JP2019024580A - Rehabilitation support system, rehabilitation support method, and program - Google Patents

Abstract

To provide a rehabilitation support system, a rehabilitation support method, and a program capable of reducing a burden on a therapist, etc., who assist rehabilitation of an object person.SOLUTION: A rehabilitation support system 1 includes a first acquisition part for acquiring first information, a second acquisition part for acquiring second information, and an output part for outputting instruction information. The first information relates to motion of an object person 100. The second information is for proposing one menu item selected from a plurality of menu items for rehabilitation as an instruction menu item. The instruction information indicates the instruction menu item selected based on at least the first information and the second information.SELECTED DRAWING: Figure 1

Description

  The present disclosure generally relates to a rehabilitation support system, a rehabilitation support method, and a program, and more specifically, relates to a rehabilitation support system, a rehabilitation support method, and a program that support rehabilitation of a subject.

  Patent Document 1 describes a rehabilitation support system having means for sensing an object and recognizing an action.

  This rehabilitation support system recognizes the motion of the subject by the recognition device, and guides based on the display data of the next guidance procedure when the posture pattern stored as the guidance means matches the motion of the subject. Display. In this rehabilitation support system, for example, in walking practice, as a guidance procedure, a walking mark is displayed at a position where the subject puts his / her foot, and the next guidance procedure is displayed when the foot is placed near the walking mark. Display data (walking marks). Then, after the target person walks, the footprints actually walked are displayed as a history display, so that the therapist can easily explain the correct operation and posture with respect to the current situation.

JP 2017-12691 A

  However, in the configuration described in Patent Document 1, the therapist decides the rehabilitation menu (walking practice, etc.) to be performed by the subject, and the therapist also explains the result to the subject, so the burden on the therapist. Is difficult to reduce.

  The present disclosure has been made in view of the above-described reasons, and an object thereof is to provide a rehabilitation support system, a rehabilitation support method, and a program that can reduce the burden on a therapist or the like that assists the rehabilitation of the subject.

  A rehabilitation support system according to an aspect of the present disclosure includes a first acquisition unit that acquires first information, a second acquisition unit that acquires second information, and an output unit that outputs instruction information. The first information is information relating to the operation of the subject. The second information is information for proposing any menu selected from a plurality of rehabilitation menus as an instruction menu. The instruction information is information representing the instruction menu selected based on at least the first information and the second information.

  The rehabilitation support method according to an aspect of the present disclosure acquires first information, acquires second information, and outputs instruction information. The first information is information relating to the operation of the subject. The second information is information for proposing any menu selected from a plurality of rehabilitation menus as an instruction menu. The instruction information is information representing the instruction menu selected based on at least the first information and the second information.

  A program according to an aspect of the present disclosure is a program for causing a processor to execute the rehabilitation support method.

  The present disclosure has an advantage that the burden on a therapist or the like that assists the rehabilitation of the subject can be reduced.

FIG. 1 is a schematic configuration diagram illustrating a usage example of the rehabilitation support system according to the first embodiment. FIG. 2 is a schematic block diagram showing the configuration of the rehabilitation support system according to the embodiment. FIG. 3A to FIG. 3C are conceptual diagrams showing how a subject performs rehabilitation using the rehabilitation support system described above. FIG. 4A is a flowchart showing main operations of the rehabilitation support system according to the embodiment. FIG. 4B is a flowchart showing in detail the instruction menu selection process in FIG. 4A. FIG. 5 is a schematic configuration diagram illustrating a usage example of the rehabilitation support system according to the second embodiment.

(Embodiment 1)
(1) Outline The rehabilitation support system 1 according to the present embodiment is a system for supporting rehabilitation of the subject 100 as shown in FIG. `` Rehabilitation '' as referred to in the present disclosure is performed to enable a person who has a reduced physical ability and cognitive function due to aging, illness, injury, etc., and enables the subject's independent daily life. Means physical or psychological training. Hereinafter, the rehabilitation support system 1 is also referred to as “rehabilitation support system 1”.

  In other words, the rehabilitation support system 1 is a system that supports training of physical abilities and cognitive functions necessary for the subject 100 to live an independent daily life. Conventionally, such support for rehabilitation is often performed with the assistance (and guidance) of a (rehabilitation) therapist such as a physical therapist, occupational therapist, and speech auditor. According to the rehabilitation support system 1 according to the present embodiment, it is possible to reduce a burden on a therapist or the like that assists the rehabilitation of the subject 100, and in some cases, the subject 100 can perform rehabilitation without the assistance of the therapist.

  In the present embodiment, as an example, a case will be described in which an elderly person whose physical ability has decreased to a level called a so-called “frail” and who intends to live an independent daily life is the target person 100. . In this embodiment, the rehabilitation support system 1 is introduced into a facility such as a rehabilitation center. And the case where the rehabilitation assistance system 1 supports the rehabilitation which the subject person 100 implements in the room | chamber interior of this facility is demonstrated to an example. Further, in the present embodiment, it is assumed that the rehabilitation support system 1 operates as a substitute for the therapist so that the subject 100 performs the rehabilitation without the assistance of the therapist or the like. However, of course, even when the rehabilitation support system 1 is used, the subject 100 may perform rehabilitation with assistance from a therapist or the like.

  As shown in FIG. 2, the rehabilitation support system 1 includes a first acquisition unit 11, a second acquisition unit 12, and an output unit 13. The first acquisition unit 11 acquires first information related to the operation of the target person 100. The “motion” of the subject 100 in the present disclosure includes not only an act of moving the body (hand, foot, neck, waist, etc.) like exercise, but also the subject 100 using an input device such as an utterance or a keyboard. This includes actions that use language expressions. The second acquisition unit 12 acquires second information for proposing an instruction menu. The “instruction menu” referred to in the present disclosure is any menu selected from a plurality of rehabilitation menus, and is presented to the subject 100 to instruct the subject 100 to perform specific training or the like. Is done. The output unit 13 outputs instruction information representing an instruction menu selected based on at least the first information and the second information. “Output” as used in the present disclosure includes, for example, display, audio output, printout (printing), data transmission to a terminal such as a smartphone, and the like in addition to output as data.

  As an example, the 1st acquisition part 11 detects the information regarding the position of the subject person 100 in the detection space and the information about the posture of the subject person 100 detected by the sensor device 2 as the first information about the operation of the subject person 100. , Acquired from the sensor device 2. For example, the second acquisition unit 12 proposes an instruction menu with information necessary for selecting any menu as an instruction menu from among a plurality of rehabilitation menus stored in the storage unit 14. The second information is acquired from the storage unit 14. For example, the output unit 13 selects (determines) an instruction menu based on the evaluation results of the evaluation unit 15 for the first information and the second information, and outputs the instruction information to the display control unit 16 to thereby display the display device. 3 to display the instruction menu.

  According to the rehabilitation support system 1, based on the first information related to the movement of the subject 100 and the second information for proposing any menu selected from a plurality of rehabilitation menus as the instruction menu. The instruction menu is selected. Since the instruction information representing the selected instruction menu is output from the output unit 13, the instruction menu can be presented to the target person 100. As described above, in the rehabilitation support system 1, which target person 100 is to execute which rehabilitation menu is automatically determined based on the action of the target person 100. That is, a rehabilitation menu suitable for the subject 100 is automatically proposed without the intervention of a therapist or the like that assists the subject 100 in rehabilitation. Therefore, according to the rehabilitation support system 1, it is possible to reduce a burden on a therapist or the like that assists the rehabilitation of the subject 100.

(2) Configuration Next, the configuration of the rehabilitation support system 1 according to the present embodiment will be described with reference to FIGS. 1 and 2.

  The rehabilitation support system 1 according to the present embodiment is realized with a computer system having a CPU (Central Processing Unit) and a memory as a main configuration. The computer system is connected to the sensor device 2 and the display device 3 described above directly or via a network such as the Internet. In the present embodiment, the rehabilitation support system 1 is connected to an operation terminal 4 (see FIG. 2) such as a tablet terminal or a smartphone, for example. In the present embodiment, the sensor device 2, the display device 3, and the operation terminal 4 will be described as not being components of the rehabilitation support system 1, but at least one of the sensor device 2, the display device 3, and the operation terminal 4 is rehabilitated. It may be included in the components of the support system 1. Furthermore, the sensor device 2, the display device 3, and the operation terminal 4 are not essential components, and may be omitted as appropriate.

  The sensor device 2 is a device that detects the position of the target person 100 in the detection space and the posture of the target person 100. The “detection space” in the present disclosure is a section having an appropriate size defined by the sensor device 2, and the target person 100 exists in the detection space during the operation of the rehabilitation support system 1. I will do it. For example, as shown in FIG. 1, the sensor device 2 is installed on an indoor wall surface 200. Since an image is projected onto the wall surface 200 by the display device 3 as described later, basically, the subject 100 faces the wall surface 200 side (sensor device 2 side). The sensor device 2 has a plurality of sensors such as a camera (image sensor) and a depth sensor. The sensor device 2 further includes a processor that performs appropriate signal processing on the outputs of the plurality of sensors.

  In the present embodiment, the sensor device 2 detects the captured image obtained by capturing the target person 100, the position of the target person 100 including the left-right direction and the depth direction (the front-rear direction of the target person 100), and the posture of the target person 100. . That is, the sensor device 2 detects the position (including the position of the center of gravity) of the target person 100 in the horizontal plane. Further, the sensor device 2 detects, for example, whether the subject 100 is tilted forward or backward, where the back, hips, knees, and the like are bent and in what direction.

  As an example, the display device (display) 3 includes a projector device that projects an image onto a part of the wall surface 200 (screen region 201). The display device 3 is attached to, for example, an indoor ceiling surface. The display device 3 projects an arbitrary full-color image on the screen region 201 set below the sensor device 2 on the wall surface 200. The display device 3 is not limited to the wall surface 200, and can project an image on a floor surface, a ceiling surface, a dedicated screen, or the like. The display device 3 is not limited to a configuration that displays a two-dimensional image, and may display a three-dimensional image using a technique such as 3D (three dimensions) projection mapping. In particular, when the display device 3 generates a virtual reality (VR) space, an immersive feeling can be given to the target person 100 who sees the displayed video.

  The operation terminal 4 has a function of communicating with the rehabilitation support system 1, a function of accepting an operation of the target person 100, and a function of presenting information to the target person 100 (display and / or voice output). The operation terminal 4 has a computer system having a CPU and a memory as a main configuration, and is a general-purpose tablet terminal as an example. The operation terminal 4 installs dedicated application software and activates the application software, thereby enabling the communication function with the rehabilitation support system 1 and the like.

  The operation terminal 4 is equipped with a touch panel display, and a function of accepting an operation of the target person 100 and a function of presenting (displaying) information to the target person 100 are realized on the touch panel display. Therefore, the operation terminal 4 determines that an object such as a button has been operated by detecting an operation (tap, swipe, drag, etc.) of an object such as a button on the screen displayed on the touch panel display. That is, the touch panel display functions as a user interface that receives operation inputs from the subject 100 in addition to various displays. However, the operation terminal 4 is not limited to a touch panel display, and may be a keyboard, a pointing device, a mechanical switch, or the like.

  As shown in FIG. 2, the rehabilitation support system 1 includes a first acquisition unit 11, a second acquisition unit 12, and an output unit 13. The rehabilitation support system 1 according to the present embodiment further includes a storage unit 14, an evaluation unit 15, a display control unit 16, a third acquisition unit 17, a data analysis unit 18, and a presentation unit 19. As described above, the rehabilitation support system 1 is realized with a computer system having a CPU and a memory as a main configuration. Therefore, when the CPU executes the program recorded in the memory, the first acquisition unit 11, the second acquisition unit 12, the output unit 13, the evaluation unit 15, the display control unit 16, the third acquisition unit 17, and data analysis The functions of the unit 18 and the presentation unit 19 are realized.

  The rehabilitation support system 1 has a communication function with the sensor device 2, the display device 3, and the operation terminal 4. In this embodiment, the communication method between the rehabilitation support system 1 and each of the sensor device 2 and the display device 3 is bidirectional wired communication via a network such as a LAN (Local Area Network). A communication method between the rehabilitation support system 1 and the operation terminal 4 is bidirectional wireless communication using radio waves such as Wi-Fi (registered trademark) as a medium. The communication method between the rehabilitation support system 1 and the sensor device 2 or the display device 3 is not limited to wired communication but may be wireless communication. The communication method between the rehabilitation support system 1 and the operation terminal 4 is not limited to wireless communication but may be wired communication.

  The 1st acquisition part 11 has a function which acquires the 1st information about operation of subject 100. Here, the first information acquired by the first acquisition unit 11 includes at least one of information related to the position of the target person 100 in the detection space and information related to the posture of the target person 100. In the present embodiment, the first acquisition unit 11 acquires, from the sensor device 2, information related to the position of the target person 100 in the detection space and information related to the posture of the target person 100 as first information related to the operation of the target person 100. To do.

  The second acquisition unit 12 has a function of acquiring second information for proposing any menu selected from a plurality of rehabilitation menus as an instruction menu. In the present embodiment, the second acquisition unit 12 uses, as second information, information necessary for selecting any menu as an instruction menu from among a plurality of rehabilitation menus stored in the storage unit 14. Obtained from the storage unit 14.

  The output unit 13 has a function of outputting instruction information representing an instruction menu selected based on at least the first information and the second information. In the present embodiment, the output unit 13 selects (determines) the instruction menu based on the evaluation results of the evaluation unit 15 for the first information and the second information. The output unit 13 causes the display device 3 to display the instruction menu by outputting instruction information representing the selected instruction menu to the display control unit 16.

  In the present embodiment, the output unit 13 not only displays the instruction menu, but also outputs a specific instruction for causing the subject 100 to execute the instruction menu to the display control unit 16 to output the display device 3. To display. That is, for example, in the case of an instruction menu for training walking motion, the output unit 13 uses support information indicating how to move the body, posture, walking rhythm, and the like necessary for correct walking motion as specific instructions. It is displayed on the display device 3.

  In the example of FIG. 1, a reverse video 202 and a marker 203 of the target person 100 are displayed in the screen area 201 as support information. The inverted image 202 is an image obtained by horizontally inverting an entire body image of the subject 100 captured from the front of the subject 100 with the camera of the sensor device 2. The reverse video 202 is displayed in substantially real time, and the size and display position in the screen area 201 are adjusted so that the target person 100 can visually recognize the same image as the image (mirror image) reflected in the mirror. Has been. As an example, the marker 203 is an image simulating a ball, and is displayed around the feet of the subject 100 in the reverse video 202. In this state, the rehabilitation support system 1 can prompt the subject 100 to raise the foot in the lateral direction, for example, by instructing the subject 100 to kick the ball represented by the marker 203.

  Moreover, in this embodiment, the output part 13 outputs the effect information showing the effect obtained by the subject person 100 executing the instruction menu represented by the instruction information, in addition to the instruction information described above. “Efficacy” as used in the present disclosure refers to “texture” (effect) that is expected to be obtained by the subject 100 performing the instruction menu.

  The storage unit 14 includes, for example, a rewritable nonvolatile memory such as an EEPROM (Electrically Erasable Programmable Read-Only Memory). In the present embodiment, the storage unit 14 includes at least a list of a plurality of rehabilitation menus (hereinafter referred to as “menu list”) and information necessary for selecting any one of the plurality of menus as an instruction menu. , Is stored. The rehabilitation menu includes, for example, a menu for training various actions of the subject 100 required in daily life, such as walking action, one leg standing action, standing up action, standing and sitting action, and step up / down action. Yes. “Wake-up motion” in the present disclosure means an operation to get up from a state in which the subject 100 lies down, and “standing and sitting motion” in the present disclosure means an operation in which the subject 100 stands up from a chair and / or sits down on a chair. To do.

  Here, the plurality of rehabilitation menus included in the menu list are classified into a plurality of first stage menus A1, A2, A3... And a plurality of second stage menus B1, B2, B3. Each of the plurality of first-stage menus A1, A2, A3,... Is a training menu for actions themselves performed by the subject 100 in daily life such as the walking action described above. Each of the plurality of second stage menus B1, B2, B3,... Is a training menu of element actions necessary for actions performed by the subject 100 in daily life, for example. The “element operation” in the present disclosure is an individual operation after disassembly when an operation performed by the subject 100 in daily life is disassembled into a plurality of elements. For example, for walking motions, the hip joint is bent, the hip joint is extended, the knee joint is bent, the knee joint is stretched, the ankle is bent, the ankle is stretched, the arm is swung forward, and the arm is moved backwards. It is decomposed into a plurality of element operations including a shaking operation. Thus, a plurality of element movements are defined for each part of the body and for each movement of each part.

  The evaluation unit 15 has a function of evaluating the operation of the target person 100 based on the first information and the second information. In the present embodiment, the evaluation unit 15 compares the first information (evaluation data) analyzed by the data analysis unit 18 described later with the reference data included in the second information, whereby the subject 100 Evaluate the behavior of For example, the evaluation unit 15 quantifies the difference (size of deviation) between the posture of the subject 100 and the reference posture defined by the reference data, and evaluates the motion of the subject 100 using this difference.

  Moreover, in this embodiment, the evaluation part 15 is comprised so that the operation | movement of the object person 100 may be evaluated based on the 1st information regarding the operation | movement of the object person 100 in operation according to an instruction | indication menu. That is, in the rehabilitation support system 1 according to the present embodiment, the instruction menu (instruction information) is presented to the target person 100 to cause the target person 100 to perform an action (exercise) according to the instruction menu, and at that time An evaluation of the operation of the subject 100 is performed.

  Furthermore, in this embodiment, the evaluation part 15 is comprised so that the operation | movement of the object person 100 may be further evaluated based on the 1st information regarding the operation | movement of the object person 100 who is operating according to a pre-menu. The “pre-menu” in the present disclosure is a menu that is executed by the target person 100 prior to the instruction menu in order to select (determine) the instruction menu. Therefore, the output unit 13 is configured to further output pre-information representing the pre-menu to the target person 100. The instruction menu is selected based on the evaluation result of the evaluation unit 15 for the subject 100 who is operating according to the pre-menu. That is, in the rehabilitation support system 1 according to the present embodiment, the subject 100 is presented with a pre-menu different from the instruction menu so that the subject 100 can perform an operation (exercise) according to the pre-menu. Evaluation of the operation of the subject 100 at the time is performed. Then, the evaluation result at this time is used for selection of the instruction menu.

  In the present embodiment, as described above, the plurality of rehabilitation menus include a plurality of first stage menus A1, A2, A3... And a plurality of second stage menus B1, B2, B3. It is assumed that the pre-menu is selected from a plurality of first stage menus A1, A2, A3... And the instruction menu is selected from a plurality of second stage menus B1, B2, B3. Therefore, the instruction menu is based on the evaluation result of the evaluation unit 15 for the subject 100 operating in accordance with the first stage menus A1, A2, A3... From among the plurality of second stage menus B1, B2, B3. Will be selected.

  In the present embodiment, the evaluation unit 15 has two operation modes: a normal mode and a mask mode. The normal mode is an operation mode in which evaluation is performed using a plurality of evaluation items as evaluation targets. The mask mode is an operation mode in which a specific evaluation item among a plurality of evaluation items is excluded from the evaluation target and evaluated. The evaluation unit 15 operates by switching between the normal mode and the mask mode. As an example, when the subject 100 with a disability in the left knee joint uses the rehabilitation support system 1, the evaluation unit 15 evaluates evaluation items related to the motion of the left knee joint by operating in the mask mode. Can be excluded.

  The display control unit 16 controls the display device 3 to display an arbitrary video on the display device 3. Here, the display control part 16 produces | generates the image | video displayed on the display apparatus 3 according to the data (instruction information etc.) input from each of the output part 13 and the presentation part 19 mentioned later.

  The third acquisition unit 17 has a function of acquiring third information related to the attribute of the target person 100. The “attribute” of the target person 100 in the present disclosure is information for specifying the individual of the target person 100. As an example of the attribute of the subject 100, identification information (user ID) for identifying the subject 100, the name, age, sex, height, weight, BMI (Body Mass Index), presence / absence of smoking, and the like of the subject 100 Living environment (including family structure). The instruction menu is selected (determined) based on the third information acquired by the third acquisition unit 17 in addition to the first information and the second information.

  In the present embodiment, the third acquisition unit 17 acquires the third information related to the attribute of the subject 100 described above from the operation terminal 4. In other words, for example, the operation terminal 4 causes the subject 100 to input items related to the attribute in an inquiry format, and the input result is acquired as the third information by the third acquisition unit 17.

  The data analysis unit 18 analyzes the first information acquired by the first acquisition unit 11. That is, the first information acquired from the sensor device 2 by the first acquisition unit 11 is information including information on the position of the target person 100 in the detection space and information on the posture of the target person 100, but as it is, the evaluation part. Cannot be used for evaluation at 15. The data analysis unit 18 analyzes the first information input from the sensor device 2 using, for example, a motion capture technique, thereby obtaining at least evaluation data in a format and content suitable for evaluation by the evaluation unit 15. Generate. As an example, the data analysis unit 18 generates evaluation data including a stick picture that represents the posture or the like of the subject 100.

  The presentation unit 19 has a function of presenting the evaluation result of the evaluation unit 15. In particular, in the present embodiment, as described above, the evaluation unit 15 evaluates the operation of the target person 100 based on the first information regarding the operation of the target person 100 who is operating according to the instruction menu. The presentation unit 19 presents at least the evaluation result of the evaluation unit 15 regarding the operation of the subject 100 who is operating according to the instruction menu. As an example, the presentation unit 19 outputs result information representing the evaluation result to the display control unit 16, and displays the evaluation result on the display device 3, thereby presenting the evaluation result to the target person 100. Thereby, in the rehabilitation support system 1 which concerns on this embodiment, while performing the operation | movement (exercise | movement) according to an instruction | indication menu to the target person 100, evaluation about the operation | movement of the target person 100 at that time is implemented, and the evaluation The result can be presented to the subject 100 in real time (immediately).

(3) Operation Next, the operation of the rehabilitation support system 1 according to the present embodiment will be described with reference to FIGS. 3A to 3C, 4A, and 4B. 3A to 3C are conceptual diagrams illustrating a state in which the subject 100 performs rehabilitation using the rehabilitation support system 1 according to the present embodiment. 4A and 4B are flowcharts showing main operations of the rehabilitation support system 1 according to the present embodiment. In other words, FIGS. 4A and 4B are flowcharts of the rehabilitation support method according to the present embodiment. In particular, FIG. 4B is a flowchart showing in detail the instruction menu selection process (S6) in FIG. 4A.

  In the rehabilitation support system 1 according to the present embodiment, first, as shown in FIG. 3A, screening for interrogating the subject 100 is performed (S1 in FIG. 4A). At this time, the rehabilitation support system 1 controls the display device 3 with the display control unit 16 to display the questions for the subject 100 on the screen area 201, and for the questions entered by the subject 100 into the operation terminal 4. The answer is acquired by the third acquisition unit 17. As a specific example of the questions for the subject 100, in addition to matters relating to the attributes of the subject 100 such as the name, age, and gender of the subject 100, there has been a recent fall or a trip on a flat floor. For example, there is a matter for judging the physical ability of the subject 100. Therefore, in the screening, the rehabilitation support system 1 acquires data for determining the physical ability of the subject 100 by the third acquisition unit 17 in addition to the third information related to the attribute of the subject 100.

  The rehabilitation support system 1 determines whether or not it is necessary to check physical ability based on the result of screening (S2). For example, if it is determined as a result of the screening that there is no problem in physical ability in carrying out daily life, it is determined that confirmation of physical ability is unnecessary (S2: No), and steps S3 to S6 are skipped. Then, the process proceeds to process S7.

  On the other hand, if it is determined that the confirmation of physical ability is necessary as a result of the screening (S2: Yes), the rehabilitation support system 1 executes a pre-menu selection process (S3). At this time, the rehabilitation support system 1 selects one of the plurality of first stage menus A1, A2, A3... Stored in the storage unit 14 based on the result of screening. The one-level menu is selected as the pre-menu. For example, in the storage unit 14, in addition to the plurality of first stage menus A1, A2, A3..., A conditional expression for selecting a pre-menu from the result of screening is stored, and the rehabilitation support system 1 Select the pre-menu according to the conditional expression.

  The rehabilitation support system 1 outputs pre-information representing the selected pre-menu from the output unit 13 to the display control unit 16 (S4). Thereby, the display control unit 16 controls the display device 3, and as shown in FIG. 3B, the pre-menu to be executed by the target person 100 and the support information for supporting the execution of the pre-menu by the target person 100 are displayed on the screen. It is displayed in the area 201. In the example of FIG. 3B, it is assumed that the menu “standing on one foot” is selected as the pre-menu, and the reverse video 202 and the sample video 204 of the subject 100 are displayed in the screen area 201 as support information. Yes. As an example, the sample video 204 is generated from the reference data stored in the storage unit 14 in association with the rehabilitation menu (first stage menu) selected as the pre-menu, and serves as an example of movement ( It is an image that defines the posture. In the example of FIG. 3B, a stick picture indicating the correct posture in “standing on one foot” is displayed as a sample image 204 superimposed on the inverted image 202.

  In this state, the sensor device 2 detects the movement of the subject 100 (S5), and the rehabilitation support system 1 executes instruction menu selection processing (S6).

  In the instruction menu selection process, the rehabilitation support system 1 executes the processes S61 to S64 shown in FIG. 4B. That is, the rehabilitation support system 1 first acquires, from the sensor device 2, first information related to the motion of the subject 100 who is operating according to the pre-menu in the first acquisition unit 11 (S 61). Furthermore, the rehabilitation support system 1 acquires, in the second acquisition unit 12, second information for proposing any menu selected from among a plurality of rehabilitation menus as an instruction menu (S62). . In the present embodiment, the second acquisition unit 12 acquires, from the storage unit 14, second information for selecting one of the plurality of second-level menus B1, B2, B3... As an instruction menu. . At this time, the second acquisition unit 12 acquires the second data by including at least reference data defining an exemplary movement in the pre-menu.

  And the rehabilitation assistance system 1 evaluates operation | movement of the subject 100 in the evaluation part 15 based on 1st information and 2nd information, and also the 3rd information acquired by screening (S63). As an example, the evaluation unit 15 quantifies the difference (size of deviation) between the posture of the subject 100 and the reference posture defined by the reference data, and evaluates the motion of the subject 100 using this difference. Furthermore, when the menu “standing on one foot” is selected as the pre-menu as shown in FIG. 3B, for example, the length of time during which the subject 100 can maintain the posture of standing on one foot is also evaluated for the motion of the subject 100. To be taken into account. The rehabilitation support system 1 determines (selects) the instruction menu based on the evaluation result of the evaluation unit 15 for the subject 100 operating in accordance with the pre-menu (S64).

  When the instruction menu selection process is completed, the rehabilitation support system 1 outputs instruction information representing the selected instruction menu from the output unit 13 to the display control unit 16 (S7). Thereby, the display control unit 16 controls the display device 3, and as shown in FIG. 3C, the instruction menu to be executed by the target person 100 and the support information for supporting the execution of the instruction menu by the target person 100 are displayed on the screen. It is displayed in the area 201. In the example of FIG. 3C, it is assumed that the menu “lifting horizontally” is selected as the instruction menu, and the reverse video 202 and the marker 203 similar to the example of FIG. It is displayed in area 201.

  Further, in the present embodiment, the output unit 13 outputs efficacy information representing efficacy obtained by the subject person 100 executing the instruction menu represented by the instruction information, in addition to the instruction information. For this reason, the display control unit 16 controls the display device 3, and in addition to the instruction menu and support information, effect information indicating the effect of the instruction menu is displayed in the screen area 201. In the example of FIG. 3C, for example, efficacy information that “the body can be kept straight” is displayed as the efficacy obtained when the target person 100 executes the instruction menu “lifting laterally”. .

  In this state, the sensor device 2 detects the movement of the subject 100 (S8), and the rehabilitation support system 1 presents the evaluation result in the evaluation unit 15 in the presentation unit 19 (S9). At this time, the presentation unit 19 outputs the result information representing the evaluation result to the display control unit 16 and causes the display device 3 to display the evaluation result, whereby the evaluation result in the evaluation unit 15 is subject to real time (immediately). To the person 100. As an example, the presentation unit 19 changes the color of the marker 203 when the difference (size of deviation) between the posture of the target person 100 and the reference posture defined by the reference data exceeds the allowable range. , Present the evaluation results. However, the mode of presentation by the presentation unit 19 is not limited to this mode. For example, display of a message for the target person 100, output of sound (including warning sound), printout (printing), data transmission to a terminal such as a smartphone, etc. It may be.

  Here, when the subject 100 uses the rehabilitation support system 1 at a pace of one to several times per week, for example, the subject 100 performs an operation according to the same instruction menu for a period of 1 to several months. It is effective to carry out repeatedly over the entire range. Therefore, the rehabilitation support system 1 does not need to perform the above-described processes S3 to S6 every time, and may perform processes S7 to S9 while skipping processes S3 to S6. For example, during screening (S1), if it is determined from the information such as the name of the target person 100 that the target menu 100 has been selected, the rehabilitation support system 1 determines that it is not necessary to check the physical ability. (S2: No), processing S3 to S6 is skipped. As a result, the subject 100 can execute the instruction menu as shown in FIG. 3C by skipping the pre-menu as shown in FIG. 3B.

  By the way, in the screening (S1), for example, when it is found that the subject 100 has a disorder in the left knee joint, the evaluation unit 15 operates in the mask mode, and for a specific evaluation item among the plurality of evaluation items. Is preferably excluded from the evaluation target. That is, for example, the evaluation unit 15 preferably operates in the mask mode for the subject 100 having a disorder in the left knee joint, and excludes the evaluation items related to the operation of the left knee joint from the evaluation target. At this time, the evaluation unit 15 does not have to evaluate the evaluation item related to the motion of the left knee joint at all. For example, the evaluation unit 15 performs the evaluation by lowering the threshold value of the evaluation item related to the motion of the left knee joint. You may go.

(4) Modification Example 1 is only one of various embodiments of the present disclosure. The first embodiment can be variously modified according to the design or the like as long as the object of the present disclosure can be achieved. Moreover, the function similar to the rehabilitation support system 1 may be embodied by a rehabilitation support method, a (computer) program, or a non-temporary recording medium recording the program. The rehabilitation support method according to one aspect acquires first information, acquires second information, and outputs instruction information representing an instruction menu selected based on at least the first information and the second information. The first information is information related to the operation of the target person 100. The second information is information for proposing any menu selected from among a plurality of rehabilitation menus as an instruction menu. Here, the process of acquiring the first information and the process of acquiring the second information are not necessarily performed in this order. For example, the process of acquiring the first information and the second information are acquired. The process may be executed simultaneously, or the first information may be acquired after the second information is acquired. The (computer) program which concerns on one aspect is a program for making a processor perform said rehabilitation assistance method.

  Hereinafter, modifications of the first embodiment will be listed. The modifications described below can be applied in appropriate combinations.

  The rehabilitation support system 1 in the present disclosure includes a computer system. The computer system mainly includes a processor and a memory as hardware. The function as the rehabilitation support system 1 in the present disclosure is realized by the processor executing the program recorded in the memory of the computer system. The program may be recorded in advance in a memory of a computer system, may be provided through a telecommunication line, or recorded in a non-transitory recording medium such as a memory card, an optical disk, or a hard disk drive that can be read by the computer system. May be provided. A processor of a computer system includes one or more electronic circuits including a semiconductor integrated circuit (IC) or a large scale integrated circuit (LSI). The plurality of electronic circuits may be integrated on one chip, or may be distributed on the plurality of chips. The plurality of chips may be integrated into one device, or may be distributed and provided in a plurality of devices.

  In addition, the fact that the plurality of constituent elements of the rehabilitation support system 1 are aggregated in one casing is not an essential configuration for the rehabilitation support system 1, and the plurality of constituent elements of the rehabilitation support system 1 includes a plurality of casings. It may be provided in a dispersed manner. Even when a plurality of components are distributed in a plurality of cases, the rehabilitation support system 1 is realized in cooperation by connecting a plurality of components via a network such as the Internet, for example. can do. Furthermore, at least a part of the functions of the rehabilitation support system 1 may be realized by, for example, a server or a cloud (cloud computing). On the contrary, for example, the functions distributed in a plurality of devices such as the sensor device 2 and the display device 3 are part of the rehabilitation support system 1 and are included in one housing together with other components of the rehabilitation support system 1. May be aggregated.

  Moreover, the menu for rehabilitation demonstrated in Embodiment 1 is only an example, For example, you may include the menu which trains the operation | movement which raises a thigh, the operation | movement which shakes an arm forward, the operation | movement which shakes an arm back, etc. The second information including a plurality of rehabilitation menus may not be stored in the storage unit 14, and may be updated as needed by machine learning or the like, for example.

  In addition, the rehabilitation support system 1 may cause a plurality of subjects 100 to simultaneously perform the pre-menu illustrated in FIG. 3B. In this case, the rehabilitation support system 1 determines (selects) the instruction menu based on the evaluation result of the evaluation unit 15 for each of the plurality of subjects 100 operating in accordance with the pre-menu. Therefore, the rehabilitation support system 1 can simultaneously select individual instruction menus suitable for each subject 100 for a plurality of subjects 100.

  The sensor device 2 is not limited to the configuration having the camera and the depth sensor as in the first embodiment. For example, a load sensor, an infrared sensor, a thermography, and a radio wave (microwave) sensor may be used instead of or in addition to these sensors. Etc. may be included. For example, in the case of a load sensor, it is possible to detect the position and posture of the target person 100 by detecting the position of the center of gravity of the target person 100 on the load sensor by being installed on the floor surface. The sensor device 2 may include sensors such as a gyro sensor, an acceleration sensor, an activity meter, and a heart rate meter that are worn by the subject 100. Furthermore, the sensor device 2 is not limited to a configuration installed at one place. That is, for example, a plurality of sensor devices 2 may be set in a distributed manner in front of the subject 100, on the side or rear of the subject 100, and the like.

  Further, the display device 3 is not limited to the projector device as in the first embodiment, and may be a liquid crystal display, an organic EL (Electro Luminescence) display, a plasma display, or the like. The display device 3 may further include a half mirror disposed in front of the display surface such as a liquid crystal display (on the subject 100 side). In this case, the surface of the half mirror functions to project a mirror image of the subject 100 as a mirror and to display an image displayed on a liquid crystal display or the like.

  In addition, the information displayed as the support information by the display device 3 is not limited to the reverse video 202 of the target person 100 as in the first embodiment, and for example, a computer imitating the target person 100 such as an avatar. It may be a body model generated by graphics. Further, the sample video 204 generated from the reference data is not limited to a stick picture, and may be, for example, an instructor video or an avatar.

  In addition, the third acquisition unit 17 is not limited to the configuration in which the third information related to the attribute of the target person 100 is acquired from the operation terminal 4 as described above. For example, the identification information and the attribute are associated with each target person 100. May be acquired from the management server stored in the memory. That is, by reading the identification information of the target person 100 from a member card or a smartphone possessed by the target person 100, the attribute of the target person 100 stored in the management server in association with this identification information is obtained third. The unit 17 can be acquired from the management server as the third information. Furthermore, when an IC (Integrated Circuit) card or a smartphone stores third information related to the attributes of the target person 100, the third acquisition unit 17 directly from the IC card or the smartphone possessed by the target person 100 or the like. The third information may be acquired.

  In the first embodiment, the pre-menu is selected from a plurality of first-level menus A1, A2, A3... And the instruction menu is selected from a plurality of second-level menus B1, B2, B3. Not limited to. For example, both the pre-menu and the instruction menu may be selected from a plurality of first-stage menus A1, A2, A3..., And both the pre-menu and the instruction menu are a plurality of second-stage menus B1, B2, B3. May be selected.

  Further, as in the first embodiment, it is not essential for the rehabilitation support system 1 to propose a two-stage menu including a pre-menu and an instruction menu to the target person 100. For example, only the instruction menu is selected for the target person 100. You may suggest it. On the contrary, the rehabilitation support system 1 may suggest a menu of three or more stages to the target person 100.

  The rehabilitation support system 1 further includes an audio output unit, and the audio output unit may be used in place of or in addition to the display device 3 as output means in the output unit 13 and the presentation unit 19 or the like. Good. Further, the operation terminal 4 having a function as a user interface that receives an operation input from the target person 100 may have a voice input function.

  In addition, the rehabilitation support system 1 may be used in combination with a passive exercise device that applies force to at least a part of the body of the subject 100 and exercises at least a part of the body of the subject 100 in a passive manner. . In this case, passive movement can be proposed as a menu for the rehabilitation support system 1 rehabilitation.

(Embodiment 2)
As shown in FIG. 5, the rehabilitation support system 1 </ b> A according to the present embodiment uses, as an operation of the target person 100, an action in which the subject person 100 does not mainly exercise, but performs speech expression or language expression using an input device such as a keyboard. This is different from the rehabilitation support system 1 according to the first embodiment. Hereinafter, the same configurations as those of the first embodiment are denoted by common reference numerals, and description thereof is omitted as appropriate.

  In the present embodiment, as an example, an elderly person with mild cognitive impairment (MCI) whose cognitive function is slightly reduced due to aging or the like is set as the target person 100. The rehabilitation support system 1 </ b> A according to the present embodiment is connected to a language input device 21 that receives language input from the subject 100. In the example of FIG. 5, the language input device 21 has a microphone and receives language input by the voice of the target person 100. In the example of FIG. 5, the language input device 21 is attached to the sensor device 2 and is installed together with the sensor device 2 on the wall surface 200 in the room.

  In the rehabilitation support system 1 </ b> A, the first information acquired by the first acquisition unit 11 includes information related to the language input from the language input device 21. In other words, the information regarding the language input from the language input device 21 is used as the first information regarding the operation of the subject 100. In particular, in the present embodiment, the language input device 21 accepts language input by the voice of the subject person 100, so that information related to the speech operation of the subject person 100 is mainly used as the first information.

  In this embodiment, the instruction menu is selected from a plurality of rehabilitation menus including various word games such as shiritori, ancient and east-west, and quizzes.

  Hereinafter, an operation example of the rehabilitation support system 1A according to the present embodiment will be described with reference to FIG. In the example of FIG. 5, it is assumed that “shiritori” is selected as the instruction menu.

  In the example of FIG. 5, the question sentence 205 and the time counter 206 are displayed in the screen area 201. The question sentence 205 is text data representing the “shiritori” problem, and is composed of a word such as “apple”, for example. The time counter 206 represents the elapsed time from the questioning time and the remaining time that the subject 100 can answer. In this state, the rehabilitation support system 1 </ b> A can instruct the subject 100 to utter the term following the “apple” by instructing the subject 100 to perform “shitoritori” as an instruction menu. . The rehabilitation support system 1A displays the next question sentence 205 on the display device 3 every time the subject 100 answers.

  For this type of instruction menu, the evaluation unit 15 performs the action of the subject 100 based on the correctness of the answer of the subject 100 and the length of time required for the subject 100 to answer from the questioning time. evaluate.

  The configuration described in Embodiment 2 can be used in appropriate combination with the various configurations (including modifications) described in Embodiment 1.

(Summary)
As described above, the rehabilitation support system (1, 1A) according to the first aspect includes the first acquisition unit (11) that acquires the first information and the second acquisition unit (12) that acquires the second information. And an output unit (13) for outputting instruction information. The first information is information related to the operation of the target person (100). The second information is information for proposing any menu selected from among a plurality of rehabilitation menus as an instruction menu. The instruction information is information representing an instruction menu selected based on at least the first information and the second information.

  According to this aspect, based on the first information related to the motion of the subject (100) and the second information for proposing any menu selected from among a plurality of rehabilitation menus as the instruction menu. The instruction menu is selected. Since the instruction information indicating the selected instruction menu is output from the output unit (13), the instruction menu can be presented to the target person (100). As described above, in the rehabilitation support system (1, 1A), it is possible to automatically determine which subject (100) is to execute which rehabilitation menu based on the operation of the subject (100). . That is, a rehabilitation menu suitable for the subject (100) can be automatically proposed without the intervention of a therapist or the like for assisting the rehabilitation of the subject (100). Therefore, according to the rehabilitation support system (1, 1A), there is an advantage that it is possible to reduce a burden on a therapist or the like that assists the rehabilitation of the subject (100).

  In the rehabilitation support system (1, 1A) according to the second aspect, in the first aspect, the first information relates to information on the position of the subject (100) in the detection space and the posture of the subject (100). Including at least one of information.

  According to this aspect, it becomes possible to automatically propose a rehabilitation menu suitable for the subject (100) based on the motion of the subject (100) in which the subject (100) moves the body like exercise. .

  In the rehabilitation support system (1, 1A) according to the third aspect, in the first or second aspect, the first information includes information about a language input from the language input device (21).

  According to this aspect, it is possible to automatically propose a rehabilitation menu suitable for the target person (100) based on the action of the target person (100) performing language expression using the language input device (21). .

  In the rehabilitation support system (1, 1A) according to the fourth aspect, in any one of the first to third aspects, the rehabilitation support system (1, 1A) further includes a third acquisition unit (17) that acquires third information related to the attribute of the subject (100). Prepare. The instruction menu is selected based on at least the first information, the second information, and the third information.

  According to this aspect, it is possible to automatically propose a rehabilitation menu more suitable for the target person (100) by adding the attribute of the target person (100).

  The rehabilitation support system (1, 1A) according to the fifth aspect is an evaluation for evaluating the action of the subject (100) based on the first information and the second information in any one of the first to fourth aspects. A part (15) is further provided.

  According to this aspect, the operation of the subject (100) can be objectively evaluated by the evaluation unit (15) without the intervention of a therapist or the like that assists the rehabilitation of the subject (100). Therefore, it is possible to further reduce the burden on the therapist or the like that assists the rehabilitation of the subject person (100).

  In the rehabilitation support system (1, 1A) according to the sixth aspect, in the fifth aspect, the evaluation unit (15) is based on the first information regarding the movement of the subject (100) who is operating according to the instruction menu. It is comprised so that the operation | movement of a subject (100) may be evaluated.

  According to this aspect, when the subject person (100) performs the instruction menu, the evaluation unit (15) can perform the subject person (100) even without the intervention of a therapist or the like for assisting the rehabilitation of the subject person (100). ) Can be objectively evaluated.

  The rehabilitation support system (1, 1A) according to the seventh aspect further includes a presentation unit (19) that presents the evaluation result of the evaluation unit (15) in the sixth aspect.

  According to this aspect, since the evaluation result about the operation of the subject (100) when the subject (100) performs the instruction menu is presented, more effective training is performed for the subject (100). It becomes possible.

  In the rehabilitation support system (1, 1A) according to the eighth aspect, in any one of the fifth to seventh aspects, the output unit (13) further provides pre-information representing a pre-menu for the target person (100). It is configured to output. The evaluation unit (15) is configured to further evaluate the operation of the subject (100) based on the first information regarding the operation of the subject (100) who is operating according to the pre-menu. The instruction menu is selected based on the evaluation result of the evaluation unit (15) for the subject (100) who is operating according to the pre-menu.

  According to this aspect, since the instruction menu is selected based on the evaluation result of the motion of the subject (100) when the pre-menu is executed, more effective training is possible for the subject (100). It becomes.

  In the rehabilitation support system (1, 1A) according to the ninth aspect, in any one of the sixth to eighth aspects, the evaluation unit (15) has a normal mode and a mask mode. In the normal mode, the evaluation unit (15) evaluates a plurality of evaluation items as evaluation targets. In the mask mode, the evaluation unit (15) performs evaluation by removing a specific evaluation item from the plurality of evaluation items from the evaluation target.

  According to this aspect, for example, for the subject (100) who has a disorder or the like on a part of the body, the evaluation unit (15) is excluded from the evaluation target from the evaluation item related to the disorder or the like and operates in the mask mode. Therefore, an appropriate evaluation can be performed.

  In the rehabilitation support system (1, 1A) according to the tenth aspect, in any one of the first to ninth aspects, the output unit (13) targets the instruction menu represented by the instruction information in addition to the instruction information. The effect information indicating the effect obtained by the person (100) executing is output.

  According to this aspect, it becomes easier for the subject person (100) to understand what the instruction menu is executed for, and the motivation when the instruction menu is executed can be improved.

  The rehabilitation support method according to the eleventh aspect acquires first information, acquires second information, and outputs instruction information. The first information is information related to the operation of the target person (100). The second information is information for proposing any menu selected from among a plurality of rehabilitation menus as an instruction menu. The instruction information is information representing an instruction menu selected based on at least the first information and the second information.

  According to this aspect, based on the first information related to the motion of the subject (100) and the second information for proposing any menu selected from among a plurality of rehabilitation menus as the instruction menu. The instruction menu is selected. Since the instruction information indicating the selected instruction menu is output, the instruction menu can be presented to the target person (100). As described above, in the rehabilitation support method, it is possible to automatically determine which target person (100) to execute which rehabilitation menu based on the action of the target person (100). That is, a rehabilitation menu suitable for the subject (100) can be automatically proposed without the intervention of a therapist or the like for assisting the rehabilitation of the subject (100). Therefore, according to the rehabilitation support method, there is an advantage that it is possible to reduce a burden on a therapist or the like that assists the rehabilitation of the subject (100).

  A program according to a twelfth aspect is a program for causing a processor to execute the rehabilitation support method according to the eleventh aspect.

  According to this aspect, based on the first information related to the motion of the subject (100) and the second information for proposing any menu selected from among a plurality of rehabilitation menus as the instruction menu. The instruction menu is selected. Since the instruction information indicating the selected instruction menu is output, the instruction menu can be presented to the target person (100). As described above, in the program, it is possible to automatically determine which subject (100) is to execute which rehabilitation menu based on the operation of the subject (100). That is, a rehabilitation menu suitable for the subject (100) can be automatically proposed without the intervention of a therapist or the like for assisting the rehabilitation of the subject (100). Therefore, according to the said program, there exists an advantage that the burden of the therapist etc. which assist a subject's (100) rehabilitation can be reduced.

  The various configurations (including modifications) of the rehabilitation support system (1, 1A) according to the first embodiment and the second embodiment are not limited to the above aspects, and the rehabilitation support method, (computer) program, or non-recording program is recorded. It can be embodied by a temporary recording medium or the like.

  About the structure which concerns on the 2nd-10th aspect, it is not a structure essential to a rehabilitation assistance system (1, 1A), and can be abbreviate | omitted suitably.

1,1A Rehabilitation support system (Rehabilitation support system)
DESCRIPTION OF SYMBOLS 11 1st acquisition part 12 2nd acquisition part 13 Output part 15 Evaluation part 17 3rd acquisition part 19 Presentation part 21 Language input device 100 Target person

Claims (12)

A first acquisition unit that acquires first information related to the movement of the target person;
A second acquisition unit that acquires second information for proposing any menu selected from a plurality of rehabilitation menus as an instruction menu;
An output unit that outputs instruction information representing the instruction menu selected based on at least the first information and the second information; and a rehabilitation support system. The rehabilitation support system according to claim 1, wherein the first information includes at least one of information relating to a position of the subject in a detection space and information relating to the posture of the subject. The rehabilitation support system according to claim 1, wherein the first information includes information about a language input from a language input device. A third acquisition unit for acquiring third information related to the attributes of the target person;
The rehabilitation support system according to any one of claims 1 to 3, wherein the instruction menu is selected based on at least the first information, the second information, and the third information. The rehabilitation support system according to any one of claims 1 to 4, further comprising an evaluation unit that evaluates the movement of the subject based on the first information and the second information. The rehabilitation support system according to claim 5, wherein the evaluation unit is configured to evaluate the operation of the subject based on the first information related to the operation of the subject who is operating according to the instruction menu. The rehabilitation support system according to claim 6, further comprising a presentation unit that presents an evaluation result of the evaluation unit. The output unit is configured to further output pre-information representing a pre-menu for the target person,
The evaluation unit is configured to further evaluate the operation of the subject based on the first information related to the operation of the subject operating in accordance with the pre-menu,
The rehabilitation support system according to any one of claims 5 to 7, wherein the instruction menu is selected based on an evaluation result of the evaluation unit for the subject who is operating according to the pre-menu. The evaluation unit is
A normal mode in which multiple evaluation items are evaluated, and a normal mode,
The rehabilitation support system according to any one of claims 6 to 8, further comprising: a mask mode in which a specific evaluation item among the plurality of evaluation items is excluded from the evaluation target and evaluation is performed. The output unit outputs, in addition to the instruction information, efficacy information indicating an efficacy obtained by the subject executing the instruction menu represented by the instruction information. The rehabilitation support system according to item. Obtain first information about the behavior of the subject,
Obtaining second information for proposing as an instruction menu any menu selected from a plurality of rehabilitation menus;
A rehabilitation support method for outputting instruction information representing the instruction menu selected based on at least the first information and the second information.   A program for causing a processor to execute the rehabilitation support method according to claim 11.

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