CN114652578A - Lower limb rehabilitation training evaluation device and rehabilitation training evaluation method - Google Patents

Lower limb rehabilitation training evaluation device and rehabilitation training evaluation method Download PDF

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Publication number
CN114652578A
CN114652578A CN202210271591.0A CN202210271591A CN114652578A CN 114652578 A CN114652578 A CN 114652578A CN 202210271591 A CN202210271591 A CN 202210271591A CN 114652578 A CN114652578 A CN 114652578A
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patient
training
pressure
limb
preset
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Inventor
胡星星
李菁
郑豪杰
王灿雷
杨梦迪
刘永波
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Pharos Shanghai Medical Technology Co ltd
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Pharos Shanghai Medical Technology Co ltd
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Priority to CN202210271591.0A priority Critical patent/CN114652578A/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
    • A61H3/04Wheeled walking aids for patients or disabled persons
    • 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
    • A61H2201/1614Shoulder, e.g. for neck stretching
    • A61H2201/1616Holding means therefor
    • 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
    • A61H2201/1628Pelvis
    • A61H2201/163Pelvis holding means therefor
    • 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
    • A61H2201/1635Hand or arm, e.g. handle
    • A61H2201/1638Holding means therefor
    • 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
    • A61H2201/164Feet or leg, e.g. pedal
    • A61H2201/1642Holding means therefor
    • 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
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5023Interfaces to the user
    • A61H2201/5048Audio interfaces, e.g. voice or music controlled
    • 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
    • A61H2201/50Control means thereof
    • A61H2201/5058Sensors or detectors
    • A61H2201/5064Position sensors
    • 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
    • A61H2201/50Control means thereof
    • A61H2201/5058Sensors or detectors
    • A61H2201/5069Angle sensors
    • 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
    • A61H2201/50Control means thereof
    • A61H2201/5058Sensors or detectors
    • A61H2201/5071Pressure sensors
    • 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
    • A61H2201/50Control means thereof
    • A61H2201/5058Sensors or detectors
    • A61H2201/5079Velocity sensors

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  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Rehabilitation Tools (AREA)

Abstract

The invention discloses a lower limb rehabilitation training evaluation device and a lower limb rehabilitation training evaluation method, and relates to the technical field of medical instruments. The lower limb rehabilitation training evaluation device comprises a training component, a controller, a voice prompter, a pressure sensing component and a position detection component. The armpit support piece is fixedly installed on the walking frame, one of the pressure sensing assemblies is installed on the armpit support piece, the other pressure sensing assembly is installed on the training shoes, the position detection assemblies are installed on the wearing piece, the pressure sensing assemblies and the position detection assemblies are electrically connected with the controller, the controller is electrically connected with the voice prompt, and the controller is electrically connected with the training assemblies. The lower limb rehabilitation training evaluation device provided by the invention can be used for simultaneously detecting, prompting and correcting the actions of the upper limb and the lower limb of a patient so as to ensure that the training action standard of the patient is effective, thereby realizing the cooperative rehabilitation of the upper limb and the lower limb and improving the rehabilitation effect.

Description

Lower limb rehabilitation training evaluation device and rehabilitation training evaluation method
Technical Field
The invention relates to the technical field of medical instruments, in particular to a lower limb rehabilitation training evaluation device and a rehabilitation training evaluation method.
Background
At present, patients who are hemiplegic or need orthopedic rehabilitation generally use rehabilitation instruments to carry out rehabilitation training. In the process of performing lower limb rehabilitation training on a patient, the conventional rehabilitation apparatus generally detects only the lower limb of the patient and does not detect the upper body (particularly the shoulder joint) of the patient, so that the upper and lower limb cooperative rehabilitation cannot be realized, and the rehabilitation effect is poor.
In view of this, it is important to design a lower limb rehabilitation training evaluation device and a rehabilitation training evaluation method capable of realizing upper and lower limb cooperative rehabilitation, especially in the production of rehabilitation instruments.
Disclosure of Invention
The invention aims to provide a lower limb rehabilitation training evaluation device which can detect, prompt and correct the actions of the upper limb and the lower limb of a patient at the same time so as to ensure that the training action standard of the patient is effective, thereby realizing the cooperative rehabilitation of the upper limb and the lower limb and improving the rehabilitation effect.
Another objective of the present invention is to provide a rehabilitation training assessment method, which can detect, prompt and correct the actions of the upper and lower limbs of the patient at the same time, so as to ensure the training action standard of the patient to be effective, thereby realizing the cooperative rehabilitation of the upper and lower limbs and improving the rehabilitation effect.
The invention is realized by adopting the following technical scheme.
The utility model provides a low limbs rehabilitation training evaluation device, including the training subassembly, a controller, voice prompt, a plurality of pressure sensing subassembly and a plurality of position determine module, the training subassembly is including helping the line frame, armpit support piece, training shoes and wearing piece, armpit support piece fixed mounting is on helping the line frame, armpit support piece is used for supporting patient's armpit, training shoes are used for supplying the patient to wear on the foot, one of them pressure sensing subassembly is installed on armpit support piece, another pressure sensing unit mount is on training shoes, a plurality of position determine module all install on wearing the piece, it is used for supplying the patient to dress, pressure sensing subassembly and position determine module all are connected with the controller electricity, the controller is connected with the voice prompt electricity, the controller is used for detecting through the voice prompt to the patient when limb pressure sensing subassembly detects limb pressure abnormal, the controller still is used for detecting through the voice prompt when limb joint angle is abnormal at the position determine module The patient is prompted, the controller is electrically connected with the training assembly, and the training assembly is used for supporting and correcting the posture of the patient.
Optionally, the training assembly further comprises a handle mounted to the walker frame, a back support, a lumbar support, a hip support and an elbow support, and the plurality of pressure sensing assemblies are further mounted to at least the handle, the back support, the lumbar support, the hip support and the elbow support, respectively.
Optionally, the walker frame comprises a frame body and road wheels mounted at the bottom of the frame body, and the handle, back support, waist support, hip support, elbow support and underarm support are all mounted on the frame body.
Optionally, the wearing piece comprises a head wearing ring, an arm wearing ring, a chest wearing ring, a leg wearing ring and a foot wearing ring, and the plurality of position detection assemblies are further respectively mounted on the head wearing ring, the arm wearing ring, the chest wearing ring, the leg wearing ring and the foot wearing ring.
A rehabilitation training evaluation method is applied to the lower limb rehabilitation training evaluation device, and comprises the following steps: detecting the limb pressure of each part of the patient by using the pressure sensing assembly, and if the difference value of the total value of the limb pressure and the preset pressure exceeds a first preset range, prompting the patient by using a voice prompter; and detecting the limb joint angle of each part of the patient by using the position detection assembly, and if the difference value of the limb joint angle and the preset angle exceeds a second preset range, prompting the patient by using a voice prompter.
Optionally, the preset pressure is a weight value of the patient.
Optionally, the first preset range of values is less than seven percent, preferably four percent, of the preset pressure; and/or the value of the second preset range is less than eight percent, preferably five percent, of the preset angle.
Optionally, the rehabilitation training assessment method further comprises: and detecting the limb pressure of each part of the upper limb of the patient by using the pressure sensing assembly, and if the difference value of the sum value of the upper limb pressure and the preset pressure exceeds a third preset range, prompting the patient by using a voice prompter.
Optionally, the third predetermined range has a value of less than ten percent, preferably five percent, of the predetermined pressure.
Optionally, the rehabilitation training assessment method further comprises: and the pressure sensing assembly is utilized to respectively detect the sole pressure of the healthy and affected side of the patient, and if the difference value of the sole pressure of the healthy and affected side exceeds a fourth preset range, the voice prompter is used for prompting the patient.
Optionally, the fourth predetermined range has a value less than ten percent, preferably five percent, of the mean value of the vola pressure on the affected side.
Optionally, the limb joint angle of each part of the patient is detected by using the position detection assembly, and if the difference between the limb joint angle and the preset angle exceeds a second preset range, the preset angle is a neutral angle, or the preset angle is a baseline position angle between the healthy and affected sides of the patient, or the preset angle is an average angle of the baseline position angle between the neutral angle and the healthy and affected sides of the patient in the step of prompting the patient by using the voice prompter.
Optionally, the rehabilitation training assessment method further comprises: if the difference value of the limb pressure and the preset pressure exceeds a first preset range, or the difference value of the limb joint angle and the preset angle exceeds a second preset range, the posture of the patient is corrected by the aid of the training assembly.
Optionally, the method for assessing rehabilitation training comprises the steps of detecting the limb pressure of each part of the patient by using the pressure sensing assembly, and if the difference value between the limb pressure and the preset pressure exceeds a first preset range, prompting the patient by using a voice prompt, and before the step of: selecting a mode by using a controller, and setting the limit prompting times if a standing training mode is selected; and if the walking training mode is selected, setting the preset training time length.
Optionally, the position detecting assembly is used to detect the limb joint angle of each part of the patient, and if the difference between the limb joint angle and the preset angle exceeds a second preset range, the rehabilitation training assessment method further includes: if the standing training mode is selected, when the prompting times of the voice prompter exceed the limit prompting times, finishing the training and evaluating the physical condition; if the walking training mode is selected, when the actual training duration reaches the preset training duration, the training is finished and the physical condition is evaluated.
The lower limb rehabilitation training evaluation device and the lower limb rehabilitation training evaluation method provided by the invention have the following beneficial effects:
the invention provides a lower limb rehabilitation training evaluation device, a training component comprises a walking frame, an armpit supporting piece, a training shoe and a wearing piece, wherein the armpit supporting piece is fixedly arranged on the walking frame and used for supporting the armpit of a patient, the training shoe is used for the patient to wear on the foot, one pressure sensing component is arranged on the armpit supporting piece, the other pressure sensing component is arranged on the training shoe, a plurality of position detection components are all arranged on the wearing piece which is used for being worn by the patient, the pressure sensing component and the position detection components are both electrically connected with a controller, the controller is electrically connected with a voice prompter, the controller is used for prompting the patient through the voice prompter when the pressure sensing component detects abnormal limb pressure, the controller is also used for prompting the patient through the voice prompter when the position detection component detects abnormal limb joint angle, the controller is electrically connected with the training assembly, and the training assembly is used for supporting and correcting the posture of the patient. Compared with the prior art, the lower limb rehabilitation training evaluation device provided by the invention adopts the pressure sensing component and the position detection component which are arranged on the training component and the voice prompter connected with the controller, so that the action of the upper limb and the lower limb of the patient can be detected, prompted and corrected at the same time, the training action standard of the patient is ensured to be effective, the upper limb and the lower limb are cooperatively rehabilitated, and the rehabilitation effect is improved.
The rehabilitation training evaluation method provided by the invention is applied to a lower limb rehabilitation training evaluation device, and can be used for detecting, prompting and correcting the actions of the upper limb and the lower limb of a patient at the same time so as to ensure that the training action standard of the patient is effective, thereby realizing the cooperative rehabilitation of the upper limb and the lower limb and improving the rehabilitation effect.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings needed to be used in the embodiments will be briefly described below, it should be understood that the following drawings only illustrate some embodiments of the present invention and therefore should not be considered as limiting the scope, and for those skilled in the art, other related drawings can be obtained according to the drawings without inventive efforts.
Fig. 1 is a schematic structural diagram of a lower limb rehabilitation training evaluation device according to an embodiment of the present invention;
fig. 2 is a block diagram of a lower limb rehabilitation training evaluation device according to an embodiment of the present invention;
fig. 3 is a schematic structural diagram of another view of the lower limb rehabilitation training evaluation device according to the embodiment of the invention;
fig. 4 is a block diagram illustrating steps of a rehabilitation training evaluation method according to an embodiment of the present invention.
Icon: 100-lower limb rehabilitation training evaluation device; 110-a training component; 111-a walker frame; 1111-frame body; 1112-a road wheel; 1113-handle; 1114-a back support; 1115-lumbar support; 1116-a hip support; 1117-elbow support; 114-underarm support; 112-a wearing piece; 1121-head wearing ring; 1122-arm donning ring; 1123-thoracic ring; 1124-ring for wearing on leg; 1125-foot-donning loops; 113-training shoes; 120-a controller; 130-voice prompter; 140-a pressure sensing assembly; 150-position detection component.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are some, but not all, embodiments of the present invention. The components of embodiments of the present invention generally described and illustrated in the figures herein may be arranged and designed in a wide variety of different configurations.
Thus, the following detailed description of the embodiments of the present invention, presented in the figures, is not intended to limit the scope of the invention, as claimed, but is merely representative of selected embodiments of the invention. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
It should be noted that: like reference numbers and letters refer to like items in the following figures, and thus, once an item is defined in one figure, it need not be further defined or explained in subsequent figures.
In the description of the present invention, it should be noted that the terms "inside", "outside", "upper", "lower", "horizontal", and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings or orientations or positional relationships conventionally put in use of products of the present invention, and are only for convenience of description and simplicity of description, but do not indicate or imply that the devices or elements referred to must have a specific orientation, be constructed in a specific orientation, and be operated, and thus, should not be construed as limiting the present invention. Furthermore, the terms "first," "second," "third," and the like are used solely to distinguish one from another and are not to be construed as indicating or implying relative importance.
In the description of the present invention, it should also be noted that, unless otherwise explicitly specified or limited, the terms "disposed," "connected," "mounted," and "connected" are to be construed broadly and may, for example, be fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.
Some embodiments of the invention are described in detail below with reference to the accompanying drawings. Features in the embodiments described below may be combined with each other without conflict.
Referring to fig. 1, fig. 2, fig. 3 and fig. 4, an embodiment of the invention provides a lower limb rehabilitation training evaluation device 100 for assisting a patient in rehabilitation training. The upper limb and lower limb rehabilitation training device can detect, prompt and correct the action of the upper limb and the lower limb of a patient at the same time, so that the training action standard of the patient is guaranteed to be effective, the upper limb and the lower limb are cooperatively rehabilitated, and the rehabilitation effect is improved.
The lower limb rehabilitation training evaluation device 100 includes a training component 110, a controller 120, a voice prompt 130, a pressure sensing component 140, and a position detection component 150. The training assembly 110 is used for the patient to lean against or wear, so as to support the patient and assist the patient in rehabilitation training. The pressure sensing component 140 and the position detecting component 150 are both mounted on the training component 110 and are electrically connected to the controller 120, the pressure sensing component 140 is used for detecting the limb pressure applied by the patient to the training component 110, and the position detecting component 150 is used for detecting the limb joint angle of the patient during the training process. Controller 120 is connected with voice prompt 130 electricity, and controller 120 is used for when pressure sensing subassembly 140 detects limbs pressure abnormal to indicate the patient through voice prompt 130, and controller 120 still is used for when position detection subassembly 150 detects limbs joint angle abnormal to indicate the patient through voice prompt 130 to the patient oneself adjusts the health gesture, improves the rehabilitation training effect. The controller 120 is electrically coupled to the training assembly 110, and the training assembly 110 is configured to perform posture correction on the patient to ensure that the patient's training performance criteria are valid.
It should be noted that, in the process of performing rehabilitation training on a patient by using the lower limb rehabilitation training evaluation device 100, when the pressure sensing component 140 detects that the limb pressure of the patient is abnormal, or the position detection component 150 detects that the limb joint angle of the patient is abnormal, the voice prompter 130 prompts the patient, so that the patient can adjust the body posture according to the prompt tone until the limb pressure and the limb joint angle reach normal values, and if the patient cannot adjust the body posture to the normal posture, the patient can be corrected by the training component 110, so that the limb pressure and the limb joint angle reach the normal values. Therefore, the training action standard of the patient can be guaranteed to be effective, and the rehabilitation training effect is good.
The training assembly 110 includes a walker frame 111, an underarm support 114, a training shoe 113, a handle 1113, a back support 1114, a lumbar support 1115, a hip support 1116, an elbow support 1117, and a wear 112. The number of the pressure sensing units 140 is plural, and the number of the position detecting units 150 is plural. A plurality of pressure sensing assemblies 140 are also mounted to at least the underarm support 114, the training shoe 113, the handle 1113, the back support 1114, the lumbar support 1115, the hip support 1116 and the elbow support 1117, respectively, to facilitate the detection of limb pressure at various locations. A plurality of position sensing assemblies 150 are mounted on the wear part 112 to facilitate sensing of the joint angles of the limb at different positions. The walking frame 111 is used for supporting the patient, and the wearing piece 112 is used for supplying the patient to dress, and walking frame 111 and wearing piece 112 all are used for supporting and the posture correction to the patient.
The walking frame 111 comprises a frame body 1111 and a walking wheel 1112 installed at the bottom of the frame body 1111, and the walking wheel 1112 can drive the frame body 1111 to move. Handle 1113, back support 1114, lumbar support 1115, hip support 1116, elbow support 1117, and underarm support 114 are all mounted to bay 1111. The handle 1113 is for holding by a patient's hand, the back support 1114 is for supporting the patient's back, the lumbar support 1115 is for supporting the patient's lumbar region, the hip support 1116 is for supporting the patient's hip, the elbow support 1117 is for supporting the patient's elbow, and the underarm support 114 is for supporting the patient's underarm. A plurality of pressure sensing assemblies 140 are mounted on the training shoe 113, the handle 1113, the back support 1114, the lumbar support 1115, the hip support 1116, the elbow support 1117, and the armpit support 114, respectively, the plurality of pressure sensing assemblies 140 being capable of sensing limb pressures on the patient's sole, hand, back, waist, hip, forearm, and armpit.
Clinical discovery, in the lower limbs rehabilitation training process of stroke patient, because the patient, especially the recovered initial stage patient suffers from the side shank strength not enough, the patient often concentrates the pressure on the shank of healthy side and the part that upper limbs (waist or back etc.) and rehabilitation apparatus contact with the shank of health side in standing and walking training, leads to the healthy side of patient and upper limbs joint to bear the pressure excessively, so, be unfavorable for on the one hand the sick side and carry out effectual rehabilitation training, on the other hand can lead to healthy side and upper limbs joint impaired. Compared with the prior art, the walking frame 111 provided by the invention is provided with the armpit supporting pieces 114, so that the pressure born by the elbows, the hands, the waist and the hips of the patient when the leg strength is insufficient can be greatly relieved, and the patient can be kept in the middle position while standing and walking. Specifically, a lifting mechanism is provided in the armpit support 114, and the lifting mechanism is provided to meet the requirements of people with different heights, and simultaneously, the posture correction command sent by the controller 120 can be accurately executed.
It should be noted that the pressure sensing module 140 mounted on the armpit support 114 is used to detect the pressure of the armpit limb of the patient, the pressure sensing module 140 mounted on the elbow support 1117 is used to detect the pressure of the forearm limb of the patient, and the pressure of the armpit limb of the patient in the standing or walking process can be determined according to the pressure of the armpit limb at the two positions. The pressure sensing component 140 mounted on the training shoe 113 is used for detecting the limb pressure on the sole of the patient's health side, so that the pressure born by the lower limb of the patient in the standing or walking process and the pressures born by the health side and the patient side can be judged. If the pressure of the upper and lower limbs and the affected side is not good for the patient to recover, the controller 120 performs voice prompt to the patient through the voice prompt 130 so that the patient changes his posture, or the controller 120 performs posture correction to the patient through the training assembly 110 so that the pressure of the upper and lower limbs and the affected side of the patient is adjusted. Therefore, the training action standard of the patient can be guaranteed to be effective by detecting, prompting and correcting the actions of the upper limb, the lower limb and the sick side of the patient at the same time, so that the upper limb, the lower limb and the sick side of the patient are recovered in a cooperation mode, and the recovery effect is improved.
The wearing piece 112 includes a head wearing ring 1121, an arm wearing ring 1122, a chest wearing ring 1123, a leg wearing ring 1124, and a foot wearing ring 1125. The head wearing ring 1121 is used for being sleeved outside the head of the patient, the arm wearing ring 1122 is used for being sleeved outside the arm of the patient, the chest is worn to be sleeved outside the chest of the patient, the leg wearing ring 1124 is used for being sleeved outside the leg of the patient, and the foot wearing ring 1125 is used for being sleeved outside the foot of the patient. The plurality of position detecting components 150 are further installed on at least the head wearing ring 1121, the arm wearing ring 1122, the chest wearing ring 1123, the leg wearing ring 1124 and the foot wearing ring 1125, respectively, and the plurality of position detecting components 150 can detect the limb joint angles of the head, the elbow joint, the chest, the knee joint and the foot of the patient.
It should be noted that coordination of each joint of the upper limb is beneficial to lower limb rehabilitation, the head wearing ring 1121, the arm wearing ring 1122, and the chest wearing ring 1123 are used to detect the position of the head, the arm, and the chest of the patient, so that the limb joint angle of each joint of the upper limb of the patient is calculated by the controller 120, and prompt and posture correction are performed, and by controlling the limb joint angle of each joint of the upper limb of the patient, unnecessary compensation of the trunk and abnormal conditions of the lower limb are reduced, so that the patient stands or walks in a standard posture as much as possible, physical strength consumption is reduced, and the effect of upper and lower limb cooperative rehabilitation can be improved to a great extent.
In this embodiment, the pressure sensing component 140 is a semiconductor pressure sensor, which is composed of semiconductor pressure sensitive elements, and performs information processing on mechanical quantities such as pressure and strain, and converts the mechanical quantities into electrical quantities, so as to obtain the limb pressure. The position detecting component 150 is an angle measuring instrument, when the joint of the patient rotates in one direction, the counting is increased, when the joint rotates in the other direction, the counting is decreased, and the limb joint angle is finally obtained by calculating the rotating angle.
The embodiment of the present invention further provides a rehabilitation training evaluation method, which is applied to the lower limb rehabilitation training evaluation device 100, and the rehabilitation training evaluation method includes the following steps:
step S110: performing mode selection by using the controller 120, and if a standing training mode is selected, setting a limit prompting frequency; and if the walking training mode is selected, setting the preset training time length.
In step S110, after the patient wears the wearing part 112 and leans on the walking frame 111, the controller 120 selects the standing training mode or the walking training mode to train the standing posture or the walking posture of the patient, so as to help the user to recover.
Step S120: the pressure sensing component 140 is used to detect the limb pressure of each part of the patient, and if the difference between the total value of the limb pressure and the preset pressure exceeds a first preset range, the voice prompt 130 is used to prompt the patient.
It should be noted that, in step S120, the first preset range is less than seven percent, preferably four percent, of the preset pressure, wherein the preset pressure is the weight of the patient. Taking the value of the first preset range as four percent of the preset pressure as an example, when the total value of the limb pressures of the patient exceeds four percent of the preset pressure, it is determined that the limb pressure of the patient is too large, and at this time, the controller 120 prompts the patient through the voice prompt 130 to remind the patient to adjust the posture. Therefore, the training action standard of the patient can be guaranteed to be effective, and the rehabilitation effect is improved.
In this embodiment, different preset pressures are set for different portions.
Simultaneously, first predetermined scope can be adjusted according to patient's recovered state, and according to the recovered crowd training statistics of reality, can satisfy general cerebral apoplexy patient's recovered demand with first predetermined scope setting within four percent of predetermined pressure, can play the efficiency of helping the patient to adjust the posture, can not surpass most patients ' ability scope again, leads to the rehabilitation training to be difficult to go on. In other embodiments, if the patient is in good recovery, the first predetermined range may be reduced to three percent of the predetermined pressure, or lower; if the patient is in the early stage of rehabilitation, the preset range can be expanded to five percent or more of the preset pressure, but more than seven percent is not recommended, and the first excessively large preset range can cause the rehabilitation training effect to be deteriorated, and the probability of limb damage of the patient is increased.
It should be noted that, in step S120, the pressure sensing assembly 140 may also be used to detect the limb pressure of each part of the upper limb of the patient, that is, the pressure sensing assembly 140 mounted on the armpit support 114 is used to detect the limb pressure of the armpit of the patient, and the pressure sensing assembly 140 mounted on the elbow support 1117 is used to detect the limb pressure of the forearm of the patient, and the limb pressures at these two positions can be used to determine the pressure that the upper limb of the patient is subjected to during standing or walking. And if the difference value of the upper limb pressure sum value and the preset pressure exceeds a third preset range, prompting the patient through a voice prompting device. Specifically, the value of the third preset range is ten percent or less, preferably five percent, of the preset pressure. The stroke patient often uses the upper limb strength excessively to carry out compensation exercise in the rehabilitation training due to insufficient lower limb strength, and in order to more accurately adjust the rehabilitation posture of the patient and improve the rehabilitation effect, the upper limb pressure is separately detected, and the prompt threshold is set according to the rehabilitation state of the patient.
In step S120, the pressure sensing assemblies 140 may be used to detect the sole pressures of the patient' S healthy side, i.e., the two pressure sensing assemblies 140 mounted on the two training shoes 113 are used to detect the sole pressures of the two feet (healthy side) of the patient, and calculate the difference between the sole pressures of the healthy side. If the difference value of the plantar pressure of the affected side exceeds a fourth preset range, the voice prompter is used for prompting the patient. Specifically, the fourth predetermined range is less than ten percent, preferably five percent, of the mean value of the healthy lateral plantar pressure of the patient (the mean value of the healthy lateral plantar pressure of the patient and the patient lateral plantar pressure), and the setting value is gradually reduced as the rehabilitation status of the patient increases. The rehabilitation target of the stroke patient is that the strength of the healthy side and the affected side is equivalent, and the addition of the calculation of the sole pressure measurement difference value of the healthy side and the affected side is helpful for more accurate evaluation of the rehabilitation stage of the patient. Meanwhile, the prompt threshold value of the difference value of the affected side is set, so that the patient can be helped to adjust the body position and/or gait of the patient, and the overall rehabilitation effect is improved.
It can be understood that the method can select whether to start the detection of the third preset range and/or the fourth preset range according to the prognosis state and the rehabilitation evaluation result of the patient, so that the rehabilitation training method is suitable for patients in different rehabilitation stages and patients with the same patient to construct a more refined rehabilitation model, and the rehabilitation treatment effect is improved.
Step S130: the position detection assembly 150 is used for detecting the limb joint angle of each part of the patient, and if the difference value between the limb joint angle and the preset angle exceeds a second preset range, the voice prompter 130 is used for prompting the patient.
It should be noted that, in step S130, the value of the second preset range is less than eight percent, preferably five percent, of the preset angle, when the actual limb joint angle of a certain part of the patient exceeds five percent of the preset angle, it is determined that the limb joint angle of the certain part of the patient is too large, and at this time, the controller 120 prompts the patient through the voice prompter 130 to remind the patient to reduce the limb joint angle of the certain part; when the actual limb joint angle of a certain part of the patient is less than five percent of the preset angle, the limb joint angle of the part of the patient is judged to be too small, and at the moment, the controller 120 prompts the patient through the voice prompter 130 to remind the patient to increase the limb joint angle of the part. Therefore, the training action standard of the patient can be guaranteed to be effective, and the rehabilitation effect is improved.
Correspondingly, the second is predetermine the scope and can be adjusted according to patient's recovered state, according to the recovered crowd training statistics of reality, predetermines the scope with the second and sets up can satisfy general cerebral apoplexy patient's recovered demand within the five percent of predetermineeing the angle, can play the efficiency of helping the patient to adjust the posture, can not surpass most patients ' ability scope again, leads to the rehabilitation training to be difficult to go on. In other embodiments, the second predetermined range may be between four percent and six percent of the predetermined angle according to the rehabilitation level of the patient, generally speaking, eight percent of the predetermined angle is not recommended, and an excessive second predetermined range may lead to poor rehabilitation training effect and increase the probability of limb damage of the patient.
In this embodiment, the preset angle is a neutral angle, that is, the angle of the movable limb joint when the healthy person stands upright or walks, and the neutral angle needs to be calculated from the angle of big data statistics for different healthy persons. But not limited thereto, in other embodiments, the preset angle may be a baseline position angle between the patient health sides, that is, a baseline position angle of a reference which is reached by the patient health side through rehabilitation training with the limb joint angle of the patient health side as the reference; the preset angle may also be an average angle of the baseline position angle between the neutral position angle and the patient's healthy side.
Specifically, predetermine the angle and need select according to patient's actual health, to different cerebral apoplexy patient's prognosis, the patient is based on the difference predetermines the degree of difficulty that the angle carries out the rehabilitation training different, the rehabilitation mode that sets up the different angle of predetermineeing can make the rehabilitation training more meticulous, be favorable to carrying out suitable rehabilitation training to the patient of different rehabilitation stages, can set up more meticulous rehabilitation model to same patient simultaneously, establish more steady advance training process for the patient, agree with more with patient's rehabilitation course, improve recovered effect, avoid the health damage, alleviate the patient simultaneously in the recovery because of the degree of difficulty and the not anastomotic psychological pressure who brings of health state.
Step S140: if the difference between the total value of the limb pressure and the preset pressure exceeds a first preset range, or the difference between the angle of the limb joint and the preset angle exceeds a second preset range, the posture of the patient is corrected by the training component 110.
It should be noted that step S140 further includes: if the difference between the sum of the upper limb pressures and the predetermined pressure exceeds a third predetermined range, or the difference between the sole pressures at the affected side exceeds a fourth predetermined range, the posture of the patient is corrected by the training module 110.
In step S140, if the patient cannot adjust the posture of the body to the normal posture, the training component 110 corrects the posture of the patient so that the total value of the actual limb pressure of the patient does not exceed four percent of the preset pressure; and/or, the actual limb joint angle of the patient is not more than five percent of the preset angle; and/or, such that the patient's actual upper limb pressure sum does not exceed the preset pressure by five percent; and/or, the actual difference value of the sole pressure of the patient at the healthy side does not exceed five percent of the mean value of the sole pressure of the patient at the healthy side.
Step S150: if the standing training mode is selected, when the prompting times of the voice prompter 130 exceed the limit prompting times, ending the training and evaluating the physical condition; if the walking training mode is selected, when the actual training duration reaches the preset training duration, the training is finished and the physical condition is evaluated.
In this embodiment, the number of the limit prompts is three, when the voice prompt 130 prompts for the fourth time, it is determined that the patient cannot keep standing training any longer, and the training is finished, at this time, the controller 120 can evaluate the physical condition of the patient according to the standing duration and posture of the patient, and output a training evaluation result. However, the present invention is not limited to this, and in other embodiments, the number of times of the limit presentation may be four times or five times, and the number of times of the limit presentation is not particularly limited.
In this embodiment, the preset training duration is 20 minutes, the patient performs a walking action under the assistance of the training component 110 within the preset training duration, when the continuous walking duration of the patient reaches 20 minutes, the training is finished, and at this time, the controller 120 can evaluate the physical condition of the patient according to the walking duration and the posture of the patient, and output a training evaluation result. However, the present invention is not limited thereto, and in other embodiments, the preset training time period may be 10 minutes or 30 minutes, and the preset training time period is not particularly limited.
In this embodiment, the standing training mode and the walking training mode are independent from each other, and if the standing training mode is selected, only the patient is subjected to standing training; if the walking training mode is selected, only the patient is subjected to walking training. But not limited thereto, in other embodiments, the controller 120 may also be utilized to select a smart mode in which the patient is first trained on standing; after the training is finished, the controller 120 evaluates the physical condition of the patient according to the standing time and the posture of the patient and judges whether the physical condition of the patient is suitable for walking training; if the condition is suitable, continuing to carry out walking training on the patient, and carrying out physical condition evaluation again after the training is finished; if not, the patient is not subjected to walking training.
The lower limb rehabilitation training evaluation device 100 provided by the embodiment of the invention comprises a walking frame 111, an armpit support 114, training shoes 113 and a wearing piece 112, wherein the armpit support 114 is fixedly arranged on the walking frame 111, the armpit support 114 is used for supporting armpits of a patient, the training shoes 113 are used for being worn by the patient on feet, one pressure sensing component 140 is arranged on the armpit support 114, the other pressure sensing component 140 is arranged on the training shoes 113, a plurality of position detection components 150 are all arranged on the wearing piece 112, the wearing piece 112 is used for being worn by the patient, the pressure sensing component 140 and the position detection components 150 are both electrically connected with a controller 120, the controller 120 is electrically connected with a voice prompter 130, the controller 120 is used for prompting the patient through the voice prompter 130 when the pressure sensing component 140 detects abnormal limb pressure, and the controller 120 is also used for prompting the voice prompter 130 when the position detection component 150 detects abnormal limb joint angle Prompting the patient, the controller 120 is electrically connected to the training assembly 110, and the training assembly 110 is used to support and correct the posture of the patient. Compared with the prior art, the lower limb rehabilitation training evaluation device 100 provided by the invention adopts the pressure sensing component 140 and the position detection component 150 which are arranged on the training component 110 and the voice prompter 130 connected with the controller 120, so that the actions of the upper limb and the lower limb of the patient can be detected, prompted and corrected at the same time, the training action standard of the patient is ensured to be effective, the upper limb and the lower limb are cooperatively rehabilitated, and the rehabilitation effect is improved. The rehabilitation training evaluation method is simple and efficient, and the rehabilitation effect is good.
Further, the lower limb rehabilitation training evaluation device 100 provided by the embodiment of the invention judges whether the actions of the upper and lower limbs of the patient are coordinated and standard by detecting the limb pressure and the limb joint angle of each part of the upper and lower limbs of the patient at the same time, and if the actions of the upper and lower limbs of the patient are not standard, the voice prompter 130 prompts the patient or the training component 110 corrects the posture of the patient, so that the function of upper and lower limb cooperative training rehabilitation of the patient is realized, and the rehabilitation effect is greatly improved.
The above is only a preferred embodiment of the present invention, and is not intended to limit the present invention, and various modifications and changes will occur to those skilled in the art. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (15)

1. A lower limb rehabilitation training evaluation device is characterized by comprising a training component (110), a controller (120), a voice prompter (130), a plurality of pressure sensing components (140) and a plurality of position detection components (150), wherein the training component (110) comprises a walking frame (111), an armpit support piece (114), training shoes (113) and a wearing piece (112), the armpit support piece (114) is fixedly installed on the walking frame (111), the armpit support piece (114) is used for supporting the armpit of a patient, the training shoes (113) are used for the patient to wear on the feet, one of the pressure sensing components (140) is installed on the armpit support piece (114), the other pressure sensing component (140) is installed on the training shoes (113), and the position detection components (150) are all installed on the wearing piece (112), wearing piece (112) is used for supplying the patient to dress, pressure sensing subassembly (140) with position detection subassembly (150) all with controller (120) electricity is connected, controller (120) with voice prompt (130) electricity is connected, controller (120) are used for passing through when pressure sensing subassembly (140) detect limbs pressure is unusual voice prompt (130) are reminded the patient, controller (120) still are used for passing through when position detection subassembly (150) detect limbs joint angle is unusual voice prompt (130) are reminded the patient, controller (120) with training subassembly (110) electricity is connected, training subassembly (110) are used for supporting the patient and the gesture is corrected.
2. The lower extremity rehabilitation training evaluation device of claim 1, wherein the training assembly (110) further includes a handle (1113), a back support (1114), a lumbar support (1115), a hip support (1116) and an elbow support (1117) mounted to the walker frame (111), and a plurality of the pressure sensing assemblies (140) are further mounted to at least the handle (1113), the back support (1114), the lumbar support (1115), the hip support (1116) and the elbow support (1117), respectively.
3. The lower extremity rehabilitation training evaluation device of claim 2, wherein the walker frame (111) includes a frame body (1111) and road wheels (1112) mounted to the bottom of the frame body (1111), the handle (1113), the back support (1114), the lumbar support (1115), the hip support (1116), the elbow support (1117), and the underarm support (114) all mounted to the frame body (1111).
4. The lower limb rehabilitation training evaluation device according to claim 1, wherein the wearing piece (112) includes a head wearing ring (1121), an arm wearing ring (1122), a chest wearing ring (1123), a leg wearing ring (1124), and a foot wearing ring (1125), and the plurality of position detection assemblies (150) are further installed at least on the head wearing ring (1121), the arm wearing ring (1122), the chest wearing ring (1123), the leg wearing ring (1124), and the foot wearing ring (1125), respectively.
5. A rehabilitation training evaluation method applied to the lower limb rehabilitation training evaluation device according to any one of claims 1 to 4, the rehabilitation training evaluation method comprising:
the pressure sensing assembly (140) is used for detecting the limb pressure of each part of the patient, and if the difference value of the total value of the limb pressure and the preset pressure exceeds a first preset range, the voice prompter (130) is used for prompting the patient;
and detecting the limb joint angle of each part of the patient by using the position detection assembly (150), and prompting the patient through the voice prompter (130) if the difference value of the limb joint angle and the preset angle exceeds a second preset range.
6. The rehabilitation training assessment method of claim 5, wherein said preset pressure is the weight value of the patient.
7. The rehabilitation training evaluation method according to claim 5, wherein the first preset range of values is seven percent or less, preferably four percent, of the preset pressure; and/or the value of the second preset range is less than eight percent, preferably five percent, of the preset angle.
8. The rehabilitation training assessment method according to claim 5, further comprising:
and detecting the limb pressure of each part of the upper limb of the patient by using the pressure sensing assembly (140), and prompting the patient through the voice prompter (130) if the difference value of the sum of the upper limb pressure and the preset pressure exceeds a third preset range.
9. The rehabilitation training evaluation method according to claim 8, wherein the third preset range of values is less than ten percent, preferably five percent, of the preset pressure.
10. The rehabilitation training assessment method according to claim 5, further comprising:
the pressure sensing assembly (140) is used for respectively detecting the sole pressure of the patient's health side, and if the difference value of the sole pressure of the patient's health side exceeds a fourth preset range, the voice prompter (130) is used for prompting the patient.
11. The rehabilitation training assessment method according to claim 10, wherein the fourth preset range of values is less than ten percent, preferably five percent of the mean value of the vola pressure on the affected side.
12. The rehabilitation training assessment method according to claim 5, wherein the position detection component (150) is used to detect the limb joint angle of each part of the patient, and if the difference between the limb joint angle and the preset angle exceeds a second preset range, the voice prompter (130) is used to prompt the patient, wherein the preset angle is a neutral angle, or the preset angle is a baseline position angle between the healthy sides of the patient, or the preset angle is an average angle of the baseline position angles between the neutral angle and the healthy sides of the patient.
13. The rehabilitation training evaluation method according to claim 5, further comprising:
if the difference value between the limb pressure and the preset pressure exceeds the first preset range, or the difference value between the limb joint angle and the preset angle exceeds the second preset range, the posture of the patient is corrected by using the training component (110).
14. The rehabilitation training assessment method according to any one of claims 5 to 13, wherein the limb pressure of each part of the patient is detected by the pressure sensing component (140), and if the difference between the limb pressure and the preset pressure exceeds a first preset range, the rehabilitation training assessment method further comprises the following steps before the step of prompting the patient by the voice prompter (130):
the controller (120) is used for selecting a mode, and if a standing training mode is selected, the limit prompting times are set; and if the walking training mode is selected, setting the preset training time length.
15. The rehabilitation training assessment method according to claim 14, wherein after the step of detecting the limb joint angle of each part of the patient by using the position detection component (150), if the difference between the limb joint angle and the preset angle exceeds a second preset range, prompting the patient by the voice prompt (130), the rehabilitation training assessment method further comprises:
if the standing training mode is selected, when the prompting times of the voice prompter (130) exceed the limit prompting times, finishing the training and evaluating the physical condition;
and if the walking training mode is selected, finishing the training and evaluating the physical condition when the actual training time reaches the preset training time.
CN202210271591.0A 2022-03-18 2022-03-18 Lower limb rehabilitation training evaluation device and rehabilitation training evaluation method Pending CN114652578A (en)

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