DE102011052836A1 - Interactive training system for rehabilitation of patients with movement impairments of extremities, has input and output units with part interacting with patient, so that physiotherapeutic training program is interactively completed - Google Patents

Abstract

The system (1) has a data input unit e.g. touchscreen (11) or video camera (12), attached at a base device (4), and a data output unit e.g. monitor (13) or loudspeaker (14), attached and/or mounted in the device. A part of the input and output units interacts with a therapist (37), so that a part of a training program for a patient (2) is determined and/or configured from the therapist. The part of the input and output units interacts with the patient, so that a physiotherapeutic training program selected by the patient and provided by the therapist is interactively completed. An independent claim is also included for a method for performing rehabilitation of physically impaired patients i.e. patients with movement impairments of extremities.

Description

The invention relates to an interactive training system for the rehabilitation of physiologically impaired patients, as well as a method for performing a rehabilitation of physiologically impaired patients with an interactive training system, as indicated in the claims 1 and 21.

From the US 5,466,213 For example, a generic device and method for interacting with a patient to train his motor skills is known. According to this known system, an interactive robotic therapist is provided, which interacts with the patient by means of a movable robot arm and guides the body part to be trained through the physiotherapeutic exercises of the training program. During an exercise, by applying force to the robotic arm guiding it, the patient can change the movement path of the exercise movement. According to the physiotherapeutic exercises can be determined by moving the robot arm, which movements are stored in the memory of a controller of the interactive robotic therapist and later called by the patient. Further, it is shown that with such a system a therapist can care for multiple patients simultaneously without having to be physically present at each of them, and a patient can also independently perform the physiotherapeutic exercises of the assigned exercise program with the disclosed robotic interactive therapist. The variety in the training exercises achievable with this system or with this procedure is severely limited by the fundamental fixation on the movable robotic arm as the main means of interaction, and the available options for assisting therapists and patients are thus only partially satisfactory.

Further describes WO 2008/124025 A1 a device and a method for the guided movement execution of body parts to be trained by means of a driven orthosis. The equipped with actuators driven orthosis is mounted on the body part to be trained and supports or guides the patient by synchronously driving the actuators in the movement of the body part to be trained along the desired movement path according to the tolerances allowed. The forces applied thereby by the driven orthosis on the body part to be trained can be selected in their strength proportional to the deviation from the desired movement path. Further, a method is disclosed in which the user of the driven orthosis is given visual feedback about the deviation between the desired and actual motion path. This embodiment is also unsatisfactory in terms of diversity of the physiotherapeutic training exercises and the support of the therapist and the patient in the determination or completion of the training exercises by only one main, less flexible interaction means, namely the driven orthosis.

The present invention has for its object to provide a training system for the rehabilitation of physiologically impaired patients, especially of patients with movement impairment of the extremities, which increases the efficiency of planning, setting, completion and evaluation of a physiotherapeutic exercise program and to an additional relief of the therapist and support of the patient. In addition, it is an object of the invention to provide a method for performing a rehabilitation of physiologically impaired patients with an interactive training system, with which the stated tasks are solved.

The first object of the invention is achieved by an interactive training system according to the features in claim 1.

According to the invention, the training system comprises a base unit to which a wide variety of data input means, for example the sensors of a receiving means for the body part to be trained, a touchscreen or a video camera, and a variety of data output means, for example the actuators of the receiving means for the body part to be trained, a screen or a loudspeaker, connected and / or installed so that on the one hand a therapist can interact with the training system to set up or configure a patient training program and on the other hand the patients can interact with the training system at the therapist's and / or the patient's own to complete the chosen physiotherapeutic training program interactively. The interactive training system supports the therapist in the creation of a training program and relieves him in the care of his patients. Likewise, the interactive training system supports the patient in the completion of the training program and thus increases the efficiency of physiotherapeutic care for both the therapist and the patient.

Specifically, the therapist has the following advantages. The interactive training system allows the therapist to easily and interactively define the training program and supports him in the intensive care of several patients. The extensive data entry and data output options enable the definition of individually tailored to the respective patient and varied training programs and provide the therapist versatile evaluation options. This results in an improved tracking and recording of the course of therapy and success.

Some of the benefits for the patient include: Increased quality of care is offered as a tailor-made training program can be set to suit you. Likewise, a variety of training program is possible through the various data entry and data output options, which is mainly the motivation of the patients is increased to complete their respective training program or training period regularly and on time.

An advantage of the interactive training system is also that this versatile system can also be used for targeted training of healthy people, resulting in, for example, increased utilization of the interactive training system.

Also of advantage are the measures according to claim 2, since it creates a mobile, interactive training system whose position in the treatment room can be changed in a simple manner. It is also possible to use this mobile, interactive training system in several rehabilitation centers or at home, since the system is easy to transport.

Another advantage is an embodiment according to claim 3, as this information can be issued acoustically and in particular instructions can be given to the patient regarding the training exercise to be completed. It is also possible to increase the motivation of the patient, for example by the output of music or inspiring tones or sounds or bars during the exercise. An output of acoustic information via a headphone is on the one hand suitable for assisting patients with a hearing impairment, on the other hand this results in the advantage, for example in a rehabilitation center, that any further persons in the same room are not disturbed.

Advantageous further measures according to claim 4, as this rich visual information can be given to the user of the interactive training system and a patient when performing a training exercise can be given precise instructions. Likewise, an increase in the motivation of the patient is made possible visually by the output of appealing graphics, images, animations or video films.

On the one hand, the advantageous measures according to claim 5 make it possible to position the external screen for displaying visual information at a suitable location, for example at eye level a short distance in front of the patient, thereby ensuring good readability for the patient. On the other hand, the use of an already existing on the patient screen, for example, the patient's television, that the base unit of the interactive training system has very compact dimensions, so that the mobility or transportability of the training system is improved.

Also advantageous are the measures according to claim 6, as this visual information in the training room can be flexibly projected, so they can be positioned well visible by the user of the interactive training system. Furthermore, the projection of an image allows for a very large and easy-to-read visual information display, which is particularly beneficial for users with visual impairments.

Also advantageous are the measures according to claim 7, since thereby the quality and clarity of the visual representations is greatly improved and thus, for example, the clarity of instructions for exercise performance for the patient is greatly increased. Furthermore, in exercises such as games of skill and the spatial perception is trained, for example, patients with neurological impairments after surgery or stroke benefit.

Also advantageous are the measures according to claim 8, since instructions can be transmitted to the user of the receiving means for the body part to be trained via the haptic information channel. This makes it possible, for example, to give patients even more precise and detailed instructions during the exercise. For example, it is possible to give a haptic reference to the patient, which is approximately comparable to a gentle guidance by the hand of a therapist at a large deviation of the exercise movement of the predetermined target movement with a vibration actuator in the receiving means for the body part to be trained , Thus, an additional information channel is available in the interactive training system.

Another advantage is the measures according to claim 9, as created by the use of a touch screen as data input means on the base unit, a very versatile user interface, which can be operated in a simple and intuitive way by the therapist and / or the patient to the training system interactive to control or use.

Also advantageous are the measures according to claim 10, as this acoustic information can be absorbed and processed by the base unit. Thus, it is possible, for example, to realize a simple control of the interactive training system by means of voice commands. Furthermore, it is possible to record the voice of the user of the training system or other ambient noise, analyze and, if necessary, for example, at the request of the user to forward to a recipient. In addition, the acoustic information, in particular in conjunction with additional and other information obtained, also evidence of the condition and condition of a patient and especially on the presence of unusual or dangerous conditions can be obtained, so that in case of problems can respond immediately. This increases the safety of the patient when using the interactive training system.

If a plurality of microphones spaced apart from one another are used, their signals can also be linked to one another and thus a fixed or also adjustable directional characteristic can be achieved in order to detect acoustic signals from the user's direction, but to filter out or at least mitigate other environmental noises. This serves to improve the quality of the acoustic information recorded by the microphones. Likewise, the signals of multiple microphones can be linked in order to achieve an at least limited location of the acoustic source, in particular the user, so that the interactive training system at least the approximate position of the acoustic source is known.

Also advantageous are the measures according to claim 11, since the inclusion of a video image is a very versatile and comprehensive source of information regarding the activities of the user of the interactive training system available. In addition to the basic recognition of whether a user of the training system is present, a variety of different data can be recorded by a user, for example his position, his current movement, his gestures, his facial expressions or his direction of view. In particular, the performed movement of a patient with the receiving means for the body part to be trained can be recorded very accurately, so that control over the correct execution of the exercise is easily possible. The detection of the viewing direction of the patient can also be used for simple operations, which significantly improves the operability of the interactive training system for patients with significant impairment of the motor skills of the arms or with a movement restriction of the applied receiving means.

Also advantageous are the measures according to claim 12, as this allows an even more accurate detection of the position, movement and behavior of users and objects in the interactive training system.

Another advantage is the measures according to claim 13, since on the one hand an increased ease of use for the users of the interactive training system is achieved because a user is more flexible in its position, are issued from the operating commands. On the other hand, the mobile hand-held device also provides a unified user interface that can be used to provide intuitive commands to the interactive training system. Wireless transmission of the commands from the mobile hand-held device to the base device further increases the mobility of the hand-held device and improves ergonomics and operational reliability by eliminating the cable connection.

Also of advantage are the measures according to claim 14, since thereby the care of a patient by a physiotherapist over long distances is possible.

Thus, the efficiency of the therapy is increased, because despite intensive care of a patient, for example, strenuous and time-consuming patient transports are eliminated and the travel time for the therapist remains low, resulting in less care costs. Similarly, it is possible for a therapist to care for multiple patients from a central location so that the efficiency of the therapy is also increased.

The measures according to claim 15 are also advantageous, as it means that it is no longer necessary for the patient and the therapist in each case to come together for the performance of the exercise at the same geographical location. On the one hand, the travel and working time for the therapist is reduced, on the other hand frequent patient transports, which can sometimes be very stressful for the patient, avoided, while at the same time the accuracy of the therapeutic exercises performed or the frequency and regularity of the exercise procedures by the therapist continue and exactly can be controlled. This control can be carried out by the therapist on the basis of the stored data at a time suitable for the therapist, ie very flexible, or the transmitted data are viewed and analyzed directly by the therapist, so that immediately hints and corrections can be given for the exercise ,

The measures according to claim 16 are also advantageous, since thereby the protection of the privacy of users of the interactive training system, in particular of patients who train with the training system, is improved, since video image or activity information only after a conscious release by the user from the base unit is transmitted to the central control unit and further in the case of transmission of a video image, the transmitted information necessarily on the base unit, in particular in a reduced form, is displayed. Examples of typical data output means for this purpose are the internal or external flat screen, the internal or external touch screen, the internal or external loudspeaker or the at least one internal or external projector.

Also advantageous are the measures according to claim 17, since for example patients can communicate with each other via their respective base devices and exchange information, whereby the motivation of the patients to use the interactive training system is increased. The measures offer a further increase in the motivation of the patients to perform the exercises, since training activities of patients can be carried out together, that is, playfully with each other or against each other.

Likewise advantageous are the measures according to claim 18, since they allow a saving of the individual settings of the interactive training system for the respective user on a suitable storage medium, such as a hard disk or a memory card with non-volatile memory in the base unit and / or in the central control unit and these individual Settings from the patient or therapist can be recalled later and can also be evaluated. When the profile data records are stored in a central control unit, these data are also available centrally for the various base units used by the patient.

Also advantageous are the measures according to claim 19, since the unauthorized access to the, in some cases also used by several people, base unit of the interactive training system or stored data, such as profile data or activity information of a user, in a simple and secure manner is prevented. Especially in the use of existing chip cards from the health sector for such identification or authentication, advantageous synergy effects arise because the patient must submit such a health chip card in many cases in a treatment by the physiotherapist anyway.

Another advantage is also an embodiment according to claim 20, as this unauthorized, abusive and manipulative access to the transmitted information or control commands is prevented and thus the security of the interactive training system is increased.

The object of the invention, in particular the second mentioned object of the invention, is also achieved independently by a method according to claim 21. The technical effects or advantages achieved by the measures according to claim 21 are to be taken from the preceding description parts, in particular the Vorteilsnennungen to claim 1.

Also of advantage are the measures according to claim 22, since thereby the patient acceptance and the motivation of the patients are increased when using the interactive training system. The presentation of a virtual trainer or avatar with a suitable data output means of the interactive training system, such as a screen or a projector, allows the creation of a therapeutic or exercise situation for the patient which is comparable to that in which the therapist is physically present at the patient so that both can interact immediately during the practice. The virtual trainer or avatar, who represents the physiotherapist, motivates the patient during his training and optionally presents the rehabilitation exercises to be performed, for example by playing a video sequence of the exercise or by playing an animation the exercise routine. Thus, regardless of the presence of the therapist, the patient can be instructed in the respective training exercises or perform these training exercises and is assisted by a virtual trainer or avatar with as humanoid behavior or design as possible. The use of an avatar also creates a long-term therapies for the patient constant and familiar reference personality, even if the therapist who accompanies the therapy from a distance, actually changes, as occurs, for example, due to vacation or especially in the clinic.

Also advantageous are the measures according to claim 23, since by such a method, especially the motivation of the patients is increased, the provided training performance or even more often than required to train.

Another advantage is the measures according to claim 24, as well as the motivation of the patients is increased to fulfill the intended training schedule, since very realistic training scenarios or exercise presentations are offered. Likewise, such a method enables a compilation of very varied training and exercise scenarios for the therapist. In the mapping or animation of the patient already known environments whose motivation is further increased because a training exercise could then be as follows: By performing the exercise movement, which is registered by the receiving means for the body part to be trained, the patient with his him representing , virtual training figure cover a distance known to him from a known building A to a building B known to him. The virtual training figure is displayed by the interactive training system in the mapping or animation of the known real environment according to the current training progress and displayed by a suitable data output means, such as the projector, the training system.

Another advantage is the measures according to claim 25, as this the patient is reminded or motivated to participate in the agreed training appointments and online voting appointments with the therapist reliably and to catch up with this backlog in a training backlog. The reminder or reminder can be transmitted, for example via the interactive training system or in another way, such as via the mobile network by means of a short message.

By the measures according to claim 26, a simple and efficient procedure is provided for the therapist to set or configure the target movement of the patient with the body part to be trained in the training program. By directly transferring the movement pattern from the therapist to the patient, a very precise match of the target movement performed by the therapist and the actual movement performed by the patient is ensured, whereby an increased therapeutic effect is achieved.

Another advantage is the measures according to claim 27, as this ensures that the patient performs the training exercise as correct as possible and the instructions of the therapist accordingly. Equally, the training exercises can also be carried out by physically weakened patients, since on the one hand the therapist and, on the other hand, the optionally available actuators in or on the receiving means for the body part to be trained supported the movements of the body part of the patient to be trained.

Also advantageous are the measures according to claim 28, since thereby the correct exercise execution on the part of the patient and also on the part of the therapist can be controlled directly and from different points of view. This especially increases the exercise accuracy and thus improves the treatment effect.

The measures according to claim 29 are also advantageous, since in the first place deviations between the training target movement and the actual training movement for the patient or for the therapist are shown clearly or immediately and it can be reacted to immediately. Furthermore, by interrupting the display or output of entertainment media during the exercise in case of excessive deviations between training target movement and Trainingsistbewegung on the one hand, the concentration or motivation of the patient again directed to the correct exercise performance and on the other hand prevented any damage to the body part of the patient to be trained ,

The measures according to claim 30 are also advantageous, since a training program which is even better adapted to the patient, his body part to be trained and his physical and mental condition is carried out, since the training exercises are adapted directly and continuously to the current training situation. This significantly improves the therapeutic effect and avoids over- or under-demanding the patient.

Another advantage is the measures according to claim 31, as this improves the safety of the patient when using the interactive training system, as problem or emergency situations are reliably and quickly detected by the system and in the occurrence of such a situation, a controlled shutdown or in Neutral position bring the training system and in particular the receiving means for the body part to be trained, so that injury and further stress on the patient reliably avoided. The monitoring is carried out both with respect to exercise deviations and in relation to medical problems of the patient.

Of advantage are also the measures according to claim 32, since in case of a problem or emergency situation, for example, the therapist immediately extensive visual and audible information regarding the situation or the The patient's condition can be readily available and responsive, thereby enhancing the patient's safety in using the interactive training system.

Another advantage is the measures according to claim 33, since a very simple and intuitive control of the interactive training system is possible, in which a user is also flexible in its positioning, since operator inputs must not be made directly to the base unit. In particular, an operation of the interactive training system is also possible if a patient due to his physical impairment or due to the momentary impairment of his freedom of movement by the receiving means for the body part to be trained an operation in a conventional manner on the base unit is not possible.

Also advantageous are the measures according to claim 34, since thereby the compilation of a central knowledge base on specified and performed exercise movements and other information about training and physiological condition of the patient is possible, which data, for example, for other therapists or for scientific evaluations available while respecting the privacy of patients and therapists. The anonymization of the data thus creates a balance between the data analysis for the improvement of therapies and the data protection for patient data.

Finally, the measures according to claim 35 and / or 36 are advantageous, since the recorded real shots and optionally the live recordings of a patient in combination with a variant-rich and situation- or state-related playback, which is made possible by a powerful sensor, the patient to a high degree Teacher presence and allow a relatively natural interaction between the interactive training system and the patient.

For a better understanding of the invention, this will be explained in more detail with reference to the following figures.

In each case, in a highly simplified, schematic representation:

1 an interactive training system for the rehabilitation of physiologically impaired patients comprising a base unit, the body part to be trained and various data input and output means for interacting with the training system by patients and therapists;

2 an interactive training system, in which a base device operated by the patient also via a mobile hand-operated device and a central control device operated by the therapist exchange data via the Internet;

3 an interactive training system comprising a plurality of base stations communicating over the Internet and equipped with various data input and output means and a central control unit;

4 an interactive training system that visualizes the discrepancy between the therapist's intended training movement and the patient's actual exercise movement on a screen.

By way of introduction, it should be noted that in the differently described embodiments, the same parts are provided with the same reference numerals or the same component names, wherein the disclosures contained in the entire description can be mutatis mutandis to the same parts with the same reference numerals or component names. Also, the location selected in the description, such as. B. top, bottom, side, etc. related to the immediately described and illustrated figure and these position information in a change in position mutatis mutandis to transfer to the new location. Furthermore, individual features or combinations of features from the different exemplary embodiments shown and described can also represent independent, inventive or inventive solutions.

In 1 is an interactive training system 1 schematically and exemplifies, with which the rehabilitation of physiologically impaired patients 2 , especially of patients 2 with movement impairment of the extremities, is made possible.

According to the illustrated embodiment, a patient sits 2 with a receiving means 3 for the body part to be trained, in this case the left arm or shoulder area, a base unit 4 opposite, which with a data processing device 5 and a data storage device 6 Is provided. The data processing device 5 controls the entire interactive training system 1 and accesses information stored in the data storage device 6 are stored or stores itself information from there.

According to the embodiment shown, the receiving means 3 for the body part to be trained with a sensor 7 equipped in the upper arm of the receiving means, which information about the type of movement of the receiving means 3 and thus the patient's arm 2 via a sensor cable 8th to the base unit 4 and its data processing device 5 transfers. Likewise, the receiving means 3 for the body part to be trained with an actuator 9 equipped with a support or movement of the left arm of the patient to be trained 2 is carried out according to the training program just completed, with the corresponding control commands for the actuator 9 from the data processing device 5 in the base unit 4 via an actuator line 10 to the actor 9 is transmitted.

In an advantageous embodiment, not shown, the sensor information and the actuator control commands are transmitted via wireless connections, for example via radio links, between the base unit 4 and sensor 7 or actuator 9 transfer.

Preferably, the base unit 4 with additional data input and output means for interacting with the users of the interactive training system 1 fitted. In the illustrated embodiment, the base unit is inter alia with a touch screen 11 for the visual display of information and for the touch-controlled recording of user input and a built-in loudspeaker 14 equipped for the acoustic output of information, such as sounds, music or speech. Likewise, to the base unit 4 of the interactive training system 1 the video cameras 12 . 12 ' for recording visual information and the external screen 13 connected to the visual output of information.

In an advantageous embodiment, not shown, the integrated touch screen 11 also be designed as an external touch screen and at least one of the external video cameras 12 . 12 ' also in the base unit 4 be designed integrated of the interactive training system.

An expedient embodiment with multiple video cameras 12 . 12 ' allows the three-dimensional detection of the environment, such as the position, the movement, the gestures, the line of sight or the facial expression of the therapist 37 or the patient 2 can be recorded in more detail. The detection accuracy of the movements of the receiving means 3 for the body part to be trained on a video image can be further increased by, for example, one or more special, optically detectable markers on the recording medium 3 are attached.

In an expedient embodiment, not shown, the further external data input and output means are via wireless connections to the base unit 4 of the interactive training system 1 connected, so complicated wiring work or impairments by the existing wiring, in particular impaired mobility of the interactive training system 1 or the freedom of movement of the patient 2 , excluded are.

It is now appropriate that first a therapist 37 the interactive training system 1 used and with the various data input and data output means of the base unit 4 interacts to at least part of the training program for the patient 2 to set or configure. The training program created in this way is stored in the data storage device 6 and then taken by the patient 2 according to the specifications of the therapist or according to the physical and temporal abilities of the patient 2 mostly independent of the availability or presence of the therapist 37 be performed. The patient 2 In doing so, it interacts with the data input and data output means of the base unit in a similar way as the therapist previously did 4 to interactively complete the prescribed physiotherapeutic training program or to perform any self-selected, additional physiotherapeutic training programs. The exact training process is monitored by the data input means and the data output means are given instructions for the patient 2 concerning the correct execution of the exercise and information about exercise deviations and exercise progress. Optionally, by means of at least one actuator 9 in the recording medium 3 a support or movement of the body part to be trained made for the body part to be trained. The interactive training system 1 Therefore, on the one hand, it supports and relieves the therapist 37 on the other hand, and also supports the patient 2 during the exercise.

It is useful if the base unit 4 of the interactive training system 1 with a stand device 15 is equipped, whose bottom element 16 not on the underlying surface, such as a floor 17 , is fixed. This makes it possible in a simple manner, the base unit 4 of the interactive training system 1 to move in a room or the interactive training system 1 with his basic device 4 and the attached data input and output means to another location, such as the therapist's office 37 in the patient's apartment 2 , to transport. Is appropriate it further, the bottom element 16 the standing device 15 of the base unit 4 on its underside with rolling body 18 equip the mobility of the base unit 4 continue to increase.

In special circumstances, for example when the patient 2 suffers from hearing impairment, it is useful to the base unit 4 an external speaker 19 or a headphone 20 to connect acoustic information such as sounds and sounds to a patient so affected 2 audible output.

For cost reasons, for example, it may also be appropriate to use the integrated touch screen 11 in the base unit 4 as a simple, built-in flat screen without touch sensitivity to output visual information such as graphics, animation or video. Another way to reduce the manufacturing cost of the base unit 4 or to reduce the dimensions of the base unit 4 represents the procedure, on the installation of a touch screen 11 in the base unit and the visual information on an external screen 13 , which moreover one in the patient 2 already existing TV can be present.

According to a particularly advantageous embodiment, the base unit 4 of the interactive training system 1 with at least one externally arranged or, as shown, an integrated projector 21 equipped for visual information such as on a projector screen 22 display.

It is also expedient to use the visual information on the corresponding data output means, for example the integrated touchscreen 11 , the external screen 13 or the integrated projector 21 to display in three-dimensional representation in order to achieve an increased clarity of visually displayed information.

According to a particularly advantageous embodiment, the at least one actuator 9 at the receiving means 3 equipped for the body part to be trained with a vibration and / or pressure function, so information also on haptic way to the user of the interactive training system 1 can be transmitted. Such haptic information transmission provides very immediate and intuitive feedback to the user of the interactive training system 1 For example, and does not require that the user's attention largely focused on the appropriate data output means.

It is useful if to the base unit 4 of the interactive training system 1 at least one external microphone 55 connected with the patient 2 or the therapist 37 Speech inputs for transmission or control of the interactive training system 1 or other acoustic information, such as ambient noise, from the base unit 4 be recorded and processed. When using multiple external microphones 55 and / or multiple internal microphones 56 - 4 - Can also be implemented a microphone with directivity and / or an efficient compensation of environmental noise can be performed.

In an embodiment not shown, the microphones 55 . 56 used in conjunction with controllable sound generators, in particular ultrasonic transmitters, which at one or more points of the receiving means 3 of the body part to be trained are mounted, so that thus also a position, position and / or movement determination of the receiving means 3 is feasible.

One with the interactive training system according to the invention 1 implementable procedure for rehabilitation of physically impaired patients 2 , especially of patients 2 With limb movement impairment, includes the following steps: First, the training program is provided by the therapist 37 by interacting with at least part of the basic device 4 built-in and / or to the base unit 4 connected data input and data output means set or configured. Subsequently, the body part of the patient to be trained will be referred to 2 the receiving means 3 created or positioned for the body part to be trained and the previously by the therapist 37 Interactively specified or configured training program is now by the patient 2 by interacting with the to the base unit 4 connected data entry and data output means interactively completed or the patient 2 completes a self-selected, physiotherapeutic training program with the support of the interactive training system 1 ,

According to an advantageous measure, it is provided that at least one therapist 37 and optionally other persons when issuing training instructions or when explaining or presenting the training exercises to be performed by means of a video camera 12 be filmed and / or acoustic information by means of a microphone 55 be recorded. The instructions or explanations can be given in different languages or according to different character characteristics. Likewise, it is possible to have various useful variations of the training target movement 50 - 4 - for the patient 2 recording or recording the training target movement 50 from different angles perform. Furthermore, these records can be made several times in varying degrees of detail. After processing the recordings thus obtained and assigning them to certain training situations or sequences, these explanations and / or representations of the training target movement become 50 to guide and assist a patient 2 while performing a training session over loudspeakers 14 . 19 , Headphone 20 , Touchscreen 11 , Screen 13 and / or projector 21 , which with the base unit 4 of the interactive training system 1 are reproduced. This reproduction of the edited real shots takes place in quasi-random sequences or variations or depending on the current training situation, the intended exercise procedure, the condition and / or the reaction of the patient 2 , It is particularly expedient to record the recorded training instructions and / or movement images alternately or simultaneously with live recordings of the patient 2 during the completion of the training exercise.

2 shows a highly schematic of an embodiment of an interactive training system 1 which is one of a patient 2 with attached receiving means 3 for the body part to be trained operated base unit 4 , a mobile hand-held device 25 and one from the therapist 37 operated central control unit 28 includes.

In the illustrated expedient embodiment, the data processing device 5 of the base unit 4 a data interface 23 on, which with a corresponding data interface 24 on the mobile hand control 25 a radio connection using the radio antennas 27 and 27 ' building. The patient 2 can now use the mobile handheld 25 lead by hand and by means of the controls 26 . 26 ' Operating commands wirelessly via the wireless connection to the base unit on the mobile hand control device 4 Submit to the interactive training system 1 to control. Conveniently, the mobile hand-held 25 also with a display means 57 be equipped. In an embodiment, not shown, the connection of the data interfaces 23 and 24 of the base unit 4 and the mobile hand-held device 25 wired with a cable connection.

According to a particularly advantageous embodiment, the interactive training system comprises 1 next to the base unit 4 also a central control unit 28 , wherein the data processing device 29 of the central control unit 28 a data interface 30 and the data processing device 5 of the base unit 4 a corresponding data interface 31 via which a connection between the two devices for exchanging data in both directions is given. Such a connection between the base unit 4 and the central control unit 28 can be over the internet, for example 32 or be made via the mobile network, not shown.

This embodiment allows on the one hand the therapist 37 the basic device 4 via the central control unit 28 interactive to use and the patient exercising 2 to provide information, such as one on the touch screen 11 of the base unit 4 displayed message 33 , or the patient's exercise program 2 to update or expand. On the other hand, it is possible to get data from the base unit 4 to the central control unit 28 and thus to the therapist 37 transferred to. Such data may, for example, be a video image of the exercising patient 2 or activity information provided by sensors in the receiving means 3 be recovered to be trained body part, be. The transmitted data can be stored in the central control unit 28 saved and later by the therapist 37 be analyzed or the data transmitted by the therapist 37 on the central control unit 28 immediately and live viewed and analyzed, whereupon the therapist 37 immediately any feedback, comments or comments to the patient 2 on the base unit 4 can be used to influence the execution of the training program.

According to an advantageous embodiment, data, for example a video image, from the base unit 4 to the central control unit 28 only transferred after the user of the base unit 4 an electronic or programmatic lock by operating a release means, for example one on the touch screen 11 illustrated actuating button 34 , has lifted. When transmitting a video picture from the base unit 4 to the central control unit 28 it is also appropriate, that on the central control unit 28 on the touch screen 11 '' displayed video image 35 in possibly reduced form 36 Mandatory also on the touch screen 11 of the base unit 4 represent the user of the base device 4 whose activities are from a video camera 12 always be informed about which video image 35 the therapist 37 on the central control unit 28 able to see.

How best 3 can be seen, an interactive training system 1 also from at least one central control unit 28 for the therapist 37 and several base devices 4 . 4 ' for the patients 2 . 2 ' with their respective recording means 3 . 3 ' consist of the body part to be trained.

According to an advantageous embodiment, it is provided that the patients 2 . 2 ' via the data interfaces 31 . 31 ' the data processing devices 5 . 5 ' in their respective base devices 4 . 4 ' communicate and For example, exchange information or carry out training activities together. Basically, such a communication is not on two basic devices 4 . 4 ' limited, but can be extended to any number of basic devices.

It is advantageous if the data processing devices 5 . 5 ' in the basic devices 4 . 4 ' with data storage devices 6 . 6 ' are equipped and the data processing device 29 in the central control unit 28 as well as a data storage device 38 so that profile records from the patient 2 . 2 ' in the basic devices 4 . 4 ' or after transmission via the data interface 30 the data processing device 29 in the central control unit 28 can be stored in these storage media. The data connection between the basic devices 4 . 4 ' with each other and also each to the central control unit 28 For example, you can use the internet again 32 be accomplished.

It is useful if a base unit 4 as data input means a keyboard 39 , a contact-type or contactless transponder reader 40 and / or a contactless or contact smart card reader 41 so that an identification of a user of the base unit 4 for example, a patient 2 , by means of one on the keyboard 39 entered user name or one near the contactless transponder reader 40 brought transponders 42 is feasible. Likewise, with these devices is a secure authentication of a user of the base unit 4 by means of a keyboard 39 entered username-password combination, by means of one in the vicinity of the contactless transponder reader 40 brought cryptographic transponders 42 ' or by means of a contact in the chip card reader 41 inserted chip card 43 possible. In a particularly advantageous embodiment is as a smart card 43 an existing chip card from the health sector, which the patient 2 anyway with you, used.

It is expedient if the previously described, communicating devices, namely the central control unit 28 and its data storage device 38 , the basic devices 4 . 4 ' and their respective data storage devices 6 . 6 ' , the keyboard 39 , the contactless transponder reader 40 or the contact smart card reader 41 , are equipped with data encryption means so that the transmitted information is encrypted transferable or storable and / or only for the authorized therapist 37 or the authorized patient 2 . 2 ' are available. Among these already mentioned communicating devices, which may be equipped with data encryption devices, also includes a mobile hand-held device 25 , which with controls 26 . 26 ' and a display means 57 equipped, and which via a data interface 24 and a radio antenna 27 ' a radio connection to a radio antenna 27 equipped data interface 23 in the data processing device 5 of the base unit 4 manufactures. Thus, even between the base unit 4 and the mobile handheld 25 exchanged data are transmitted encrypted and are thus deprived of access by third parties.

For safety reasons, it may further be expedient to use not only data encryption but also a data integrity check and / or a data authenticity check in order to also prevent manipulation of the data streams between the various communicating devices.

According to a particularly advantageous embodiment of the interactive training system 1 becomes a patient 2 ' in the exercise implementation with the recording means 3 ' supported for the part of the body to be trained by a virtual trainer or avatar, for example, on the touch screen 11 ' of the base unit 4 ' is shown visually and the therapist 37 represents. It is useful if the patient 2 ' the characteristics of the avatar, such as its appearance 44 or 44 ' to select the training instructions by this virtual trainer or avatar via the data output means of the interactive training system 1 to be delivered. Likewise, it is expedient, even the voice of the virtual trainer or avatar and / or its character, for example soft-gentle or hard-demanding, for the patient 2 ' selectable. It may also be up to the therapist to parameterize at least some of the properties of the virtual trainer or avatar.

It is also expedient, in the speech output, the vocabulary of the virtual trainer or avatar, depending on the patient's ability to comprehend 2 and / or adjust adaptively according to the training history and responses to given voice instructions. The voice output can also be multilingual.

In an advantageous embodiment, for the training patient 2 ' only then offline or online available entertainment media such as music, movies or games unlocked on the base unit, if the intended training performance has been provided. This serves in particular for the motivation of the patient 2 ' ,

A particularly advantageous measure is the training movement of the patient 2 ' with the receiving means 3 ' for the body part to be trained by means of a video camera 12 to record and this training movement or an animation calculated from it by means of one in the base unit 4 ' integrated projector 21 ' on a projector screen 22 visually represent and the illustrated training scenario 45 into a real-world environment by mapping a real environment or animating it as realistically as possible. Particularly beneficial or motivating for the patient 2 ' it is when for this illustration or animation for the patient 2 ' known, real environments are used.

It is useful if as a measure to catch up a training backlog an interactive reminder or reminder, for example, as a message 46 to the base unit 4 of the patient 2 is transmitted. In a non-illustrated, further advantageous embodiment, this reminder message 46 as well as a short message on the mobile phone of the patient 2 , sent as an e-mail to his e-mail address and / or as a message to his user account on a social network.

According to another advantageous measure, the therapist uses 37 a sensor suit 47 which comprises the body part to be trained in order to set a training target movement by active movement. This training target movement is stored and applied to the body part of the patient to be trained 2 or the properties of the receiving means used by the patient 3 converted or adapted for the body part to be trained and as a target movement in the autonomous from the patient 2 integrated training program integrated. In the independent implementation of the training target movement by the patient 2 this is optionally selected by at least one actuator 9 in or on the receiving means 3 supported for the body part to be trained.

As a variant of the measure last described, it is also appropriate that the therapist 37 in the patient 2 is present and by moving the patient 2 applied recording medium 3 for the body part to be trained and thus also by moving the body part to be trained itself specifies the training target movement, this is stored and then as a target movement in the independently from the patient 2 to be performed training program is integrated, and here also the independent implementation of the desired movement by the patient 2 optionally by at least one actuator 9 in or on the receiving means 3 is supported. In an embodiment not shown, the present therapist leads 37 Alternatively, the training movement with the corresponding, healthy body part of the patient through and this training target movement is recorded by the interactive training system, stored and on the body part of the patient to be trained 2 converted. Thus, in turn, a training target movement is to be integrated into the autonomous training program of the patient 2 to disposal.

It is particularly useful when the trainingist movement of the patient 2 ' with suitable data input means, for example with a video camera 12 , recorded and immediately with the integrated projector 21 ' on the projector screen 22 is pictured. This representation as an immediate image or animation serves as a "training mirror", with the just completed exercise movement of the patient 2 ' even or by the therapist 37 can be observed directly and from different perspectives, making it easier to detect errors or deviations.

4 shows exemplary advantageous measures for an interactive training system 1 to the correct execution of a training movement by a patient 2 to ensure.

It is useful if that of a therapist 37 performed Trainingssollbewegung example with sensors 48 . 48 ' at the receiving means 49 for the body part to be trained, which receiving means for this purpose by the therapist 37 is recorded, in the base unit 4 is stored and then with the trainingist movement of the patient 2 which is a receiving means 3 for the body part to be trained is compared. The training movement of the patient 2 is doing by a video camera 12 taken and from the base unit 4 processed. For easy and clear comparison, the training target movement 50 and the trainingist movement 51 superimposed on the base unit 4 connected screen 13 represented and any deviations 52 between training target movement 50 and trainingist movement 51 specially marked or highlighted, for example by a color and graphic highlighting of the deviation 52 by means of red arrows.

It is useful if used during the practice of entertainment media and a speaker 14 be played, the playback of these entertainment media in the event of excessive deviation 52 between the training target movement 50 and the trainingist movement 51 to interrupt to the patient 2 to draw attention to it and subsequently to avoid any physical damage.

It is also advantageous that just from the patient 2 performed training program adaptive or situation-dependent on the condition and / or according to the feedback of the patient 2 adapt. To determine the behavior or the physiological condition of the patient 2 during the execution of the training program, various data input means such as a video camera may be used 12 , a temperature sensor 52 , a pulse sensor 54 or one in the base unit 4 integrated microphone 56 be used and about a comparison of training target movement 50 and trainingist movement 51 be performed. Likewise, a determination of the physiological and psychological state of the patient 2 about simple question / answer dialogues appropriate.

It is advantageous, even any problem or emergency situations of the patient 2 during the execution of the training program based on an analysis or evaluation of the information from the data input means to determine and on the occurrence of a problem or emergency situation a regulated shutdown or bringing the training system in neutral position 1 and its recording medium 3 for the body part to be trained. Essential, for example, is the automatic recognition and controlled resolution of spastic paralysis phenomena during the passive movement of a patient, which are a frequent accompanying symptom after damage to the central nervous system. The patient's passive movement should be stopped immediately, the paralysis should be resolved by a slow countermovement, and the exercise then continued at a reduced rate. It is also expedient if entertainment media are displayed or played during the execution of the training program, the reproduction of these entertainment media in the event of a problem or emergency situation of the patient 2 to interrupt.

Another particularly advantageous measure is the presence of a problem or emergency situation of the patient 2 an occasion-related image recording with the video camera 12 and / or an event-related sound recording with that in the base unit 4 integrated microphone 56 to start and this image or sound information to a central control unit 28 - 3 - on which a therapist 37 sits, transfer. This therapist 37 This immediately addresses the problem or emergency situation of the patient 2 attentive and can initiate appropriate relief measures.

In an expedient embodiment, not shown, is the therapist 37 equipped with a special data input and output device, which serves as a wireless, mobile alarm device in the event of a problem or emergency situation of the patient 2 in such a case of its base unit 4 transmitted data, such as image or sound information, receives and displays. The therapist 37 This makes it independent of its presence at the central control unit 28 on the problem or emergency situation of the patient 2 made aware and can initiate appropriate relief measures. The transmission of the data to and from the mobile alarm device also takes place via a radio network, in particular a mobile radio network. The data for and from the mobile alarm device are either directly from the base unit 4 sent or received or the central control unit 28 acts as an intermediate station in the communication of the base unit 4 and mobile alarm. In this case, sends in an expedient embodiment, the central control unit 28 the data only continues if no therapist 37 at the central control unit 28 is present.

It is also particularly useful that from a video camera 12 taken picture of a patient 2 or therapists 37 to use the gestures, facial expressions and / or line of sight of the patient 2 or therapists 37 to analyze and with this information the interactive training system 1 to control. Likewise, the user of the interactive training system 1 be identified using the present image information through the application of facial recognition methods, so that, for example, the corresponding profile record can be loaded automatically or a personal greeting message can be issued.

Another advantageous measure is the activity or movement information of a patient 2 during the execution of the training program in the data storage device 6 the data processing device 5 of the base unit 4 and / or, as best in 3 apparent in the data storage device 38 the data processing device 29 of the central control unit 28 then to anonymize this data, so that no longer on the patient 2 or his therapist 37 and provide this anonymized data to other therapists or medical research groups for scientific evaluation to improve the physiotherapeutic therapies.

In an embodiment of an interactive training system, not shown 1 exists the central control unit 28 of two separate components: a control and access device and a data providing device. The data delivery device is designed, in particular, as a central, highly reliable and available database server that can store a wide variety of information such as, for example, prefabricated training programs, multimedia files, treatment course data and patient data or data. saves profiles. The data delivery device also includes, in addition to the means for data storage, all the resources necessary for a highly reliable and available state-of-the-art data management, such as data protection, access protection and uninterruptible power supplies. Likewise, the data delivery device optionally offers central services, such as a short-range call generation and transmission service, as is common in mobile networks. The data providing device is housed, for example, in a large data center in which a plurality of similar servers are operated for completely different purposes. A personal presence of staff is not provided except for service purposes. The control and access device is designed in particular as a commercial PC or laptop with appropriate control software and is available to the therapist 37 available to about the Internet on the basic devices 4 . 4 ' to carry out control and communication tasks or to access the data providing device for storing and retrieving information or for using central services. The therapist 37 in particular, stores information such as training programs for the patients 2 . 2 ' by means of the control and access device in the data delivery device, and may also include information such as therapy history data or patient activity data 2 . 2 ' from there pick up what data from the base devices 4 . 4 ' Of the patients 2 . 2 ' stored or saved there. The basic devices 4 . 4 ' in turn take on the for them or the patients 2 . 2 ' deposited and unlocked information such as the aforementioned training programs. The basic devices 4 . 4 ' may also access, according to their authorization, at least a portion of the central services offered by the data delivery device. Through this system, information can be transferred between the therapist's control and access device 37 and the basic devices 4 . 4 ' can be replaced without both having to be in operation at the same time. At the same time, the data management and service provisioning takes place centrally and in accordance with the high security and availability standards of modern data centers, resulting in data storage or service provision directly to the therapist 37 would not be possible.

The embodiments show possible embodiments of the interactive training system, it being noted at this point that the invention is not limited to the specifically illustrated embodiments thereof, but rather also various combinations of the individual embodiments are possible with each other and this possibility of variation due to the teaching of technical action representational invention in the skill of those skilled in this technical field. So are all conceivable embodiments, which are possible by combinations of individual details of the illustrated and described embodiment variant, includes the scope of protection.

For the sake of order, it should finally be pointed out that in order to better understand the structure of the interactive training system, this or its components have been shown partly out of scale and / or enlarged and / or reduced in size.

The task underlying the independent inventive solutions can be taken from the description.

Above all, the individual in the 1 ; 2 ; 3 ; 4 shown embodiments form the subject of independent solutions according to the invention. The relevant objects and solutions according to the invention can be found in the detailed descriptions of these figures.

LIST OF REFERENCE NUMBERS

1

training system

2, 2 '

patient

3, 3 '

receiving means

4, 4 '

basic unit

5, 5 '

Data processing device

6, 6 '

Data storage device

7, 7 '

sensor

8, 8 '

sensor line

9

actuator

10

actuator cable

11, 11 ', 11' '

touchscreen

12, 12 '

video camera

13

screen

14

speaker

15

A fixture

16

floor element

17

floor

18

roll body

19

speaker

20

headphone

21, 21 '

projector

22

projector screen

23

Data Interface

24

Data Interface

25

Mobile hand control

26, 26 '

operating element

27, 27 '

radio antenna

28

Central control unit

29

Data processing device

30

Data Interface

31, 31 '

Data Interface

32

Internet

33

message

34

confirmation button

35

video image

36

video image

37

therapist

38

Data storage device

39

keyboard

40

Contactless transponder reader

41

Contacted chip card reader

42

Contactless transponder

42 '

Contactless cryptographic transponder

43

Contacted chip card

44, 44 '

Avatar

45

training scenario

46

reminder

47

sensor suit

48, 48 '

sensor

49

receiving means

50

Exercise target movement

51

Trainingsistbewegung

52

deviation

53

temperature sensor

54

pulse sensor

55

microphone

56

microphone

57

display means

QUOTES INCLUDE IN THE DESCRIPTION

This list of the documents listed by the applicant has been generated automatically and is included solely for the better information of the reader. The list is not part of the German patent or utility model application. The DPMA assumes no liability for any errors or omissions.

Cited patent literature

• US 5466213 [0002]
• WO 2008/124025 A1 [0003]

Claims (36)

Interactive training system ( 1 ) for the rehabilitation of physiologically impaired patients ( 2 . 2 ' ), especially of patients ( 2 . 2 ' ) with movement impairments of the extremities, comprising - a receiving means ( 3 ) for a body part to be trained; A basic device ( 4 ) with data processing means ( 5 ) and storage ( 6 ); At least one in or on the receiving means ( 3 ) for the body part to be trained ( 7 ) connected to the base unit ( 4 ) and to this information about the patient ( 2 ), for example, about attitude or temperature of the body part to be trained, transmitted; and - optionally at least one in or on the receiving means ( 3 ) for the body part to be trained attached actuator ( 9 ) connected to the base unit ( 4 ) and corresponding control commands for supporting or moving the body part of the patient to be trained ( 2 ), characterized in that to the base unit ( 4 ) further data input means, for example a touchscreen ( 11 ) or a video camera ( 12 ), and other data output means, such as a screen ( 13 ) or a speaker ( 14 ), connected and / or in the base unit ( 4 ) and at least some of these data input and output means for interacting with a therapist ( 37 ), so that at least part of a training program for patients ( 2 . 2 ' ) by the therapist ( 37 ) and at least part of said data input and output means for interacting with patients ( 2 . 2 ' ), so that the therapist ( 37 ) predetermined and / or one from the patient ( 2 ) self-selected physiotherapeutic training program is interactively completed. Interactive training system according to claim 1, characterized in that the base unit ( 4 ) with a stand device ( 15 ) whose floor element ( 16 ) not on the underlying surface, such as a floor ( 17 ) or a table surface, is fixed and / or its bottom element ( 16 ) at the bottom rolling body ( 18 ) having. Interactive training system according to claim 1 or 2, characterized in that the base unit ( 4 ) with at least one integrated loudspeaker ( 14 ) and / or with at least one externally arranged loudspeaker ( 19 ) or headphones ( 20 ), so that information can be output acoustically, for example as sounds, sounds, music, sounds, speech. Interactive training system according to one of the preceding claims, characterized in that the base unit ( 4 ) with at least one integrated flat screen ( 11 ), so that information can be output visually, for example as graphics, images, animations, videos. Interactive training system according to one of the preceding claims, characterized in that the base unit ( 4 ) with at least one external screen ( 13 ), for example one in the patient ( 2 ) existing television, so that information can be output visually. Interactive training system according to one of the preceding claims, characterized in that the base unit ( 4 ) with at least one externally arranged or integrated projector ( 21 ) is connectable or equipped so that information can be output visually. Interactive training system according to one of claims 4 to 6, characterized in that at least one visual display means ( 11 . 13 . 21 ) is designed such that a three-dimensional representation of objects to be displayed can be output. Interactive training system according to one of the preceding claims, characterized in that the to the base unit ( 4 ) connected receiving means ( 3 ) for the body part to be trained with at least one actuator ( 9 ) Is equipped with at least one vibration and / or pressure means, so that information can be output on haptic way. Interactive training system according to one of the preceding claims, characterized in that the base unit ( 4 ) as data input means at least one externally arranged or integrated touch screen ( 11 ), so that the training system ( 1 ) by the therapist ( 37 ) and / or patients ( 2 . 2 ' ) is interactively operable. Interactive training system according to one of the preceding claims, characterized in that the base unit ( 4 ) with at least one externally arranged microphone ( 55 ) and / or integrated microphone ( 56 ), so that with this data input means acoustic information from the base unit ( 4 ), for example the ambient noise or the voice of the therapist ( 37 ) or the patient ( 2 ) for voice input or for voice control of the training system ( 1 ). Interactive training system according to one of the preceding claims, characterized in that the base unit ( 4 ) as data input means at least one integrated and / or at least an externally arranged video camera ( 12 ) so that visual information from the base unit ( 4 ), for example an image of the environment or the position, the movement, the gestures, the line of sight or the facial expression of the therapist ( 37 ) or the patient ( 2 ). Interactive training system according to claim 11, characterized in that on the base unit ( 4 ) at least two video cameras ( 12 . 12 ' ) are formed so that the environment is detected three-dimensionally. Interactive training system according to one of the preceding claims, characterized in that the base unit ( 4 ) with a data interface ( 23 ) and a mobile hand control ( 25 ) a corresponding data interface ( 24 ) and via a connection of the two data interfaces ( 23 . 24 ) Operating commands, which via at least one operating element ( 26 . 26 ' ) on the mobile hand control ( 25 ) by the therapist ( 37 ) or patients ( 2 ), to the base unit ( 4 ) and the connection of the data interfaces ( 23 . 24 ) is designed wirelessly as a radio connection or wired as a cable connection. Interactive training system according to one of the preceding claims, characterized in that a central control unit ( 28 ) which is a data interface ( 30 ) for transmitting data and a base unit ( 4 ) a corresponding interface ( 31 ) to receive the data so that the base unit ( 4 ) for a therapist ( 37 ), for example via the Internet ( 32 ), is interactively operable and / or can be supplied with information, for example with a message ( 33 ) to the patient ( 2 ), with feedback for the patient ( 2 ) or with updated or extended training programs for the patient ( 2 ). Interactive training system according to one of the preceding claims, characterized in that the base unit ( 4 ) a data interface ( 31 ) for transmitting data, for example a video image ( 35 ) or activity information from the receiving means ( 3 ) for the body part of the patient to be trained ( 2 ), and a central control unit ( 28 ) a corresponding data interface ( 30 ) to receive this data so that the received data in the central control unit ( 28 ) are storable and / or the received data from a therapist ( 37 ) can be viewed directly or live and analyzed in real time. Interactive training system according to claim 15, characterized in that the base unit ( 4 ) an electronic or programmable locking mechanism and further a release agent ( 34 ), so that it can be ensured that the video image ( 35 ) or the activity information only after a confirmation by means of the release agent ( 34 ) to a central control unit ( 28 ) and the transmitted video image ( 35 ) mandatory on the base unit ( 4 ) by a corresponding data output means ( 11 ) as a copy ( 36 ) is pictured. Interactive training system according to one of the preceding claims, characterized in that a first base unit ( 4 ) a data interface ( 31 ) for sending and receiving data and at least one further base unit ( 4 ' ) a corresponding data interface ( 31 ' ) for sending and receiving data so that users of the base devices ( 4 . 4 ' ), especially between patients ( 2 . 2 ' ), a communication is feasible, for example, to exchange information or, for example, training activities, in particular playful nature, of widely distanced patients ( 2 . 2 ' ) can be carried out jointly. Interactive training system according to one of the preceding claims, characterized in that the base unit ( 4 . 4 ' ) and / or the central control unit ( 28 ) with a storage medium ( 6 . 6 ' . 38 ) so that one or more profile records of one or more patients ( 2 . 2 ' ) are storable. Interactive training system according to one of the preceding claims, characterized in that the base unit ( 4 ) as data input means a keyboard ( 39 ), a contact-type or contactless transponder reader ( 40 ) and / or a contactless or contact-type chip card reader ( 41 ), so that an identification of a user ( 2 ) of the base unit ( 4 ), in particular when selecting a user profile data record, by means of a user name and / or a transponder ( 42 ) or RFID tags is feasible and / or secure authentication, in particular when selecting a user profile data record, by means of a user name-password combination, a cryptographic transponder ( 42 ' ) or cryptographic RFID tags and / or a contactless or contact smart card ( 43 ), in particular a special chip card from the health sector, is feasible. Interactive training system according to one of claims 13 to 19, characterized in that the respectively communicating or data-providing devices, for example the mobile hand-operated means ( 25 ), the central control unit ( 28 ), the basic device ( 4 . 4 ' ), the storage medium ( 6 . 6 ' . 38 ), the keyboard ( 39 ), the transponder reader ( 40 ) or the chip card reader ( 41 ) With Data encryption means are equipped so that the information transmitted, such as the video image ( 35 ), the activity information, the user profile records, the identification records or the authentication records, are encrypted transferable and storable, are not manipulatable and / or only for the authorized therapist ( 37 ) or patients ( 2 . 2 ' ) are available. Method for carrying out a rehabilitation of physiologically impaired patients ( 2 . 2 ' ), especially of patients ( 2 . 2 ' ) with movement impairments of the extremities, with an interactive training system ( 1 ) comprising the steps of: applying or positioning a receiving means ( 3 ) for a body part to be trained on the body part of the patient to be trained ( 2 ) and completion by a therapist ( 37 ), characterized by previous definition or configuration of the training program by the therapist ( 37 ) by interacting with at least part of it into a base unit ( 4 ) and / or connected to a base unit ( 4 ) data entry and data output means and interactive completion by the therapist ( 37 ) predetermined and / or by the patient ( 2 ) self-selected physiotherapy training program by means of interaction with at least a portion of the data input and output means, which in the base unit ( 4 ) and / or to the base unit ( 4 ) are connected. Method according to claim 21, characterized by selecting the specific characteristics of a virtual trainer or avatar ( 44 . 44 ' ), which informs the physiotherapist ( 37 ), for example its appearance, its character or its voice and outputting of corresponding training instructions by means of this virtual trainer or avatar ( 44 . 44 ' ) via the data output means of the interactive training system ( 1 ). Method according to one of Claims 21 and 22, characterized by activation of entertainment media, for example pieces of music, films or games, on the base unit ( 4 ) or on a connected, in particular multimedia-enabled player after provision of the intended training performance by the patient ( 2 ). Method according to one of claims 21 to 23, characterized by embedding the, for example with a video camera ( 12 ), recorded exercise movement in a visually, for example, with a projector ( 21 ' ), illustrated training scenario ( 45 ) and expand this representation ( 45 ) as real as possible by means of mapping from a real environment or by real-life animation of real environment, in particular by imaging or animation of the patient ( 2 ' ) known real environments. Method according to one of Claims 21 to 24, characterized by output or transmission of an interactive reminder ( 46 ) or reminder to patients ( 2 . 2 ' ) in the event of a training backlog and / or in good time before an agreed training date and / or before an agreed online voting date with the therapist ( 37 ). Method according to one of claims 21 to 25, characterized by applying or positioning the receiving means ( 3 ) for the body part of the patient to be trained ( 2 ) or a special sensor suit ( 47 ) on the corresponding part of the body of the therapist ( 37 ) and performing the training target movement with this body part, storing this desired movement as the self-to-be carried out training program of the patient ( 2 ) and conversion or adaptation of the parameters of this desired movement on or to the physiological properties of the body part of the patient to be trained ( 2 ), for example its dimensions, and / or a conversion to or adaptation to the characteristics of the patient ( 2 ) used ( 3 ) for the part of the body to be trained, according to the instructions given by the therapist ( 37 ) the interactive training system ( 1 ) the independent execution of the desired movement by the patient ( 2 ) is monitored by sensors and this execution optionally by at least one actuator ( 9 ) in or on the receiving means ( 3 ) is supported for the body part to be trained. Method according to one of claims 21 to 25, characterized by applying or positioning the receiving means ( 3 ) for the body part to be trained on the body part of the patient to be trained ( 2 ), Moving the body part of the patient to be trained ( 2 ) together with the receiving means ( 3 ) for the body part to be trained by the therapist ( 37 ) and storage of this training target movement as the self-administered training program of the patient ( 2 ), as instructed by the therapist ( 37 ) the interactive training system ( 1 ) the independent execution of the desired movement by the patient ( 2 ) is monitored by sensors and this execution optionally by at least one actuator ( 9 ) in or on the receiving means ( 3 ) is supported for the body part to be trained. Method according to one of claims 21 to 27, characterized by recording the training movement of the patient ( 2 ' ) with suitable data input means, for example with at least one sensor ( 7 ' ) at the receiving means ( 3 ' ) for the body part to be trained or with at least one video camera ( 12 ), and immediate representation of this recorded training movement with a suitable data output means, for example with the integrated flat screen ( 11 ' ) on the base unit ( 4 ' ) or with the base unit ( 4 ' ) connected video projector ( 21 ' ), as a direct image of the recorded exercise movement or as an animation calculated therefrom, so that the immediately completed exercise movement from the patient ( 2 ' ) or by the therapist ( 37 ) is directly observable from one or more different angles. Method according to one of claims 21 to 28, characterized by receiving a training target movement ( 50 ) by a therapist ( 37 ) with suitable data input means, for example with the sensors ( 48 . 48 ' ) at the receiving means ( 49 ) for the body part to be trained, and recording a training movement ( 51 ), which the patient ( 2 ) during the completion of the training program, with suitable data input means, for example with a video camera ( 12 ), and superimposed, common representation of the training target movement ( 50 ) and the trainingist movement ( 51 ) with a suitable data output means, for example, with that on the base unit ( 4 ) connected screen ( 13 ) or projector ( 21 ), where deviations ( 52 ) between the training target movement ( 50 ) and the trainingist movement ( 51 ) are specially marked or highlighted and, if entertainment media are being used or played during the performance of the exercise, for example pieces of music or films, interrupting the presentation or output of these entertainment media if a too large deviation ( 52 ) between training target movement ( 50 ) and training movement ( 51 ) occurs. Method according to one of claims 21 to 29, characterized by adaptive or situation-dependent adaptation of the current from the patient ( 2 ) training program based on the comparison of training target movement ( 50 ) and training movement ( 51 ) and / or based on feedback from the patient ( 2 ) or therapists ( 37 ) and / or based on the biofeedback from the patient ( 2 ), for example, its pulse rate, body temperature or respiratory rate. Method according to one of claims 21 to 30, characterized by recording the behavior and / or the physiological condition of the patient ( 2 ) during the execution of the training program with the existing data input means, for example with video camera ( 12 ), Body temperature sensor ( 53 ), Pulse sensor ( 54 ) or microphone ( 55 . 56 ), Evaluation or analysis of the behavior or the condition of the patient ( 2 ) during the training program, in order to be able to determine a problem situation, and regulated switching off or neutralization of the training system ( 1 ) and the reception means ( 3 ) for the body part to be trained upon occurrence of such a problem situation and, if entertainment media are displayed during the execution of the exercise program, stopping the display of these entertainment media upon the occurrence of a problem situation. Method according to Claim 31, characterized by starting an event-related image or sound recording and / or an image or sound transmission to a central control device ( 28 ) in the presence of a problem situation. Method according to one of Claims 21 to 32, characterized by recording the behavior of the base unit ( 4 ) using at least one video camera ( 12 ) and control of the training system ( 1 ) by gestures, gaze and / or facial expression of this person. Method according to one of claims 21 to 33, characterized by storing the activity information of a patient ( 2 ) during the execution of the training program, for example concerning the movement sequence of the receiving means ( 3 ) for the body part to be trained, the training frequency or intensity and the physiological condition of the patient ( 2 ), Anonymize this stored data so that it is no longer 2 ) or his therapist ( 37 ), and providing these anonymized user profiles or patient data, so that these data are available, for example, to other therapists or for scientific evaluation in anonymous form. Method according to one of Claims 21 to 34, characterized by granting training instructions or explanations optionally in different languages or according to different character characteristics and / or representing training target movements ( 50 ) in particular in different variations by at least one therapist ( 37 ) and optionally other persons, recording these explanations and / or representations optionally also several times in different degrees of detail or from different angles, in particular visually by means of a video camera ( 12 ) and / or acoustically by means of a microphone ( 55 ), Editing or editing these recordings, assigning the scenes thus obtained or recordings to different languages, training situations or sequences or characters of the virtual trainers or avatars ( 44 . 44 ' ) and reproduction of these explanations and / or representations, in particular with a loudspeaker ( 14 ) and / or on a screen ( 11 ) of the base unit ( 4 ) depending on the current training situation, the intended exercise procedure, the Condition and / or patient's response ( 2 ) or playback of the edited real shots in quasi random sequences or variations. A method according to claim 35, characterized by reproducing the recorded training instructions and / or movement images alternately or simultaneously with live images of a patient ( 2 ) while completing a training exercise.

Images