JP6289165B2 - Rehabilitation support device - Google Patents

Description

  Embodiments of the present invention relate to a rehabilitation support apparatus that can share information quantified for each medical facility related to rehabilitation and perform regional cooperation in rehabilitation.

In general, in rehabilitation (hereinafter sometimes referred to as “rehabilitation”), a physical therapist or the like performs exercise training / walking training, joint range of motion training, muscle strengthening training, etc. as exercise therapy. Moreover, as a rehabilitation support function, there is a function for managing a rehabilitation chart, and a rehabilitation execution record or the like can be input. By the way, although the number of people who need rehabilitation tends to increase, the number of people who support rehabilitation is greatly insufficient. In addition, the rehabilitation regional cooperation path has started to spread mainly for strokes.

From the aspect of rehabilitation medicine, it is important to carry out regional cooperation smoothly and efficiently, and outcome evaluation in the cooperation path is important. As the outcome evaluation, there is an evaluation of daily living activities (ADL). As a method for evaluating ADL (Activities of Daily Living), a Barthel Index (BI) and a Functional Independence Measure (FIM) are generally used.

At present, evaluation indexes for rehabilitation are written in the state of paper media, but it is difficult to grasp the actual state of rehabilitation. In addition, evaluation indices such as BI and FIM may be different in each medical facility in the recovery period and maintenance period. For this reason, even though professional interventions can improve the function, the potential evaluations remain overlooked due to differences in evaluation indices such as BI and FIM, and when problems arise, There was a problem that it was difficult to detect early.

Japanese Patent Laid-Open No. 9-56697

  The problem to be solved by the invention is to provide a rehabilitation support device that efficiently communicates information about each facility to each medical facility related to rehabilitation and efficiently shares the regional cooperation of rehabilitation. It is in.

The rehabilitation support apparatus according to the embodiment detects motion of the trainee in the rehabilitation space in the own facility and, if there is a moving body that moves with the trainee, the motion of the moving body over time to obtain motion information. an information acquisition unit, the based on the acquired motion information from the motion information obtaining unit, a calculation unit for calculating an evaluation index of rehabilitation of the trainee, the motion information motion information obtained by the obtaining unit and the calculating unit The evaluation index calculated in (2) is transmitted from a database shared by a plurality of facilities to be registered, and the motion information and evaluation indexes in the other facilities of the trainee previously registered in the database are received from the database. a receiver which, formats metrics received by the reception unit, the shape of the evaluation index calculated by the calculator And if different, the trainee motion information included in the received motion information, and on the basis of information indicating the presence or absence of the movable body, the evaluation index thus received, in the form of metrics that the calculated A rehabilitation plan creation for creating a rehabilitation plan based on the comparison result, including a rehabilitation index conversion unit for conversion, an evaluation index converted by the rehabilitation index conversion unit, and a comparison unit for comparing the evaluation index calculated by the calculation unit A section.

The block diagram which shows the medical assistance system containing the rehabilitation assistance apparatus which concerns on one Embodiment. Explanatory drawing which shows the criterion of evaluation index BI in one Embodiment. Explanatory drawing which shows the evaluation item and evaluation item of evaluation index FIM in one Embodiment in detail. Explanatory drawing which shows the scoring standard of FIM in one Embodiment. Explanatory drawing which shows the skeleton information of the gait trainer in one Embodiment. The figure which extracts and shows a part of BI evaluation criteria and FIM evaluation items in one embodiment. Explanatory drawing which shows an example of the area cooperation sheet in one Embodiment. Explanatory drawing which shows an example of the area cooperation pass sheet in one Embodiment. Explanatory drawing which shows the other example of the area cooperation pass sheet in one Embodiment. The flowchart which shows the operation | movement of the rehabilitation assistance in one Embodiment. The flow image which shows an example of the exchange of the information between the data center in one Embodiment, an acute period hospital, and a convalescent hospital. The block diagram which shows the whole structure of the rehabilitation system in one Embodiment. The whole block diagram which shows arrangement | positioning of hardware, software, and data exchange which assumed the rehabilitation department system in one Embodiment.

  Embodiments for carrying out the invention will be described below with reference to the drawings. In addition, in each figure, the same code | symbol is attached | subjected about the same location.

(First embodiment)
FIG. 1 is a block diagram illustrating a medical support system including a rehabilitation support apparatus according to an embodiment. The medical support system in FIG. 1 includes a medical center 10 and a medical facility 20. The medical center 10 includes a rehabilitation model information database 11 (DB11), a rehabilitation index information database 12 (DB12), an index information receiving unit 13, and a motion information receiving unit 14.

The rehabilitation model information DB 11 stores motion information, which will be described later, and the rehabilitation index information DB 12 stores information on BI (Barthel Index) and FIM (Functional Independence Measure) of ADL (Activities of Daily Living) which are evaluation indexes of rehabilitation. To do. The rehabilitation model information DB 11 and the rehabilitation index information DB 12 are databases shared by a plurality of medical facilities.

The rehabilitation evaluation index BI is one of the methods for evaluating daily life movement (ADL), and is evaluated by several levels of independence such as independence and partial assistance, and the score is set according to the degree of independence. The rehabilitation evaluation index FIM (functional independence evaluation table) can evaluate the degree of care burden and is used in the field of rehabilitation.

  The medical facility 20 is an acute hospital, a convalescent hospital, a maintenance hospital, a home / workplace, or the like. The medical facility 20 includes a motion information receiving unit 21, an index information receiving unit 22, a rehabilitation index converting unit 23, and a display unit 24. Further, it includes a motion information acquisition unit 25, a quantitative information calculation unit 26, a rehabilitation index calculation unit 27, a rehabilitation plan creation unit 28, an index information transmission unit 29, and a motion information transmission unit 30.

  The motion information receiving unit 21 receives motion information at the front facility of the trainee from the rehabilitation model information DB 11 of the data center 10, and the index information receiving unit 22 receives the evaluation at the front facility of the trainee from the rehabilitation index information DB 12. Information of an index (ADL BI, FIM, etc.) is received.

  The rehabilitation index conversion unit 23 converts the evaluation index used in the previous facility into the same format when the format of the evaluation index of the own facility is different. For example, when the format of the evaluation index used in the previous facility is BI and the format of the evaluation index of the own facility is FIM, the conversion is performed from BI to FIM. When the evaluation index used in the previous facility is FIM and the evaluation index of the own facility is BI, the FIM is converted to BI. The display unit 24 displays an evaluation index (described later), a rehabilitation plan, and the like.

  The facility for rehabilitation will change from an acute hospital to a convalescent hospital, from a convalescent hospital to a maintenance hospital, and eventually move to a home or workplace as the training progresses. In the following description, “own facility” means a facility that is currently conducting rehabilitation training, and “previous facility” means a facility before moving to the current training facility.

  The motion information acquisition unit 25 detects the motion of a person or the like in a space where rehabilitation is performed, and acquires motion information of a trainee who receives rehabilitation such as a disabled person. The quantitative information calculation unit 26 calculates a walking distance by obtaining a moving distance by walking based on, for example, the skeleton information of the trainee.

  The rehabilitation index calculation unit 27 calculates, for example, an FIM evaluation index based on the skeleton information of the trainee. The rehabilitation plan creation unit 28 includes a comparison unit 281, and the comparison unit 281 compares the evaluation index of the own facility calculated by the rehabilitation index calculation unit 27 with the evaluation index of the previous facility converted by the rehabilitation index conversion unit 23. A rehabilitation plan is created based on the result and displayed on the display unit 24.

  The index information transmitting unit 29 transmits the information on the evaluation index of the own facility calculated by the rehabilitation index calculating unit 27 to the index information receiving unit 13 of the data center 10. The motion information transmission unit 30 transmits the trainer's motion information acquired by the motion information acquisition unit 25 to the motion information reception unit 14 of the data center 10. Information on the evaluation index received by the index information receiving unit 13 is stored in the rehabilitation index information DB 12, and the motion information received by the motion information receiving unit 14 is stored in the rehabilitation model information DB 11.

  Next, the operation of the medical information system of FIG. 1 will be described, but before that, “BI and its determination criteria” and “FIM evaluation item list and details” will be described with reference to FIGS. .

  In FIG. 2, BI evaluates 10 items of meal, transfer, adjustment, toilet operation ... urination control with multiple levels of independence (independence, partial assistance, complete assistance, etc.), depending on the degree of independence The number of points (15 to 0 points) is set. If the total score is 100 points, it is completely self-supporting. If the total score is 60 points or less, assistance is required in the moving operation. If the total score is 40 points or less, assistance is provided for almost all items. I guess that is necessary.

  In FIG. 3, FIM divides six items of self-care, excretion control, transfer, movement, communication, and social recognition into 18 items of meal, conditioning, wiping, ... memory, and each item is completely independent (7 Points) to complete assistance (1 point).

  FIG. 4 is a diagram showing the FIM scoring criteria, and scores from complete independence (7 points) to complete assistance (1 point) depending on the degree of independence and the necessity of an assistant.

  Hereinafter, the operation of the medical information system of FIG. 1 will be described. First, operations of the motion information acquisition unit 25, the quantitative information calculation unit 26, and the rehabilitation index calculation unit 27 in the medical facility 20 will be described.

  The motion information acquisition unit 25 detects the motion of a person or the like in a space where rehabilitation is performed, and acquires the motion information of the trainee. The motion information acquisition unit 25 can use, for example, Kinect (registered trademark). Kinect (registered trademark) recognizes human movements and voices, includes RGB color cameras, depth sensors, microphones, etc., and measures the distance to the trainee by reflecting the trainee on the camera. Various movements of the trainee's skeleton can be detected.

  Fig.5 (a) shows a mode that the trainee is carrying out walking training. The motion information acquisition unit 25 can obtain the skeleton information shown in FIG. 5B by detecting the movement of a person or the like in a space where rehabilitation is performed. In FIG. 5 (b), a plurality of black circles (at) are defined from the head to both shoulders, waist, left and right elbows, left and right wrists, left and right buttocks, left and right knees, left and right ankles, left and right roots, etc. The joint part is shown.

  The motion information acquisition unit 25 acquires skeleton information based on the coordinate information of each joint forming the skeleton of the human body. In addition, the movement of the trainee, that is, motion information can be obtained by calculating the change in the position of each joint. The quantitative information calculation unit 26 calculates the movement amount (walking distance) of the trainee based on the skeleton information. In addition, the rehabilitation index calculating unit 27 calculates an evaluation index (for example, BI: Barthel Index) of daily living activities (ADL).

  FIG. 6A shows the (6. walking) scoring criteria extracted from the BI scoring criteria of FIG. The quantitative information calculation unit 26 calculates, for example, the movement distance of the abdomen of the skeleton information and calculates the walking distance. Here, if the trainee has been able to walk, for example, 45 m or more, the rehabilitation index calculation unit 27 assigns an evaluation index, for example, a BI score of 15. Further, when walking for 45 m or longer, a walking aid such as a walking stick or an assistant is recognized from the information of the motion information acquisition unit 25, a score of 10 is given.

  If the skeletal point of the abdomen is very small and the wrist skeletal point moves strongly, it is determined that the user is on a wheelchair and 5 is assigned. If there is no walking distance of 45m or more, the walking parameters such as walking speed, cadence, etc. are used to estimate / determine whether 45m walking is possible, and the rehabilitation index calculation unit 27 gives 5 points or 0 points To do.

  The rehabilitation index calculation unit 27 can also calculate a trainee's evaluation index FIM (Function Independence Measure) based on the skeleton information. FIG. 6B shows the (4. movement) evaluation items extracted from the FIM evaluation items shown in FIG. When calculating the “movement” index, the rehabilitation index calculating unit 27 recognizes the presence or absence of an assistant and the degree of independence as in the BI evaluation (see FIG. 4).

  When it is determined that there is no assistant, the presence / absence of use of a walking aid is recognized, and if it is determined that there is no walking aid, a score of 7 for FIM is given. If it is determined that there is a walking aid, a score of 6 is given. Further, when it is determined that there is an assistant, the score is calculated and given from the time the assistant attends the trainee. For example, when the trainee's walking time is 10 minutes, based on the skeleton information of the assistant, for example, if the time when the skeleton point of the left hand overlaps the trainer's whole body skeleton is 5 minutes, it is recognized as moderate assistance. , 3 points are given.

  The value of an evaluation index such as BI or FIM calculated based on the skeletal information is reflected in an evaluation sheet used for rehabilitation performed in an acute hospital, a convalescent hospital, a maintenance hospital, or the like.

  FIG. 7 is an explanatory diagram illustrating a regional cooperation sheet that is an example of an evaluation sheet. The cooperation sheet is an evaluation sheet used in acute hospitals, convalescent hospitals, maintenance hospitals, etc. in order to perform training for returning from a disorder such as a stroke in accordance with the progress of rehabilitation. In each medical institution, both BI and FIM may be entered, or only one of BI or FIM may be entered. In addition, since another index (CMSA) is used in the hospital, there are cases where it is not filled in.

  The portion of the dotted line frame indicated by arrows A and B in the regional cooperation sheet in FIG. 7 is an entry field for BI and FIM, and an evaluation index is entered according to the progress of training (1 to 6 months). For example, a score of 15 to 0 is entered for BI, and a score of 7 to 1 is entered for FIM. Further, the regional cooperation sheet of FIG. 7 is displayed on the display unit 24.

  Further, the motion information (skeleton information, walking distance, etc.) acquired by the motion information acquisition unit 25 is transmitted from the motion information transmission unit 30 to the motion information reception unit 14 of the data center 10. Information on the evaluation index (BI, FIM) calculated by the rehabilitation index calculation unit 27 is transmitted from the rehabilitation index transmission unit 29 to the index information reception unit 13 of the data center 10.

  The motion information received by the motion information receiving unit 14 is stored in the rehabilitation model information DB 11, and the evaluation index information received by the index information receiving unit 13 is stored in the rehabilitation index information DB 12, and the stored motion information and evaluation index This information can be used as reference information (past data) in the next facility.

  The motion information and evaluation index information stored in the data center 10 are stored together with trainer attribute information, facility information, trainer diagnosis information, and the like. Each data stored in the DB 11 and DB 12 may be stored in a table format or a file format. When referring to the data of other facilities in the own facility, search from the data center 10 using the facility name, facility ID, trainer name, trainer ID, etc., and acquire information on rehabilitation evaluation indices and motion information be able to.

  Next, the operation when referring to the data of other facilities in the own facility will be described. When referring to data of another facility, the motion information receiving unit 21 receives the motion information of the corresponding trainer from the rehabilitation model information DB 11 of the data center 10. The index information receiving unit 22 receives information on the evaluation index of the corresponding trainer from the rehabilitation index information DB 12 of the data center 10.

  The motion information received by the motion information receiving unit 21 and the information of the evaluation index received by the index information receiving unit 22 are sent to the rehabilitation index conversion unit 23, and the format of the evaluation index at the own facility and the evaluation index at another facility If they are different, they are converted so that they have the same evaluation index.

  For example, if the own facility uses the FIM evaluation index and the previous facility uses the BI evaluation index, the BI evaluation index at the previous facility is converted to FIM to match the format of the evaluation index Let

  Hereinafter, the evaluation index conversion operation by the rehabilitation index conversion unit 23 will be described. For example, when the BI of “walking” is converted into an FIM index, the FIM value is narrowed down from the BI value. Referring to FIG. 2 (6. walking), FIG. 3 (4. movement), and FIG. 4, when the BI value is 15, no assistance is required, so the FIM is 6 or 7. If the BI value is 10 or 5, assistance is required, so the FIM is 2, 3, 4, or 5. When the value of BI is 0, all assistance is provided, so the FIM score is 1.

  After that, from the motion information (skeletal information, movement information, etc.) taken at the previous facility, it is determined whether the trainee's travel time, whether or not an auxiliary device is used, whether there is an assistant, and so on. If it is determined that there is a helper, the FIM score is further narrowed down and complemented based on the time the attendant is attending to the trainee. For example, from the data already narrowed down to 6 or 7, the BI evaluation index is matched with the FIM evaluation index by setting the score to 7 if the auxiliary device is not used and 6 if it is used. Move closer to.

  When the FIM score is 2, 3, 4 or 5, the FIM is calculated by determining how much time the assistant is attending to the trainee with respect to the total time. The longer the attendant is attending, the smaller the FIM score.

  On the other hand, when the FIM of “walking” is converted into a BI index, if the FIM score is 6 or 7, the BI value is 15. If FIM is 1, the value of BI is 0. When the FIM score is 2, 3, 4, or 5, the BI value is 5 or 10. After that, it is determined whether or not the wheelchair is used from the motion information. If it is used, the BI value is set to 5. If it is not used, the BI value is set to 10, and the FIM evaluation index is set as the BI evaluation index. Move closer to match.

  Therefore, by converting an evaluation index used by another facility into an evaluation index used by the own facility, it is possible to display an index frequently used by the own facility. In the above description, the conversion of the evaluation index for “walking” has been described as an example, but the conversion of the evaluation index can be similarly performed for other items.

  For example, when converting the “stairs up / down” BI to the FIM index, the FIM score is narrowed down from the BI value. Referring to FIG. 2 (7. Stair ascending / descending), FIG. 3 (4. Movement) and FIG. 4, when the BI value is 10, there is no need for assistance, so the FIM score is 6 or 7. If the BI value is 5, assistance is required, so the FIM score is 2, 3, 4, and 5. When the value of BI is 0, all assistance is provided, so the FIM score is 1.

  After that, from the motion information (skeletal information, movement information, etc.) taken at the previous facility, it was determined whether auxiliary equipment (handrails, walking sticks, etc.) was used and whether there was a helper, and it was determined that there was a helper. If this is the case, supplement by narrowing down further, such as when the assistant is attending the trainer. For example, from data that has already narrowed the FIM score to 6 or 7, the score is 7 when the auxiliary device is not used, and 6 when it is used.

  When the FIM score is 2, 3, 4 or 5, the FIM is calculated by determining how much time the attendant is attending to the trainer with respect to the total time. The longer the attendant is attending, the smaller the FIM score.

  Further, when converting the FIM of “step up / down” to the BI index, when the FIM score is 6 or 7, the value of BI is set to 10. When the FIM score is 1, the value of BI is 0. When the FIM score is 2, 3, 4, or 5, the BI value is 5.

  Further, when converting the “transfer” BI to the FIM index, the FIM score is narrowed down from the BI value. Referring to Fig. 2 (2. Moving from wheelchair to bed), Fig. 3 (3. Transfer) and Fig. 4, if the wheelchair is transferred to the bed, if the BI value is 15, no assistance is required. , FIM score is 6 or 7. If the value of BI is 10, mild partial assistance is required, so the FIM score is 3, 4, and 5. If the BI value is 5, almost all assistance is required, so the FIM score is 2. When the value of BI is 0, all assistance is provided, so the FIM score is 1.

  Also, in the case of toilet transfer, referring to FIG. 2 (4. toilet operation), FIG. 3 (3. transfer) and FIG. 4, if the BI value is 10, no assistance is required, so the FIM score is 6 Or 7 If the BI value is 5, assistance is required, so the FIM score is 2, 3, 4, and 5. When the value of BI is 0, all assistance is provided, so the FIM score is 1.

  Furthermore, in the case of transfer of bathing, referring to FIG. 2 (5. bathing), FIG. 3 (3. transfer) and FIG. 4, if the value of BI is 5, no assistance is required, so the score of FIM is 6 Or 7 When the BI value is 0, all assistance is provided, so the FIM score is one of 1 to 5.

  After that, from the motion information (skeletal information, movement information, etc.) taken at the previous facility, it is judged whether or not auxiliary equipment is used and whether or not there is a helper. It will be further narrowed down by the time accompanying the person. For example, from the data already narrowed down to FIM score 6 or 7, the score is 7 when the auxiliary device is not used, and 6 when it is used.

  When the FIM score is 3, 4 or 5, the FIM is calculated by determining how much time the attendant is attending to the trainer with respect to the total time. The longer the attendant is attending, the smaller the FIM score.

  Also, when converting the “transfer” FIM to a BI index, if the FIM score is 6 or 7, the value of BI is set to 15 if the transfer is from a wheelchair to a bed. The value of BI is set to 10 for toilet transfers, and the value of BI is set to 5 for bathing. When the FIM score is 1, the BI value is set to 0. Furthermore, when the FIM score is 2, 3, 4 or 5, if the wheelchair is transferred to the bed, the BI value is 10 or 5 (if the FIM score is 2, the BI value is 5, Otherwise, the value of BI is set to 10.) The value of BI is set to 5 for toilet transfer, and the value of BI is set to 0 for bathing.

  FIG. 8 is a diagram illustrating a display example on the display unit 24. FIG. 8 is a diagram illustrating an example of a regional cooperation pass sheet, and is a display example illustrating a rehabilitation course in the case of performing training for returning from a disorder such as a stroke. When formulating a future rehabilitation course according to the severity or mildness of the trainee's disability, the rehabilitation plan creation unit 28 uses the motion information and evaluation index of the previous facility as past data. At that time, the rehabilitation course can be correctly formulated by providing the evaluation index of the own facility calculated from the evaluation index of the previous facility. If you do not know the evaluation index of other facilities, you can not grasp what the current state is.

  For example, when the total of all FIM (18 items) calculated in a facility using FIM is 18-79 points, it is set as a severe disability rehabilitation course. When the total of all FIM is 80-109 points, it is set as a standard rehabilitation course, and when the total of all FIM is 110-126 points, it is set as a mild disability rehabilitation course.

  In addition, for example, as shown in the dotted frame indicated by arrows C, D, E, according to the score of BI or FIM, the rehabilitation course is modeled, for example, the use of wheelchairs, walking training tools, crutches, The presence or absence of a helper can be displayed, and the rehabilitation schedule can be displayed.

  FIG. 9 is a diagram showing another display example on the display unit 24. FIG. 9 is a diagram showing an example of a regional cooperation pass sheet. As shown in a dotted frame indicated by an arrow F in FIG. 8, an evaluation index (for example, “FIM” of FIM) changes depending on the progress of the rehabilitation course. The score of “walking” is displayed.

  The rehabilitation plan creation unit 28 compares the evaluation index converted by the rehabilitation index conversion unit 23 with the evaluation index calculated by the rehabilitation index calculation unit 27 to create a rehabilitation plan and displays it on the display unit 24. In addition to displaying the regional cooperation sheet of FIG. 7 and the regional cooperation pass sheets of FIGS. 8 and 9 on the display unit 24, the progress is slower than planned based on the comparison information of the progress information of the rehabilitation course and the evaluation index. When an alarm occurs, inform the caregiver. Further, the evaluation index and motion information stored in the center 10 can be statistically displayed and compared with the optimum progress of each period and the progress of the target trainer, and used for correcting the rehabilitation plan.

  FIG. 10 is a flowchart showing an operation of rehabilitation support in the medical facility 20 in FIG. In FIG. 10, in step S <b> 1, the motion information receiving unit 21 acquires motion information (skeleton information, movement distance information, etc.) from the rehabilitation model information DB 11 of the data center 10. In addition, the index information receiving unit 22 acquires an evaluation index at the front facility of the trainee from the rehabilitation index information DB 12 of the data center 10. In step S2, it is determined which evaluation index is used in the own facility.

  In step S3, the rehabilitation index conversion unit 23 converts the result evaluated with the evaluation index of the previous facility into the evaluation index of the own facility as necessary. Since each quantification index for rehabilitation has certain rules, a correspondence between the rules for each evaluation index (Figures 2 and 4) is created in advance, and the evaluation indices for other facilities are assigned based on the correspondence. Convert to the evaluation index.

  In step S4, the rehabilitation index conversion unit 23 further narrows down and complements the value of the converted range using the acquired motion information if the converted evaluation index of the own facility is within a certain range. , Convert to the value of the evaluation index of your own facility.

  In step S5, the converted evaluation index of the facility is displayed on the display unit 24. Further, the evaluation index calculated by the rehabilitation index calculating unit 27 based on the motion information acquired by the motion information acquiring unit 25 is displayed. The display unit 24 displays the rehabilitation plan created by the rehabilitation plan creation unit 28.

  In step S6, the index information transmitting unit 29 and the motion information transmitting unit 30 send the index information receiving unit 13 and the motion information receiving unit 14 of the data center 10 to the evaluation trainee's own evaluation index information and related motion. Send information. The data center 10 receives these pieces of information, stores the information in the rehabilitation index information DB 12 and the rehabilitation model information DB 11 and ends.

FIG. 11 is a flow image showing an example of information exchange between the medical center 10 and the acute hospital 201 and the convalescent hospital 202. In FIG. 11, the acute hospital 201 registers the motion information in the rehabilitation model information DB 11 of the data center 10 when acquiring the motion information of the trainee. Further, when the acute hospital 201 calculates an evaluation index (for example, BI) based on the motion information, the evaluation index (BI) is registered in the rehabilitation index information DB 12 of the data center 10.

On the other hand, the convalescent hospital 202, when the trainee finishes the training in the acute hospital 201 and performs training at the own facility, the corresponding trainer from the rehabilitation model information DB 11 and the rehabilitation index information DB 12 of the data center 10, respectively. Motion information and evaluation index (BI) information are received, and if the received evaluation index (BI) is different from the evaluation index (for example, FIM) used in its own facility, the received evaluation index (BI) is converted to FIM To do.

In the convalescent hospital 202, a rehabilitation plan is created based on the converted evaluation index (FIM), and the rehabilitation is performed according to the plan. And the motion information at the time of implementing rehabilitation is acquired, and motion information is registered into rehabilitation model information DB11 of the data center 10. FIG. Also, an evaluation index (FIM) used in the own facility is calculated based on the motion information, and is registered in the rehabilitation index information DB 12 of the data center 10.

In addition, when the trainee finishes the training at the convalescent hospital 202 and performs the training at the maintenance hospital or at home or at the workplace, the information is exchanged in the same manner, and it corresponds from the data center 10 in the new facility. Receives trainer motion information and evaluation index information. When the evaluation index received from the previous facility (convalescence hospital 202) is different from the evaluation index used in the new facility, the received evaluation index is converted. Then, motion information at the time of rehabilitation is acquired and registered in the data center 10, and an evaluation index is calculated at a new facility based on the motion information and registered in the data center 10.

In this way, motion information and evaluation indices at acute hospitals, convalescent hospitals, maintenance hospitals, homes and workplaces, etc. are registered in the common data center 10, and the rehabilitation plan that matches the progress of rehabilitation by using the registered information. Can stand up.

FIG. 12 is a block diagram showing the overall configuration of the rehabilitation system, and shows the cooperation among the data center 10, acute phase hospital 201, recovery phase hospital 202, maintenance phase hospital 203, home 204, and workplace 205.

In FIG. 12, a medical information cloud system 100 corresponds to the data center 10 and is configured on, for example, a public cloud or a private cloud, and functions as a rehabilitation support comprehensive service center 101, which includes an acute hospital 201 and a convalescent hospital 202. , And share numerical data regarding rehabilitation among the maintenance hospital 203, the home 204, and the workplace 205.

The acute hospital 201 has a medical information system 31 (for example, an electronic medical record, a rehabilitation department system) and a rehabilitation department 32. The medical information system 31 includes inter-facility cooperation functions (evaluation index conversion, etc.), walking training support functions, joint range of motion training support functions, other rehabilitation support functions, all rehabilitation common support functions, and external functions (Image cooperation, EMR cooperation, etc.).

The rehabilitation department 32 is composed of a medical information system terminal including a portable terminal, and includes a rehabilitation support service 46 and a sensor 51 on the terminal side. The sensor 51 acquires the trainer's motion information, and uses the aforementioned Kinect (registered trademark) or the like. Further, the convalescent hospital 202 and the maintenance hospital 203 have rehabilitation departments 34 and 36 having the same configuration as the rehabilitation department 32 of the acute hospital.

The home 204 also includes a home-side rehabilitation support service 44 configured in a digital home appliance 37 (for example, a TV, a PC, or a mobile terminal), and a simple medical device or a simple sensor 52. A simple medical device or a simple sensor acquires motion information of a trainee.

Further, the workplace 205 includes a workplace-side rehabilitation support service 45 configured as an in-house system or an OA device, and a simple medical device or a simple sensor 53. The simple medical device or the simple sensor 53 acquires the trainer's motion information. As the simple medical device or the simple sensors 52 and 53, Kinect (registered trademark) or a wearable sensor can be used.

In FIG. 12, the functions of the rehabilitation support service 41 (functions shown in the solid frame) are the rehabilitation hospital 202, the maintenance hospital 203, the home 204, the workplace 205, and the rehabilitation department service 32. Each of 42, 43, 44, 45, and 46 has the same function.

  By sharing and linking information between the medical information cloud system 100 and the acute hospital 201, convalescent hospital 202, maintenance hospital 203, home 204, and workplace 205, the status of home rehabilitation (independent training) is quantitatively evaluated. And can be imported into the rehabilitation chart as reference data. The rehabilitation period is about one year at most, and those who have experienced rehabilitation can increase their health orientation. In addition, it is possible to connect to the next service by connecting the rehabilitation support service of the home and each facility by home rehabilitation.

  In the workplace, by providing support services for returning to work, you can check the progress of rehabilitation while working, collaborate with an industrial physician, and make contact (reservation). It can also take measures against mental illnesses (depression, etc.) that are problematic in the workplace.

  FIG. 13 is an overall configuration diagram showing the arrangement of hardware and software and the exchange of data, assuming a rehabilitation department system. FIG. 13 includes a HIS 61 (Hospital Information System) and a rehabilitation department system 62. The HIS 61 includes an electronic medical record system server 63 and an electronic medical record system client 64. The rehabilitation department system 62 includes a rehabilitation department system server 65 corresponding to the data center 10 and rehabilitation department system clients 66 and 67 connected to the rehabilitation department system server 65.

  The rehabilitation department system server 65 is connected to a sensor device 68 that acquires motion information, a web application 69, and an application data storage area 70. The rehabilitation department system client 67 is connected to a sensor device 71 that acquires motion information, and a native application. 72 is connected. The sensor device 71 records motion information, and the web application 69 reproduces motion information.

  According to the embodiment described above, necessary quantified information is smoothly transmitted to each medical facility involved in rehabilitation, and information is shared, so that rehabilitation regional cooperation is efficiently and appropriately implemented. can do. Moreover, when the evaluation index used in the own facility and the other facility is different, the evaluation index in the other facility can be appropriately confirmed by converting the evaluation index into the same format. In addition, the evaluation index can be effectively used when a rehabilitation plan is created or when rehabilitation is performed.

  In addition, although several embodiment of this invention was described, these embodiment is shown as an example and is not intending limiting the range of invention. These embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the scope of the invention. These embodiments and modifications thereof are included in the invention described in the claims and equivalents thereof as well as included in the scope and gist of the invention.

DESCRIPTION OF SYMBOLS 10 ... Data center 11 ... Rehabilitation model information database 12 ... Rehabilitation index information database 13 ... Index information receiving part 14 ... Motion information receiving part 20 ... Medical facility 21 ... Motion information receiving part 22 ... Index information receiving part 23 ... Rehabilitation index conversion part 24 ... display unit 25 ... motion information acquisition unit 26 ... quantitative information calculation unit 27 ... rehabilitation index calculation unit 28 ... rehabilitation plan creation unit 29 ... index information transmission unit 30 ... motion information transmission unit

Claims (5)

A motion information acquisition unit that obtains motion information by detecting the movement of the trainee in the rehabilitation space in the facility and the motion of the trainee when the trainee moves with the trainee;
Based on the acquired motion information from the motion information acquisition unit, a calculation unit for calculating the evaluation index for the rehabilitation of the trainee,
A transmission unit that transmits and registers the motion information obtained by the motion information acquisition unit and the evaluation index calculated by the calculation unit to a shared database in a plurality of facilities;
A receiving unit that receives motion information and an evaluation index from another database of the trainee registered in the database in the past ;
When the format of the evaluation index received by the reception unit is different from the format of the evaluation index calculated by the calculation unit, information on the movement of the trainee included in the received motion information, and the presence or absence of the moving body A rehabilitation index conversion unit that converts the received evaluation index into the calculated evaluation index format based on the information shown ;
An evaluation index converted by the rehabilitation index conversion unit and a comparison unit that compares the evaluation index calculated by the calculation unit; and a rehabilitation plan creation unit that creates a rehabilitation plan based on the comparison result;
A rehabilitation support device comprising: The rehabilitation index conversion unit is configured to calculate the received evaluation index by the calculation unit based on information indicating the presence or absence of an attendant who accompanies the trainer as the moving body from the received motion information. The rehabilitation support apparatus according to claim 1, wherein the supplement is performed so as to approach the form of the above. The rehabilitation index conversion unit is configured to calculate the received evaluation index by the calculation unit based on information indicating the presence / absence of an auxiliary device used by the trainee as the moving body from the received motion information. The rehabilitation support apparatus according to claim 1, wherein the supplement is performed so as to approach the form of the above.   The rehabilitation support apparatus according to claim 1, further comprising a display unit that displays the rehabilitation plan created by the rehabilitation plan creation unit. In the database, when the trainee performs rehabilitation at different facilities according to the progress of rehabilitation, the motion information and the evaluation index are registered.
The rehabilitation support device according to claim 1, wherein the rehabilitation plan creation unit creates a rehabilitation plan by using the motion information and the evaluation index at the previous facility received from the database as past data.

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