JP6925077B1 - Rehabilitation support / maintenance system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a rehabilitation support / maintenance system capable of detecting the number of steps during rehabilitation with an orthosis used by a rehabilitation patient, supporting rehabilitation walking according to the rehabilitation patient from the frequency of use, and maintaining the orthosis. A rehabilitation support / maintenance system 10 includes a device 20 of a rehabilitation patient 11 and an analysis mechanism 40 that analyzes information from the device 20. The orthosis 20 includes a step count counter on the foot portion 22, and the step count counter includes a first sensor and a second sensor for detecting pressure, and a control board for transmitting ID information and step count information. The analysis mechanism 40 includes a data collection terminal 41 that receives and temporarily stores step count information, a server 42 that is connected via a network and analyzes step count information, and a display terminal 43 that displays the analysis result. [Selection diagram] Fig. 1

Description

The present invention supports rehabilitation walking and maintains the orthosis or prosthesis by using the orthosis or prosthesis of a rehabilitation patient with a walking disability (hereinafter referred to as rehabilitation) and an analysis mechanism that analyzes information from the orthosis or prosthesis. It is related to the rehabilitation support / maintenance system.

Conventionally, a rehabilitation patient with a walking disability wears an orthosis on his / her foot and performs rehabilitation walking with the orthosis assisting the support of the foot. In recent years, in order for each rehabilitation patient to be able to walk appropriately during rehabilitation, a sensor or the like is attached to the orthosis to acquire data of each rehabilitation patient and reflect it in the adjustment of the orthosis. Such a rehabilitation device for acquiring data of a rehabilitation patient is known.

In the rehabilitation device of Patent Document 1, the orthosis is connected to a pair of support members arranged on both sides of the joint of the rehabilitation patient, and a first arm and a second arm rotatably connected to the support member. It includes a member, a belt fixed to a leg, a support member, a first arm, and a pad provided inside the second arm. An acceleration sensor and a pressure sensor are provided on the pad to detect the acceleration due to the movement of the knee of the rehabilitated patient and the pressure applied by the orthosis to the knee, thigh, lower limbs, etc., and record it in the recording means for external output. Output from the means. Then, using the data output from the external output means, the state and change of walking in the medium to long term are known, and the orthosis is adjusted to the optimum state.

In the walking evaluation system of Patent Document 2, a walking evaluation assisting tool attached to the sole of the foot or the foot is provided separately from the orthosis or the shoe to be worn on the foot. The walking evaluation aid is provided with a load sensor provided on the forefoot and hindfoot of the bottom and a wireless circuit unit for transmitting load information, and a threshold value is set by a terminal that receives the load information, and when the threshold value is exceeded. It issues an alarm sound, vibration, light, etc. In addition, a computer connected via a network sets a threshold value, analyzes data, and presents comments from medical staff.

The biological condition monitoring device of Patent Document 3 is a footwear-like device provided on the sole of the foot and provided with a foot pressure sensor unit for detecting a change in pressure over time, a position detection unit for detecting the position information of a subject, and a transmission unit. It is equipped with a biological information collecting device, and determines and monitors the biological condition based on the collected data.

By the way, the useful life of orthoses and artificial legs is set by the Ministry of Health, Labor and Welfare for proper use. For example, the useful life of the prosthesis foot is set to 18 months, and the useful life of the knee joint is set to 3 years. However, since the frequency of use differs for each rehabilitation patient, the useful life of the prosthesis foot is the same for those who walk a lot not only during rehabilitation but also in their daily lives and those who are almost bedridden and use the prosthesis only during rehabilitation. The load applied to the prosthesis is different even after 18 months.

In addition, rehabilitation is divided into several stages according to the stage, and includes, for example, an acute stage, a convalescent stage, a maintenance stage (life stage), and a terminal stage. Rehabilitation patients are expected to improve the effect of rehabilitation by increasing the amount of activity (for example, the number of steps) according to each stage.

Generally, the amount of activity is small in the acute phase, and the amount of activity increases in the recovery phase and maintenance phase. In the convalescent / maintenance phase, the leg movements of the rehabilitation patient are also powerful and fast, so the rehabilitation patient should carry out rehabilitation walking even if he / she becomes heavy by attaching an external assistive device or footwear to the orthosis or artificial leg. The number of steps can be measured even with an acceleration sensor that is generally used for measuring the number of steps. On the other hand, in the acute phase, the leg movements of the rehabilitation patient are weak and slow in the rubbing state. It becomes difficult, and the number of steps cannot be measured by the acceleration sensor.

Regarding these points, in the rehabilitation device of Patent Document 1, although information on acceleration and pressure is acquired from the orthosis, it is for knowing the state and change of walking in the medium to long term and adjusting the orthosis to a state suitable for the rehabilitation patient. Therefore, it is not possible to improve maintainability by detecting an appropriate useful life of the orthosis. Furthermore, although it is a leg orthosis, it is not a foot orthosis, so that it is not possible to appropriately detect the number of steps in the sliding foot state of a rehabilitation patient in the acute phase.

In the walking evaluation system of Patent Document 2, a threshold value is set by a terminal that receives load information, and when the threshold value is exceeded, an alarm sound, vibration, light, etc. are issued to determine the degree of force applied to the foot of the rehabilitation patient. Although it can be evaluated, it is not possible to improve maintainability by detecting the appropriate service life of the equipment. Furthermore, since it is necessary to attach a walking evaluation aid separately to the orthosis or footwear of the rehabilitation patient, the foot is heavy and the rehabilitation walking becomes difficult, and the number of steps in the sliding foot state of the rehabilitation patient in the acute phase cannot be appropriately detected.

Although the biological condition monitoring device of Patent Document 3 determines the biological condition based on the data collected from the footwear-like biological information collecting device, it cannot detect the appropriate useful life of the orthosis to improve maintainability. .. Furthermore, it is footwear-like and cannot be worn and rehabilitated by patients undergoing acute rehabilitation.

International Publication No. 2012/086202 JP-A-2017-158909 Japanese Unexamined Patent Publication No. 2004-305469

In view of the above points, the present invention mainly detects the number of steps during rehabilitation with the orthosis or prosthesis used by the rehabilitation patient in the acute phase, and supports the rehabilitation walking and the orthosis or prosthesis according to each rehabilitation patient based on the frequency of use. The challenge is to provide a rehabilitation support / maintenance system that can perform maintenance.

[1] A rehabilitation support / maintenance system that supports rehabilitation walking by using a rehabilitation patient's orthosis or prosthesis and an analysis mechanism that analyzes information from the orthosis or the prosthesis.
The orthosis and the prosthesis include a foot located on the foot of the rehabilitation patient, a bottom provided on the foot and in contact with the floor or the ground, and a step counter provided on the bottom for counting the number of steps of the rehabilitation patient. , Equipped with
The step counter is connected to a first sensor provided on the rear side of the bottom portion to detect pressure, a second sensor provided on the front side of the bottom portion to detect pressure, and the first sensor and the second sensor. When the pressure of the first sensor and the pressure of the second sensor exceed a predetermined value, the control board counts as one step and temporarily stores the step count information, and also transmits the unique ID information and the step count information. With
The analysis mechanism is a separate body from the device and the prosthesis, and is connected to a data collection terminal that receives and temporarily stores the ID information and the step count information and is temporarily stored by being connected to the data collection terminal via a network. It is characterized by including a server that receives and stores the ID information and the step count information and analyzes the information, and a display terminal that is connected to the server and displays the analysis result.

According to such a configuration, the orthosis and the prosthesis include a foot, a bottom, and a step counter. The step counter includes a step counter including a first sensor provided on the rear side of the bottom for detecting pressure and a second sensor provided on the front side of the bottom for detecting pressure, and the pressure and the second sensor of the first sensor. Since it counts as one step when the pressure of And the number of steps can be counted accurately.

Further, since the analysis mechanism includes a data collection terminal that receives and temporarily stores ID information and step count information from the step count counter, and a server that receives and analyzes ID information and step count information from the data collection terminal. The maintenance time can be grasped from the number of steps, and the rehabilitation walking support and the maintenance of the orthosis or the prosthesis can be performed according to each rehabilitation patient from the frequency of use.

[ 1 ] Preferably, the step count counter transmits the temporarily stored step count information at a predetermined time.

According to such a configuration, for example, walking information for one day is collectively transmitted from the walking counter to the data collection terminal at a predetermined time, so that the consumption of the remaining battery power due to communication can be reduced as compared with frequent communication. can. Furthermore, it is possible to prevent transmission / reception errors and stabilize data transmission / reception as compared with frequent transmission, and to accurately create information on rehabilitation walking support and maintenance of the orthosis or artificial leg.

[ 1 ] Preferably, in the analysis mechanism, the setting terminal for setting the predetermined time is detachably connected to the data collecting terminal, and the predetermined time is set by the setting terminal via the data collecting terminal. It is transmitted to the control board and set.

According to this configuration, the data transmission time from the step counter to the data collection terminal can be freely set by the setting terminal, and the step count information can be easily collected for each rehabilitation patient to be set to a more accurate rehabilitation walk. Can create information on support and maintenance of equipment or prostheses.

[ 2 ] Preferably, the analysis mechanism can connect to the server an individual browsing operation terminal that browses and operates the analysis result via a network.

According to this configuration, individual browsing operation terminals can be connected to the server via the network. For example, the server can be logged in from a remote location with an ID and password to browse the analysis results, and support for rehabilitation walking and equipment. Alternatively, information on the maintenance of the prosthesis can be created. Therefore, it is possible to improve convenience by creating information on rehabilitation walking support and maintenance of orthoses or artificial legs at homes and nursing care facilities away from hospitals.

[ 3 ] Preferably, the server calls the ID information and the step count information, and when the step count information is less than a predetermined value , notifies the rehabilitation patient that the target step count has not been reached and supports rehabilitation. At the same time, create and send information that there is time to maintain the orthosis or the prosthesis according to the number of steps.
The display terminal notifies the rehabilitation patient that the target number of steps has not been reached to support the rehabilitation, and also receives and displays information that there is a margin until the maintenance time of the orthosis or the artificial leg according to the step number condition.

According to such a configuration, the server creates maintenance information when the step count information is less than a predetermined value, so that the rehabilitation patient is notified that the target step count has not been reached to support the rehabilitation, and the step count condition is used. It is possible to notify maintenance information that, for example, there is a margin until the maintenance time of the orthosis or the artificial leg.

[ 4 ] Preferably, the server calls the ID information and the step count information, and when the step count information exceeds a predetermined value, the rehabilitation patient has reached the target number of steps and the rehabilitation is proceeding smoothly. In addition to supporting rehabilitation by notifying, information that the maintenance time of the orthosis or the prosthesis is approaching according to the number of steps is created and transmitted.
The display terminal notifies the rehabilitation patient that the target number of steps has been reached and the rehabilitation is proceeding smoothly to support the rehabilitation, and also provides information that the maintenance time of the orthosis or the artificial leg is approaching according to the step number condition. Receive and display.

According to such a configuration, the server creates maintenance information when the step count information exceeds a predetermined value, so that the rehabilitation patient is notified that the target step count has been reached and the rehabilitation is proceeding smoothly to support the rehabilitation. At the same time, it is possible to notify the maintenance information that, for example, the maintenance time of the equipment or the artificial leg according to the number of steps is approaching.

[ 5 ] Preferably, the server calls the ID information and the step count information, the step count information does not fall below a predetermined value, the step count information does not exceed a predetermined value, and the brace or the step count information. When the number of days of use of the prosthesis exceeds the predetermined number of days , information to the effect that the maintenance time of the orthosis or the prosthesis is approaching according to the number of days condition is created and transmitted.
The display terminal receives and displays information that the maintenance time of the orthosis or the prosthesis is approaching according to the number of days condition.

According to such a configuration, the server creates and transmits maintenance information when the step count information does not fall below a predetermined value, the step count information does not exceed a predetermined value, and exceeds a predetermined number of days. Therefore, it is possible to notify the maintenance information that, for example, the maintenance time of the orthosis or the artificial leg is approaching depending on the number of days condition.

It is possible to detect the number of steps during rehabilitation with an orthosis or artificial leg mainly used by rehabilitation patients in the acute phase, and to support rehabilitation walking and maintain the orthosis or artificial leg according to each rehabilitation patient based on the frequency of use.

It is explanatory drawing of the rehabilitation support maintenance system which concerns on this invention. It is explanatory drawing of the brace which concerns on this invention. It is explanatory drawing of the step count counter which concerns on this invention. It is an operation diagram of rehabilitation while receiving assistance from a caregiver. It is an operation diagram of the rehabilitation support system of the comparative example and the rehabilitation support maintenance system of the Example. It is a flow from the step count by the orthosis or the artificial leg to the analysis result display by the analysis mechanism. It is a maintenance flow by the rehabilitation support maintenance system which concerns on this invention.

Embodiments of the present invention will be described below with reference to the accompanying drawings. The explanatory diagram of the rehabilitation support / maintenance system shall conceptually (schematically) show an example of rehabilitation when using an orthosis.

As shown in FIG. 1, the rehabilitation support / maintenance system 10 supports rehabilitation walking by using the brace 20 of the rehabilitation patient 11 and the analysis mechanism 40 that analyzes the step count information from the brace 20.

The rehabilitation patient 11 is a patient in the acute phase, grasping the parallel bars 13 (only the back side is shown), and walking on the floor surface 12 in a rehabilitation facility such as a hospital for rehabilitation. The brace 20 includes a step counter 21 (see FIG. 3) that counts the number of steps (activity amount) of the rehabilitation patient 11, and transmits ID information and step count information unique to each brace 20 to the analysis mechanism 40 at a predetermined time. In the embodiment, the rehabilitation patient 11 grabs the parallel bars 13 and walks for rehabilitation, but the present invention is not limited to this, and the rehabilitation patient 11 may walk with a caregiver 15 (see FIG. 4).

Next, the hardware of the analysis mechanism 40 will be described.
The analysis mechanism 40 is connected to the data collection terminal 41 that receives and temporarily stores the ID information set for each device 20 and the step count information from the device 20, and is temporarily stored by being connected to the data collection terminal 41 via the network 50. It includes a server 42 that receives and stores ID information and step count information and analyzes them, and a display terminal 43 that is connected to the server 42 and displays analysis results.

Further, the server 42 is connected to the in-facility LAN 44, and it is also possible to connect the mobile terminal 46 via the transmission / reception device 45 of the in-facility LAN 44 and display the analysis result on the mobile terminal 46. Further, it is also possible to connect to the server 42 from the external browsing operation terminal 47 via the network 50 and browse and operate the analysis result on the individual browsing operation terminal 47. An ID and a password may be set for the connection between the mobile terminal 46 and the browsing operation terminal 47.

Further, a setting terminal 48 for setting a predetermined time is detachably connected to the data collection terminal 41, and the predetermined time is transmitted to the step counter 21 via the data collection terminal 41 by the setting terminal 48. Set. By setting the predetermined time, for example, at 11:00 pm, the daily step count information is collectively transmitted during the time zone during which the rehabilitation walk is not performed. In the embodiment, the setting terminal 48 is made detachable by wire to the data collecting terminal 41, but the setting terminal 48 is not limited to this, and is not limited to the setting terminal 48 through a wireless LAN standard such as so-called wifi or Bluetooth (registered trademark) or the network 50. May be connected to the data collection terminal 41 to set a predetermined time.

Next, the hardware of the brace 20 will be described.
As shown in FIG. 2, the brace 20 is attached to the lower limbs (legs) 14 of the rehabilitation patient 11 (see FIG. 1). The brace 20 includes a footwear-shaped foot portion 22 located on the foot of the rehabilitation patient 11, a stirrup 23 provided on the foot portion 22, a pair of lower struts 24 provided on the stirrup 23 so as to be swingable, and a lower struts. A pair of upper columns 26, which are provided at the upper end of the 24 so as to be swingable via a shaft 25, are provided.

The rear side of the pair of lower columns 24 is connected by a half moon member 27, and is fixed to the lower leg by a cuff band 28. The pair of upper struts 26 are connected to each other by a half-moon member 29 on the rear side, and are fixed to the thigh via a thigh corset 31. On the front side of the pair of upper columns 26, an assistance band 32 that can be grasped by the caregiver 15 is provided. A knee pad 33 for holding the knee is provided near the shaft 25 of the brace 20.

As shown in FIGS. 3A and 3B, the orthosis 20 is provided on the foot portion 22, the bottom portion 34 provided on the foot portion 22 and in contact with the floor surface 12 (see FIG. 1), and the bottom portion 34. It is provided with a step count counter 21 for counting the steps of the rehabilitation patient 11.

The step counter 21 is provided on the first sensor 35 provided on the rear side of the bottom 34 to detect pressure, the second sensor 36 provided on the front side of the bottom 34 to detect pressure, and the first sensor 35 and the second sensor 36. A control board 37 that is connected and counts as one step when the pressure of the first sensor 35 and the pressure of the second sensor 36 exceeds a predetermined value, temporarily stores the step count information, and transmits unique ID information and step count information. And have.

The bottom 34 is made of a flexible material such as rubber, sponge, synthetic resin, or leather, or a combination of these layers, and the first sensor 35 and the second sensor 35 and the second are located inside the bottom 34 and at a position where the pressure due to the ground contact of the foot can be detected. A sensor 36 is provided. The first sensor 35 and the second sensor 36 are, for example, load cells, and if the bottom 34 is a single rubber, the first sensor 35 and the second sensor 36 can be arranged between the upper surface and the insole, and the bottom 34 can be arranged. If the sponge and the leather are laminated, the first sensor 35 and the second sensor 36 can be arranged between the sponge and the leather, or between the sponge and the insole. Further, the control board 37 can be arranged by providing a recess in a part of the bottom portion 34. Further, the control board 37 of the step counter 21 is provided with a transmission / reception unit, and is set to transmit the temporarily stored step information at a predetermined time.

Next, the action of rehabilitation while receiving assistance from the caregiver 15 will be described.
As shown in FIG. 4, when the lower limb 14 of the rehabilitation patient 11 is severely impaired, or when it is difficult to rehabilitate alone even in the acute phase, the rehabilitation patient 11 is followed by the caregiving person 15, and the caregiving person 15 Assists the rehabilitation patient 11 in rehabilitation walking by lifting the caregiving band 32 of the device 20. In this case as well, the number of steps is counted when the rehabilitation patient 11 touches his / her foot on the floor surface 12 and detects a predetermined pressure with the first sensor 35 and the second sensor 36.

Next, the operation of the rehabilitation support system 100 of the comparative example will be described.
As shown in FIG. 5A, the rehabilitation support system 100 of the comparative example is provided on the brace 101 to be attached to the leg of the rehabilitation patient 11 and the bunt near the knee of the brace 101 to detect the acceleration and to obtain acceleration data. It includes an acceleration sensor mechanism 102 for transmitting and an acceleration data collecting terminal 103 for receiving and collecting acceleration data.

In the rehabilitation support system 100 of the comparative example, the rehabilitation stage of the rehabilitation patient 11 is, for example, the recovery phase / maintenance phase, the leg movements are powerful and fast, and the foot 104 is sufficiently stepped up to detect acceleration. The number of steps can be counted by 102. However, when the rehabilitation stage of the rehabilitation patient 11 is in the acute stage or when the disability is severe, the leg movement is weak and slow, so that the acceleration sensor mechanism 102 may not be able to detect the number of steps. Therefore, the number of rehabilitation steps cannot be accurately counted, and it is difficult to perform appropriate rehabilitation support and maintenance of the orthosis 101.

The operation of the rehabilitation support / maintenance system 10 of the embodiment in which this point is improved will be described.

As shown in FIG. 5B, in the rehabilitation support / maintenance system 10 of the embodiment, the rehabilitation stage of the rehabilitation patient 11 is, for example, the acute phase, the leg movement is weak and the foot movement is slow in the rubbing state, and the foot is 22 The amount of drawing is also small. The step counter 21 has two first sensors 35 provided on the flexible material portion of the bottom 34 (see FIG. 3) even if the leg movement is weak and the foot portion 22 is swung out slowly in a rubbing state. The second sensor 36 can detect the pressure and accurately count the number of rehabilitation steps.

Further, in the rehabilitation support / maintenance system 10 of the embodiment, the daily step count information is temporarily held on the sensor side (control board 37), transmitted to the data collection terminal 41 on time, and further, the server 42 (see FIG. 1). ) To analyze the data. As a result, appropriate rehabilitation support and maintenance of the orthosis 20 can be performed.

Next, the flow from the step count by the orthosis or the artificial leg to the analysis result display by the analysis mechanism will be described.

As shown in FIG. 6A, in the rehabilitation support / maintenance system 10, the first sensor 35 is turned on when the rehabilitation patient 11 steps in STEP 1 (STEP is referred to as S in the figure) in the orthosis 20. Whether or not it is determined (first determination step). If the determination is YES in STEP 1, it is determined in STEP 2 whether or not the second sensor 36 is ON (second determination step). If the determination is NO in STEP1, the system returns to the state of waiting before STEP1.

If the determination is YES in STEP 2, the step counter 21 (control board 37) counts one step in STEP 3 (count step). If NO in STEP2, it returns to before STEP2 and enters a standby state.

In STEP 4, the daily step count information is temporarily held on the sensor side (control board 37) together with the ID for each device 20 (step count information holding step). ID and step count information are transmitted from the sensor side (control board 37) to the data collection terminal 41 through a wireless LAN standard network such as wifi or Bluetooth (registered trademark) at the time determined every day in STEP 5 (for example, 11:00 pm). Then, the ID and the step count information are transmitted to the server 42 via the network 50 such as the Internet or the facility LAN (server transmission step).

In STEP6, the server 50 receives the ID and step count information (server reception step), in STEP7, the server 50 holds (saves) the ID and step count information (data holding process), and the server 50 holds daily step count information for each ID. And analyze the distribution of the number of steps, the total number of steps, etc. by the passage of days, every hour, every day, every week, every day, every month, up to a predetermined point in time (data analysis step).

As shown in FIG. 6 (b), in STEP 8, the server 42 is accessed from the display terminal 43 to call the ID and step count information (analysis information) (data call step), and in STEP 9, the analysis result by the table is displayed on the display terminal 43. Display and display the analysis result by graph in STEP10 (display step).

The access to the server 50 is not limited to the display terminal 43, and the access by the login ID and password by the mobile terminal 46 from the facility LAN and the login ID and password by the browsing operation terminal 47 via the Internet are used. It may be accessed by.

Next, the flow up to the display of maintenance information will be described.
As shown in FIG. 7, in STEP 11, the server 42 confirms the ID and the number of steps information at a predetermined timing (a predetermined time every day, a predetermined day of the week, an access timing to the server 42, an arbitrary timing, etc.) (data confirmation). Step). In STEP 12, it is determined whether or not the number of steps is less than a predetermined value (lower limit number of steps determination step). If the determination is YES in STEP 12, maintenance information is created to the effect that rehabilitation is not performed so much in STEP 13 and that there is a margin for maintenance of the orthosis 20 (maintenance information creation step). If the determination is NO in STEP 12, the process proceeds to STEP 17.

In STEP 17, it is determined whether or not the number of steps exceeds a predetermined value (upper limit number of steps determination step). If the judgment is YES in STEP 17, rehabilitation is performed well in STEP 13, and maintenance is required along with the fact that rehabilitation is continued in this condition (in some cases, the amount of rehabilitation is large, so pay attention to the physical condition) (in some cases, maintenance time). Is approaching) Create maintenance information. If the determination is NO in STEP 17, the process proceeds to STEP 18.

In STEP 18, it is determined whether or not the predetermined number of days has been exceeded (days determination step). If the determination is YES in STEP 18, maintenance information based on the number of days elapses is created together with the rehabilitation state based on the number of steps in STEP 13. If the discrimination is NO in STEP 18, the process returns to before STEP 12.

Following STEP 13, maintenance information is transmitted to at least one of the display terminal 43, the mobile terminal 46, and the browsing operation terminal 47 in STEP 14 (maintenance information transmission step). In STEP 15, maintenance information is received by any of the display terminal 43, the mobile terminal 46, and the browsing operation terminal 47 (maintenance information receiving step). Display maintenance information in STEP 16 (maintenance information display step).

In this way, in the maintenance of the orthosis 20 (prosthesis may be used), if the number of steps is less than the specified number of steps, the 11 rehabilitation patients are not walking due to poor physical condition, or the orthosis 20 (prosthesis) is not present and walking. There are possible causes such as no sensor failure, orthosis 20 (prosthesis) failure and you cannot walk, and maintenance is required where the user of orthosis 20 (prosthesis) needs to be followed in order to know the reason for non-use. The rehabilitation patient 11 (user) can be followed through. Further, when the number of steps exceeds the specified number, the rehabilitation patient 11 is actively walking, so that the activity of the rehabilitation patient 11 can be maintained so as not to exceed the durability of each part of the orthosis 20 (prosthesis). In addition, by setting a predetermined number of days (for example, 18 months), a specific announcement of the maintenance period can be made.

Next, the operation and effect of the rehabilitation support / maintenance system 10 described above will be described.
In the embodiment of the present invention, the brace 20 and the prosthesis include a foot portion 22, a bottom portion 34, and a step counter 21. The step counter 21 includes a step counter 21 including a first sensor 35 provided on the rear side of the bottom 41 to detect pressure and a second sensor 36 provided on the front side of the bottom 41 to detect pressure, and the first sensor. When the pressure of 35 and the pressure of the second sensor 36 exceed a predetermined value, it is counted as one step. It is possible to accurately count the number of steps by detecting the pressure when it comes into contact with the floor.

Further, in the embodiment of the present invention, the analysis mechanism 40 receives the ID information and the step count information from the step count counter 21 and the data collection terminal 41 that temporarily stores the ID information and the step count information, and receives the ID information and the step count information from the data collection terminal 41. Since the server 42 is provided for analysis, the maintenance time can be grasped from the number of steps, and the rehabilitation walking support and the maintenance of the orthosis 20 or the artificial leg can be performed according to each of the rehabilitation patients 11 from the frequency of use.

Further, in the embodiment of the present invention, for example, walking information for one day is collectively transmitted from the walking counter 21 to the data collecting terminal 41 at a predetermined time, so that the remaining battery power is consumed by the communication as compared with the frequent communication. Can be reduced. Further, it is possible to prevent transmission / reception errors and stabilize data transmission / reception as compared with frequent transmission, and to accurately create information on rehabilitation walking support and maintenance of the orthosis 20 or the artificial leg.

Further, in the embodiment of the present invention, the data transmission time from the step counter 21 to the data collection terminal 41 can be freely set by the setting terminal 48, and the time is set so that the step count information can be easily collected for each rehabilitation patient 11. This makes it possible to more accurately create information on rehabilitation walking support and maintenance of the orthosis 20 or the prosthesis.

Further, in the embodiment of the present invention, since the individual browsing operation terminal 47 can be connected to the server 42 via the network 50, for example, the analysis result is browsed by logging in to the server 42 from a remote location with an ID and a password. , Rehabilitation walking support and orthosis 20 or prosthesis maintenance information can be created. Therefore, it is possible to improve convenience by creating information on rehabilitation walking support and maintenance of the orthosis 20 or the artificial leg at a home or a nursing facility away from the hospital.

Further, in the embodiment of the present invention, the server 42 calls the ID information and the step count information, and creates maintenance information when the step count information is less than a predetermined value, so that the rehabilitation patient 11 has not reached the target step count. In addition to supporting rehabilitation by notifying this, it is possible to notify maintenance information that, for example, there is a margin until the maintenance time of the equipment 20 or the artificial leg depending on the number of steps.

Further, in the embodiment of the present invention, the server 42 calls the ID information and the step count information, and creates maintenance information when the step count information exceeds a predetermined value. Therefore, the rehabilitation patient 11 reaches the target step count and rehabilitates. Can support rehabilitation by notifying that the patient is proceeding smoothly, and can also notify maintenance information that the maintenance time of the equipment 20 or the artificial leg is approaching, for example, depending on the number of steps.

Further, in the embodiment of the present invention, the server 42 calls the ID information and the step count information, and the step count information does not fall below the predetermined value, the step count information does not exceed the predetermined value, and exceeds the predetermined number of days. Since the maintenance information is created and transmitted at that time, it is possible to notify the maintenance information that, for example, the maintenance time of the orthosis or the artificial leg is approaching depending on the number of days condition.

In the embodiment, the orthosis 20 is used, but the present invention is not limited to this, and the orthosis may be used. In this case, it is assumed that the step counter 21 is provided on the foot of the artificial leg. Further, in the embodiment, the floor surface 12 in the facility is used as the rehabilitation place, but the present invention is not limited to this, and the floor surface 12 or the ground (road surface) of the house may be used.

That is, the present invention is not limited to the examples as long as the actions and effects of the present invention are exhibited.

The technique of the present invention is suitable for a rehabilitation support / maintenance system that supports rehabilitation walking by using a rehabilitation patient's orthosis or prosthesis and an analysis mechanism that analyzes information from the orthosis or prosthesis, and maintains the orthosis or prosthesis. ..

10 ... Rehabilitation support / maintenance system, 11 ... Rehabilitation patient, 12 ... Floor (ground, road surface), 20 ... Orthosis (prosthesis), 21 ... Step counter, 22 ... Foot, 34 ... Bottom, 35 ... 1st sensor, 36 ... 2nd sensor, 37 ... control board, 40 ... analysis mechanism, 41 ... data collection terminal, 42 ... server, 43 ... display terminal, 48 ... setting terminal, 50 ... network.

Claims (6)

A rehabilitation support / maintenance system that supports rehabilitation walking by using a rehabilitation patient's orthosis or prosthesis and an analysis mechanism that analyzes information from the orthosis or the prosthesis.
The brace and the prosthesis include a foot located on the foot of the rehabilitation patient, a bottom provided on the foot and in contact with the floor or the ground, and a step counter provided on the bottom for counting the number of steps of the rehabilitation patient. , Equipped with
The step counter is connected to a first sensor provided on the rear side of the bottom portion to detect pressure, a second sensor provided on the front side of the bottom portion to detect pressure, and the first sensor and the second sensor. When the pressure of the first sensor and the pressure of the second sensor exceed a predetermined value, the control board counts as one step and temporarily stores the step count information, and also transmits the unique ID information and the step count information. With
The analysis mechanism is a separate body from the device and the prosthesis, and is connected to the data collection terminal via a network to a data collection terminal that receives and temporarily stores the ID information and the step count information, and is temporarily stored. A server that receives and stores the ID information and the step count information and analyzes the information, and a display terminal that is connected to the server and displays the analysis result are provided.
The step count counter transmits the temporarily stored step count information at a predetermined time.
In the analysis mechanism, a setting terminal for setting the predetermined time is detachably connected to the data collection terminal, and the predetermined time is transmitted to the control board via the data collection terminal by the setting terminal. A rehabilitation support / maintenance system that is characterized by being set up. The rehabilitation support / maintenance system according to claim 1.
The analysis mechanism is a rehabilitation support / maintenance system characterized in that an individual browsing operation terminal for browsing and operating the analysis result can be connected to the server via a network. The rehabilitation support / maintenance system according to claim 1 or 2.
The server calls the ID information and the step count information, and when the step count information is less than a predetermined value , notifies the rehabilitation patient that the target step count has not been reached to support the rehabilitation and depends on the step count condition. Create and send information to the effect that there is room for maintenance of the orthosis or the prosthesis.
The display terminal notifies the rehabilitation patient that the target number of steps has not been reached to support the rehabilitation, and also receives and displays information that there is a margin until the maintenance time of the orthosis or the artificial leg according to the step number condition. Rehabilitation support and maintenance system featuring. The rehabilitation support / maintenance system according to any one of claims 1 to 3.
The server calls the ID information and the step count information, and when the step count information exceeds a predetermined value , notifies the rehabilitation patient that the target number of steps has been reached and the rehabilitation is proceeding smoothly to support the rehabilitation. At the same time, create and send information that the maintenance time of the orthosis or the prosthesis is approaching according to the number of steps.
The display terminal notifies the rehabilitation patient that the target number of steps has been reached and the rehabilitation is proceeding smoothly to support the rehabilitation, and also provides information that the maintenance time of the orthosis or the artificial leg is approaching according to the step number condition. A rehabilitation support / maintenance system characterized by receiving and displaying. The rehabilitation support / maintenance system according to any one of claims 1 to 4.
The server calls the ID information and the step count information, the step count information does not fall below a predetermined value, the step count information does not exceed a predetermined value, and the number of days of use of the orthosis or the prosthesis is predetermined. If the number of days has been exceeded, create and send information that the maintenance time of the orthosis or the prosthesis is approaching according to the number of days condition.
The display terminal is a rehabilitation support / maintenance system characterized in that it receives and displays information that the maintenance time of the orthosis or the prosthesis is approaching according to the number of days condition. The rehabilitation support / maintenance system according to any one of claims 1 to 5.
The setting terminal is a rehabilitation support / maintenance system characterized in that it is connected to the data collection terminal through a wireless LAN standard or the network.

Images