JP6576218B2 - Occupational therapy support device - Google Patents

Description

  The present invention relates to an occupational therapy support device, and more particularly to an occupational therapy support device used for functional training of the upper limbs.

  Conventionally, for example, in rehabilitation of upper limb paralysis patients and the like caused by cerebral infarction, functional recovery training using pegboard, measurement of work ability, and the like are performed as occupational therapy.

  For example, Patent Literature 1 discloses a self-stereoscopic force test apparatus including a peg formed of wood, synthetic resin, or the like and a pegboard in which a plurality of holes are formed, and a self-stereoscopic force test method using the same. . In the method of this document, a person to be measured such as an elderly person performs a task of removing a peg inserted into a pegboard and inserting it into a designated hole of the pegboard for a plurality of pegs. Then, by measuring the time until completion of the work with a stopwatch, the work ability of the measured person's hand is evaluated.

  Such training and measurement using a pegboard are generally performed under the guidance of a leader such as an occupational therapist. That is, the occupational therapist or the like gives an instruction for training in accordance with the ability of the patient or the like. Then, the occupational therapist etc. evaluates the ability of the patient etc. by observing the movement of the patient etc. and measuring the working time.

  In addition, the pegs used for such occupational therapy have various shapes, sizes, colors, masses, and the like. Using these various pegs, qualitative evaluations such as eye-hand coordination and linkage, shape and color recognition, and understanding of instructions are performed.

JP 2010-57629 A

  However, in the training and measurement method using the pegboard as described above, there is a problem that the burden on the occupational therapist who performs the instruction of the training and the measurement evaluation is large, and manpower is required. Specifically, an occupational therapist or the like performs instructions to a patient to be measured, observation of motion, measurement of time, recording and evaluation of results, and the like. Therefore, it was difficult for one occupational therapist or the like to instruct a large number of patients. In addition, in the absence of an instructor such as an occupational therapist, patients etc. could not perform measurements alone.

  In addition, in the method in which an occupational therapist or the like manually measures and records time using a stopwatch, in addition to the heavy work burden for measurement and recording, a human measurement error may occur. .

  In observation and manual measurement by occupational therapists, etc., data can be acquired and recorded simultaneously and accurately for a plurality of independent measurement evaluation items, and these measurement results can be correlated and comprehensively evaluated. was difficult.

  The present invention has been made in view of the above circumstances, and its purpose is to increase the willingness of training for patients, etc., reduce the burden on occupational therapists, and to restore motor functions and functions of patients, etc. An object of the present invention is to provide an occupational therapy support device capable of quantitatively evaluating the degree and the like.

The occupational therapy support device of the present invention is an occupational therapy support device used for functional training of the upper limbs, and detects and records information detected by the detection means and detection means for detecting the movement of the patient's upper limbs. Control means; display means for displaying information analyzed by the control means ; and a moving body that has the detection means and is moved by being gripped by the patient. The moving body is made of a material that transmits light. is formed in the interior of the movable body, the light emitting body is characterized that you have provided for emitting a plurality of different colors based on the information from the control means.

  According to the occupational therapy support device of the present invention, it is provided with detection means for detecting movement of an upper limb of a patient or the like, and control means for analyzing and recording information detected by the detection means. This makes it possible to automatically detect the movement of the patient, etc., automatically analyze the information, and automatically record it as useful information for evaluating the motor function of the patient. And the work burden associated with recording can be greatly reduced.

  The occupational therapy support device can not only measure and record work time but also simultaneously acquire and analyze and record a large number of data such as the trajectory of upper limb movement detected by the detection means. . Thereby, it is possible to comprehensively and quantitatively evaluate the working ability of a patient or the like from various viewpoints using a large number of evaluation items.

  In addition, the occupational therapy support device includes display means for displaying information analyzed by the control means. Thereby, the occupational therapist etc. can utilize the evaluation result analyzed and recorded by the control means for appropriate training guidance. In addition, the patient or the like can also know the evaluation of work ability through the display means. Therefore, the patient's desire for improvement is stimulated, and the patient's willingness to train is enhanced.

  According to the present invention, the detection means may include a touch panel that is provided in the display unit of the display unit and detects contact with the display unit. Thereby, it is possible to measure and evaluate the working time of the patient or the like, the accuracy of the operation, the stability, and the like using the position information and the time information of the touch on the touch panel.

  Moreover, according to this invention, the moving body which is hold | gripped and moved by a patient etc. is provided, and the said moving body may have a motion sensor which detects the motion of the said moving body as the said detection means. Thereby, the movement locus | trajectory of a moving body can be detected and operation | movement of the patient etc. from a movement start point to an end point can be evaluated in detail.

  Moreover, according to this invention, the said mobile body may have a pressure sensor which detects grip force, such as a patient, as the said detection means. Thereby, the grip strength of a patient or the like can be measured and used for evaluation of work ability.

  Moreover, according to this invention, the said mobile body may have a vibrator which vibrates based on the information from the said control means. Thereby, a tactile sensation of the patient or the like can be stimulated, and work instructions, evaluation of work ability, attention, etc. can be notified to the patient or the like.

  According to the invention, the moving body may include a light emitting body that emits light based on information from the control means. Thus, work instructions, evaluation of work ability, attention, and the like can be transmitted to the patient or the like by visual effects.

  According to the present invention, the detection means may include a camera that detects movement of an upper limb such as a patient. As a result, movements of the fingertips of the patient and the like, wrists, elbows, shoulders and the like can be detected, and more information can be acquired. Therefore, the working ability of the patient or the like can be analyzed in more detail.

  According to the present invention, the display means may display a work instruction for a patient or the like. Thereby, the burden of work instructions for occupational therapists and the like can be reduced. In addition, patients can be trained independently without an occupational therapist.

  Moreover, the training method can be easily changed by changing the display content by the display means. Therefore, various training corresponding to a patient's ability can be performed. Moreover, training willingness of patients and the like can be improved by various display methods.

It is a block diagram which shows the outline of the occupational therapy assistance apparatus which concerns on embodiment of this invention. It is a control block diagram which shows the outline of the occupational therapy assistance apparatus which concerns on embodiment of this invention. It is a figure which shows the example of a display of the monitor of the occupational therapy assistance apparatus which concerns on embodiment of this invention. It is a figure which shows (A) the example of a display of the monitor of the occupational therapy assistance apparatus which concerns on embodiment of this invention, (B) the other example of a display. It is a block diagram which shows the outline of the occupational therapy assistance apparatus which concerns on other embodiment of this invention.

Hereinafter, an occupational therapy support device according to an embodiment of the present invention will be described in detail with reference to the drawings.
FIG. 1 is a configuration diagram showing an outline of an occupational therapy support device 1 according to an embodiment of the present invention, and simply shows a state in use in a side view.

  The occupational therapy support apparatus 1 is used, for example, for rehabilitation of patients with upper limb paralysis, etc., and is an apparatus used for occupational therapy for patients, measurement of motor function and function recovery degree, and the like. As shown in FIG. 1, the occupational therapy support device 1 includes a moving body 10 held by a patient or the like, a monitor 30 placed on a desk or the like, and a control device 20 that controls the moving body 10 and the monitor 30. Have.

The moving body 10 is moved by being gripped by a patient or the like, and includes a detection means to be described later, and is formed in a substantially cylindrical shape that is easily held by the patient or the like. In addition, the shape of the moving body 10 is not limited to a substantially cylindrical shape, and may be formed in various other shapes.
The monitor 30 includes display means and detection means, which will be described later. The monitor 30 displays the measurement results transmitted from the control device 20, instructions for performing training, and the like.
The control device 20 is a device that controls and monitors the occupational therapy support device 1 as a whole, and analyzes and records information detected by the mobile body 10 and the monitor 30.

  The patient or the like performs training and measurement according to instructions displayed on the monitor 30 installed in front of the patient or the like while holding the moving body 10. Specifically, the monitor 30 displays instructions, targets, and the like for performing operations. The patient or the like moves the grasped moving body 10 according to the instruction and touches the target displayed on the monitor 30, that is, touches the monitor 30. Thereby, training of a patient etc., measurement of motor function, etc. are performed. In addition, the occupational therapist or the like gives guidance to the patient or the like based on the evaluation result or the like displayed on the monitor 30.

  FIG. 2 is a control block diagram showing an outline of the occupational therapy support device 1. As illustrated in FIG. 2, the moving body 10 includes a motion sensor 11, a pressure sensor 12, a vibrator 13, a light emitter 14, a control unit 16, a communication unit 15, and a power supply unit 17.

  The motion sensor 11 is a detection unit that measures the acceleration, inclination, position coordinates, amount of movement, and the like of the moving body 10. For example, the motion sensor 11 includes a three-axis acceleration sensor, a three-axis angular velocity sensor, a three-axis geomagnetic sensor, and the like. It is. By providing the motion sensor 11, the trajectory of movement of the moving body 10 can be detected. That is, when the patient or the like grips and moves the moving body 10, the locus of movement of the upper limb of the patient or the like can be detected.

  Information detected by the motion sensor 11 is transmitted to the control device 20 via the control unit 16 and the communication unit 15 of the moving body 10. And the control apparatus 20 analyzes and records the information detected by the motion sensor 11, and evaluates work ability. In this way, the occupational therapy support device 1 can evaluate in detail the movement of the upper limb of the patient from the movement start point to the end point at the time of measurement by analyzing the trajectory detected by the moving body 10. .

  The pressure sensor 12 is detection means for detecting a grip force of a patient or the like. The pressure sensor 12 is, for example, a strain gauge type sensor or the like, and detects the gripping force when the patient or the like grips the moving body 10 by measuring the strain of the moving body 10. The pressure sensor 12 may be provided at a plurality of locations in the vicinity of the surface of the moving body 10, so that not only the gripping force but also the gripping force of the moving body 10 such as a patient, and any part of the hand are applied. Whether it is easy or not can be measured in detail. Note that the grip force of a patient or the like may be measured by providing the pressure sensor 12 on, for example, a glove or the like without providing the pressure sensor 12 on the moving body 10.

  Information detected by the pressure sensor 12 is transmitted to the control device 20 via the control unit 16 and the communication unit 15 of the moving body 10. And the control apparatus 20 analyzes and records the information detected by the pressure sensor 12, and evaluates work capability. In this way, the occupational therapy support device 1 can measure the grip strength of a patient or the like and use it for evaluation of work ability.

  Since the moving body 10 includes the motion sensor 11 and the pressure sensor 12, it is possible to simultaneously measure the trajectory of the movement of the patient and the grip force. Therefore, it is possible to evaluate the work ability of a patient or the like by associating the motion trajectory with the grip strength.

  The vibrator 13 is provided inside the moving body 10 and vibrates based on a signal from the control device 20 serving as control means. When the vibrator 13 vibrates, the entire moving body 10 vibrates, and a tactile sensation of a patient or the like holding the moving body 10 can be stimulated. Thereby, it is possible to notify a patient or the like of work instructions, evaluation of work ability, attention, and the like.

  The light emitter 14 is, for example, a light emitting diode (LED) or the like, and emits light based on a signal from the control device 20 serving as control means. As a result, work instructions, evaluation of work ability, attention, etc. can be transmitted to patients and the like by visual effects. Further, the moving body 10 may be formed of a material that transmits light, and the light emitting body 14 may be provided inside the moving body 10. Thereby, the whole mobile body 10 can be made to shine when the light-emitting body 14 light-emits.

  For example, the color of the moving body 10 can be changed by combining a plurality of LEDs having different colors and using the light emitter 14 that emits light in a plurality of colors. Accordingly, the occupational therapy support device 1 can transmit work instructions, evaluation of work ability, attention, and the like to a patient or the like using colors, and can perform training and measurement using colors. For example, the light emitter 14 may be provided in the vicinity of the tip inside the movable body 10 so that a part of the movable body 10 shines.

  The control unit 16 is an arithmetic device such as a microcomputer, for example, and is connected to the motion sensor 11, the pressure sensor 12, the vibrator 13, the light emitter 14, the communication unit 15, and the power supply unit 17. A predetermined calculation is executed to control and monitor each device.

  The communication unit 15 has, for example, a wireless communication function for communicating with the control device 20. The communication unit 15 transmits information detected by the motion sensor 11 and the pressure sensor 12 and receives operation information from the control device 20 to the vibrator 13 and the light emitter 14. Note that the communication unit 15 may have a wired communication function for performing communication by connecting the mobile body 10 and the control device 20 via a wire.

  The power supply unit 17 includes a battery and a charge / discharge control unit that controls charging / discharging of the battery, and supplies power to each device in the moving body 10.

  The monitor 30 includes a display unit 31 that displays various types of information, a touch panel 32 provided on the surface of the display unit 31, and a sound generator 33 that generates sound and the like. The display unit 31 is a display unit that displays information or the like analyzed by the control device 20 serving as a control unit, and is, for example, a liquid crystal display (LCD). The display unit 31 displays the result of the operation of the patient and the like, evaluation of work ability, instruction for training, and the like.

  An occupational therapist or the like can use the evaluation result analyzed by the control device 20 serving as a control means and displayed on the display unit 31 for training guidance or the like. In addition, the patient and the like can know the evaluation of work ability and the like via the display unit 31 serving as a display unit. Therefore, the patient's desire for improvement is stimulated, and the patient's willingness to train is enhanced.

  In addition, on the display unit 31, an instruction for training for a patient or the like can be displayed. For example, you may display the target etc. which show the starting point of an operation | movement, an end point, etc. on the display part 31. FIG. Thereby, the burden of work instructions for occupational therapists and the like can be reduced. In addition, the patient or the like can perform training according to the training instruction displayed on the display unit 31. Therefore, when there is no occupational therapist etc., a patient etc. can be trained independently.

  The touch panel 32 is a detection unit that detects contact with the display unit 31, and detects a position where a patient or the like touches the display unit 31 with the moving body 10. For example, as described above, the target to be the start point and the end point of the operation is displayed on the display unit 31, and the patient or the like is contacted with the target in the order of the start point and the end point. Thereby, using the positional information on the touch to the touch panel 32, it is possible to measure and evaluate the accuracy and stability of the operation of the patient and the like. Further, by measuring the time when the touch panel 32 is touched, the time required for the operation can be accurately measured and evaluated.

  The sound generator 33 is, for example, a speaker or a buzzer, and emits various sounds such as a voice and an alarm sound. Thereby, instruction of training, evaluation of operation, etc. can be shown to a patient, occupational therapist, etc. by sound.

  The control device 20 is a control unit that analyzes and stores information detected by the detection unit of the occupational therapy support device 1. The control device 20 includes a control unit 21 that analyzes and records various types of information, and a communication unit 22 that communicates with the mobile object 10. For example, an arithmetic device such as a personal computer may be used as the control device 20.

  The control unit 21 includes, for example, a central processing unit such as a CPU (Central Processing Unit), a storage memory, and the like, and executes predetermined calculations to analyze and record various information detected by the detection unit. Moreover, the control part 21 can perform the advanced calculation which evaluates the recovery | restoration degree etc. of a motor function, such as a patient, based on the analyzed information, the recorded information, etc. Moreover, the control part 21 can derive | lead-out the training method etc. suitable for the present patient etc. by calculation based on the recorded information etc.

  Then, the control unit 21 instantaneously transmits the various types of information analyzed as described above to the patient or the like via the vibrator 13 of the moving body 10, the light emitter 14, the display unit 31 of the monitor 30, and the sound generator 33. I can tell you. Thereby, since the occupational therapy assistance apparatus 1 can feed back the result of an operation | movement etc. to a patient etc. instantaneously, a patient etc. can perform training efficiently.

  The communication unit 22 has a wireless or wired communication function for communicating with the communication unit 15 of the mobile body 10 described above. The communication unit 22 receives information detected by the motion sensor 11 and the pressure sensor of the mobile body 10 and a vibrator. 13 and the transmitter 14 are transmitted.

  Note that the control device 20 and the monitor 30 are connected with each other by wire and exchange information with each other. For example, a wireless communication unit is provided inside the monitor 30 so that the control device 20 and the monitor 30 are wirelessly connected. May be communicably connected. Further, the control device 20 may be formed integrally with the moving body 10 or the monitor 30.

  As described above, the occupational therapy support device 1 can automatically detect the movement of a patient or the like by the motion sensor 11 of the moving body 10, the pressure sensor 12, and the touch panel 32 of the monitor 30. The detected information is automatically analyzed by the control device 20 and automatically recorded as useful information for evaluating the motor function of the patient or the like. Therefore, the work burden related to measurement and recording by occupational therapists can be greatly reduced.

  The occupational therapy support device 1 not only measures and records the work time, but also simultaneously records a large number of data such as the motion trajectory detected by the motion sensor 11 and the touch panel 32 and the grip strength detected by the pressure sensor 12. In addition, it can be accurately acquired and analyzed and recorded. Thereby, it is possible to comprehensively and quantitatively evaluate the working ability of a patient or the like from various viewpoints using a large number of evaluation items.

  Next, a display example of the monitor 30 will be described with reference to FIGS. 3 and 4. Various displays are possible on the monitor 30, and the display on the monitor 30 is not limited to the examples shown in FIGS.

  FIG. 3 is a diagram illustrating a display example of the monitor 30 of the occupational therapy support device 1. As shown in FIG. 3, a target 36, an evaluation result 34, and an operation unit 35 are displayed on the display unit 31 of the monitor 30. The target 36 is, for example, a substantially circular image or the like, and the patient or the like touches the target 36 displayed on various parts of the display unit 31 with the moving body 10 (see FIG. 1) or a finger. That is, the target 36 is the target of the operation when performing training or measurement.

  The evaluation result 34 is a result of training or measurement, its evaluation, or the like, for example, an operation time, an operation trajectory, a grip strength, a score, or the like. The occupational therapist or the like gives training guidance to the patient or the like based on the evaluation result 34.

  The score is a numerical value of the results of training and measurement, evaluation, and the like, and this makes it possible to convey the evaluation of ability and the like quantitatively and easily to the patient. As the evaluation result 34, for example, information on the current operation may be displayed in real time.

  In addition, the display unit 31 displays an operation unit 35 that performs operations such as switching of training methods and the like. The operation unit 35 is, for example, icons of various shapes, and the operation unit 35 is touched to switch the training method of the occupational therapy support device 1 or perform various settings. That is, the occupational therapy support device 1 can be operated by the monitor 30.

  3 shows an example in which the target 36, the evaluation result 34, and the operation unit 35 are displayed on the display unit 31 at the same time. For example, when training is performed, the evaluation result 34 may not be displayed. good. Thereby, the whole display part 31 can be used for training and a measurement, and a larger operation | movement training, a measurement, etc. can be performed.

  In addition, as training using the target 36, for example, training and measurement for touching the target 36 a plurality of times can be performed. At this time, it is possible to detect which part of the target 36 is touched and to measure the accuracy and stability of the motion as the motion trajectory.

  In addition, for example, as a training combining the moving body 10 and the monitor 30, training using colors can be performed. For example, a plurality of targets 36 having different colors are displayed on the display unit 31 of the monitor 30 so that the moving body 10 emits light in an arbitrary color. At this time, the patient or the like is instructed to touch the target 36 having the same color as that of the moving body 10.

  FIG. 4A is a diagram illustrating an example of displaying a work instruction from right to left of the occupational therapy support device 1, and FIG. 4B is a diagram illustrating a display example at the time of training and measurement of a line trace. It is. As shown in FIG. 4A, a target 36 and an arrow 37 are displayed on the display unit 31.

  An arrow 37 is a starting point of the operation, and measurement starts when a patient or the like touches the arrow 37. The target 36 is the end point of the operation. After touching the arrow 37, the measurement ends when the target 36 is touched. In this way, by using a graphic or the like such as the arrow 37, a training instruction can be easily communicated to a patient or the like. Further, by measuring the time when the arrow 37 and the target 36 on the touch panel 32 are touched, the time required for the operation can be accurately measured and evaluated.

  Also, for example, after touching the target 36 that is the end point of the operation, the currently displayed arrow 37 and target 36 are erased from the display unit 31, and a new arrow 37 and target 36 that is the next operation instruction is displayed. You may do it. Thereby, after performing one operation | movement, the instruction | indication of the next operation | movement can be performed immediately.

  As shown in FIG. 4B, a character 38 is displayed on the display unit 31, and a patient or the like traces the character 38 using a finger or the moving body 10 (see FIG. 1). Thus, by displaying the character 38 and the like on the display unit 31, it is possible to perform training and measurement of writing of the character 38 and the like. Instead of the characters 38, for example, various figures such as a straight line, a curve, a circle, and a polygon may be displayed. At this time, the evaluation result 34 may display, for example, position information detected by the touch panel 32 as an operation trajectory.

  As shown in FIGS. 3 and 4, in the occupational therapy support device 1, the training method can be easily changed by changing the display content of the display unit 31 of the monitor 30. Therefore, various training corresponding to a patient's ability can be performed. Moreover, training willingness of patients and the like can be improved by various display methods.

  FIG. 5 is a configuration diagram showing an outline of the occupational therapy support device 101 according to another embodiment of the present invention, and simply shows a state in use in a side view. As shown in FIG. 5, the occupational therapy support device 101 includes a camera 140 serving as a detection unit that detects the movement of the upper limb of a patient or the like. The camera 140 can detect movements of a fingertip of a patient or the like, a wrist, an elbow, a shoulder, etc., and can acquire more information. Therefore, the working ability of the patient or the like can be analyzed in more detail.

  Further, by detecting the movement of the upper limb of the patient or the like by combining the information obtained by the camera 140 and the information from the moving body 10, the movement of the upper limb of the patient or the like can be more accurately evaluated. Note that the trajectory of the motion of the upper limb of the patient or the like may be detected by using only the camera 140 without using the moving body 10.

  In addition, the occupational therapy support apparatus 101 includes a work desk 130 in which a table and a monitor 30 are integrally formed. The work desk 130 is configured such that the monitor 30 is lifted while being inclined with respect to the top board. That is, the inclination of the monitor 30 can be adjusted. Moreover, the leg part of the work desk 130 is formed so that the length of the leg part can be adjusted. That is, the height of the work desk 130 can be adjusted. By adjusting the height of the work desk 130 and adjusting the tilt of the monitor 30, the monitor 30 can be arranged at a position suitable for each patient, etc., and the patient etc. should be trained in an easy posture. Can do.

  As described above, in the present embodiment, the occupational therapy support devices 1 and 101 including the moving body 10 and the monitor 30 have been described. However, the occupational therapy support device 1 is not limited to this. For example, without providing the monitor 30, the moving body 10 may be provided with a display serving as a display unit, a speaker serving as a sound generator, and the like. Thereby, training and measurement can be performed only by the mobile body 10 that is easy to carry. Moreover, you may utilize the multifunctional portable information communication terminal etc. which have a communication function, a calculation function, a display function, etc. as the mobile body 10. FIG.

  Further, for example, a remote control device or the like that can perform an operation instruction or the like to a plurality of occupational therapy support devices 1 may be provided. Thereby, the occupational therapist etc. who give instruction | indication can perform instruction | indication of instruction, instruction | indication, etc. simultaneously with respect to several patients.

In addition, the occupational therapy support device 1 is not limited to occupational therapy for patients with paralysis of the upper limbs, and exercise function training and ability measurement for other patients and the elderly, intelligence education and play for infants and children, etc. In addition, it can be used for various purposes.
The present invention can be modified in various ways without departing from the scope of the present invention.

DESCRIPTION OF SYMBOLS 1, 101 Occupational therapy assistance apparatus 10 Mobile body 11 Motion sensor 12 Pressure sensor 13 Vibrator 14 Luminous body 15 Communication part 16 Control part 20 Control apparatus 21 Control part 22 Communication part 30 Monitor 31 Display part 32 Touch panel 33 Sound generator 130 Work desk 140 cameras

Claims (7)

An occupational therapy support device used for functional training of the upper limbs,
Detection means for detecting movement of the upper limb of the patient;
Control means for analyzing and recording information detected by the detection means;
Display means for displaying information analyzed by the control means;
A movable body that has the detection means and is gripped and moved by the patient ,
The moving body is formed of a material that transmits light,
The inside of the moving body, occupational therapy support device characterized that you have emitters is provided for emitting a plurality of different colors based on the information from the control means. The occupational therapy support device according to claim 1, wherein the detection unit includes a touch panel that is provided in a display unit of the display unit and detects contact of the moving body with the display unit. Before Symbol moving body, occupational therapy support device according to claim 1 or claim 2 characterized in that it has a motion sensor to detect movement of the movable body as the detection means. The occupational therapy support device according to any one of claims 1 to 3, wherein the moving body includes a pressure sensor that detects a grip force of the patient as the detection unit. The occupational therapy support device according to any one of claims 1 to 4, wherein the moving body includes a vibrator that vibrates based on information from the control means. Said detecting means, occupational therapy support device according to any one of claims 1 to claim 5, characterized in that it has a camera to detect movement of the upper limbs of the patient. The display means, occupational therapy support device according to any one of claims 6 to claims 1 and displaying the work instruction for the patient.

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