JP2016151983A - Support system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a support system for performing training such as rehabilitation following a training program such as a rehabilitation program.SOLUTION: A support system 1 includes: storage means 11 for storing a training program for each trainee created by a specialist; support means 12 for acquiring information related to the training program of a trainee supported by operator terminal equipment 23 from the storage means 11 in response to an access from the operator terminal equipment 23, and for outputting the information via the operator terminal equipment 23 to an operator, and for receiving the input of an operation of the operator via the operator terminal equipment 23, and for transmitting the information to trainee terminal equipment following the training program; recording means 13 for recording the training situation of the trainee for each trainee; and monitoring means 15 for monitoring the training situation.SELECTED DRAWING: Figure 1

Description

  The present invention relates to a support system that allows a trainee to perform a training program by a doctor, a physical therapist, or other specialists.

  A general support system has a TV phone function, and a user and an operator are connected by a video line. In addition, as a rehabilitation support tool, a nursing care support system via the Internet (Patent Document 1), an analysis system for training management in rehabilitation (Patent Document 2), an operation assist system for a wearable motion assist device (Patent Document 3) ) Etc. have been proposed.

  Rehabilitation is performed at hospitals and rehabilitation facilities. Rehabilitation is carried out under the supervision of specialists in accordance with rehabilitation programs created by specialists such as doctors and physical therapists. In some cases, rehabilitation is performed by a specialist who visits a patient's home.

JP 2002-132945 A JP 2003-132147 A JP 2008-200512 A

  In conventional rehabilitation, since the patient performs under a doctor or a physical therapist, it cannot be performed efficiently because the patient cannot voluntarily train. There are similar issues with training programs.

  Then, an object of this invention is to provide the assistance system which can voluntarily perform trainings, such as rehabilitation, along training programs, such as a rehabilitation program.

The concept of the present invention is as follows.
[1] Storage means for storing a training program for each trainee created by a doctor, a physical therapist, or other specialists;
In response to the access from the operator terminal device, the storage means acquires information on the training program of the trainee receiving support, and the operator who operates the operator terminal device receives the information via the operator terminal device. Supporting means for supporting training by transmitting information to the terminal device for trainee along the training program by receiving an input of the operation of the operator via the operator terminal device;
Recording means for recording the training status of the trainee who receives support by the support means for each trainee;
A support system comprising:
[2] The support means controls the measuring device via the trainee terminal device,
The said recording means is a support system as described in said [1] which records the measurement result regarding the state of the site | part which should be strengthened before and after the training of the said trainee for every trainee.
[3] In response to an access from the expert terminal device, a training program for a trainee to be edited by the expert terminal device is acquired from the storage unit, and before and after the training for the trainee recorded by the recording unit. The support system according to [1] or [2], further including an editing unit that acquires data on a state of a part to be strengthened, edits the training program for the trainee, and stores the training program in the storage unit.
[4] Monitoring means for monitoring the training status of the trainee from the trainee terminal device by the support means, and outputting the training status to the operator terminal device that has accessed the support means;
Memo means for storing that it is determined that the operator needs to be communicated to an expert by the training situation output by the monitoring means from the terminal device for the operator,
The support system according to any one of [1] to [3].
[5] Operator attribute data storage means for storing, for each operator, information transmitted and received between the operator terminal device and the trainee terminal device;
In response to access from the expert terminal device, returning data stored in the operator attribute data storage means, from the data, operator support means for supporting guidance to the operator,
The support system according to any one of [1] to [4].

  According to the present invention, a trainee can perform training efficiently. For example, the trainee can voluntarily perform, can quantitatively understand the training effect, and can maintain or improve the motivation of the trainee.

It is a block diagram which shows the outline of the assistance system which concerns on embodiment of this invention. As one Embodiment of this invention, it is a skeleton model utilized when displaying on each terminal device by a support server apparatus. It is a figure which shows the example of visualization at the time of displaying the state bent forward. (A) and (b) are figures which show the example of visualization at the time of displaying the inclination of a trunk, respectively. (A) (b) is a figure which shows the example of the visualization at the time of displaying the twist of a trunk, respectively.

(Overall configuration of support system)
The support system according to the embodiment of the present invention is not limited to the one described with reference to the drawings, but may be changed as appropriate according to technological progress related to ICT (Information Communication Technology) and the applied society and system. Is also included.

  As shown in FIG. 1, the support system 1 according to the embodiment of the present invention includes a support server device 10, and the support system 1 itself may be called a support device. The support system 1 may include various terminal devices 20 that access or are under the control of the support server device 10. The support server device 10 may be not only installed in one place but also distributed in a plurality of places.

  The various terminal devices 20 include at least one of a professional terminal device 21, a patient terminal device 22 as a trainee terminal device, and an operator terminal device 23. Any one of the terminal devices 20 is connected to one or more support server devices 10. The terminal device 20 may be realized by mounting software (including an application) provided from the support system 1 on a general-purpose computer.

  The professional terminal device 21 is a terminal device used by doctors, physical therapists, and other specialists. The specialist here refers to editing work such as the creation / change of a rehabilitation program such as a training program. In addition to physical therapists, specialists include occupational therapists, prosthetic orthoses, medical social workers ( Medical Consulting Department). Experts are those who provide rehabilitation programs as training programs to patients as trainees. Here, rehabilitation is not just a narrow sense of training for disabled people to adapt to the environment, such as any means to reduce their ability and improve their condition and achieve social integration of disabled people. Rehabilitation is the provision of a means for individuals to change their lives by enabling them to achieve the functional level that is most suitable physically, mentally and socially. It has a broad meaning of aiming and time-limited processes. Furthermore, training refers not only to rehabilitation as described above, but also to the act of trainees seeking physical or mental improvements that the trainee wants.

  The trainee terminal device is a terminal device used by a trainee who performs training. The patient terminal device 22 as a trainee terminal device is a terminal device used by a patient, a family member, an attendant, or a similar person (hereinafter referred to as “patient etc.”) who performs rehabilitation. The patient terminal device 22 may be any device that can be installed at the patient's home, for example, can be activated and terminated by the patient, and can execute a simple program or application.

  The operator terminal device 23 is a terminal device used by a staff member who is not an expert and who supports the trainee in performing training. In particular, in the case of rehabilitation support, the staff member who supports the patient in performing rehabilitation uses the terminal device 23 for the operator. Is a terminal device.

  The support server device 10 and each terminal device 20 are connected by various information communication networks. The type of information communication network does not matter.

  Each of the support server device 10 and the various terminal devices 20 includes a storage unit that stores various programs and applications (hereinafter referred to as “programs”), an arithmetic processing unit that reads and executes a program from the storage unit, and an information communication network. And a communication unit connected to the network. Various terminal devices include an input unit exemplified by a keyboard, a pointing device, and a microphone, and an output unit exemplified by a monitor and a speaker. The input unit includes an interface that receives input of voices of patients, specialists, and operators who use the terminal device 20. The output unit includes an interface that outputs a sound or a screen display to a patient, an expert, or an operator as a trainee using the terminal device.

(Basic form of support server device)
As illustrated in FIG. 1, the support server device 10 includes a storage unit 11, a support unit 12, and a recording unit 13. In the following description, the case of support when a patient performs rehabilitation will be described as training support. However, the same applies to support when a trainer performs training.

  The storage means 11 stores a training program for each trainee created by a doctor, a physical therapist, or other specialists. Assuming rehabilitation support, the storage means 11 stores a rehabilitation program for each patient. The rehabilitation program is selected, for example, from items constituting the rehabilitation menu, and is set for each patient according to the level of each item based on the level of the affected area, the progress of rehabilitation, and the like. Therefore, it is set by permutation of items for each patient and for each disease state.

  In response to access from the operator terminal device 23, the support means 12 acquires information on the training program for the trainee who receives support from the operator terminal device 23 from the storage means 11. In the rehabilitation support, the support means 12 acquires information on the patient's rehabilitation program. Then, the support unit 12 displays the information via the operator terminal device 23 to the operator who operates the operator terminal device 23. The support means 12 receives an operator's operation input via the operator terminal device 23, and transmits information according to the operator's operation input to the trainee terminal device in accordance with the training program. In the case of rehabilitation, information according to the operation input of the operator is transmitted to the patient terminal device 22 along the rehabilitation program. Thereby, the support means 12 supports rehabilitation as training.

  The recording unit 13 records the rehabilitation status of the patient as a trainee who receives support from the support unit 12 in the database 17 for each patient.

  Since the support server device 10 includes the storage unit 11, the support unit 12, and the recording unit 13, the patient can independently perform rehabilitation under the operator. That is, an expert sets a rehabilitation program according to the current state of the patient using the expert terminal device 21 and stores it in the storage unit 11. The patient uses the patient terminal device 22, and the operator uses the operator terminal device 23. The support server device 10 acquires information related to the patient's rehabilitation program from the storage unit 11 in response to access from the operator terminal device 23, and transmits the information to the operator terminal device 23. The operator terminal device 23 is a support server Information related to the rehabilitation program received from the device 10 is output to the operator. Accordingly, the operator sends various image data such as utterances, still images, and moving images from the operator terminal device 23 to the patient terminal device 22 of the patient so that the support means 12 performs rehabilitation according to the rehabilitation program. Output and recommend rehabilitation to the patient. Even if the patient becomes painful, rehabilitation can be continuously performed by the operator's encouragement with the real voice. Therefore, the patient can perform rehabilitation according to the procedure instructed by the operator even when the specialist is absent. Even if the number of patients increases, even if the number of patients increases and the number of specialists is insufficient, rehabilitation can be performed efficiently with the cooperation of operators. The number of rehabilitations is limited by an insurance system such as health insurance, so that the patient can independently perform rehabilitation without being reluctant to rehabilitation. Therefore, it is possible to reduce costs and reduce the financial burden on the patient.

  In the embodiment of the present invention, before and after the operator causes the patient to perform rehabilitation by the support means 12, the recording means 13 displays the rehabilitation status of the patient for each patient via the patient terminal device 22. Record in database 17. Therefore, if a simple reference is set in advance as to whether or not the condition of the affected area has been improved by rehabilitation before and after the rehabilitation by the operator, the effect of the rehabilitation can be transmitted from the operator to the patient in real time. Thereby, the effectiveness of rehabilitation can be improved more.

(Preferred form of support system)
In the preferred embodiment, a measuring device 22 a is connected to the patient terminal device 22, and the measuring device 22 a is controlled via the patient terminal device 22 in response to a command from the support means 12. Examples of the measuring device 22a include a three-dimensional imaging sensor. The sensor is a device that is equipped with an infrared camera, images the affected area while the infrared camera projects the affected area of the patient, and measures the distance and depth of each point on the image by triangulation. The measurement program stored in the patient terminal device 22 or the support server device 10 acquires data from the sensor from the measurement device 22a along the flow in the measurement program, and the measurement image data of the affected part, each part of the affected part The position and the predetermined distance between the parts can be measured. Therefore, the state of the affected part before and after the patient's rehabilitation is measured, and information such as the measured data is recorded in the database 17. Thereby, the operator and the patient can know how much the part to be strengthened such as the affected part has been strengthened by the rehabilitation.

  In such a form, the measuring device 22a is controlled from the operator terminal device 23 via the patient terminal device 22 by the operator's operation, and the recording means 13 records the measurement result in the database 17 for each patient. . Therefore, it is possible to create a database of patient situations before and after rehabilitation by an operator. By searching the patient in the database 17 from the expert terminal device 21, the expert can grasp the rehabilitation situation. Therefore, the training effect can be grasped quantitatively, and the motivation of patient training can be maintained and improved.

  In still another preferred form, the support server device 10 includes an editing unit 14. The editing unit 14 is a unit started in response to an access from the professional terminal device 21, receives data such as a necessary patient code from the professional terminal device 21, and acquires information on the rehabilitation program from the storage unit 11. The information related to the program is displayed on the professional terminal device 21. Further, data relating to the state of the affected part before and after training is obtained from the patient database 17 from data such as the patient code, and is output to the professional terminal device 21. Then, the expert terminal device 21 displays the acquired data on a monitor, edits a rehabilitation program from data relating to the state of the affected area before and after rehabilitation in response to an operation input from the expert, and stores the rehabilitation program in the storage unit 11.

  In such a form, an expert can edit the rehabilitation program from the expert terminal device 21. At that time, the recording means 13 can refer to the result of the state before and after the rehabilitation from the database 17 to change the program according to the patient's situation. Therefore, rehabilitation can be supported efficiently.

The support server device 10 may include a monitoring unit 15 and a memo unit 16.
The monitoring means 15 monitors the training status of the patient from the patient terminal device 22 by the support means 12 and outputs it to the operator terminal device 23 that has accessed the support means 12. The operator terminal device 23 displays still images and moving images transmitted from the patient terminal device 22 to the support server device 10, and outputs sound data transmitted from the patient terminal device 22 to the support server device 10.
The memo means 16 stores items that the operator has determined that needs to be communicated to the expert, based on the training status displayed from the operator terminal device 23 by the monitoring means 15.

  In such a form, the monitoring means 15 can transmit the status of the patient's rehabilitation from the operator terminal device 23 to the operator, and the support means 12 can rehabilitate according to the current situation of the patient. Or rehabilitation can be stopped depending on the patient's condition. Furthermore, when the operator determines that the information needs to be transmitted to the expert using the memo means 16, the memo of the contents can be left in the expert. Therefore, the expert can correct the rehabilitation program which he created more appropriately.

In another preferred embodiment, the support server device 10 includes an operator attribute data storage unit 18 and an operator support unit 19. The operator attribute data storage means 18 stores information transmitted and received between the operator terminal device 23 and the patient terminal device 22 for each operator. The information transmitted and received includes patient image data and patient and operator voice data during patient rehabilitation.
The operator support means 19 returns the image data and the voice data stored in the operator attribute data storage means 18 in response to the access from the expert terminal device 21, and the expert terminal device 21 outputs the reply data. By this, the guidance to the operator is supported.

  When various information can be transmitted and received between the operator terminal device 23 and the patient terminal device 22 by the support means 12, the operator attribute data storage means 18 is connected to the operator terminal device 23 using a sensor such as a camera or a microphone. The image data and sound data are stored for each operator. At that time, those data for each patient may be stored in the database 17 by the recording means 13. Therefore, the operator support means 19 receives image data and voice data among data transmitted and received between the operator terminal device 23 and the patient terminal device 22, operator attribute data storage means 18, database 17, storage means 11, etc. In response to an access request from the expert terminal device 21, the response is output from the expert terminal device 21 to the expert.

  Therefore, in such a form, the expert can know the situation of the conversation between the operator and the patient and the situation of the operation from the expert terminal device 21. Can provide guidance on rehabilitation operations. For guidance, not only data transmission / reception methods such as various types of mail, but also an expert may give guidance to the operator from the surface.

(Support method)
A support method using the support system 1 shown in FIG. 1 will be described in detail.
The support method using the support system 1 is roughly divided as follows.
Phase 1: Setting up a training program by experts Phase 2: Supporting training for trainees by operators Third phase: Feedback to experts on the situation before and after training of trainees and editing of training programs by experts There are the following additional elements:
Optional phase: Expert advice to operators

  In the following, taking a rehabilitation program as an example of a training program, a form in which a doctor, a physical therapist, and other medical professionals as experts encourage rehabilitation to a patient as a trainee and efficiently support it will be described.

[Phase 1: Setting up a rehabilitation program by experts]
The expert terminal device 21 accesses the support server device 10 in response to an input operation by the expert, and requests the support means 12 to transmit the status of the patient's profile, affected area, and the like. When the support means 12 receives a support request from the professional terminal device 21, for example, the patient profile stored in the storage means 11, the database 17 or the like from the patient code transmitted together with the transmission request is used. Information regarding the situation and the like is searched and returned to the expert terminal device 21.

  Based on the information returned from the support means 12, the expert terminal device 21 outputs the information by display on a monitor or the like. Then, the expert inputs a rehabilitation program to the expert terminal device 21 in accordance with the patient. At that time, points to be noted when assisting the rehabilitation program to the operator are added to the rehabilitation program or added as remarks.

  Thereafter, the professional terminal device 21 transmits the input rehabilitation program to the support means 12. The support means 12 stores the received information on the rehabilitation program in the patient area of the storage means 11.

  The storage means 11 stores a general rehabilitation menu for each disease, and the expert selects an appropriate item according to the disease of the patient by an operation input by the expert from the expert terminal device 21. The patient's rehabilitation program stored in the storage unit 11 may be set by adding an item.

[Phase 2: Support for training for trainees by operators]
The operator accesses the support server device 10 from the operator terminal device 23, the patient accesses the support server device 10 from the patient terminal device 22, and the operator terminal device 23 and the patient terminal device 22 are connected to the support server device. Each state can be transmitted bidirectionally via 10. As for the means, not only the support server device 10 but also various telephone terminals may be used. Further, the means for bidirectional transmission may be a means that has already been made public, and security by public key cryptography or the like may be ensured.

  When the support server device 10 is in a state where it can be transmitted in both directions between the patient terminal device 22 and the operator terminal device 23, the support server device 10 acquires information on the patient's rehabilitation program from the storage device 11 by the support device 12. It transmits to the terminal device 23 for operators. At that time, the support means 12 may transmit information to the patient terminal device 22 if there is information displayed on the patient terminal device 22.

  Based on the information received from the support server device 10, the operator terminal device 23 outputs to the operator the contents of rehabilitation to be performed by the patient according to the rehabilitation program, such as image data such as illustrations, display of characters, and the like. . Then, based on the output information, the operator inputs the rehabilitation content to the operator terminal device 23 in accordance with the patient's movement and timing. In response to the input operation, the operator terminal device 23 transmits information corresponding to the patient terminal device 22 to the patient terminal device 22 and outputs an output corresponding to the operator input.

  Therefore, the support means 12 can prompt the patient to rehabilitate the patient according to the rehabilitation program by the operator via the operator terminal device 23 and the patient terminal device 22.

  Furthermore, the monitoring means 15 catches the image and sound of the patient's rehabilitation situation from the patient terminal device 22 and transmits them to the operator terminal device 23. The operator terminal device 23 outputs the transmitted video and sound to the operator. Therefore, even if the patient and the operator are isolated, for example, in a remote place, the patient can transmit the rehabilitation status to the operator, and conversely, the operator can grasp the rehabilitation status of the patient. . Therefore, when the patient tries to stop the rehabilitation, the operator can urge the patient to stop the rehabilitation according to the rehabilitation situation, or conversely promote the rehabilitation from the situation. In particular, human voice encouragement is effective because it encourages the patient.

  In the support server device 10, the support means 12 usually relays between the patient terminal device 22 and the operator terminal device 23 in real time. The support unit 12 may share this real-time relay status with the expert via the expert terminal device 21 in response to the access from the expert terminal device 21 to the support server device 10.

  The support means 12 can display on the screen one or both of the output information to the patient at the terminal device 22 for the patient and the output information to the operator at the terminal device 23 for the operator. . Thereby, the support means 12 may instruct | indicate a patient with respect to the patient terminal device 22 from the terminal device 21 for specialists, and the appropriate rehabilitation assistance by a specialist is enabled. The support means 12 may give an instruction to the operator from the expert terminal device 21 to the operator terminal device 23, and enables appropriate guidance to the operator regarding rehabilitation support.

  The monitoring means 15 may not only share real-time images and sounds, but also record them as still images or moving images by an operation from the operator terminal device 23, for example. The camera shutter of the patient terminal device 22 may be controlled by an operator's operation to photograph, record, and record the rehabilitation status of the patient. The monitoring means stores the information thus photographed, recorded and recorded in the database 17.

  The operator terminal device 23 transmits, as secondary data, information and the like input as matters determined by the operator that the rehabilitation situation needs to be transmitted to the specialist to the support server device 10 for memo means. 16 and stored in the database 17 or the like.

  As described above, in the support server device 10, the rehabilitation status is recorded as primary data by the monitoring unit 15, and further, secondary data is recorded by the operator.

  As described above, the support means 12 can cause the patient to instruct the rehabilitation operation according to the rehabilitation program in accordance with the operation of the operator via the operator terminal device 23. Further, the support means 12 can appropriately give advice and guidance regarding rehabilitation to the patient via the patient terminal device 22. Further, the support server device 10 can transmit the rehabilitation status to the operator in real time by the patient terminal device 22, and the operator can give appropriate advice according to the status.

  Further, in the second phase, the patient terminal device 22 and the operator terminal device 23 are monitored by the monitoring means 15 under the support means 12 so that the situation before and after the patient's rehabilitation can be fed back to the specialist in the third phase. Data and information transmitted / received between and are stored in the database 17 by an operator's operation via the operator terminal device 23. Further, information determined to be transmitted to the specialist by the memo means 16 from the operator terminal device 23 in the rehabilitation situation is additionally stored in the database 17 by being written down or inputted as sound. . These data and information are used in the third phase.

  In the second phase, the operator attribute data storage means 18 is supported between the patient terminal device 22 and the operator terminal device 23 so that the operator can provide guidance and advice to the operator in the optional phase. Information transmitted and received between the two when relayed by the server device 10 is stored for each operator including image data and sound data.

[Third phase: Training program editing by experts]
After the rehabilitation support through the patient terminal device 22 by the operator terminal device 23 by the operator, the rehabilitation program can be checked from the expert terminal device 21 and the rehabilitation program can be edited.

  Even if the state in which bidirectional transmission is possible between the patient terminal device 22 and the operator terminal device 23 is released, the expert server 21 accesses the support server device 20. In the support server device 20, the editing unit 14 searches and acquires information and data related to the rehabilitation status from the database 17 based on the patient code transmitted at the time of the access, and also stores the patient from the storage unit 11. Get information about your rehabilitation program. After that, the editing means 14 sends a reply to the expert terminal device 21. Then, the professional terminal device 21 outputs the returned information and data. At that time, the transmission information from the operator during the rehabilitation of the patient by the memo means 16 is also output. As a result, the expert grasps the current state of rehabilitation for the patient and inputs a rehabilitation program that matches the current state of the patient to the expert terminal device 21. The expert terminal device 21 updates the patient's rehabilitation program stored in the storage unit 11 in accordance with the input rehabilitation program.

[Optional phase: Expert advice to operators]
Even if the state in which bidirectional transmission is possible between the patient terminal device 22 and the operator terminal device 23 is released, the expert server 21 accesses the support server device 20. In the support server device 20, the operator support means 19 is based on the operator code transmitted from the professional terminal device 21 and stores information stored in the code, that is, the patient terminal device 22 and the operator terminal. Information that is transmitted and received between the devices 23 when the support server device 10 is relayed to the device 23 is searched from the operator attribute data storage means 18 including image data and sound data in some cases, and specialized information is obtained. A reply is sent to the home terminal device 21. Upon receiving the reply, the professional terminal device 21 outputs the returned information from the screen or the speaker. The expert can advise the acquisition of knowledge and skills necessary for rehabilitation for each operator based on the output information. Therefore, guidance to the operator can be supported.

  As described above, the support system 1 allows the operator to perform rehabilitation for the patient without the expert being present at a part of the rehabilitation performed between the expert and the patient.

  Here, as a patient who needs rehabilitation as training, as an example, when a patient with cerebrovascular disease is targeted, what kind of situation before and after rehabilitation should be measured using the measuring device 22a To do. As a patient who needs rehabilitation, the second most common cause of rehabilitation is motor disease, the longest rehabilitation period, and paralysis on one side of the body often results in paralysis as a result of rehabilitation, resulting in paralysis Symptoms that the body is distorted to the side are likely to occur. A case where the strain of the body can be easily measured at a relatively low cost in the measurement of the strain state will be described.

  In such a patient, the body is tilted, and it is difficult for an amateur to measure the strain state in a state where twist is added. In the following, it will be described with the measurement of the inclination, twist, and forward bending state of the trunk. It is displayed by disassembling the trunk in the longitudinal direction (forward bending), lateral bending (inclination), and twisting. Data taken by the camera is transmitted from the patient terminal device 22 to the support server device 10 and displayed on the operator terminal device 23 as an image.

  FIG. 2 is a skeleton model used when displaying on each terminal device 20 by the support server device 10 as an embodiment of the present invention. The skeleton model is composed of seven points: face, neck, left shoulder, right shoulder, navel, left waist, and right waist. Regarding the degree of forward bending, not only seven points but also a dividing point that divides a plurality of, for example, four parts between the neck and the navel can be added.

  In any one of the measurement device 22a, the patient terminal device 22, and the support unit 12, the position of each part of the skeleton model is obtained based on image data captured by a camera mounted on the measurement device 22a.

When displaying on each terminal device 20, it can be performed as follows, for example.
In order to display the forward bent state, the horizontal direction with respect to the measuring instrument 22a is the X axis, the vertical direction is the Y axis, and the front and back direction is the Z axis, as shown in FIG. It can be shown by three points.
To display the inclination of the trunk, as shown in FIG. 4A, the XY plane is indicated by a triangle connecting the navel and both shoulders and a triangle connecting the navel and both hips, and FIG. ), The case where the centers of both shoulder lines and waist lines are displayed on the XY plane as the origin is considered.
To display the torsion of the trunk, the line connecting both shoulders and the line connecting both hips is an XZ plane, that is, a form looking down from above the head, as shown in FIG. There are a case where the relative position from 22a is displayed and a case where the midpoint from each line is displayed as the origin as shown in FIG. 5B.

  In order to measure the forward bending state, the trunk inclination, and the trunk torsion, the respective applications may be installed in the measuring device 22a or the patient terminal device 22. Then, the operator's terminal device 23 can instruct the patient's terminal device 22 via the support means 12 of the support server device 10 by the operator's voice, such as the body orientation and posture relative to the measuring device 22a. Even when the operator is in a remote place, the state of the affected part before and after the rehabilitation can be measured. In addition, since the operator can obtain patient images and videos via the terminal devices 20 and the support server device 10, it is easy to measure the angles of the joints in the affected area.

  If the patient terminal device 22 and the operator terminal device 23 display the image data of the patient to be imaged by the measuring device 22a, the image data displayed on the operator terminal device 23 is displayed. By pointing a certain part with the pointing device, it is possible to display a mark such as an arrow on the pointed part 22 for the patient. Rehabilitation can be supported using images.

  According to the support system according to the embodiment of the present invention, during training including rehabilitation, it is not necessary for one expert to always accompany one patient as a trainee, and an operator can connect multiple patients through video and audio. On the other hand, one operator can deal with it, effectively utilizing human resources, and efficient and appropriate training of specialists in shortage and depopulated areas.

  Each terminal device 20 exchanges image data such as still images and moving images and sound data such as real voices in both directions. Therefore, the operator follows a training program such as a rehabilitation program created by an expert such as a doctor. Rehabilitation such as training can be supported. That is, for each training, the operator can explain how to train, and the training can be appropriately advanced according to the state before training and while watching the training state. In addition to explaining how to train a trainee such as a patient by an operator, the operator encourages the trainee by voice when the trainee is about to make money, and uses illustrations to remove discomfort. Can be.

1; support system 10: support server device 11: storage means 12: support means 13: recording means 14: editing means 15: monitoring means 16: memo means 17: database 18: operator attribute data storage means 19: operator support means 20: Terminal device 21: Expert terminal device 22: Patient terminal device (trainee terminal device)
22a: Measuring device 23: Terminal device for operator

Claims (5)

Storage means for storing training programs for each trainee created by doctors, physiotherapists and other specialists;
In response to the access from the operator terminal device, the storage means acquires information on the training program of the trainee receiving support, and the operator who operates the operator terminal device receives the information via the operator terminal device. Supporting means for supporting training by transmitting information to the terminal device for trainee along the training program by receiving an input of the operation of the operator via the operator terminal device;
Recording means for recording the training status of the trainee who receives support by the support means for each trainee;
A support system comprising: The support means controls the measuring device via the trainee terminal device,
2. The support system according to claim 1, wherein the recording unit records, for each trainee, a measurement result relating to a state of a region to be strengthened before and after training of the trainee.   The trainee training program edited by the expert terminal device is acquired from the storage means in response to access from the expert terminal device, and the part to be strengthened before and after the trainee training recorded by the recording means The support system according to claim 1, further comprising an editing unit that obtains data relating to the state of the trainee, edits the training program for the trainee, and stores the training program in the storage unit. Monitoring means for monitoring the training status of the trainee from the trainee terminal device by the support means, and outputting it to the operator terminal device accessing the support means;
Memo means for storing that it is determined that the operator needs to be communicated to an expert by the training situation output by the monitoring means from the terminal device for the operator,
The support system according to claim 1, comprising: Operator attribute data storage means for storing, for each operator, information transmitted and received between the operator terminal device and the trainee terminal device;
In response to access from the expert terminal device, returning data stored in the operator attribute data storage means, from the data, operator support means for supporting guidance to the operator,
The support system according to claim 1, comprising: