CN218606599U - Multidimensional ataxia assessment system - Google Patents
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- CN218606599U CN218606599U CN202220966619.8U CN202220966619U CN218606599U CN 218606599 U CN218606599 U CN 218606599U CN 202220966619 U CN202220966619 U CN 202220966619U CN 218606599 U CN218606599 U CN 218606599U
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Abstract
The utility model discloses a multidimensional ataxia assessment system in the technical field of ataxia assessment, which comprises a gait analysis bandage, a plantar pressure acquisition insole, a surface myoelectricity patch, an infrared distance meter, a fingertip sensor, a nose tip sensor, an electroencephalogram cap and a processor, wherein the fingertip sensor and the nose tip sensor are subminiature space positioning sensors; the electroencephalogram cap, the sole pressure acquisition insole, the fingertip sensor and the nose tip sensor are in data connection with the processor, the surface myoelectricity tester is in data connection with the processor, various physiological parameters of a patient in various motion states can be detected, the physiological parameters are integrated together, the severity of the ataxia patient can be better and comprehensively analyzed, data-based guidance assistance is provided for the degree and the situation of ataxia, comparative evaluation and observation can be carried out on the front data and the rear data after treatment, and the integrated data have high value.
Description
Technical Field
The utility model relates to an ataxia aassessment technical field especially relates to a multidimension degree ataxia evaluation system.
Background
The maintenance of human posture and the completion of random movement are closely related to the brain, the basal ganglia, the cerebellum, the vestibular system, the deep sensation and the like. Impairment of these systems will lead to poor coordination of movement, disturbed balance, etc., and these symptomatic signs are called ataxia. The symptoms can be divided into four types of sensory ataxia, vestibular ataxia, cerebellar ataxia and hereditary ataxia, and because the causes of the diseases are various, and the curative effect of treating different causes of ataxia by using the same medicament is greatly different, the current clinical treatment of the disease lacks effective medicaments or methods.
The causes of ataxia include cerebellar ataxia, deep sensory disturbance ataxia, cerebral ataxia, and vestibular ataxia.
1. Cerebellar ataxia includes, damage to the lumbricus of the cerebellum, damage to the hemispheres of the cerebellum, and cerebellar ataxia.
2. Deep sensory disturbance ataxia includes: peripheral neuropathy, posterior root lesions, posterior cord lesions, thalamic lesions and apical lobe lesions.
3. Cerebral ataxia is usually seen in cerebrovascular diseases, tumors, inflammations, traumas, degenerative diseases, etc. of frontal, parietal, temporal, occipital and corpus callosum regions of the brain.
4. Vestibular ataxia is usually seen in acute labyrinthitis, inner ear hemorrhage, acute pathological changes of vestibular nerve or vestibular nerve nucleus, etc.
The common diseases causing ataxia comprise temporal lobe tumor, angioreticuloma, hemolytic uremic syndrome, hereditary ataxia, chorea minor, chorea chronica, sedative-tranquilizer poisoning, lead poisoning, botulism, etc.
Because the etiology is various, the disease degree is different, and the identification is difficult, so that the existing ataxia examination is basically based on the experience of doctors, and the degree and the situation of ataxia are difficult to be accurately evaluated.
Based on this, the utility model designs a multidimension degree ataxia evaluation system to solve above-mentioned problem.
Disclosure of Invention
An object of the utility model is to provide a multidimension degree ataxia evaluation system can detect the multiple physiological parameter of patient under various motion state to put these physiological parameters together, comprehensive analysis ataxia patient's that can be better severity, and provide the guide of datumization to ataxia's degree and condition and assist, can also advance the aassessment observation of contrast formula to data around after the treatment, make this integration data have high value.
The utility model discloses a realize like this: a multidimensional ataxia assessment system comprising:
the gait analysis system comprises a gait analysis bandage, a plantar pressure collection insole, a surface myoelectricity patch, an infrared distance meter, a fingertip sensor, a nose tip sensor, an electroencephalogram cap and a processor;
the gait analysis binding belt is provided with a gait sensor, magic tapes are arranged at two ends of the gait analysis binding belt, a Bluetooth antenna is further arranged on the gait sensor, and the gait sensor is in data connection with the processor through the Bluetooth antenna;
the sole pressure acquisition insole is provided with a plurality of pressure sensors, and the pressure sensors face to the sole surface;
the surface myoelectricity patch is a detection patch of a surface myoelectricity tester and can be separately attached to ankle joint and knee joint muscle groups;
the infrared distance measuring instrument further comprises a distance reflecting sheet, the infrared distance measuring instrument and the distance reflecting sheet are respectively and stably arranged on a human body and a wall, and the infrared distance measuring instrument is arranged right opposite to the distance reflecting sheet;
the fingertip sensor and the nose tip sensor are both microminiature space positioning sensors;
the electroencephalogram cap, the sole pressure acquisition insole, the fingertip sensor and the nose tip sensor are in data connection with the processor, and the surface myoelectricity tester is in data connection with the processor.
Furthermore, a plurality of gait analysis bands are detachably bound to the movable joint parts of the lower limb respectively, and each gait analysis band is in data connection with the processor through a respective Bluetooth antenna;
the gait sensor comprises an acceleration sensor, a gyroscope and a magnetometer.
Furthermore, the brain electricity cap is 32 brain electricity caps of leading, brain electricity cap and treater pass through data line or bluetooth antenna data connection.
Furthermore, plantar pressure gathers the shoe-pad and controls the foot a pair of about including, every all set up the bluetooth antenna in the plantar pressure gathers the shoe-pad, and is a plurality of pressure sensor passes through bluetooth antenna and treater data connection.
Furthermore, the processor is a computer, the surface myoelectric patch, the fingertip sensor and the nose tip sensor are connected with the processor through data lines, and the infrared range finder is connected with the processor through a Bluetooth antenna in a data mode.
The utility model has the advantages that: 1. the utility model carries out the data parameter detection through the gait analysis bandage, the plantar pressure collection insole, the surface myoelectricity patch, the infrared distance measuring instrument, the fingertip sensor, the nose tip sensor, the brain electricity cap and the processor, so that various physiological parameters of a patient can be accurately measured, and the data of the ataxia assessment can be more accurate and can not be assessed by the experience observation any more;
2. the data of the device is transmitted with the processor in real time, and the data of the human body in the motion state can be detected, and the data can be evaluated in real time no matter whether the patient is blocked or finishes the motion, so that the real-time physiological data of the patient in actual operation is obtained, the data change is associated with the motion step in real time, the data which is essentially associated with the motion is obtained, and the data is not a simple certain numerical value, so that the purpose of detecting the relevance of the motion is achieved.
Drawings
The present invention will be further described with reference to the following examples and drawings.
FIG. 1 is a partial structure display diagram of the gait analysis bandage, the plantar pressure collection insole and the surface myoelectricity patch of the utility model;
FIG. 2 is a schematic structural view of the infrared distance measuring device of the present invention;
FIG. 3 is a schematic view of the utility model in a wearing state;
FIG. 4 is a schematic view of the surface myoelectric patch of the present invention attached to an ankle;
fig. 5 is a schematic view of the single gait analysis band structure of the present invention.
In the drawings, the components represented by the respective reference numerals are listed below:
1-gait analysis bandage, 11-gait sensor, 12-magic tape, 2-sole pressure collection insole, 21-pressure sensor, 3-surface myoelectricity patch, 4-infrared distance meter, 41-distance reflection sheet, 5-fingertip sensor, 51-nose tip sensor, 6-electroencephalogram cap and 61-processor.
Detailed Description
Referring to fig. 1 to 5, the present invention provides a technical solution: a multidimensional ataxia assessment system comprising:
a gait analysis bandage 1, a sole pressure acquisition insole 2, a surface myoelectricity patch 3, an infrared distance meter 4, a fingertip sensor 5, a nose tip sensor 51, an electroencephalogram cap 6 and a processor 61;
a gait sensor 11 is arranged on the gait analysis bandage 1, magic tapes 12 are arranged at two ends of the gait analysis bandage 1, a Bluetooth antenna is further arranged on the gait sensor 11, and the gait sensor 11 is in data connection with a processor 61 through the Bluetooth antenna;
the sole pressure acquisition insole 2 is provided with a plurality of pressure sensors 21, and the pressure sensors 21 face the sole surface;
the surface myoelectricity patch 3 is a detection patch of a surface myoelectricity tester, and the surface myoelectricity patch 3 can be separately attached to ankle joint and knee joint muscle groups;
the infrared distance meter 4 further comprises a distance reflection sheet 41, the infrared distance meter 4 and the distance reflection sheet 41 are respectively and stably arranged on a human body and a wall, and the infrared distance meter 4 is arranged opposite to the distance reflection sheet 41;
the fingertip sensor 5 and the nose tip sensor 51 are both microminiature space positioning sensors;
the electroencephalogram cap 6, the plantar pressure collection insole 2, the fingertip sensor 5 and the nose tip sensor 51 are in data connection with the processor 61, the surface myoelectricity tester is in data connection with the processor 61, various physiological parameters of a patient in various motion states can be detected, the physiological parameters are integrated together, the severity of the ataxia patient can be better and comprehensively analyzed, data-based guidance assistance is provided for the ataxia degree and situation, comparative evaluation and observation can be carried out on the front and back data after treatment, and the integrated data have high value.
The gait analysis system comprises a plurality of gait analysis bands 1, wherein the gait analysis bands 1 can be detached and are respectively bound to the movable joint parts of the lower limbs, and each gait analysis band 1 is in data connection with a processor 61 through a respective Bluetooth antenna;
the gait sensor 11 comprises an acceleration sensor, a gyroscope and a magnetometer and is used for detecting various gait data of the patient to form action association;
the electroencephalogram cap 6 is a 32-lead electroencephalogram cap 6, the electroencephalogram cap 6 is in data connection with the processor 61 through a data line or a Bluetooth antenna, data connection is facilitated according to actual conditions, and real-time data transmission is performed on electroencephalogram;
the sole pressure acquisition insoles 2 comprise a pair of left and right feet, each sole pressure acquisition insole 2 is internally provided with a Bluetooth antenna, and the pressure sensors 21 are in data connection with the processor 61 through the Bluetooth antennas, so that the pressure change borne by the soles can be monitored in real time conveniently;
the processor 61 is a computer, the surface myoelectricity patch 3, the fingertip sensor 5 and the nose tip sensor 51 are connected with the processor 61 through data lines, and the infrared distance meter 4 is in data connection with the processor 61 through a Bluetooth antenna, so that real-time data transmission is facilitated, and actions are not influenced.
In a specific embodiment of the present invention:
the embodiment of the utility model provides a through providing a multidimension degree ataxia evaluation system, the utility model discloses the technical problem that meets is: assessment of ataxia requires a variety of assessment modalities:
1. physical examination: finger nose test: order the patient to straighten the upper limb and then touch his nose with his index finger. When the test is performed, the eyes are opened first and then closed, and if the movement of one limb is slow and clumsy, the finger swings or shakes during the movement, and the finger cannot accurately touch the tip of the nose, so that the test is positive.
Alternate motion test: the patient is ordered to do rapid turning movement with both hands, and if the action of a certain limb is slow and clumsy, the test is positive.
Heel knee shank test: the patient lies on the back, orders to raise one lower limb to place the heel on the knee of the opposite lower limb, then slides downwards along the front of the tibia, and if the heel cannot be accurately placed on the knee, the heel cannot linearly slide downwards along the tibia, so that the test is positive.
Drawing test: when the patient lies on his back during examination, he will order to draw a triangle, circle or square in the space with his feet, and if he can not do the exercise, he will be positive.
The Onbin test: order the patient to stand upright, close the two feet, and keep the two hands flat forward, and observe whether the patient has a tendency of swaying or falling when the eyes are open or closed. If there is a swing or toppling over during eye closure, it is also called eye closure difficulty standing syndrome.
2. Auxiliary inspection
Cerebellar ataxia is treated by examining brain CT or MRI to eliminate cerebellar tumor, metastasis, tuberculoma or abscess, angiopathy, and cerebellar degeneration and atrophy.
Deep dysesthesia, such as myoelectric image examination and somatosensory evoked potential when locating peripheral nerve; such as MRI, cerebrospinal fluid examination, or myelography examination, considering that electromyography, evoked potentials, lesion sites should be examined for posterior root lesions or posterior cord lesions. It is contemplated that brain CT or MRI will be best examined at the thalamus or parietal lobe.
Cerebral ataxia is a common disease such as cerebrovascular disease, tumor, inflammation, trauma, and degenerative disease, and should be examined by brain CT, MRI, electroencephalogram, etc.
Vestibular ataxia, which can be examined by electrosensory, auditory evoked potential, vestibular function examination, etc.
At present, the examination basically depends on human subjective examination, datamation and precision are difficult to achieve, equipment for auxiliary examination can only separately examine human physiological data, data examined by the equipment cannot be compared and correlated with ataxia, and the situation that the data and symptoms are difficult to match is caused, namely whether the abnormality of the data obtained by examination is related to the ataxia or not cannot be determined, and even if the abnormality is not related, the correlation cannot be verified, so that the data are inaccurate for evaluating the ataxia, and especially when the abnormality is within a critical value or a certain parameter is within a critical value, the accurate evaluation of the symptom degree is difficult to achieve.
The embodiment of the utility model provides a through providing a multidimension degree ataxia evaluation system, the utility model provides a technical problem be: the ataxia is detected and evaluated in a datamation manner, and the detected data is ensured to be directly related to the action caused by the ataxia, so that the aim of accurately evaluating the ataxia is fulfilled.
The realized technical effects are as follows: 1. the utility model discloses a gait analysis bandage 1, plantar pressure gathers shoe-pad 2, surface myoelectricity paster 3, infrared distance meter 4, fingertip sensor 5, nose point sensor 51, brain electricity cap 6 and treater 61 and carries out the parameter detection of datumization for each item of physiological parameter of patient obtains accurate measurement, thereby makes the ataxia aassessment datamation, also more accurate, no longer relies on empirical observation to assess;
2. the data of the device is transmitted with the processor in real time, and the data of the human body in the motion state can be detected, and the data can be evaluated in real time no matter whether the patient is blocked or finishes the motion, so that the real-time physiological data of the patient in actual operation is obtained, the data change is associated with the motion step in real time, the data which is essentially associated with the motion is obtained, and the data is not a simple certain numerical value, so that the purpose of detecting the relevance of the motion is achieved.
The embodiment of the utility model provides an in technical scheme for solving above-mentioned problem, the general thinking is as follows:
for better understanding of the above technical solutions, the following detailed descriptions will be provided in conjunction with the drawings and the detailed description of the embodiments.
When the utility model is manufactured, a gait analysis bandage 1, a sole pressure collection insole 2, a surface myoelectricity patch 3, an infrared distance meter 4, a fingertip sensor 5, a nose tip sensor 51, an electroencephalogram cap 6 and a processor 61 are required to be obtained firstly;
the gait analysis bandage 1 is an elastic bandage, has different lengths, is suitable for various parts of a human body, and needs to be bound at a plurality of positions such as the waist, the thigh, the calf, the instep and the like, so that the gait sensor 11 is bound on the movable joint, and the gait analysis bandage 1 is provided with the magic tape 12, so that the range of the magic tape 12 can be increased to be suitable for patients with different body types;
and infrared distance measuring instrument 4 and range reflector 41 need a dress to install on the fixed wall that corresponds at human waist position one, and in order to detect the accuracy, range reflector 41 can make the area great, and infrared distance measuring instrument 4 can tie back waist position, is convenient for carry out real-time supervision to patient's displacement to judge patient's displacement, take notes dynamic data.
Selecting a surface myoelectric tester, wherein a detection patch of the surface myoelectric tester is a surface myoelectric patch 3, adhering the surface myoelectric patch to muscle groups around an ankle joint and a knee joint, analyzing abnormal muscle contraction and compensation processes of an ataxia patient in a walking process of a specified route, and recording a circuit diagram and data matching associated with corresponding actions to obtain dynamic action data;
the fingertip sensor 5, the nose tip sensor 51 and the electroencephalogram cap 6 are in data connection with the processor 61, can be in data connection with Bluetooth or data lines, bluetooth is taken as priority, wearing dynamics is facilitated, if the data lines are connected, long data lines are needed, the fingertip sensor 5 and the nose tip sensor 51 are pre-seated for testing, only the hand points to the nose, the fingertip sensor 5 and the nose tip sensor 51 are subminiature space positioning sensors, recording can be carried out as long as position deviation occurs, and phase difference values can be accurately recorded;
the fingertip sensor 5 is further provided with an action track recording device for recording an action track, so that the action track of the finger of the patient can be recorded conveniently, and the position of the finger of the patient or the position of the finger which is inclined can be judged linearly.
The electroencephalogram cap 6 needs to be a 32-lead electroencephalogram cap 6, and the electroencephalogram cap 6 can be purchased and belongs to mature equipment; the electroencephalogram cap 6 needs to be worn by a patient dynamically when the patient walks, and data association recording with actions is needed to be carried out when the patient is dynamic.
The processor 61 is a computer, and these devices originally need data recording, and the processor 61 in the system dynamically integrates and records all data in association.
The gait sensor 11 has the same working principle and structure as a wearable sensor in a three-dimensional gait and motion analysis system with the application number of CN201710216250.2 published in 2017, 08 and 04, but the detection data parts are different, the data using mode is different, and the detection purpose is completely different;
the same sole pressure acquisition insole 2 is a conventional insole, a battery, a Bluetooth antenna and a pressure sensor 21 are integrated in the conventional insole, and the conventional insole is used for detecting sole pressure, and a gait detection device with the application number of CN201220518111.8 is published in 2013, 03, 27, the principle and the structure of the sole pressure acquisition insole 2 of the device are the same as those of the conventional insole, but the position of the pressure sensor 21 of the device is different from that of the conventional insole, because the device is used for detecting ataxia, the required positions of detected data are also different, and the pressure sensor 21 of the device needs to distribute the pressure of toes, forefoot, heel, arch and outer edges of sole according to dynamic sole pressure distribution, and also needs to detect parameters such as pressure intensity, impulse, load rate and the like through the pressure sensor 21;
a motion trajectory recording device on the fingertip sensor 5, which is disclosed in 2018, month 02, month 27 and has an application number of CN 201720484989.7; the principle is the same, only synchronous recording with the fingertip sensor 5 is needed, and fine recording of fine tracks of the finger is facilitated.
The utility model discloses when using, connect fingertip sensor 5 and nose point sensor 51 earlier, can draw up the fingertip through fingertip sensor 5 and nose point sensor 51 and move the fingertip and the coincidence of nose point or information such as orbit, speed, angular velocity when not coinciding from the arm abduction position, information is complete, and no longer simple alignment or misalignment, this device can record from where to begin the incline through the removal orbit of record finger to carry out accurate analysis.
The gait analysis bandage 1 is bound to a proper position and is fastened by a magic tape 12, a plurality of gait analysis bandages 1 can be detached and are respectively bound at the back lumbar spine, the front side middle points of the femoral head and the knee joint, namely the front side of the thigh, the front side middle points of the knee joint and the ankle joint, namely the crus ulna position, and the instep side middle point, namely the instep, so that the gait sensor 11 detects the gait of the lower limb, the joint activity degree is detected by a gyroscope, the walking speed, the walking time length and other parameters are detected by an acceleration sensor, and the walking direction of the patient is detected by a magnetometer to be accurate or not, so that the gait sensor 11 of the gait analysis device forms an accurate movement track for the actions of the thigh, the crus, the ankle and the instep of the patient, thereby analyzing and recording the gait, analyzing and evaluating the gait through ataxia without observing whether the walking posture of the patient is qualified by eyes.
Carrying out data analysis and recording on muscle groups around ankle joints and knee joints through the surface myoelectric patch 3, and analyzing abnormal muscle contraction and compensation processes of an ataxia patient in a walking process of a specified route;
elderly and dyskinetic patients have been found to exhibit high levels of muscular co-activation in the knee and ankle joints, increased muscular co-contraction in patients with neurological disorders (such as parkinson's disease), and ataxia patients may need to reduce their freedom of movement in order to achieve better dynamic stability and multi-joint coordination control. Thus, in these patients, enhancing the combined contraction of antagonistic muscles may be interpreted as a compensatory strategy, rather than a major defect of the neuromuscular system. The system uses surface electromyography to analyze the time and amplitude characteristics of electromyographic activity of single muscle, and the electrodes are placed on the muscle abdomen of the muscle at the positions of: bilateral lower limb lateral femoral muscles, biceps femoris, tibialis anterior and gastrocnemius medial muscles, and can also integrate various data for analysis.
The displacement is recorded through the infrared distance measuring instrument 4 and the distance reflection sheet 41, and the vertical and horizontal displacement conditions at the center of gravity of the waist of the body of the patient are recorded;
the brain electricity cap 6 of the device detects the brain in the whole testing process, and analyzes and records data of corresponding motion networks when different actions are performed.
The function condition of the ataxia is analyzed through the multi-dimensional measurement, the severity of the ataxia patient can be better and comprehensively analyzed by integrating the multi-dimensional measurement and the analysis, guidance and evaluation observation after treatment are provided for further rehabilitation treatment, and the method has great clinical value.
Although specific embodiments of the present invention have been described, it will be understood by those skilled in the art that the specific embodiments described are illustrative only and are not limiting upon the scope of the invention, and that equivalent modifications and variations can be made by those skilled in the art without departing from the spirit of the invention, which is to be limited only by the claims appended hereto.
Claims (5)
1. A multidimensional ataxia assessment system, comprising: a gait analysis bandage (1), a sole pressure collection insole (2), a surface myoelectricity patch (3), an infrared distance meter (4), a fingertip sensor (5), a nose tip sensor (51), an electroencephalogram cap (6) and a processor (61);
the gait analysis bandage (1) is provided with a gait sensor (11), magic tapes (12) are arranged at two ends of the gait analysis bandage (1), the gait sensor (11) is also provided with a Bluetooth antenna, and the gait sensor (11) is in data connection with the processor (61) through the Bluetooth antenna;
the sole pressure acquisition insole (2) is provided with a plurality of pressure sensors (21), and the pressure sensors (21) face the sole surface;
the surface myoelectricity patch (3) is a detection patch of a surface myoelectricity tester, and the surface myoelectricity patch (3) can be attached to ankle joint and knee joint muscle groups in a separated manner;
the infrared distance meter (4) further comprises a distance reflection sheet (41), the infrared distance meter (4) and the distance reflection sheet (41) are respectively and stably arranged on a human body and a wall, and the infrared distance meter (4) is arranged opposite to the distance reflection sheet (41);
the fingertip sensor (5) and the nose tip sensor (51) are displacement sensors;
the fingertip sensor (5) is also provided with an action track recording device;
the electroencephalogram cap (6), the sole pressure acquisition insole (2), the fingertip sensor (5) and the nose tip sensor (51) are in data connection with the processor (61), and the surface myoelectricity tester is in data connection with the processor (61).
2. The system of claim 1, wherein: the gait analysis bandage (1) is provided with a plurality of removable gait analysis bandages (1) which are respectively bound at the movable joint parts of the lower limb, and each gait analysis bandage (1) is in data connection with the processor (61) through a respective Bluetooth antenna;
the gait sensor (11) comprises an acceleration sensor, a gyroscope and a magnetometer.
3. The system of claim 1, wherein: the electroencephalogram cap (6) is a 32-lead electroencephalogram cap (6), and the electroencephalogram cap (6) is in data connection with the processor (61) through a data line or a Bluetooth antenna.
4. The system of claim 1, wherein: sole pressure gathers shoe-pad (2) including controlling the foot a pair of, every all set up the bluetooth antenna in sole pressure gathers shoe-pad (2), and is a plurality of pressure sensor (21) pass through bluetooth antenna and treater (61) data connection.
5. The system of claim 1, wherein: the processor (61) is a computer, the surface myoelectric patch (3), the fingertip sensor (5) and the nose tip sensor (51) are connected with the processor (61) through data lines, and the infrared range finder (4) is connected with the processor (61) through a Bluetooth antenna.
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