JP2020039566A - Rehabilitation support device and program - Google Patents

Abstract

To provide a rehabilitation support device and a program which make a hemiplegia patient consciously use his or her paralyzed-side upper limb.SOLUTION: One aspect of this invention is the rehabilitation support device which comprises a paralyzed-side attachment device attached to a paralyzed-side upper limb. The paralyzed-side attachment device includes: a first acceleration sensor; a display unit; an active mass measurement unit for measuring the active mass of the paralyzed-side upper limb on the basis of a detection signal from the first acceleration sensor; and a display processing unit which causes the display unit to display an image showing the active mass of the paralyzed-side upper limb and an active mass target value.SELECTED DRAWING: Figure 2

Description

  The present invention relates to a rehabilitation support device and a program.

Patent Literature 1 discloses an upper limb training support device that supports the training of a patient who has difficulty in raising the upper limb due to paralysis due to a cerebrovascular disorder such as a stroke, and provides assistance according to the state of paralysis of the patient to rehabilitate the patient. Discloses an upper limb training support device for improving efficiency.
One of the most common motor disorders after stroke is upper limb dysfunction, and 30-60% of stroke patients have limited overall physical activity due to inability to use the upper limb in daily life due to upper limb dysfunction As a result, the quality of life (QOL) is reduced.
In addition, regarding the upper limb dysfunction of a hemiplegic patient, it is assumed that so-called learning disuse occurs in which the compensatory movement by the non-paralyzed upper limb is emphasized without using the paralyzed upper limb. In particular, even though the upper limb function has been sufficiently improved through rehabilitation, the non-paralyzed upper limb is used in actual daily life, and learning disuse may progress.
Therefore, in rehabilitation (rehabilitation), it is necessary to promote appropriate use according to the dysfunction in daily life and to secure the frequency of use.

JP 2018-069006 A

  The present invention has been made in view of the above circumstances, and an object of the present invention is to provide a rehabilitation support device and a program that can make a hemiplegic patient aware of the use of the upper limb on the paralyzed side.

  In order to solve the above problem, one embodiment of the present invention includes a paralysis-side mounting device mounted on a paralyzed upper limb, wherein the paralysis-side mounting device includes a first acceleration sensor, a display unit, An activity amount measurement unit that measures the activity amount of the upper limb on the paralyzed side based on a detection signal from the acceleration sensor, and a display that displays an image indicating the activity amount of the upper limb on the paralyzed side and an activity amount target value on the display unit. And a processing unit.

  One embodiment of the present invention is the rehabilitation support device, wherein the activity amount reaches the activity amount target value in a predetermined time based on a time change of the integrated value of the activity amount measured by the activity amount measuring unit. If it is anticipated not to do so, the apparatus further includes a target value management unit that issues an instruction to the display processing unit to cause the display unit to display the fact.

  One embodiment of the present invention is the rehabilitation support device, wherein the display processing unit further causes the display unit to display an upper limb movement pattern, and the activity amount measurement unit displays the movement pattern in the movement pattern. The number of detections of the corresponding motion is measured.

  One embodiment of the present invention is the above-mentioned rehabilitation support device, further comprising a non-paralysis-side mounting device mounted on the non-paralysis-side upper limb, wherein the non-paralysis-side mounting device includes a second acceleration sensor. The activity measuring unit further measures the activity of the non-paralyzed upper limb based on the detection signal from the second acceleration sensor, and the display processing unit calculates the activity of the paralyzed upper limb and the An image indicating the relationship with the activity amount of the upper limb on the paralyzed side is displayed on the display unit.

  Further, one aspect of the present invention is the rehabilitation support device, wherein an alert processing unit that performs an alert process when a ratio of the activity amount of the non-paralysis side upper limb to the activity amount of the paralysis side upper limb exceeds a predetermined value. Is further provided.

  One embodiment of the present invention includes a first acceleration sensor and a display unit, and the computer of the paralysis-side mounting device mounted on the paralyzed upper limb is paralyzed based on a detection signal from the first acceleration sensor. A program for executing a step of measuring an activity amount of a lateral upper limb, and a step of displaying an image showing the activity amount of the paralyzed upper limb and an activity amount target value on the display unit.

  According to each aspect of the present invention, it is possible to make a hemiplegic patient aware of the use of the upper limb on the paralyzed side.

It is a figure showing the whole rehabilitation support device composition concerning a 1st embodiment. FIG. 2 is a block diagram illustrating a functional configuration of the rehabilitation support device according to the first embodiment. 4 is a flowchart illustrating an operation example of the rehabilitation support device according to the first embodiment. 4 is a flowchart illustrating an operation example of the rehabilitation support device according to the first embodiment. 6 is a flowchart illustrating another operation example of the rehabilitation support device according to the first embodiment. It is a schematic diagram which shows the example of a display of the rehabilitation assistance apparatus which concerns on 1st Embodiment.

Hereinafter, embodiments of the present invention will be described with reference to the drawings.
(Overall configuration of rehabilitation support device)
FIG. 1 is a diagram illustrating an overall configuration of the rehabilitation support device according to the first embodiment.
As shown in FIG. 1, the rehabilitation support device 1 is used by being mounted on a hemiplegic patient A. The rehabilitation support device 1 includes a paralysis-side mounting device 10 and a non-paralysis-side mounting device 11. The paralysis-side mounting device 10 and the non-paralysis-side mounting device 11 are wristwatch-type terminal devices that can be mounted on the upper limb of the patient A.

  The paralysis-side mounting device 10 is mounted on the paralyzed upper limb a1 of the patient A using the band 108. The non-paralysis-side mounting device 11 is mounted on the non-paralysis-side upper limb a2 of the patient A using the band 118. The paralysis-side mounting device 10 has a touch sensor display 103 (display unit). The patient A performs a touch operation on the touch sensor display 103 and inputs necessary information. In addition, the patient A can recognize information related to rehabilitation via the image displayed on the touch sensor display 103.

(Functional configuration of rehabilitation support device)
FIG. 2 is a diagram illustrating a functional configuration of the rehabilitation support device 1 according to the first embodiment.

First, the functional configuration of the paralysis-side mounting device 10 will be described.
As shown in FIG. 2, the paralysis-side mounting device 10 includes a CPU (central processing unit) 100, a wireless communication module 101, a memory 102, a touch sensor display 103, an acceleration sensor 104, a storage 105, and each unit. A bus 106 is provided for connection. In addition, the paralysis-side mounting device 10 includes an oscillation circuit, a counter circuit, and the like, and includes a configuration such as a real-time clock (not shown) that generates data representing year, month, day, hour, minute, and second. Further, the paralysis-side mounting device 10 may include an output device for an acoustic signal, a device for generating vibration, and the like.

The CPU 100 configures each functional block of the activity amount measurement unit 151, the display processing unit 152, the target value management unit 153, and the alert processing unit 154 by operating according to a prepared program. Each function of the CPU 100 will be described later.
The wireless communication module 101 is a communication interface that performs wireless communication with the non-paraplegic-side wearing device 11.
The memory 102 is a so-called main storage device and serves as a work area for the CPU 100.
The touch sensor display 103 is a combination of a touch sensor that receives an input operation (touch operation) by the patient A and a display that displays an image.
The acceleration sensor 104 is a three-axis acceleration sensor and can detect a spatial movement of the upper limb a1 on the paralyzed side.
The storage 105 is a so-called auxiliary storage device, and records and accumulates programs and various information such as the activity amount of the paralyzed upper limb a1 and the activity amount target value.

Specific functions of the CPU 100 will be described in detail.
By operating according to the program, the CPU 100 according to the present embodiment functions as an activity amount measurement unit 151 that measures the activity amount of the upper limb on the paralyzed side based on a detection signal from the acceleration sensor 104 (first acceleration sensor).
The CPU 100 operates according to the program to function as the display processing unit 152 that causes the touch sensor display 103 to display an image indicating the activity amount of the upper limb a1 on the paralyzed side and a predetermined activity amount target value.
In addition, the CPU 100 operates according to the program, and when the activity amount is not expected to reach the activity amount target value in a predetermined time based on a time change of the integrated value of the activity amount measured by the activity amount measuring unit 151, It functions as a target value management unit 153 that instructs the display processing unit 152 to display the fact on the touch sensor display 103.
The display processing unit 152 further causes the touch sensor display 103 to display a movement pattern of the upper limb a1 on the paralyzed side. In addition, the activity amount measurement unit 151 measures the number of times of detection of a movement according to a predetermined movement pattern of the upper limb a1 on the paralyzed side.
In addition, the CPU 100 according to the present embodiment further includes an activity amount measurement unit 151 in which the non-paralysis side upper limb is detected based on a detection signal from the acceleration sensor 113 (second acceleration sensor) incorporated in the non-paralysis side mounting device 11. The activity amount of a2 is measured. Further, in the CPU 100 according to the present embodiment, the display processing unit 152 causes the touch sensor display 103 to display an image indicating the relationship between the activity amount of the paralyzed upper limb a1 and the activity amount of the non-paralyzed upper limb a2.
By operating according to the program, the CPU 100 functions as an alert processing unit 154 that performs an alert process when the ratio of the activity amount of the non-paralysis-side upper limb a2 to the activity amount of the paralysis-side upper limb a1 exceeds a predetermined value.

Next, the functional configuration of the non-paraplegic side mounting device 11 will be described.
The non-paraplegic-side mounting device 11 includes a CPU 110, a wireless communication module 111, a memory 112, an acceleration sensor 113, and a bus 114 connecting each unit.
The CPU 110 configures each function block of the detection value acquisition unit 161 and the detection value transmission unit 162 by operating according to a program prepared in advance. Each function of these CPUs 110 will be described later.
The wireless communication module 111 is a communication interface that performs wireless communication with the paralysis-side wearing device 10.
The memory 112 is a so-called main storage device and serves as a work area for the CPU 110.
The acceleration sensor 113 is a three-axis acceleration sensor and can detect a spatial movement of the upper extremity a2 on the non-paralyzed side.

Specific functions of the CPU 110 will be described in detail.
The CPU 110 according to the present embodiment acquires a detection signal from the acceleration sensor 113 by operating according to a program, and functions as a detection value acquisition unit 161 that stores the detection signal in the memory 112.
The CPU 110 operates in accordance with the program, and transmits the detection signal stored in the memory 112 from the wireless communication module 111 to the paralyzed-side mounting device 10 at a predetermined cycle or in response to a request from the paralyzed-side mounting device 10. It functions as the detection value transmission unit 162 to be performed.

  The configuration shown in FIGS. 1 and 2 is an example. For example, the rehabilitation support device 1 according to the first embodiment does not include the non-paraplegic-side mounting device 11 and includes only the paralyzed-side mounting device 10. May be. In addition, the paralysis-side mounting device 10 may include a gyro sensor, a geomagnetic sensor, and the like, in addition to the acceleration sensor 104. Moreover, the paralysis-side mounting device 10 may have a plurality of three-axis or one-axis acceleration sensors. In addition, the paraplegic-side mounting device 10 may have an operation switch or the like in addition to (or instead of) the touch sensor, or the non-paraplegic-side mounting device 11 may have a display device such as a touch sensor display or an input device. It may be.

  Next, an operation example of the rehabilitation support device 1 described with reference to FIGS. 1 and 2 will be described with reference to FIGS. 3 to 6. FIG. 3 is a flowchart illustrating an example of a process in which the CPU 100 or the CPU 110 illustrated in FIG. 2 acquires a detection signal output from the acceleration sensor 104 or the acceleration sensor 113. The process shown in FIG. 3 is repeatedly performed, for example, about several tens of times per second, and is continuously performed. FIG. 4 is a flowchart illustrating an example of a process when the rehabilitation support device 1 includes only the paralysis-side mounting device 10. FIG. 5 is a flowchart illustrating an example of processing when the rehabilitation support device 1 includes the paralysis-side mounting device 10 and the non-paralysis-side mounting device 11. The processing shown in FIGS. 4 and 5 is repeatedly executed, for example, every few seconds. FIG. 6 schematically shows an example of an image displayed on the touch sensor display 103 in the processing of FIG. 4 or FIG.

  In the paralysis-side wearing device 10, when the process shown in FIG. 3 is started, the activity amount measuring unit 151 acquires a detection signal of the acceleration sensor 104 (step S1) and converts the acquired detection signal to information representing time. Then, it is stored in a predetermined storage area of the memory 102 (step S2). Further, in the non-paralysis-side wearing device 11, when the processing shown in FIG. 3 is started, the detection value acquisition unit 161 acquires a detection signal of the acceleration sensor 113 (Step S1), and represents the acquired detection signal with time. The information is stored in a predetermined storage area of the memory 112 in association with the information (step S2). In step S2, for example, the latest detection signal for a predetermined time (for example, about several tens of seconds longer than the execution cycle of the processing shown in FIGS. 4 and 5) is stored in the memory 102 or the memory 112, and the predetermined time is set. The exceeded detection signal is overwritten with a detection signal acquired later.

Next, an operation example in the case where the rehabilitation support device 1 includes only the paralysis-side mounting device 10 will be described with reference to FIGS. 4 and 6. When the process illustrated in FIG. 4 is started, the activity amount measurement unit 151 calculates the activity amount based on the detection signals for a predetermined time stored in the memory 102, and extracts the movement of a predetermined pattern, The calculated result and the extracted result are stored in the memory 102 or the storage 105 in association with the information indicating the time (step S10).
In the present embodiment, the activity amount is a value quantitatively representing the amount of movement of the upper limb a1 on the paralyzed side or the upper limb a2 on the non-paralyzed side. The amount of activity can be, for example, a numerical value that changes according to the magnitude of the acceleration or the length of time when acceleration having a magnitude equal to or greater than a predetermined value is continuously detected for a predetermined time or more. Alternatively, the activity amount may be set to a numerical value that increases by “1” each time an acceleration having a magnitude equal to or more than a predetermined value is continuously detected for a predetermined time or more. The activity amount measuring unit 151 calculates the activity amount by comparing, for example, a detection signal for a predetermined time with one or a plurality of threshold values of acceleration and time in each of the three axial directions stored in the storage 105 in advance. .
The movement of the predetermined pattern is a movement of the upper limb a1 on the paralyzed side in a predetermined form, for example, a movement of the upper limb a1 on the paralyzed side which is required to be performed a plurality of times a day as rehabilitation. The activity amount measurement unit 151 collates, for example, a detection signal for a predetermined period of time with an acceleration pattern corresponding to a plurality of types of motion patterns stored in the storage 105 in advance, and detects a type of a suitable motion pattern. The number of times is stored in the storage 105 as an extraction result. The acceleration pattern corresponding to a plurality of types of motion patterns stored in the storage 105 in advance may be, for example, an average acceleration pattern obtained experimentally or by simulation in advance, or the patient A himself / herself. May be a pattern of acceleration measured when a predetermined pattern is moved.

Next, the display processing unit 152 causes the touch sensor display 103 to display the activity amount of the paralyzed upper limb a1 and the activity amount target value, and an image indicating the amount of movement of the predetermined pattern (step S11).
FIG. 6A illustrates an example in which the display processing unit 152 causes the touch sensor display 103 to display an image 103a representing the activity amount and the activity amount target value. The image 103a illustrated in FIG. 6A includes a graph 171 that indicates a time change of the activity amount with the horizontal axis representing time and the vertical axis representing activity amount. The graph 171 includes an image (a broken line 172 in this example) representing a target value of the activity amount. The target value of the activity amount is a target value of the activity amount of the paralyzed upper limb a1 at predetermined time intervals (for example, daily, weekly, etc.) set for the patient A, and is stored in the storage 105 in advance. In the example of FIG. 6A, the target value of the activity amount is indicated by a broken line 172 so as to be able to be compared with the time change of the activity amount at every predetermined time (in this example, every section of the time axis (for example, 1 minute to several minutes). Every minute, every hour to several hours, every day to every few days, etc.)) are displayed as images.
FIG. 6B illustrates an example in which the display processing unit 152 causes the touch sensor display 103 to display an image 103b indicating the amount of movement of a predetermined pattern. The image 103b illustrated in FIG. 6B includes an image 173 indicating the movement of a predetermined pattern (in this example, the operation A), and an image 174 indicating the number of times the operation A is detected and the target value. The image 174 shows the number of detections and the target value of the operation A within a predetermined time (for example, one day, one week, etc.) with the vertical axis as the activity amount.
The display processing unit 152 switches between the image 103a and the image 103b and causes the touch sensor display 103 to display the image 103a and the image 103b according to a predetermined input operation on the touch sensor display 103, for example.

Next, the target value management unit 153 compares the expected value of the activity amount with the activity amount target value (step S12), and when there is a high possibility that the activity amount does not reach the activity amount target value (YES in step S13). ), A predetermined instruction is issued to the display processing unit 152 to cause the touch sensor display 103 to display an activity amount, an activity amount target value, and an alarm indicating that the possibility that the activity amount does not reach the activity amount target value is large. (Step S14).
FIG. 6C shows that in step S14, the target value management unit 153 generates an image 103c indicating an activity amount, an activity amount target value, and a warning that the possibility that the activity amount does not reach the activity amount target value is high. An example in which a predetermined instruction is issued to the display processing unit 152 and displayed on the touch sensor display 103 will be described. The image 103c shown in FIG. 6C includes a graph 175 showing the time change of the integrated value of the activity amount, with the horizontal axis representing time and the vertical axis representing the integrated value of the activity amount. The graph 175 includes the actual value (the value obtained by integrating the measured values) 176 of the integrated value of the activity amount from the start time of the target period (for example, one day, one week, etc.) of the target value of the activity amount to the present, and the target period. A target value 177 at the last time of the middle and target periods and a predicted value 178 of the last time during the target period and the target period are shown. The target value management unit 153 calculates an approximate straight line or an approximate curve of the time change of the actual value 176, and calculates the predicted value 178 using the calculated approximate straight line or the approximate curve.
The image 103c illustrated in FIG. 6C is a character string indicating “it is likely to not reach the target” as an image indicating a warning that the possibility that the amount of activity does not reach the target amount of activity is high. Image 179. In step S13, when the predicted value 178 at the final time exceeds the predetermined threshold value and falls below the target value 177 at the final time, the target value management unit 153 has a high possibility that the activity amount does not reach the activity amount target value. Is determined to be.
The display processing unit 152 may switch from the image 103a or the image 103b to display the image 103c on the touch sensor display 103 according to a predetermined input operation on the touch sensor display 103, or may display the image 103a or the image The display 103b and the image 103c may be switched at predetermined time intervals and displayed on the touch sensor display 103.
On the other hand, when the possibility that the activity amount does not reach the activity amount target value is not high (NO in step S13), the target value management unit 153 issues a predetermined instruction to the display processing unit 152 to output the touch sensor display 103. To display the activity amount and the activity amount target value (step S15).
In step S15, the target value management unit 153 issues a predetermined instruction to the display processing unit 152 to cause the touch sensor display 103 to display, for example, an image obtained by removing the image 179 from the image 103c illustrated in FIG.

Next, with reference to FIGS. 5 and 6, an operation example in the case where the rehabilitation support device 1 includes the paralysis-side mounting device 10 and the non-paralysis-side mounting device 11 will be described. Note that the description of the same processing as that described with reference to FIG. 4 will be appropriately omitted.
When the process illustrated in FIG. 5 is started, the activity amount measurement unit 151 transmits the detection signal of the acceleration sensor 113 that has not been received by the activity amount measurement unit 151 transmitted by the detection value transmission unit 162 to the wireless communication modules 111 and 101. And stores it in the memory 102 (step S20).
Next, in the same manner as in step S10 of FIG. 4, the activity amount measuring unit 151 determines the activity amount of the paralyzed upper limb a1 and the activity of the non-paralyzed upper limb a2 based on the detection signal for a predetermined time stored in the memory 102. Along with calculating the amount of activity, a predetermined pattern of motion is extracted for the upper limb a1 on the paralyzed side, and the calculated result and the extracted result are stored in the memory 102 or the storage 105 in association with information representing time (step S21).

  Next, in the same manner as in step S11 of FIG. 4, the display processing unit 152 causes the touch sensor display 103 to display an image indicating the activity amount and the activity amount target value of the paralyzed upper limb a1 and the amount of movement in a predetermined pattern. (Step S22).

  Next, similarly to steps S12 to S15 in FIG. 4, the target value management unit 153 compares the expected value of the activity amount with the activity amount target value (step S23), and the activity amount does not reach the activity amount target value. If the possibility is high (YES in step S24), a predetermined instruction is issued to the display processing unit 152, and the activity amount, the activity amount target value, and the activity amount do not reach the activity amount target value on the touch sensor display 103. An alarm indicating that the possibility is high is displayed (step S25). On the other hand, when the possibility that the activity amount does not reach the activity amount target value is not high (NO in step S24), the target value management unit 153 issues a predetermined instruction to the display processing unit 152 to output the touch sensor display 103. To display the activity amount and the activity amount target value (step S26).

Next, the alert processing unit 154 determines whether or not the ratio of the activity amount of the non-paralyzed upper limb a2 to the activity amount of the paralyzed upper limb a1 exceeds a predetermined value. When the ratio of the activity amount of the upper limb a2 exceeds a predetermined value (YES in step S27), a predetermined instruction is issued to the display processing unit 152, and the activity amount of the paralyzed upper limb a1 and the non-paralysis are displayed on the touch sensor display 103. An image indicating the relationship between the activity amount of the upper limb a2 and the activity amount of the non-paralytic upper limb a2 with respect to the activity amount of the upper limb a1 is displayed as an alert process. (Step S28).
6D, in step S28, the alert processing unit 154 issues a predetermined instruction to the display processing unit 152 and displays on the touch sensor display 103 the activity amount of the upper limb a1 on the paralyzed side and the activity amount of the upper limb a2 on the non-paralyzed side. This shows an example in which an image 103d showing an alarm indicating that the ratio of the activity amount of the non-paralysis side upper limb a2 to the activity amount of the paralysis side upper limb a1 exceeds a predetermined value is displayed.
The image 103d shown in FIG. 6D shows the relationship between the activity of the paralyzed upper limb a1 and the activity of the non-paralyzed upper limb a2, for example, daily or weekly. The graph 180 includes a graph 180 showing a ratio of the activity amount of the paralyzed upper limb a1 and a ratio of the activity amount of the non-paralyzed upper limb a2 when the total value of the activity amounts of the side upper limbs a2 is “1”. The relationship between the activity amount of the upper limb a1 on the paralyzed side and the activity amount of the upper limb a2 on the non-paralyzed side is displayed, for example, by displaying each numerical value representing each activity amount, and showing the ratio of the time change of each activity amount over time. May be displayed.
The image 103d shown in FIG. 6D is an image indicating a warning indicating that the ratio of the activity amount of the non-paralysis side upper limb a2 to the activity amount of the paralysis side upper limb a1 exceeds a predetermined value. Image 181 representing a character string “not available”.
On the other hand, when the ratio of the activity amount of the non-paralysis side upper limb a2 to the activity amount of the paralysis side upper limb a1 does not exceed the predetermined value (NO in step S27), the alert processing unit 154 sends the predetermined amount to the display processing unit 152. By issuing an instruction, the touch sensor display 103 displays an image indicating the relationship between the activity of the upper limb a1 on the paralyzed side and the activity of the upper limb a2 on the non-paralyzed side (step S29).

As described above, the rehabilitation support device 1 of the present embodiment has at least the paralysis-side mounting device 10 mounted on the paralyzed upper limb a1. The paralysis-side wearing device 10 includes an acceleration sensor 104, a touch sensor display 103, an activity amount measuring unit 151 that measures the activity amount of the paralyzed upper limb a1 based on a detection signal from the acceleration sensor 104, and a paralyzed upper limb a1. A display processing unit 152 that causes the touch sensor display 103 to display an image 103a indicating an activity amount and an activity amount target value is provided.
With this configuration, the patient A using the rehabilitation support device 1 can use the paralyzed side mounting device 10 mounted on the paralyzed side upper limb a1 to increase the activity amount of the paralyzed upper limb a1 in daily life and the paralyzed side upper limb a1. Information such as whether or not the activity amount of the upper limb a1 has reached its target value (activity amount target value; for example, a target value of daily activity amount) can be easily grasped. Thereby, the use of the paralyzed upper limb a1 in daily life can be made conscious, and the frequency of use can be ensured.

  Further, according to the rehabilitation support device 1 of the present embodiment, for example, the activity amount (usage amount) of the upper limb can be measured in real time. In addition, according to the rehabilitation support device 1 of the present embodiment, for example, a target value for a day is set, and the relationship between the activity amount and the target value is displayed, so that the user can determine the necessary remaining activity amount. It can be easily grasped. Further, according to the rehabilitation support device 1 of the present embodiment, since the upper limb activity amount can be graphically displayed in a time series and visualized, the user can easily and quantitatively grasp the actual value of the activity amount. . Further, according to the rehabilitation support device 1 of the present embodiment, for example, when there is a possibility that the activity amount does not reach the daily activity amount target value, it is possible to feed back to the user with the alarm function. In addition, according to the rehabilitation support device 1 of the present embodiment, since not only the amount of activity of the upper limb but also the manner of movement can be measured, rehabilitation support can be performed on both the qualitative side and the activity side of upper limb movement. In addition, according to the rehabilitation support device 1 of the present embodiment, the activity of the upper limb a1 on the paralyzed side and the activity of the upper limb a2 on the non-paralyzed side can be compared, so that learning disuse can be easily prevented. That is, according to the rehabilitation support device 1 of the present embodiment, it is possible to secure both the qualitative aspect and the activity side (upper limb usage) of upper limb movement for functional training of the upper limb on the paralyzed side. it can. Further, the activity amount of the upper limb can be visualized and easily compared with the target value. Therefore, according to the rehabilitation support device 1 of the present embodiment, for example, the patient can be conscious of using the upper limb in the home, and an effect equivalent to rehabilitation in a rehabilitation facility or the like can be expected.

  Examples of indications for the rehabilitation support device 1 of the present embodiment include, for example, hemiplegic stroke patients, hemiplegic patients with central upper limbs such as spinal cord injury and cervical spondylotic myelopathy, and neuromuscular diseases such as Guillain-Barre syndrome and Parkinson's disease. Patients with illness, upper limb fractures, post limb surgery, motor organ diseases such as shoulder joint diseases, and the like.

  As described above, the embodiments of the present invention have been described with reference to the drawings. However, the specific configuration is not limited to the above-described embodiments, and includes a design and the like without departing from the gist of the present invention. For example, the alert (alert process) by the alert processing unit 154 or the like may be a voice alert or a vibration alert instead of (or in addition to) displaying an image such as a character string on the touch sensor display 103. In addition, the rehabilitation support device 1 of the present embodiment may be used by being worn on a patient having both upper limbs having the same or different degrees of paralysis. In this case, the movement of the upper limb a2 (non-paralyzed side) in a predetermined pattern can be detected by the non-paralyzed side mounting device 11, and the activity amount and the activity amount target value for the (non-paralyzed side) upper limb a2 by the paralyzed side mounting device 10. Alternatively, the number of times of detection of a predetermined motion may be displayed. A part or all of the programs executed by the CPU 100 and the CPU 110 can be distributed via a computer-readable recording medium or a communication line.

DESCRIPTION OF SYMBOLS 1 Rehabilitation support apparatus 10 Paralysis side mounting apparatus 11 Non-paralysis side mounting apparatus 100, 110 CPU
104, 113 acceleration sensor 151 activity amount measurement unit 152 display processing unit 153 target value management unit 154 alert processing unit

Claims (6)

Having a paralysis-side mounting device that is mounted on the paralyzed upper limb,
The paralysis-side mounting device,
A first acceleration sensor;
A display unit,
An activity amount measurement unit that measures the activity amount of the upper limb on the paralyzed side based on a detection signal from the first acceleration sensor;
An activity amount of the paralyzed upper limb, a display processing unit that displays an image indicating an activity amount target value on the display unit,
Rehabilitation support device provided with. When it is expected that the activity amount does not reach the activity amount target value in a predetermined time based on a time change of the integrated value of the activity amount measured by the activity amount measurement unit, the fact is displayed on the display unit. The rehabilitation support device according to claim 1, further comprising a target value management unit that issues an instruction to the display processing unit. The display processing unit further causes the display unit to display a pattern of upper limb movement,
The rehabilitation support device according to claim 1, wherein the activity amount measurement unit measures the number of times of detection of a motion according to the motion pattern. Further comprising a non-paralysis side mounting device to be mounted on the non-paralysis side upper limb,
The non-paraplegic-side mounting device includes a second acceleration sensor,
The activity amount measurement unit further measures the activity amount of the non-paralyzed upper limb based on the detection signal from the second acceleration sensor,
4. The display processing unit according to claim 1, wherein the display processing unit causes the display unit to display an image indicating a relationship between the activity amount of the paralyzed upper limb and the activity amount of the non-paralyzed upper limb. 5. Rehabilitation support device. The rehabilitation support device according to claim 4, further comprising: an alert processing unit that performs an alert process when a ratio of the activity amount of the non-paralysis side upper limb to the activity amount of the paralyzed upper limb exceeds a predetermined value. The computer of the paralysis-side mounting device that includes the first acceleration sensor and the display unit and is mounted on the paralyzed upper limb,
Measuring the activity amount of the upper limb on the paralyzed side based on the detection signal from the first acceleration sensor;
Displaying the activity amount of the paralyzed side upper limb and an image indicating the activity amount target value on the display unit;
A program that executes

Images