JP2004008751A - Remote rehabilitation supporting system - Google Patents

Remote rehabilitation supporting system Download PDF

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JP2004008751A
JP2004008751A JP2002201946A JP2002201946A JP2004008751A JP 2004008751 A JP2004008751 A JP 2004008751A JP 2002201946 A JP2002201946 A JP 2002201946A JP 2002201946 A JP2002201946 A JP 2002201946A JP 2004008751 A JP2004008751 A JP 2004008751A
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rehabilitation
remote
mechanism
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Kensei Go
呉 建青
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Kensei Go
Kakihara Kiyoaki
呉 建青
柿原 清章
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Abstract

<P>PROBLEM TO BE SOLVED: To provide a remote rehabilitation supporting system which creates an attending environment such as receiving a face-to-face instruction from a therapist by an audiographic communication while staying home, and an operation environment such that the therapist remotely moves the body of a trainee through a network. <P>SOLUTION: This remote rehabilitation supporting system is equipped with a device which reproduces the biological movement characteristics of an advanced age person, a physically challenging person or a patient and so forth (referred to as the trainee) for the purpose of being operated by the therapist, a device for the purpose of moving the body of the trainee conforming to the operating motion by the therapist, and an audiographic communicating device. The remote rehabilitation supporting system performs the support for a home rehabilitation training through a network. <P>COPYRIGHT: (C)2004,JPO

Description

【0001】 [0001]
【発明の属する技術分野】この発明は、理学療法士が高齢者や障害者や患者などの上下肢運動特性を再現する装置を操作することにより、ネットワーク経由で在宅リハビリを受ける者に対して操作指導を実施する遠隔リハビリ支援システムに関するものである。 BACKGROUND OF THE INVENTION The present invention, by a physical therapist to operate the device for reproducing the leg motion characteristics on such and patient elderly and disabled, the operation to a person receiving a home rehabilitation over the network it relates to remote rehabilitation support system for implementing the guidance. なお、本明細書では、リハビリを行う高齢者や障害者や患者などを「受訓者」という。 It should be noted that, in this specification, such as the elderly and the handicapped and patients to perform rehabilitation of "受訓 person". また、理学療法士、器具、または患者自身の健康部位によって他動的に動かされる運動を「強制運動型リハビリ」といい、それに対して患者自身の力で動かす運動を「自力運動型リハビリ」という。 In addition, physical therapists, equipment or referred to as a motion to be moved passively by health site of the patient's own "forced movement type rehabilitation", a movement to move by the force of the patient's own against it as "self-movement type rehabilitation", . 自宅と老人ホームなどにリハビリを行うことを「在宅リハビリ」という。 Such as at home and nursing home to do the rehabilitation of "home rehabilitation".
【0002】 [0002]
【従来の技術】リハビリ支援に関しては、主に以下のような2種類の従来技術がある。 For the Background of the Invention rehabilitation assistance, there are mainly the following two types, such as in the prior art.
1)理学療法士の体力負担の軽減と理学療法士不足問題の緩和を目的とするアシスト装置である。 1) it is an assist device for the purpose of relaxation of reduction and physical therapist shortages of physical burden of a physical therapist. 通常、それはリハビリテーションセンターに設置される。 Normally, it is installed in a rehabilitation center. 2)患者の通所・通院負担の軽減と在宅リハビリの促進を目的とするアシスト装置である。 2) assist device intended to reduce the promotion of home-based rehabilitation of day care, outpatient burden of patients. それは、主に受訓者の自宅に設置される。 It is installed primarily in the home of 受訓's.
【0003】これらの研究は、理学療法士をすべて置き換え代行するという自律型リハビリアシスト装置の開発を目指している。 [0003] These studies are aimed at the development of autonomous rehabilitation assist device that behalf replace all the physical therapist. このようなリハビリアシスト装置は理学療法士不足の問題の解決や理学療法士の体力負担の緩和に役立つことを期待することができるが、その反面、理学療法士の不在による受訓者の不安感が生じる。 Such rehabilitation assist device can be expected to be useful in relieving physical burden of solving and physical therapists of the problem of the lack of a physical therapist, on the other hand, the anxiety of 受訓's due to the absence of a physical therapist occur. また、知能の面にも多数の課題が残っている。 There is also still a number of problems in the face of intelligence.
【0004】 [0004]
【発明が解決しようとする課題】従来のリハビリ支援装置では、次のような欠点があった。 In THE INVENTION It is an object to be solved by a conventional rehabilitation support system, it had the following drawbacks.
1)リハビリ支援装置が病院に設置された場合、通所・通院による受訓者の体 力と経済面の負担が大きいという問題が残されている。 1) If the rehabilitation support apparatus is installed in a hospital, a problem that the large burden of the body force and economic face of the 受訓 who by day care, hospital are left.
2)リハビリ支援装置が自宅に設置された場合、理学療法士の不在による受訓者の不安感が生じる。 2) If the rehabilitation support apparatus is installed in the home, anxiety of 受訓's due to the absence of physical therapists occurs.
【0005】運動療法というリハビリテーションを継続的に行わなければならないので、入院中もちろん、在宅においてもリハビリテーションを継続することが大切である。 [0005] Since must be carried out rehabilitation of exercise therapy on an ongoing basis, of course in the hospital, it is important to continue the rehabilitation even at home. 在宅リハビリテーションのポイントは、自分自身しっかりとした意思を持ち、毎日正しい姿勢で手足のすべての関節を可動範囲で動かすことである。 Point of home rehabilitation, has the intention that the firm himself, is to move in the movable range all the joints of the hands and feet in the correct attitude every day. しかし、一度病院でリハビリテーションにより身体運動機能を回復したからといって、自宅でリハビリテーションを怠ったり、悪い姿勢及び自己流の訓練を行ったりすると、再びその運動機能を低下したケースがよくある。 However, once the rehabilitation in the hospital just because recovered the body motor function, or fail to rehabilitation at home, when you and go the training of poor posture and own way, is often the case that lower the motor function again. これは自宅でのリハビリテーションが正確且つ継続に行われなかったためである。 This is because the rehabilitation at home was not done to accurately and continuously. 従って、在宅リハビリテーションの効果を確保するために、自宅で主治医や理学療法士からの遠隔的な指導・操作を受けることができるという支援システムが必要である。 Therefore, in order to ensure the effectiveness of home-based rehabilitation, there is a need for support system that can receive the remote guidance and operation from the attending physician or physical therapist at home.
【0006】ここで、本発明は、理学療法士をすべて置き換え代行することではなく、音声画像通信により自宅にいながらあたかも理学療法士から対面指導を受けるような臨場環境と、理学療法士がネットワーク経由で受訓者の体を遠隔的に動かすような操作環境とを造る遠隔リハビリ支援システムを提供するものである。 [0006] Here, the present invention is not to substitute replace all the physical therapist, if it were a realistic environment to receive a face-to-face instruction from a physical therapist while at home by voice image communication, physical therapists network the 受訓's body via is to provide a remote rehabilitation support system build and operating environment, such as remotely move. それにより、在宅の受訓者に安心な環境下でリハビリを正確的且つ継続的に行わせる。 As a result, accurate manner and to continue to perform the rehabilitation under a secure environment to 受訓's home. 自宅にいながらも理学療法士と受訓者との対面訓練のような人間らしいリハビリテーションを達成する。 While at home to achieve a human-like rehabilitation, such as the face-to-face training with a physical therapist and 受訓 person.
【0007】 [0007]
【課題を解決するための手段】以上の課題を解決するために、本発明は、理学療法士に操作させることを目的として受訓者の生体運動特性を再現する装置と、前記理学療法士の操作動作に従って受訓者の体を動かすことを目的とする装置と、及び音声画像通信装置とを備えて、ネットワークを介して在宅リハビリ訓練への支援を行うことを特徴とする。 In order to solve the above problems SUMMARY OF THE INVENTION The present invention provides a device for reproducing the biological motion characteristics of 受訓's purposes be operated physical therapist, operation of the physical therapist It comprises a device intended to move the 受訓's body in accordance with the operation, and an audio-video communication device, and performs support for home rehabilitation training through a network.
【0008】 [0008]
【発明の実施の形態】図1は上下肢運動模擬装置の構成図である。 Figure 1 DETAILED DESCRIPTION OF THE INVENTION is a block diagram of upper and lower extremities motion simulator. 図2は強制型上肢リハビリアシスト装置の構成図である。 Figure 2 is a block diagram of the forced type upper limb rehabilitation assist device. 図3は上肢用自力型アシスト端末の構成図である。 Figure 3 is a block diagram of the upper limbs for self-type assist device.
【0009】図4は本発明の第1の実施例を示す。 [0009] Figure 4 shows a first embodiment of the present invention. 操作指導端末側の理学療法士の上下肢運動模擬装置を操作する動作はネットワークを経由し、受訓者側自宅に設置される上肢リハビリアシスト装置に再現する。 Operation guidance terminal operations to manipulate the leg motion simulator on the physiotherapist is via a network, to reproduce the upper limb rehabilitation assist apparatus installed in 受訓 side home. その動作に従って、上肢リハビリアシスト装置は受訓者に適切な力をかけてその体を強制的に動かす。 In accordance with the operation, the upper limb rehabilitation assist device forcibly move the body by applying a suitable force to 受訓 person. また、上下肢運動模擬装置は受訓者の生体運動特性を再現するので、理学療法士は受訓者を直接に操作するような操作感を感じることができる。 Further, since the upper and lower extremities motion simulator to reproduce the living body motion characteristics of 受訓's physical therapist can feel the operation feeling as to operate directly on the 受訓 person.
【0010】図5は本発明の第2の実施例を示す。 [0010] Figure 5 shows a second embodiment of the present invention. 規範的なリハビリ動作をアニメーション化し、ネットワークを経由して受訓者自宅に伝送する。 Normative rehabilitation operations to animate, to transmit to 受訓's home via the network. 受訓者がそのアニメーションに従って自身の体を自力で動かす。受訓 user moves his or her body on their own according to the animation. 同時に、理学療法士がTVモニターで受訓者に即時指導を行う。 At the same time, physical therapists perform an immediate guidance to 受訓's in the TV monitor. アニメーションを見ながらリハビリをするのは辛いかつ厳しいリハビリテーションを面白くすることができる。 To rehabilitation while watching the animation can be interesting painful and severe rehabilitation.
【0011】図6は本発明の第3の実施例を示す。 [0011] Figure 6 shows a third embodiment of the present invention. 1つの操作指導端末と多数のアシスト端末をネットワーク経由で繋ぐことにより、1人の理学療法士は多数の在宅受訓者を同時指導することができる。 By connecting one of the operation guidance terminal and a number of assist terminal via the network, one of the physical therapists can be co-teaching a large number of home 受訓's.
【0012】 [0012]
【発明の効果】本発明は、以下の効果がある。 According to the present invention, the following effects.
1)理学療法士不在による在宅受訓者の不安を解除する。 1) to release the anxiety of home 受訓's by physical therapist absence. その在宅リハビリテージョンを正確的かつ継続的に行わせることを確保する。 To ensure possible to perform the home rehabilitation John accurately and continuously.
2)1人の理学療法士は多数の在宅受訓者を指導できるので、理学療法士不足という問題を緩和する。 2) Since one of the physical therapists can teach a large number of home 受訓 person, to alleviate the problem of physical therapist shortage. 又、理学療法士の体力負担を軽減する。 In addition, to reduce the physical burden of a physical therapist.
3)2000年から“骨・関節・筋の10年”という国連宣言に応えて、世界ヘルスケアの第1問題「関節痛」の解決と予防に役立つ。 3) In response to the United Nations declaration that "10 years of bone and joint and muscle" from 2000, help to resolve the prevention of the first issue of world health care "joint pain".
4)高齢者と障害者に適当な運動機能を維持させて、その自立生活能力を向上すると同時に、要介護者の数を減らすことにより、高齢化社会の介護負担を軽減する。 4) to maintain the elderly and a suitable motor function in people with disabilities, and at the same time to improve the independent living ability, by reducing the number of the care recipient, to reduce the care burden of an aging society.
【図面の簡単な説明】 BRIEF DESCRIPTION OF THE DRAWINGS
【図1】本発明の上下肢運動模擬装置の構成図である。 1 is a configuration diagram of the upper leg motion simulator of the present invention.
【図2】本発明の強制型上肢リハビリアシスト装置の構成図である。 2 is a block diagram of the forced type upper limb rehabilitation assist device of the present invention.
【図3】本発明の自力型アシスト端末(上肢用)の構成図である。 3 is a block diagram of a self-type assist device of the present invention (upper limb).
【図4】本発明の第1実施例−−強制運動型リハビリへの支援の構成図である。 The first embodiment of the present invention; FIG - is a configuration diagram of a support for the forced movement type rehabilitation.
【図5】本発明の第2実施例−−自力運動型リハビリへの支援の構成図である。 Second embodiment of the present invention; FIG - is a configuration diagram of a support for the self motile rehabilitation.
【図6】本発明の第3実施例−−1対多型在宅リハビリ支援システムの構成図である。 6 is a diagram of a third embodiment --1-many type home Rehabilitation system of the present invention.
【符号の説明】 DESCRIPTION OF SYMBOLS
1…デジタルカメラ2…画面表示器3…スピーカ4…マイク5…上下肢運動模擬機構6…左上肢駆動機構7…左肘サポータ8…右上肢駆動機構9…右肘サポータ10…制御装置11…可移動基台12…上下肢運動模擬装置13…強制型上肢リハビリアシスト装置14…強制型下肢リハビリアシスト装置15…自力型上肢運動器具16…自力型下肢運動器具17…強制型アシスト端末(上肢用) 1 ... The digital camera 2 ... screen display 3 ... speaker 4 ... microphone 5 ... upper and lower extremities motion simulation mechanism 6 ... left upper limb driving mechanism 7 ... elbow supporter 8 ... right upper extremity drive mechanism 9 ... right elbow supporter 10 ... controller 11 ... Yes movable base 12 ... upper and lower extremities motion simulator 13 ... forced-type upper limb rehabilitation assist device 14 ... forced-type lower limb rehabilitation assist device 15 ... self-type upper limb exercise device 16 ... self-type leg exercise apparatus 17 ... coercion assisted terminal (for upper limb )
18…強制型アシスト端末(下肢用) 18 ... forced type assist terminal (lower limb)
19…自力型アシスト端末(上肢用) 19 ... self-type assist terminal (upper limb)
20…自力型アシスト端末(下肢用) 20 ... self-type assist terminal (lower limb)
21…操作指導端末22…ネットワーク23…音声画像通信装置24…理学療法士25…受訓者 21 ... operation guidance terminal 22 ... network 23 ... audio-visual communication system 24 ... physiotherapist 25 ... 受訓's

Claims (7)

  1. 理学療法士に操作させることを目的として高齢者や障害者や患者など(以下、受訓者という。)の生体運動特性を再現とする機構(以下、「運動模擬機構」という。)と、前記理学療法士の操作動作に従って受訓者の体を動かすことを目的とする機構(以下、「アシスト機構」という。)とを備えて、ネットワークを介してリハビリへの支援を行うことを特徴とする遠隔リハビリ支援システム。 Such as elderly patients or disabled and the purpose is to operate the physical therapist mechanism to reproduce the living body motion characteristics (hereinafter, referred to. 受訓's) (hereinafter, referred to as "motion simulation mechanism.") And the physical mechanism for the purpose of moving the 受訓's body according to therapist operating the operation (hereinafter, referred to as. "assist mechanism") and a remote rehabilitation via a network and performs support for rehabilitation support system.
  2. ネットワークを経由し、理学療法士の運動模擬機構を操作する動作を、受訓者自宅に設置されたアシスト機構に再現し、前記受訓者の体を強制的に動かすことを特徴とする遠隔リハビリ支援システム。 Via the network, an operation to operate the motion simulation mechanism physiotherapist, reproduced in assist mechanism installed at home 受訓's remote Rehabilitation system characterized forcibly move that the body of the 受訓's .
  3. 規範的なリハビリ動作をアニメーション化し、ネットワーク経由で受訓者自宅に伝送し、前記受訓者が前記アニメーションに従って自身の体を自力で動かすことを特徴とする遠隔リハビリ支援システム。 Normative rehabilitation operations animate, remote rehabilitation support system transmits the 受訓's home, the 受訓's characterized by moving the own body on its own in accordance with the animation through the network.
  4. 上下肢用運動模擬機構とデジタルカメラと画面表示器とマイクとスピーカとそれらの制御装置とを備え(以下、上下肢運動模擬装置という。)、受訓者に対する遠隔操作指導を行うことを特徴とする請求項1から請求項3までのいずれかに記載の遠隔リハビリ支援システム。 And a top lower leg exercise simulating mechanism and the digital camera and the screen display unit microphone and speaker and to those of the control unit (hereinafter, referred to as upper and lower extremities motion simulator.), And performing the remote operation guidance for 受訓's remote rehabilitation system according to any one of claims 1 to 3.
  5. 上肢或は下肢を強制的に動かす機構とデジタルカメラと画面表示器とマイクとスピーカとそれらの制御装置とを備え(以下、強制型上(下)肢リハビリアシスト装置という。)、理学療法士の動作に基づいて受訓者の上下肢を強制的に動かすことにより前記受訓者の上下肢運動機能を回復することを特徴とする請求項1から請求項4までのいずれかに記載の遠隔リハビリ支援システム。 And a mechanism for moving the upper limb or lower limb to force the digital camera and the screen display unit microphone and speaker and to those of the control unit (hereinafter, referred to as forced type upper (lower) limb rehabilitation assist device.), The physical therapist remote rehabilitation system according to any one of claims 1 to 4, characterized in that to restore the lower limb motor function on the 受訓 person by moving the upper leg forced the 受訓 person based on operation .
  6. 自力型運動器具とデジタルカメラと画面表示器とマイクとスピーカとを備え、規範的なリハビリ動作をアニメーション化した指導動作に従って受訓者が自力で自身の体を繰り返して動かすことにより前記受訓者の生体運動機能を回復することを特徴とする請求項1から請求項4までのいずれかに記載の遠隔リハビリ支援システム。 And a self-type exercise apparatus and a digital camera and a screen display unit microphone and speaker, the 受訓's biological by 受訓's following the instructions operation animate normative rehabilitation operation moves repeat own body on its own remote rehabilitation system according to any one of claims 1 to 4, characterized in that to restore motor function.
  7. 音声画像通信により理学療法士と受訓者との間にリアルタイマで対面会話ができることを特徴とする請求項1から請求項6までのいずれかに記載の遠隔リハビリ支援システム。 Remote Rehabilitation system according to any one of claims 1 to 6, characterized in that it is facing conversation real timer between the physical therapist and 受訓's by audio-video communication.
JP2002201946A 2002-06-06 2002-06-06 Remote rehabilitation supporting system Pending JP2004008751A (en)

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Cited By (8)

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WO2007043308A1 (en) * 2005-10-11 2007-04-19 Matsushita Electric Industrial Co., Ltd. Motion assistance apparatus and method of assisting motion
JP2007520311A (en) * 2004-02-05 2007-07-26 モトリカ インク Methods and instruments for the rehabilitation and training
JP2008522708A (en) * 2004-12-07 2008-07-03 タイラートン インターナショナル インコーポレイテッド Training, equipment and methods for rehabilitation, and / or support
KR101395920B1 (en) 2013-02-04 2014-05-16 순천향대학교 산학협력단 Rolling track for occupational therapy
US8888723B2 (en) 2004-02-05 2014-11-18 Motorika Limited Gait rehabilitation methods and apparatuses
US8915871B2 (en) 2004-02-05 2014-12-23 Motorika Limited Methods and apparatuses for rehabilitation exercise and training
US8938289B2 (en) 2004-08-25 2015-01-20 Motorika Limited Motor training with brain plasticity
US9238137B2 (en) 2004-02-05 2016-01-19 Motorika Limited Neuromuscular stimulation

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8888723B2 (en) 2004-02-05 2014-11-18 Motorika Limited Gait rehabilitation methods and apparatuses
JP2007520311A (en) * 2004-02-05 2007-07-26 モトリカ インク Methods and instruments for the rehabilitation and training
US9238137B2 (en) 2004-02-05 2016-01-19 Motorika Limited Neuromuscular stimulation
US10039682B2 (en) 2004-02-05 2018-08-07 Motorika Limited Methods and apparatus for rehabilitation and training
US8915871B2 (en) 2004-02-05 2014-12-23 Motorika Limited Methods and apparatuses for rehabilitation exercise and training
US8938289B2 (en) 2004-08-25 2015-01-20 Motorika Limited Motor training with brain plasticity
JP2008522708A (en) * 2004-12-07 2008-07-03 タイラートン インターナショナル インコーポレイテッド Training, equipment and methods for rehabilitation, and / or support
WO2007043308A1 (en) * 2005-10-11 2007-04-19 Matsushita Electric Industrial Co., Ltd. Motion assistance apparatus and method of assisting motion
GB2444679A (en) * 2005-10-11 2008-06-11 Matsushita Electric Ind Co Ltd Motion assistance apparatus and method of assisting motion
GB2444679B (en) * 2005-10-11 2009-03-25 Matsushita Electric Ind Co Ltd Movement assisting device and movement assisting method
KR101395920B1 (en) 2013-02-04 2014-05-16 순천향대학교 산학협력단 Rolling track for occupational therapy

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