;

(2) the system integrates evaluation and rehabilitation, and after a subject takes action to obtain an evaluation report, the system can further carry out appropriate individualized rehabilitation training and master the cervical vertebra state and rehabilitation effect of the subject through the cloud platform;

(3) The invention has clear and intuitive data and good breadth and depth, can record the neck activity range, can draw the data change into a curve chart, can obtain the health condition of each muscle in the superficial layer and the deep layer of the neck after being analyzed and compared with a large amount of data, can visually and accurately present the health condition, and can draw a neck muscle strength top view;

(4) the cervical vertebra pain evaluation method can objectively and quantitatively evaluate strain conditions and pain conditions of cervical vertebra surrounding muscles, makes up for the defect that traditional imaging examination mainly aims at vertebra and spinal.

(5) According to the invention, a cervical vertebra model and a standard reference database of a specific crowd can be established through the cervical vertebra evaluation and rehabilitation data cloud platform unit, relevant data of rehabilitation training of a user is kept updated, and a training mode is gradually improved through timely feedback.

Drawings

Fig. 1 is a structural composition diagram of a cervical vertebra evaluation rehabilitation device unit in a cervical vertebra evaluation rehabilitation system based on a cloud platform;

fig. 2 is a composition diagram of a cervical vertebra evaluation and rehabilitation data cloud platform unit in the cervical vertebra evaluation and rehabilitation system based on the cloud platform;

FIG. 3 is a flow chart of a cervical vertebra assessment rehabilitation method based on a cloud platform;

FIG. 4 is a diagram illustrating a multi-degree of freedom cervical movement measuring device in accordance with a preferred embodiment;

FIG. 5 is a structural diagram of a detecting device in the multi-degree of freedom cervical vertebra movement measuring device;

FIG. 6 is a drawing showing the connection between a traction device and a detection device in the multi-degree-of-freedom cervical vertebrae movement measuring device;

FIG. 7 is a schematic view of a traction device in the multi-degree of freedom cervical spine movement measuring device;

FIG. 8 is a view showing the construction of a third wire guiding and restraining mechanism;

fig. 9 is a schematic diagram of the wire traction of the second wire guide restraint mechanism and the rotating traction sheave assembly;

fig. 10 is a structural view of a wire tensioning mechanism of the traction device.

Detailed Description

The technical scheme of the invention is further explained by the specific implementation mode in combination with the attached drawings.

In a preferred embodiment of the invention, a cloud platform-based cervical vertebra assessment and rehabilitation system is provided, which comprises a cervical vertebra assessment and rehabilitation equipment unit and a cervical vertebra assessment and rehabilitation data cloud platform unit. In the system, the cervical vertebra evaluation rehabilitation equipment unit is a main hardware part and is used for realizing strength tests of the cervical vertebra range of motion and the equal length of a user and resistance rehabilitation training, and the cervical vertebra evaluation and rehabilitation data cloud platform unit is a data processing and expanding part and is used for generating a cervical vertebra evaluation report and a targeted rehabilitation scheme for the cervical vertebra information of a patient. The two parts are combined, so that the muscle strain condition around the cervical vertebra can be objectively and quantitatively evaluated, and the defect that the traditional imaging examination mainly aims at the vertebra and the spinal cord is overcome. The system integrates evaluation and rehabilitation, can generate a targeted rehabilitation scheme according to a subject, can not only aim at most of patients with cervical muscle strain, neck pain, cervical spondylosis or sequelae of whiplash injury of cervical vertebra, but also evaluate, detect and prevent the health state of the cervical vertebra of healthy people. The relevant data detected by the equipment end is uploaded to the cloud server end, so that the method can be used for optimizing the cervical vertebra model and the cervical vertebra database, and generating a cervical vertebra evaluation report and a targeted rehabilitation scheme for the cervical vertebra information of the patient.

As shown in fig. 1, the cervical vertebra evaluation rehabilitation device unit includes a cervical vertebra movement measuring device with multiple degrees of freedom, a sensing detection module, an embedded control module, a wireless communication module and a master control interaction module. The multi-degree-of-freedom cervical vertebra movement measuring device is provided with a head-wearing type frame, a traction device and a sensing detection module and is used for realizing the cervical vertebra movement range, isometric force test and resistance rehabilitation training of a user, the head-wearing type frame is sleeved on the head of the user and at least has two rotational degrees of freedom, and the first rotational degree of freedom is used for enabling the head of the user to rotate along a vertical axis, namely the head rotates left and right; the second degree of rotational freedom is for the user to swing his head, which includes forward flexion, backward extension, and left and right lateral flexion. Two rotational degrees of freedom can be realized by nesting two inverted U-shaped supports, the outer support rotates around a vertical shaft, the inner support rotates around a horizontal shaft, and the two supports are both driven by a head frame sleeved on the head. When any rotational degree of freedom of the head-wearing type frame rotates, traction force is applied to the head of a user by traction equipment, and the traction force can be adjusted through different masses of the mounting counterweight.

The sensing detection module is arranged on the multi-degree-of-freedom cervical vertebra movement measuring device and comprises an encoder, a force sensor and a pain detection module. The force sensor is used for detecting the force applied by the head of the user to the head-mounted frame in the testing process of the strength of the cervical vertebra and the like, and the pain detection module is used for realizing the pain detection of the user. In this embodiment, the pain detection module may employ a near infrared spectrum sensor, and may reflect the pain condition of the cervical vertebra position of the tester according to the relationship between the infrared spectrum and the pain. In addition, the pain ruler can be used for assisting a surgical pain ruler to evaluate the pain condition of a tester in order to ensure accuracy. The surgical pain ruler is a ruler marked with different pain degrees commonly used in surgery, and can be used for indicating pain levels according to subjective feelings of patients. After the two indexes can be summarized, a physician comprehensively provides an accurate pain condition evaluation result, and the user pain index is quantized. In addition, a temperature sensor can be arranged in the sensing detection module and used for detecting the body temperature of the user.

The embedded control module is arranged on the multi-freedom-degree cervical vertebra movement measuring device and used for carrying out primary processing and data packaging on the data obtained by the sensing detection module. The embedded control module can be realized by adopting a single chip microcomputer, a PLC and the like, and the form is not limited.

The wireless communication module is arranged on the multi-freedom-degree cervical vertebra movement measuring device and used for sending the data packet packaged by the embedded control module to the main control interaction module.

The main control interaction module comprises an upper computer and a wireless receiver. The wireless receiver is used for receiving the data packet sent by the wireless communication module. The upper computer can be realized by a PC (personal computer) and is used for further processing the received data packet and displaying the data packet in real time, meanwhile, the upper computer is provided with a user information registration unit, a user can input relevant information before testing, and the upper computer can associate the user registration information with the received data packet to form user data in the testing process. In addition, the upper computer is provided with a user data receiving and transmitting module which is in communication connection with the cervical vertebra assessment and rehabilitation data cloud platform unit, and the obtained user data can be sent to the rehabilitation data cloud platform unit through the user data receiving and transmitting module.

In addition, sound production equipment such as a printer and a sound device can be additionally arranged on the main control interaction module, and the printer is responsible for outputting a cervical vertebra evaluation result report and relevant medical proofs of the user. The sound box is used for sending out action prompt tones in the detection and rehabilitation training processes, and performing auxiliary counting and safety range reminding. The main control interaction module can select a mobile phone, a tablet and similar mobile terminals according to requirements.

As shown in fig. 2, the cervical vertebra assessment and rehabilitation data cloud platform unit includes a user data transceiver module, a cloud storage module, a cloud computing processing module, and a client module.

The user data transceiver module is used for acquiring user data obtained by a main control interaction module of the cervical vertebra evaluation rehabilitation equipment unit and sending the data to the cloud storage module through the Ethernet; and meanwhile, the system is also used for receiving the user cervical vertebra evaluation result and the targeted rehabilitation training scheme obtained by the cloud computing processing module.

The cloud storage module is used for storing user data and analysis results;

the cloud computing processing module is used for searching and analyzing user data, and generating a cervical vertebra evaluation result and a rehabilitation training scheme of the user.

The client module is used as an entrance of the user access system and used for realizing the query of the user on the cervical vertebra condition and the rehabilitation training scheme. The number of the client modules can be multiple, the user access mode comprises a webpage mode and a mobile client mode, and mobile terminals such as mobile phones are preferably adopted. The client module of each patient is provided with a data transceiver module of the client module, and corresponding data information can be acquired from the cloud platform.

In order to facilitate analysis and calculation, the cloud storage module stores a cervical vertebra model and a standard reference database, the cloud computing processing module evaluates the cervical vertebra condition of the user according to the cervical vertebra model and the standard reference database, generates a cervical vertebra evaluation result and an individualized rehabilitation training scheme of the user, and meanwhile, the generated data can be used for reversely helping to perfect the cervical vertebra model and the standard reference database aiming at the target population, so that closed-loop feedback is realized.

In the aforementioned multi-degree-of-freedom cervical vertebrae movement measuring apparatus, the data acquisition method of the sensor module for the cervical vertebrae movement range and the isometric strength test and the resistance rehabilitation training process of the user can be seen in the following S1-S3:

In the multi-degree-of-freedom cervical vertebra movement measuring device, an encoder detects the movement range of the head of a user through detecting angular displacement, then the average movement range, the maximum movement range and the variation coefficient of the user can be further obtained, a force sensor further obtains the average strength, the maximum strength and the variation coefficient of the user through the force value, a near infrared spectrum sensor detects pain data of the user, and meanwhile, a pain ruler is assisted to obtain a quantized value of a pain index of the user.

In the cervical vertebra assessment and rehabilitation data cloud platform unit, the cloud computing processing module acquires the user data obtained in the steps S1-S3 through the user data transceiver module, then compares and jointly analyzes the measured activity range, strength and pain index with a pre-stored cervical vertebra model and a standard reference database to obtain the muscle condition of the user, finds out responsible muscles which cause cervical vertebra dynamic imbalance and exist strain of the user, and finally outputs a complete cervical vertebra assessment result report and a rehabilitation training scheme.

As shown in fig. 3, on the basis of the cervical vertebra assessment and rehabilitation system based on the cloud platform, the method for performing rehabilitation training by using the system is as follows:

1) testing the activity range of the cervical vertebra: the patient is enabled to respectively perform anteflexion, retroflexion, left/right rotation and left/right lateral flexion through the cervical vertebra evaluation rehabilitation mechanical system, 3 degrees of freedom directions are repeatedly moved in total, the moving range of the patient is detected through an encoder, and the average moving range, the maximum moving range and the variation coefficient of the patient are recorded. The pain index of the test subject was recorded by a near infrared spectrum sensor assisted pain ruler.

2) Testing isometric strength of cervical vertebra: the patient is enabled to do countermeasures in the forward flexion direction, the backward extension direction and the left/right side flexion direction through the cervical vertebra evaluation rehabilitation mechanical system, and the average force, the maximum force and the variation coefficient of the patient are detected through the force sensor. The pain index of the test subject was recorded by a near infrared spectrum sensor assisted pain ruler.

3) Other graduated range of motion tests and isometric force tests: referring to the above test, the horizontal circumference indexing mechanism of the cervical vertebra assessment rehabilitation mechanical system is adjusted within 180 degrees for respective tests. The pain index of the test subject was recorded by a near infrared spectrum sensor assisted pain ruler.

4) Generating a cervical vertebra evaluation report and a rehabilitation training scheme: and comparing the measured activity range, strength and pain index with the existing cervical vertebra database, performing combined analysis to obtain the muscle condition of the patient, finding out responsible muscles of the patient with strain and causing cervical vertebra dynamic imbalance, and finally outputting a complete cervical vertebra evaluation report and a rehabilitation training scheme.

5) Cervical vertebra rehabilitation training: the rehabilitation training is divided into anteflexion, retroflexion, left/right rotation and left/right lateral flexion according to the movement, the considered individual difference is divided into a plurality of divisions of 0 degree, 25 degrees and 45 degrees according to the horizontal circumference, and the safety range and the recommended movement repeated group number and each group number are also designed. The patient carries out resistance training according to a targeted rehabilitation training scheme through the multi-degree-of-freedom cervical vertebra movement device, the sound of the main control interaction module assists in counting aside, and the patient is reminded of training within a recommended safety range.

And after the training is finished, recording the use feedback of the patient, and optimizing the rehabilitation training scheme according to the feedback. In addition, after one stage of rehabilitation training is finished, the test process can be carried out again, and the rehabilitation training scheme is adjusted according to the test result.

The technical scheme of the invention can help a doctor to check the patient, detect and evaluate the cervical vertebra health condition of the patient, can also formulate an individualized treatment scheme, relieves the pain caused by cervical spondylosis through rehabilitation training, and has convenient operation, short detection period and good treatment effect.

In the invention, the structure form of the multi-degree-of-freedom cervical vertebra movement measuring device is not limited, as long as the rotation angle measurement and traction force application of two rotation degrees of freedom of the head of a user can be realized. The main structure of the device comprises a head-wearing frame, traction equipment and a sensing detection module. In order to facilitate understanding of those skilled in the art, the following provides an implementation form of the multi-degree-of-freedom cervical vertebrae movement measuring apparatus in a preferred embodiment. However, it should be noted that this embodiment is only used for the purpose of auxiliary explanation, and is not the only implementation form of the multi-degree of freedom cervical vertebrae movement measuring apparatus of the present invention.

In the preferred embodiment, as shown in fig. 4, the multi-degree-of-freedom cervical vertebrae movement measuring device specifically comprises three parts, namely a detecting device 1, a traction device 2 and a supporting device 3. The supporting device 3 is the installation subject of the whole device, is in an inverted L shape and is provided with a vertical frame body and a horizontal frame body. The detection device 1 is suspended above the front end of the horizontal frame body of the supporting device 3. The traction mechanism 2 is fixed on the supporting device 3, and the main body part of the traction mechanism is positioned on the vertical frame body and is connected to the detection device 1 through a steel wire 210. The detection device 1 can be sleeved on the head of a patient, and records related detection data in the process of bending, stretching, bending, stretching or swinging the head of the patient. As shown in fig. 5, the detecting apparatus 1 includes a rotation center shaft 101, a first encoder 102, a horizontal circumferential indexing mechanism 103, a second degree-of-freedom frame 104, a first degree-of-freedom frame 105, a rotation adjusting mechanism 107, a head frame 108, a second encoder 109, a vertical circumferential indexing mechanism 110, and a head ring 111. The rotation center shaft 101 is fixed on the adapter block and is engaged with the first encoder 102 through a gear set, and the first encoder 102 can detect the rotation angle of the rotation center shaft 101 during the rotation of the rotation center shaft 101. The central axis of rotation 101 and the horizontal circumferential indexing mechanism 103 are relatively fixed. The second degree of freedom frame 104 and the horizontal circumference indexing mechanism 103 are relatively fixed, are integrally in an inverted U shape, and consist of a U-shaped frame body and a disc fixing piece positioned at the top of the U-shaped frame body. The second degree-of-freedom frame 104 can rotate relative to the supporting device 3 around the rotation central shaft 101, and the first encoder 102 is driven to rotate by the rotation central shaft 101 and the gear set during the rotation process, so as to obtain the data of the rotation angle from the first encoder 102. The first-degree-of-freedom frame 105 is also inverted U-shaped, but smaller in size than the second-degree-of-freedom frame 104, and is integrally disposed within the second-degree-of-freedom frame 104.

The two bottom ends of the first-degree-of-freedom frame 105 and the second-degree-of-freedom frame 104 are rotatably connected by a bearing and a rotating shaft, respectively, so that the first-degree-of-freedom frame 105 can rotate about the connection position in the second-degree-of-freedom frame 104. And, a second encoder 109 for detecting a rotation angle of the rotation shaft is installed on the rotation shaft of one side thereof. The first-degree-of-freedom frame 105 rotates about the rotation axis with respect to the second-degree-of-freedom frame 104.

A vertical circumference indexing mechanism 110 is arranged between the first degree-of-freedom frame 105 and the second degree-of-freedom frame 104, and the vertical circumference indexing mechanism 110 is a semicircular strip plate provided with a bolt hole along the way. The vertical circumferential indexing mechanism 110 is fixed relative to the second degree-of-freedom frame 104, and the initial relative angle of the first degree-of-freedom frame 105 and the second degree-of-freedom frame 104 can be adjusted by inserting a stopper pin into different pin holes. A circular head ring 111 is arranged in the inner space of the first degree-of-freedom frame 105, and the relative angle between the head ring 111 and the second degree-of-freedom frame 104 is adjusted by rotating the adjusting mechanism 107, so that the optimal wearing angle can be adjusted according to different testers. In this embodiment, the rotation adjusting mechanism 107 is a gear-like adjusting mechanism, and the angle between the head ring 111 and the gear can be temporarily fixed by the latch, and the gear is fixed with respect to the second degree-of-freedom frame 104. In order to ensure that the head ring 111 can be fitted on the head of the tester, a head frame 108 is fixed in the head ring 111, and the head frame 108 is fastened on the head of the tester to transmit the force of the head of the tester to the head ring 111. In this embodiment, the headstock 108 is defined by 4 segments of separate arc-shaped frames, and each arc-shaped frame is controlled by a radial adjusting mechanism to move relatively in a radial direction, so as to adjust the enclosing radius of the headstock 108, thereby adapting to the head size of different testers. The radial adjusting mechanism is a forked connecting rod, two branches at the front end of the connecting rod are respectively connected with two different arc-shaped frame bodies, a straight rod section at the rear end of the connecting rod penetrates through a fixing groove on the head ring 111, the straight rod section can move along the radial direction of the head ring 111, and the straight rod section and the fixing groove can be screwed and fixed through bolts.

Similarly, vertical adjusting mechanisms 106 are respectively provided in vertical sections on both sides of the first degree-of-freedom frame 105, and the height of the top thereof with respect to the second degree-of-freedom frame 104 is adjusted by the vertical adjusting mechanisms 106. In this embodiment, the vertical adjustment mechanism 106 is a ratchet-like vertical adjustment mechanism, the height of which is adjusted by a ratchet.

In the detecting apparatus 1, the directions of rotational degrees of freedom of the first degree-of-freedom frame 105 and the second degree-of-freedom frame 104 are different, the first degree-of-freedom frame 105 rotates around a horizontal rotation axis, data is recorded by the second encoder 109 for performing tests on cervical vertebrae of anteflexion, retroflexion, left flexion, and right flexion, and the second degree-of-freedom frame 104 rotates around a vertical axis, data is recorded by the first encoder 102 for performing tests on cervical vertebrae of left and right turns.

The traction device 2 is able to apply traction to the patient's head during rotation by means of a counterweight, and therefore it mainly comprises a guiding system and a counterweight. As shown in fig. 6 and 7, the traction device 2 includes a guide shaft support 201, a counterweight group 203, a first adapter plate 204, a bolt positioning column 205, a wire tensioning mechanism 206, a guide shaft 207, a first wire guide restraining mechanism 208, a second wire guide restraining mechanism 209, a wire 210, a rotating traction pulley group 211, a second adapter plate 212, a third wire guide restraining mechanism 213, and a traction block 214. As mentioned above, the top of the second degree-of-freedom frame 104 has a disk fixing member with a mounting through hole at the center, and the disk fixing member has mounting holes at the middle position and along the circumference. The second adapter plate 212 is installed at the center of the top surface of the disc fixing member, and a through hole for threading is also formed in the middle of the second adapter plate, and the through hole is communicated with the installation hole of the disc fixing member. The second adapter plate 212 is used to mount the rotating central shaft 101 on the disk holder in an adapter manner, and when the disk holder rotates, the rotating central shaft 101 is driven to rotate synchronously. The rotary traction pulley block 211 is arc-shaped, the main body of the rotary traction pulley block is an arc ring, the inner side of the arc ring is fixed on the second adapter plate 212 through screws, and the arc ring is fixed along the circumference of the disc fixing piece. A certain distance is arranged between the arc ring and the disc fixing piece, and a plurality of pulleys which are distributed at equal angles and can rotate freely are fixed between the arc ring and the disc fixing piece. In this embodiment, totally, 6 pulleys are arranged, and the circumferential edges of the two pulleys located in the middle are close to each other, and the grooves of the two pulleys relatively form a first guide channel for the steel wire 210 to pass through, so that the steel wire 210 is ensured not to fall off in the process of traction and direction change in different directions. In addition, a third wire guide and restraint mechanism 213 having three guide wheels is fixed in the mounting through hole of the disc holder. As shown in fig. 8, the circumferential edges of the first guide wheel and the second guide wheel are close to each other, the wheel grooves of the first guide wheel and the second guide wheel are opposite to each other to form a second guide passage for the steel wire 210 to pass through, and the third guide wheel is installed above the first guide wheel. The traction force in the present invention is transmitted through the steel wire 210, one end of the steel wire 210 is fixed to the traction block 214, and the traction block 214 is a block body installed on the top of the first degree-of-freedom frame 105. The other end of the steel wire 210 vertically passes through a second guide channel of a third steel wire guide and restriction mechanism 213, then bypasses a third guide wheel to form 90-degree steering, horizontally passes through a first guide channel of a rotary traction pulley block 211 under the guidance of the third guide wheel, and then passes through the guide and restriction of a second steel wire guide and restriction mechanism 209 and a first steel wire guide and restriction mechanism 208, so that the end part of the steel wire 210 is fixed on the steel wire tensioning mechanism 206 in a vertical posture. In this embodiment, the second wire guiding and restraining mechanism 209 is composed of two guiding wheels, the circumferential edges of the two guiding wheels are close to each other, the wheel grooves of the two guiding wheels are opposite to each other to form a third guiding channel for the wire 210 to pass through, and when the second degree-of-freedom frame 104 is at the initial position, the first guiding channel is closest to the third guiding channel; as shown in fig. 9, when the second-degree-of-freedom frame 104 rotates, the first guide channel and the third guide channel are spaced apart from each other, and the wire 210 is stretched.

The lower end of the wire tensioning mechanism 206 is detachably connected to the first adapter plate 204 through a pin positioning post 205. The weight stack 203 is hung below the first transfer plate 204 and can slide up and down along the guide shaft 207 under the traction of the steel wire 210. Both ends of the guide shaft 207 are fixed on the support bracket 31 through the guide shaft support 201, and all the weight block sets 203 pass through the guide shaft 207 and are limited by the guide shaft 207 to have only the sliding freedom degree in the vertical direction. The weight block set 203 may be formed by detachably assembling a plurality of weights, so that the overall mass of the weight block set 203 is adjustable. The counterweight group of this embodiment is composed of 3 kinds of weights, and 20 total weights can be selected according to the tester. A damping bracket 202 is arranged between the weight stack 203 and the guide shaft support 201 to prevent the weight stack and the guide shaft support from directly impacting to generate excessive noise and damage.

In this arrangement, the wire tensioning mechanism 206 functions to maintain the wire 210 in tension at all times, enabling it to conduct the forces applied by the tester. As shown in fig. 10, the wire tensioning mechanism 206 includes an adjusting screw 2061, a nut 2062, a third adapter plate 2063, a heavy hammer 2064, a connecting bar 2065, a spacing column 2066, and a torsion spring 2067. Two third adapter plates 2063 are provided, and are bent into a groove shape, and the two third adapter plates 2063 are arranged oppositely from top to bottom. The upper and lower third adapter plates 2063 and the four connecting bars 2065 are connected together by hinges to form a quadrilateral linkage mechanism with an adjustable distance between the two third adapter plates 2063. The adjustment screw 2061 and the nut 2062 are screwed above the upper third adapter plate 2063. The bottom end of the adjusting screw 2061 is connected with a heavy hammer 2064; the steel wire 210 passes through the adjusting screw 2061 and the weight 2064, and is fixed to the weight 2064. The length of the end of the steel wire 210 inserted into the adjusting screw 2061 is adjustable. The connecting bars 2065 are connected through 3 groups of limiting columns 2066; the torsion spring 2067 is mounted on the lower limit post 2066, one end of the torsion spring clings to the lower third adapter plate 2063, and the other end clings to the middle limit post 2066, so as to apply downward prestress to the middle limit post 2066. When the middle stopper post 2066 is pressed downward by the torsion spring 2067, it pushes the connecting rod 2065 to tilt laterally, which in turn drives the upper third adaptor plate 2063 to tilt downward, thereby applying tension to the steel wire 210. The bolt positioning column 205 can be fixed on the third adapter plate 2063 at the lower part through a screw, a pin hole for inserting the bolt is formed at the lower part of the bolt positioning column 205, when the weight block group 203 needs to be connected, the bolt can be inserted into the weight block group 203 and connected with the bolt positioning column 205, and when the weight block group 203 needs to be removed, the bolt can be directly pulled out.

When the second-degree-of-freedom frame 104 rotates relative to the support device 3 around the rotation central axis 101 and the first-degree-of-freedom frame 105 rotates relative to the second-degree-of-freedom frame 104 around the rotation axis, the steel wire 210 can pull the steel wire tensioning mechanism 206 under the traction of the traction block 214, and the steel wire tensioning mechanism 206 drives the counterweight group 203 to achieve traction.

In order to further facilitate the use of the device in the evaluation process of doctors, the side part of the head frame 108 is provided with a near infrared spectrum sensor for detecting the pain condition of the cervical vertebra position of the testee, and simultaneously, the device can also assist a surgical pain ruler for carrying out comprehensive evaluation on the pain condition of the testee. Additionally, a force sensor 112 may be provided on headgear 108 for real-time monitoring of the amount of force applied to headgear 108 by a feedback tester.

In order to further facilitate the use of the patient during the rehabilitation training, the head frame 108 is provided with a warm air module or a thermal therapy module for heating the cervical vertebrae position of the patient before the rehabilitation training to relieve pain.

In addition, the multi-degree-of-freedom cervical vertebra movement measuring device can be combined with an electric adjusting seat to be made into an integrated design, or a traction device is integrated on the electric seat.

For the convenience of understanding, the following describes the use method of the multi-degree-of-freedom cervical vertebra movement measuring device in detail, which comprises the following steps:

1) and (3) testing the forward flexion and backward extension moving ranges of cervical vertebrae: adjusting the gear-like rotation adjusting mechanism 107 to enable the head ring 111 to adapt to the head shape of the tester, and enabling the rotation center of the first degree-of-freedom frame 105 to align with the horizontal position between the testers C5/C6 by matching with the ratchet-like vertical adjusting mechanism 106; the head frame 108 is adjusted to be positioned against the head of the tester and is fixed tightly by the nylon fastener, and the bottom of the back head frame 108 is attached to the occipital tuberosity, thereby fixing the position of the tester. After the fixing is finished, the stop pin of the vertical circumferential indexing mechanism 110 is pulled out, so that the tester continuously performs the same forward-bending and backward-extending actions for 3 times, and the average moving range, the maximum moving range and the variation coefficient of the tester are monitored and fed back in real time through the second encoder 109. The pain index of the test subject was recorded by a near infrared spectrum sensor assisted pain ruler.

2) Testing the left/right rotation range of motion of cervical vertebra: adjusting the gear-like rotation adjusting mechanism 107 to enable the head ring 111 to adapt to the head shape of the tester, and enabling the rotation center of the first degree-of-freedom frame 105 to align with the horizontal position between the testers C5/C6 by matching with the ratchet-like vertical adjusting mechanism 106; the head frame 108 is adjusted to be positioned against the head of the tester and is fixed tightly by the nylon fastener, and the bottom of the back head frame 108 is attached to the occipital tuberosity, thereby fixing the position of the tester. After the fixing is finished, the rotating stop pin in the middle of the horizontal circumference indexing mechanism 103 is pulled out, so that the tester continuously performs the same left/right rotating action for 3 times, and the average moving range, the maximum moving range and the variation coefficient of the tester are monitored and fed back in real time through the first encoder 102. The pain index of the test subject was recorded by a near infrared spectrum sensor assisted pain ruler.

3) Testing the left/right flexion range of cervical vertebra: opening a rotation stop pin in the middle of the horizontal circumference indexing mechanism 103, rotating the second degree-of-freedom frame 104 to be in a 0-degree position, and simultaneously ensuring that the angle of the vertical circumference indexing mechanism 110 is also rotated to be in the 0-degree position; adjusting the gear-like rotation adjusting mechanism 107 to enable the head ring 111 to adapt to the head shape of the tester, and enabling the rotation center of the first degree-of-freedom frame 105 to align with the horizontal position between the testers C5/C6 by matching with the ratchet-like vertical adjusting mechanism 106; headgear 108 is adjusted to be positioned against the head of the test subject, securing the position of the test subject. After the fixing is finished, the stop pin of the vertical circumferential indexing mechanism 110 is pulled out, so that the tester continuously performs the same left/right bending motion for 3 times, and the average moving range, the maximum moving range and the variation coefficient of the tester are monitored and fed back in real time through the second encoder 109. The pain index of the test subject was recorded by a near infrared spectrum sensor assisted pain ruler.

4) Testing the strength of cervical vertebra such as anteflexion and postextension: adjusting the gear-like rotation adjusting mechanism 107 to enable the head ring 111 to adapt to the head shape of the tester, and enabling the rotation center of the first degree-of-freedom frame 105 to align with the horizontal position between the testers C5/C6 by matching with the ratchet-like vertical adjusting mechanism 106; the head frame 108 is adjusted to be positioned against the head of the tester and is fixed tightly by the nylon fastener, and the bottom of the back head frame 108 is attached to the occipital tuberosity, thereby fixing the position of the tester. After the fixation is finished, the tester can do forward flexion and backward extension actions to exert force on the head frame 108, and the average force, the maximum force, the variation coefficient and the ratio of the normal reference value of the tester are monitored and fed back in real time according to the force sensor 112 at the rear part of the head frame 108. The pain index of the test subject was recorded by a near infrared spectrum sensor assisted pain ruler.

5) Left/right cervical flexion isometric force test: opening a rotation stop pin in the middle of the horizontal circumference indexing mechanism 103, rotating the second degree-of-freedom frame 104 to be in a 0-degree position, and simultaneously ensuring that the angle of the vertical circumference indexing mechanism 110 is also rotated to be in the 0-degree position; adjusting the gear-like rotation adjusting mechanism 107 to enable the head ring 111 to adapt to the head shape of the tester, and enabling the rotation center of the first degree-of-freedom frame 105 to align with the horizontal position between the testers C5/C6 by matching with the ratchet-like vertical adjusting mechanism 106; headgear 108 is adjusted to be positioned against the head of the test subject, securing the position of the test subject. After the fixation is finished, the tester can do forward flexion and backward extension actions to exert force on the head frame 108, and the average force, the maximum force, the variation coefficient and the ratio of the normal reference value of the tester are monitored and fed back in real time according to the force sensor 112 at the rear part of the head frame 108. The pain index of the test subject was recorded by a near infrared spectrum sensor assisted pain ruler.

6) Other graduated range of motion tests and isometric force tests: by referring to the strength test of cervical vertebra such as anterior flexion and posterior extension and the strength test of cervical vertebra such as left/right flexion, the horizontal circumference indexing mechanism 103 is adjusted to realize the measurement within 180 degrees.

The above-described embodiments are merely preferred embodiments of the present invention, which should not be construed as limiting the invention. Various changes and modifications may be made by one of ordinary skill in the pertinent art without departing from the spirit and scope of the present invention. Therefore, the technical scheme obtained by adopting the mode of equivalent replacement or equivalent transformation is within the protection scope of the invention.

Claims

1. A cervical vertebra assessment rehabilitation system based on a cloud platform is characterized by comprising a cervical vertebra assessment rehabilitation equipment unit and a cervical vertebra assessment and rehabilitation data cloud platform unit;

The cloud storage module is used for storing user data and analysis results;

2. The cloud platform based cervical spine assessment and rehabilitation system according to claim 1, wherein a temperature sensor is further disposed in the sensing module for detecting a body temperature of a user.

3. The cloud platform-based cervical spine assessment and rehabilitation system according to claim 1, wherein the pain detection module is a near infrared spectrum sensor to assist the pain ruler in quantifying the pain index of the user.

4. The cloud platform based cervical spine assessment rehabilitation system according to claim 1, wherein a printer is provided on the main control interaction module and is responsible for outputting a cervical spine assessment result report and related medical certification of the user.

5. The cloud platform based cervical vertebra assessment and rehabilitation system according to claim 1, wherein a sound generating device is arranged on the main control interaction module and used for generating action prompt sounds during detection and rehabilitation training, and performing auxiliary counting and safety range reminding.

6. The cloud platform-based cervical vertebra assessment and rehabilitation system according to claim 1, wherein the cloud storage module stores a cervical vertebra model and a standard reference database, and the cloud computing processing module assesses cervical vertebra conditions of the user according to the cervical vertebra model and the standard reference database, generates a cervical vertebra assessment result and an individualized rehabilitation training scheme of the user, and performs feedback improvement on the cervical vertebra model and the standard reference database.

7. The cloud platform based cervical spine assessment rehabilitation system according to claim 1, wherein in the client module, the user access mode comprises a web page mode and a mobile client mode.

8. The cloud platform-based cervical vertebra evaluation and rehabilitation system of claim 1, wherein in the multi-degree-of-freedom cervical vertebra activity measuring device, the data acquisition method of the sensor module for the cervical vertebra activity range and isometric force test and resistance rehabilitation training process of the user comprises the following steps:

9. The cloud platform-based cervical spine assessment and rehabilitation system according to claim 8, wherein the encoder detects the head movement range of the user by detecting angular displacement, so as to obtain the average movement range, the maximum movement range and the variation coefficient of the user, the force sensor obtains the average strength, the maximum strength and the variation coefficient of the user by measuring the force value, the near infrared spectrum sensor detects the pain data of the user, and the near infrared spectrum sensor assists the pain ruler to obtain the quantitative value of the pain index of the user.

10. The cloud platform-based cervical vertebra assessment and rehabilitation system according to claim 9, wherein in the cloud platform unit for cervical vertebra assessment and rehabilitation data, the cloud computing processing module obtains the user data obtained in steps S1-S3 through the user data transceiver module, then compares and jointly analyzes the measured activity range, strength and pain index with the pre-stored cervical vertebra model and the standard reference database to obtain the muscle condition of the user, and finds out the responsible muscles causing the dynamic imbalance of the cervical vertebra due to strain of the user, and finally outputs a complete cervical vertebra assessment result report and a rehabilitation training scheme.