DE202023104567U1 - A system that teaches strategies for training and rehabilitation of upper extremity injuries - Google Patents

Abstract

A system for teaching strategies for training and rehabilitation of upper extremity injuries. The system includes:
a balanced arm/forearm support (102), worn by a player and attached to a stand, relieves at least some of the weight of the player's arm and forearm while expanding the range of motion by at least three degrees of freedom to facilitate coordination of multiple joints simulate exercises that require arm and hand coordination;
a plurality of touch controllers (104) for tracking joint angles of the player's impaired arm and forearm movements, the plurality of touch controllers (104) comprising:
a grip sensor (106) for detecting impaired grip strength or measuring impaired movement of a hand of the player;
a motion sensor (108) for detecting movements that imitate the hand movements of the orchestra conductor in the manner of handling the baton, wherein the player performs movements that are similar to the handling of the baton, thereby allowing the player to actively interact with the game;
a central processing unit (110) for reading and tracking the scores from the conductor's stand in order to optimally conduct the orchestra; where the player reads and follows the results to promote concentration and fine motor skills;
a control unit (112) coupled to each touch controller and the grip sensor (106) to determine measurements of impaired arm/forearm and grip movements and a graphical representation of the arm/forearm and grip force in interaction with a virtual environment to control and generate visual feedback signals to the player of simulated multi-joint coordination exercises that require arm and hand coordination and are performed with improved motor ability compared to actual impaired motor ability;
a virtual reality headset (114) connected to the control unit (112) via a communication device (116) for displaying the visual feedback signal of the simulated multi-joint coordination exercises requiring arm and hand coordination; and wherein the player participates in a virtual reality-based game generated according to the proposed multi-joint coordination exercises using the plurality of touch controllers (104) to perform the upper limb rehabilitation movement training.

Description

FIELD OF THE INVENTION

The present disclosure relates to a system for teaching strategies for training and rehabilitation of upper extremity injuries. More specifically, the system is based on didactic strategies and dynamic techniques that, through gamification and augmented reality, include the execution of kinesiological movements that help in the rehabilitation of various injuries of the upper extremities of the body, especially tennis elbow.

BACKGROUND OF THE INVENTION

There is no question that the rapid changes that society has undergone have affected all areas of development, including education. Therefore, digital transformation has highlighted the urgent need to introduce new teaching methods to ensure that the education system is prepared for all the challenges that come with the use of new technologies for learning and knowledge. Therefore, digital game-based learning is now one of the most important alternatives to shorten the learning curve and not only strengthen the amount of learning in short periods of time, but also ensure that they are effective.

On the other hand, video games have begun to find their way into various areas of medicine, such as prevention, health promotion and improvement, training of health workers and rehabilitation. On this last point, there are examples of the use of these resources in the treatment of spinal cord injuries, brain damage and multiple sclerosis, among others. In all cases, gamification aims to contribute to the recovery of these pathologies by using the game as a resource in non-gaming contexts suitable for supporting rehabilitation treatments.

In light of the previous discussion, it is presented that a system for teaching strategies for training and rehabilitation of upper extremity injuries is needed.

SUMMARY OF THE INVENTION

The present disclosure aims to provide a system for teaching strategies for training and rehabilitation of upper extremity injuries. The system guides users to perform various exercises to recover from upper extremity injuries. The system is configured with a virtual reality environment for performing a series of exercises during the game.

In one embodiment, a system for teaching strategies for training and rehabilitation of upper extremity injuries is disclosed. The system includes a balanced arm/forearm support that a player wears and is attached to a stand. It at least partially relieves the player's arm and forearm while expanding the range of motion by at least three degrees of freedom to simulate multi-joint coordination for exercises that require arm and hand coordination.

The system further includes a plurality of touch controllers for tracking joint angles of the player's impaired arm and forearm movements, the plurality of touch controllers comprising: a grip sensor for detecting impaired grip force or measuring impaired movement of a player's hand; a motion sensor for detecting movements that imitate the orchestra conductor's hand movements in the manner of handling the baton, wherein the player performs movements similar to the handling of the baton, thereby allowing the player to actively interact with the game; a central processing unit for reading and tracking the scores from the conductor's desk in order to optimally conduct the orchestra. The player reads and follows the results to promote concentration and fine motor skills.

The system also includes a control unit coupled to each touch controller and the grip sensor to obtain measurements of impaired arm/forearm and grip movements to provide a graphical representation of the arm/forearm and grip force in interaction with a virtual environment Control and generate visual feedback signals to the player simulated multi-joint coordination exercises that require arm and hand coordination with enhanced motor ability compared to actual impaired motor ability.

The system also includes a virtual reality headset for displaying the visual feedback signal of the simulated multi-joint coordination exercises requiring arm and hand coordination, where the player participates in a virtual reality-based game generated according to the proposed multi-joint Coordination exercises using multiple touch Controller for carrying out movement training for upper limb rehabilitation.

An aim of the present disclosure is the development of serious games “The Orchestra”, based on didactic strategies and dynamic methods that involve, through gamification and augmented reality, the execution of kinesiological movements that support the rehabilitation of various injuries of the upper body, in particular “ Tennis elbow.”

Another goal of the present disclosure is to guide recovery exercises that are performed gradually, explicitly, from different angles, and require different demands and speeds.

Another object of the present invention is to provide a rapid and inexpensive virtual reality-based system for teaching strategies for training and rehabilitation of upper extremity injuries.

In order to further illustrate the advantages and features of the present disclosure, a more detailed description of the invention will be made with reference to specific embodiments thereof shown in the accompanying drawings. It is understood that these drawings represent only typical embodiments of the invention and are therefore not to be viewed as limiting its scope. The invention is described and explained in greater detail in the accompanying drawings.

BRIEF DESCRIPTION OF THE FIGURES

• 1 veranschaulicht ein Blockdiagramm eines Systems zum Lehren von Strategien für das Training und die Rehabilitation von Verletzungen der oberen Extremitäten gemäß einer Ausführungsform der vorliegenden Offenbarung;
• 2 veranschaulicht die Ziele des entwickelten Systems zur Klassifizierung tamilischer Tweet-Rezensionen mit einem Emoji gemäß einer Ausführungsform der vorliegenden Offenbarung; Und
• 3 veranschaulicht ein Videospiel-Flussdiagramm gemäß einer Ausführungsform der vorliegenden Offenbarung.

These and other features, aspects and advantages of the present disclosure will be better understood when the following detailed description is read with reference to the accompanying drawings, in which like reference numerals represent like parts throughout the drawings, in which:

• 1 illustrates a block diagram of a system for teaching strategies for upper extremity injury training and rehabilitation in accordance with an embodiment of the present disclosure;
• 2 illustrates the objectives of the developed system for classifying Tamil tweet reviews with an emoji according to an embodiment of the present disclosure; And
• 3 illustrates a video game flowchart according to an embodiment of the present disclosure.

Additionally, experienced craftsmen will appreciate that elements in the drawings are shown for convenience and may not necessarily have been drawn to scale. Additionally, in view of the construction of the device, one or more components of the device may have been represented in the drawings by conventional symbols, and the drawings may show only the specific details relevant to understanding the embodiments of the present disclosure around the drawings not to be obscured by details that would be readily apparent to one of ordinary skill in the art from the present description.

DETAILED DESCRIPTION:

In order to promote understanding of the principles of the invention, reference will now be made to the embodiment shown in the drawings and specific language will be used to describe the same. It is to be understood, however, that this is not intended to limit the scope of the invention, since changes and further modifications to the system illustrated and further applications of the principles of the invention set forth therein are contemplated as would normally occur to one skilled in the art Technology to which the invention relates.

It will be understood by those skilled in the art that the foregoing general description and the following detailed description are exemplary and illustrative of the invention and are not intended to limit the same.

References in this specification to “an aspect,” “another aspect,” or similar language mean that a particular feature, structure, or characteristic described in connection with the embodiment is included in at least one embodiment of the present disclosure is included. Therefore, the phrases “in one embodiment,” “in another embodiment,” and similar phrases in this specification may, but not necessarily, refer to the same embodiment.

Likewise, one or more devices or subsystems or elements or structures or components preceded by “comprises...a” do not exclude, without further limitation, the existence of other devices or other subsystems or other elements or other structures other components or additional devices or additional subsystems or additional elements or additional structures or additional components.

Unless otherwise defined, all technical and scientific terms used herein have the same meaning as generally understood by one of ordinary skill in the art to which this invention pertains. The system and examples provided herein are for illustrative purposes only and are not intended to be limiting.

Embodiments of the present disclosure are described in detail below with reference to the accompanying drawings.

In 1 Illustrated is a block diagram of a system for teaching strategies for upper extremity injury training and rehabilitation in accordance with an embodiment of the present disclosure. The system 100 includes a balanced arm/forearm support (102) worn by a player and attached to a stand. It relieves at least some of the weight of the player's arm and forearm while expanding the range of motion by at least three degrees of freedom to simulate multi-joint coordination exercises that require arm and hand coordination.

In one embodiment, a plurality of touch controllers (104) are used to track joint angles of the player's impaired arm and forearm movements, the plurality of touch controllers (104) comprising a grip sensor (106) for detecting impaired grip force and measuring the impaired movement of a hand of the player. In one embodiment, a motion sensor (108) is connected to the plurality of touch controllers (104) to detect movements that mimic the orchestra conductor's hand movements in the manner of the conductor's baton handling, wherein the player performs movements that resemble the handling of the orchestra conductor Conductor's baton so that the player can actively interact with the game. In one embodiment, a central processing unit (110) is connected to the handle sensor (106) and the motion sensor (108) to read and track the scores from the conductor's stand in order to optimally conduct the orchestra.

The player reads and follows the results to promote concentration and fine motor skills.

In one embodiment, a control unit (112) is coupled to each touch controller and the grip sensor (106) to determine measurements of impaired arm/forearm and gripping movements and to control a graphical representation of the arm/forearm and gripping force in conjunction therewith B. a virtual environment, and to generate visual feedback signals to the player of simulated multi-joint coordination exercises that require arm and hand coordination with improved motor ability compared to actual impaired motor ability.

In one embodiment, a virtual reality headset (114) is coupled to the control unit (112) via a communication device (116) to display the visual feedback signal of the simulated multi-joint coordination exercises that require arm and hand coordination. wherein the player participates in a virtual reality-based game generated according to the proposed multi-joint coordination exercises using the plurality of touch controllers (104) to perform the upper limb rehabilitation movement training.

In another embodiment, the mechanics are based on the reproduction of movements through sensors capable of detecting the movement performed by the player according to the rhythm and coordination requirements, evaluating the user's performance and providing a score for the exercises performed by the player assigned to carry out kinesiological routines in a playful and progressive way.

In another embodiment, the balanced arm/forearm support (102) includes a muscle extensor assembly for fully extending the arm, moving the palms, and lengthening the upper portion of the forearm; a palm hyperextension with resistance arrangement for movements centered on the palm, without fisting and without finger padding; and a palm flexion with resistance arrangement for palm extension in an intermediate position with resistance.

In another embodiment, the control unit (112) further develops a video game based on the movements and others of the same category, the video game comprising the adaptation of therapeutic exercises that enable the integration of digital creatures and objects into the real world that the user uses in the context of targeted movements must be achieved, with the intensity, volume and frequency of the exercises being regulated to adapt to therapeutic exercises.

In another embodiment, the video games are based on didactic strategies and dynamic methods that facilitate the execution of kinesiology through gamification and augmented reality Include movements that help in the rehabilitation of various injuries to the upper extremities of the body, especially tennis elbow.

In another embodiment, the control unit (112) is configured to restore voluntary control over the movement of the player with the neuromotor disorder by using a multi-directional trunk support device, a multi-directional elastic decoupling device, and a multi-directional trunk support device in three dimensions. Then train the player for postural support against gravity, providing the player with neuromodulation consisting of electrical stimulation or a mixture of electrical stimulation and pharmaceutical stimulation during training.

In another embodiment, the neuromotor impairment is selected from the group consisting of spinal cord injuries and consequences of a stroke.

• Die Mechanik basiert also auf der Reproduktion von Bewegungen durch Sensoren, die in der Lage sind, die vom Spieler ausgeführten Bewegungen entsprechend den Rhythmus- und Koordinationsanforderungen zu erfassen, die Leistung des Benutzers zu bewerten und den durchgeführten Übungen eine Punktzahl zuzuweisen. Auf diese Weise wird der Spieler in die Lage versetzt, kinesiologische Routinen spielerisch und progressiv durchzuführen.

2 illustrates a virtual movement therapy process flow according to an embodiment of the present disclosure. The mechanics arranged in serious games “The Orchestra” are based on the user's movement through the gyroscope and speedometer of the controller. In summary, the game mechanics are explained in the following concepts:

• The mechanics are therefore based on the reproduction of movements through sensors capable of detecting the movements performed by the player according to the rhythm and coordination requirements, evaluating the user's performance and assigning a score to the exercises performed. In this way, the player is able to carry out kinesiological routines in a playful and progressive manner.

• 1).- Rhythmussystem: Gibt die zu befolgende Bewegung an und modelliert die korrekte Form der Übungen, die durch die Erlangung entsprechender Punkte qualifiziert werden. Darüber hinaus markiert der Rhythmus der Musik (schnell oder langsam) den Weg, die Übungen richtig auszuführen.
• 2) - Visuelles System: Zeigt die entsprechende Bewegung an, die vom Rednerpult des Regisseurs ausgeführt werden muss, und gibt die zu befolgenden Anweisungen an.

As a result, The Orchestra integrates two systems:

• 1).- Rhythm system: indicates the movement to be followed and models the correct form of the exercises qualified by obtaining corresponding points. In addition, the rhythm of the music (fast or slow) marks the way to perform the exercises correctly.
• 2) - Visual system: Indicates the corresponding movement to be carried out by the director's lectern and indicates the instructions to be followed.

At the end of the experience, the player receives detailed feedback on their performance as well as observations to improve the execution of the exercises.

3 illustrates a video game flowchart according to an embodiment of the present disclosure. The flow starts with opening the application (START), goes to the game (Selection) to continue playing and developing the exercises (movement routine), ends with the rehabilitation exercise (end of level) and receives feedback.

• • Hauptmenü
• • Tutorials und Benutzerhandbuch
• • 8 Ebenen der musikalischen Interaktion
• • Feedback-Dynamik am Ende jedes Levels
• • Level-Fortschrittssystem

Components included in delivery

• • Main menu
• • Tutorials and user manual
• • 8 levels of musical interaction
• • Feedback dynamics at the end of each level
• • Level progression system

Influence of the serious game “The Orchestra” on rehabilitation after injuries

Numerous studies demonstrate the contribution and benefits of stimuli related to movement control through gamification. This is because this type of proposal points to three essential elements integrated into this process.

First, it promotes external focusing of attention, i.e. H. verbal strategies carried out using instructions, the effect of rehabilitation exercises by improving learning and strengthening motor functions.

Attention Focus Instructions (IFA) help users understand, visualize, remember, recreate, execute, and correct movement patterns. In this sense, The Orchestra maximizes this task through simple and quick motor tasks. This also helps improve functionality and motor performance and reduce pain by drawing attention to the effects of movement.

Secondly, the gamification strategies used by The Orchestra directly influence user motivation as they offer a movement experience with playful and competitive components. At this point it is important to highlight that the active, didactic and dynamic techniques that this tool offers challenge the user by leading him to a form of therapy that breaks with passivity.

Finally, The Orchestra offers the opportunity to work autonomously as part of rehabilitation therapies, as it is self-directed and guided through instructions and interaction with the game. This is confirmed by various authors who point out how the simulation of environments with augmented reality (AR) for the autonomous development of exercises has helped to improve the way of developing exercises for patients due to the requirements of the Exercises in pain sufferers B. People who have suffered cardiovascular accidents, where the use of these disruptive rehabilitation technologies has been shown to have created the potential for significant improvements.

Influence of the serious game on sports physiotherapy

The orchestra focuses its field of activity on the treatment of musculoskeletal disorders of traumatic origin, which affect not only the structure of the body area, but also its functionality, and aims to reduce discomfort, pain and signs and symptoms of injuries and diseases. This is in addition to the fact that the aim is to prevent realignment and the occurrence of associated pathologies, including the most common, such as sprains and muscle tears.

It is essential to highlight that tennis, as one of the most demanding and intense sports, poses a significant risk since it is characterized by the execution of repetitive movements of the upper extremities under pressure and at high speed, which studies show causes in at least 28% of men and 23 % of women injuries.

It is also highlighted that 75% of tennis players are affected by “tennis elbow”, that is, lateral epicondylitis, requiring “assisted” and kinesiological treatment of 6 to 12 months and, in extreme cases, having to resort to expensive surgical interventions.

1. a) Biomechanik des Spiels
2. b) Zu verwendende Ausrüstung
3. c) Die Dauer des Spiels
4. d) Der Ort oder die Oberfläche

It follows that, regardless of the level of performance required to practice a sport, tennis, whether recreational or competitive, requires compliance with high-risk physical demands resulting from the following factors:

1. a) Biomechanics of the game
2. b) Equipment to be used
3. c) The duration of the game
4. d) The location or surface

1. 1. Muskelstrecker, der die vollständige Streckung des Arms, die Bewegung der Handflächen und die Verlängerung des oberen Teils des Unterarms berücksichtigt.
2. 2. Handflächenüberstreckung mit Widerstand, Bewegungen zentriert auf der Handfläche, ohne Faustbildung und ohne Fingerballen.
3. 3. Handflächenbeugung mit Widerstand, Handflächenstreckung in einer Zwischenposition mit Widerstand.

In view of these problems, and especially in the case of the “tennis elbow” injury that causes muscle shortening, treatment consisting of stretching exercises for the trunk and upper limb muscles is necessary. To this end, the orchestra playfully explores the practice of the following movements:

1. 1. Muscle extensor, which takes into account the full extension of the arm, the movement of the palms and the extension of the upper part of the forearm.
2. 2. Palm hyperextension with resistance, movements centered on the palm, without forming a fist and without balling the fingers.
3. 3. Palm flexion with resistance, palm extension in an intermediate position with resistance.

Based on these and other movements of the same category, the development of the video game The Orchestra involves the adaptation of therapeutic exercises that allow the integration of digital creatures and objects into the real world, which the user must achieve within the framework of directed movements. To achieve this, the intensity, volume and frequency of the exercises are regulated.

Serius Game and its contribution as a training tool

The orchestra is a proposal for solving real problems related to therapeutic rehabilitation exercises, which also has a positive impact on the teaching-learning process, since it stimulates the solution of real problems that serve as a model for carrying out the exercises.

This tool takes into account the assessment of the learning curve of the students who use it as a resource for the training process. This is done using a tool that quantifies the knowledge absorbed as a function of time, taking into account the milestones of the proposed tasks as a reference.

Consequently, the didactic use of The Orchestra contributes to achieving better learning outcomes in the vocational training subjects of Kinesiology, Virtual Reality Engineering, Digital Game Design and Computer Engineering.

In this sense and undoubtedly, among the benefits that this tool offers are the promotion of motivation and response to challenges, the development of perception and spatial cognition, the development of the kriti ical and reflective thinking through problem solving, improving inductive reasoning, increasing curiosity, inquisitiveness and finally the development of skills related to digital competence, which are required as professional requirements in the context of clinical practice.

A major impact factor of this tool is also that the integration of this video game into training practices and exercises is presented as an alternative to the expensive systems in clinical practices with direct exercises. In addition, it is applicable to diverse, multidisciplinary contexts based on situated learning, contributing to better performance and multidisciplinary learning through the use of this technological tool, whose design is intended as a dynamic and interactive teaching-learning, allowing transit learning gamification.

1. (a) Bewegungen, die die Handbewegungen des Dirigenten imitieren (in der Art der Handhabung des Dirigentenstabs durch den Dirigenten): Der Spieler führt Bewegungen aus, die der Handhabung des Dirigentenstabs ähneln, wodurch der Spieler aktiv mit dem Spiel interagieren kann.
2. (b) Lesen und Folgen der Partituren (vom Dirigentenpult aus, um das Orchester optimal zu dirigieren): Der Spieler liest und folgt den Partituren. Diese Aktivität fördert die Konzentration und die feinmotorische Koordination.

The focus of this video game is to simulate the role of an “orchestra conductor” as the player imitates his movements to interact with the game. Virtual reality devices are used for this purpose, which interact in two ways via the “touch controller (104)”:

1. (a) Movements that imitate the conductor's hand movements (in the manner of the conductor's handling of the conductor's baton): The player performs movements that are similar to the handling of the conductor's baton, which allows the player to actively interact with the game.
2. (b) Reading and following the scores (from the conductor's stand for optimal conducting of the orchestra): The player reads and follows the scores. This activity promotes concentration and fine motor coordination.

Through its interactive virtual reality resources, the orchestra is amplifying the treatment of tennis elbow. These recovery exercises are performed gradually, explicitly, and from different angles, requiring different demands and speeds.

The drawings and the description above provide examples of embodiments. Those skilled in the art will recognize that one or more of the elements described can certainly be combined into a single functional element. Alternatively, certain elements can be divided into several functional elements. Elements of one embodiment may be added to another embodiment. For example, the orders of the processes described herein may be changed and are not limited to the manner described herein. Additionally, the actions of a flowchart do not have to be implemented in the order shown; Not all actions necessarily have to be carried out. Even those actions that are not dependent on other actions can be carried out in parallel with the other actions. The scope of the embodiments is in no way limited by these specific examples. Numerous variations, whether explicitly stated in the specification or not, such as: B. Differences in structure, dimensions and material use are possible. The scope of the embodiments is at least as broad as indicated by the following claims.

Advantages, other benefits, and solutions to problems have been described above for specific embodiments. However, the advantages, benefits, solutions to problems and any components that may cause a benefit, advantage or solution to occur or become more pronounced should not be construed as a critical, necessary or essential function or component of any or all of the claims.

CREDENTIALS

100

A system for teaching strategies for training and rehabilitation of upper extremity injuries.

102

Balanced arm/forearm support

104

Touch controller

106

Handle sensor

108

Motion sensor

110

Central unit

112

Control unit

114

Virtual reality headset

116

Communication device

202

Sensor movements

204

Rhythm and scoring

206

Kinesiology exercises

208

Progression

302

begin

304

voters

306

routine

308

End of level

Claims (4)

A system for teaching strategies for training and rehabilitation of upper extremity injuries. The system includes: a balanced arm/forearm support (102), worn by a player and attached to a stand, relieves at least some of the weight of the player's arm and forearm while expanding the range of motion by at least three degrees of freedom to facilitate coordination of multiple joints simulate exercises that require arm and hand coordination; a plurality of touch controllers (104) for tracking joint angles of the player's impaired arm and forearm movements, the plurality of touch controllers (104) comprising: a grip sensor (106) for detecting impaired grip strength or measuring impaired movement of a hand of the player; a motion sensor (108) for detecting movements that imitate the hand movements of the orchestra conductor in the manner of handling the baton, wherein the player performs movements that are similar to the handling of the baton, thereby allowing the player to actively interact with the game; a central processing unit (110) for reading and tracking the scores from the conductor's stand in order to optimally conduct the orchestra; where the player reads and follows the results to promote concentration and fine motor skills; a control unit (112) coupled to each touch controller and the grip sensor (106) to determine measurements of impaired arm/forearm and grip movements and a graphical representation of the arm/forearm and grip force in interaction with a virtual environment to control and generate visual feedback signals to the player of simulated multi-joint coordination exercises that require arm and hand coordination and are performed with improved motor ability compared to actual impaired motor ability; a virtual reality headset (114) connected to the control unit (112) via a communication device (116) for displaying the visual feedback signal of the simulated multi-joint coordination exercises requiring arm and hand coordination; and wherein the player participates in a virtual reality-based game generated according to the proposed multi-joint coordination exercises using the plurality of touch controllers (104) to perform the upper limb rehabilitation movement training. System after Claim 1 , in which the mechanics are based on the reproduction of movements through sensors, is capable of detecting the movement performed by the player according to the rhythm and coordination requirements, evaluating the user's performance and assigning a score to the exercises performed. where the player is coupled to perform kinesiology routines in a playful and progressive manner. System after Claim 1 , wherein the balanced arm/forearm support (102) comprises: a muscle extensor assembly for fully extending the arm, moving the palms and elongating the upper part of the forearm; a palm hyperextension with resistance arrangement for movements centered on the palm, without fisting and without finger padding; And a palm flexion with resistance arrangement to palm extension in an intermediate position with resistance. System after Claim 3 , wherein the control unit (112) further develops a video game based on the movements and other movements of the same category, the video game comprising the adaptation of therapeutic exercises, which allows the integration of digital exercises with the real living beings and objects that the user has in the frame targeted movements must be achieved, with the intensity, volume and frequency of the exercises being regulated to adapt to therapeutic exercises.

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